Rural Health
Resources by Topic: Technology for health and human services
Changes in Telehealth Experienced by Advanced Practice RNs During COVID-19
Summarizes 7,467 advanced practice RNs' national survey responses from June-September 2020 about the use of telehealth before and during the pandemic, and analyzes free-text comments about how the use of telehealth changed during the pandemic. Discusses challenges in rural areas, including provider shortages and lack of broadband access.
Author(s): Mavis N. Schorn, Carole R. Myers, Julie Barroso, et al.
Citation: Computers, Informatics, Nursing, 41(7), 507–513
Date: 07/2023
Type: Document
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Summarizes 7,467 advanced practice RNs' national survey responses from June-September 2020 about the use of telehealth before and during the pandemic, and analyzes free-text comments about how the use of telehealth changed during the pandemic. Discusses challenges in rural areas, including provider shortages and lack of broadband access.
Author(s): Mavis N. Schorn, Carole R. Myers, Julie Barroso, et al.
Citation: Computers, Informatics, Nursing, 41(7), 507–513
Date: 07/2023
Type: Document
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Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events
Examines how the Indian Health Service (IHS) uses its electronic health record system to monitor healthcare quality and adverse events at federally-operated facilities. Discusses how IHS informs clinicians and patients about options for telehealth use. Offers recommendations to IHS regarding regularly reviewing adverse event trends, making improvements, and disseminating best practices.
Additional links: Full Report
Date: 07/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Examines how the Indian Health Service (IHS) uses its electronic health record system to monitor healthcare quality and adverse events at federally-operated facilities. Discusses how IHS informs clinicians and patients about options for telehealth use. Offers recommendations to IHS regarding regularly reviewing adverse event trends, making improvements, and disseminating best practices.
Additional links: Full Report
Date: 07/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Telehealth in Michigan: Insights and Data for Effective Policymaking
Examines telehealth usage in Michigan for the purpose of policymaking. Evaluates the impact of expanding telehealth in rural Michigan, usage by Federally Qualified Health Centers and Rural Health Clinics, broadband, and more. Suggests policy recommendations including for issues in rural telehealth.
Author(s): Chad Ellimoottil, Ziwei Zhu, Xinwei Hi, Monica Van Til
Date: 06/2023
Type: Document
Sponsoring organizations: Ethel & James Flinn Foundation, Michigan Health Endowment Fund
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Examines telehealth usage in Michigan for the purpose of policymaking. Evaluates the impact of expanding telehealth in rural Michigan, usage by Federally Qualified Health Centers and Rural Health Clinics, broadband, and more. Suggests policy recommendations including for issues in rural telehealth.
Author(s): Chad Ellimoottil, Ziwei Zhu, Xinwei Hi, Monica Van Til
Date: 06/2023
Type: Document
Sponsoring organizations: Ethel & James Flinn Foundation, Michigan Health Endowment Fund
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A Rural Accountable Care Organization's Journey
Profiles South East Rural Physicians Alliance Accountable Care Organization (SERPA‐ACO), a physician‐led ACO consisting of 16 Nebraska clinics - 13 of which are rural. Describes various value-based payment models SERPA-ACO clinics participated in and activities the clinics use to succeed in these models. Includes recommendations for primary care clinics considering joining an ACO.
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Value
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Profiles South East Rural Physicians Alliance Accountable Care Organization (SERPA‐ACO), a physician‐led ACO consisting of 16 Nebraska clinics - 13 of which are rural. Describes various value-based payment models SERPA-ACO clinics participated in and activities the clinics use to succeed in these models. Includes recommendations for primary care clinics considering joining an ACO.
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Value
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Progress and Ongoing Challenges to Electronic Public Health Reporting Among Non-Federal Acute Care Hospitals
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs), in 2022. Discusses challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Presents data on the mean number of public health reporting types completed by hospital size, CAH status, rural/urban location, and independent/system affiliation. Appendix Table A4 contains data on the number of hospitals surveyed that reported at least one reporting challenge by state.
Author(s): Chelsea Richwine
Date: 06/2023
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs), in 2022. Discusses challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Presents data on the mean number of public health reporting types completed by hospital size, CAH status, rural/urban location, and independent/system affiliation. Appendix Table A4 contains data on the number of hospitals surveyed that reported at least one reporting challenge by state.
Author(s): Chelsea Richwine
Date: 06/2023
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Broadband Equity, Access, and Deployment (BEAD) Program: Issues and Congressional Considerations
Provides an overview of the Broadband Equity, Access, and Deployment (BEAD) program, which was created to provide broadband service to unserved locations. Discusses three issues for potential consideration by Congress: determining unserved locations for BEAD funding allocations, connectivity technologies eligible for BEAD funding, and BEAD's relationship to other federal broadband programs.
Date: 06/2023
Type: Document
Sponsoring organization: Congressional Research Service
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Provides an overview of the Broadband Equity, Access, and Deployment (BEAD) program, which was created to provide broadband service to unserved locations. Discusses three issues for potential consideration by Congress: determining unserved locations for BEAD funding allocations, connectivity technologies eligible for BEAD funding, and BEAD's relationship to other federal broadband programs.
Date: 06/2023
Type: Document
Sponsoring organization: Congressional Research Service
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A Geospatial Approach to Identify Patterns of Antibiotic Susceptibility at a Neighborhood Level in Wisconsin, United States
Examines the ability of geospatial and data visualization approaches to detect antibiotic susceptibility rates at a neighborhood level. Provides Wisconsin maps at the U.S. Census Block Groups level to report on neighborhood susceptibility rates. Discusses the related public health significance of this methodology.
Author(s): Laurel Legenza, Kyle McNair, Song Gao, et al.
Citation: Scientific Reports, 13, 7122
Date: 05/2023
Type: Document
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Examines the ability of geospatial and data visualization approaches to detect antibiotic susceptibility rates at a neighborhood level. Provides Wisconsin maps at the U.S. Census Block Groups level to report on neighborhood susceptibility rates. Discusses the related public health significance of this methodology.
Author(s): Laurel Legenza, Kyle McNair, Song Gao, et al.
Citation: Scientific Reports, 13, 7122
Date: 05/2023
Type: Document
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Interoperability among Hospitals Treating Populations That Have Been Marginalized
Examines how hospitals that serve more marginalized patients engage with interoperability. Compares the percentage of hospitals supporting interoperable exchange and participating in national networks by hospital characteristics, including Critical Access Hospital (CAH) designation and rural-urban status.
Author(s): Jordan Everson, Vaishali Patel, Andrew W. Bazemore, Robert L. Phillips
Citation: Health Services Research, 58(4), 853-864
Date: 05/2023
Type: Document
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Examines how hospitals that serve more marginalized patients engage with interoperability. Compares the percentage of hospitals supporting interoperable exchange and participating in national networks by hospital characteristics, including Critical Access Hospital (CAH) designation and rural-urban status.
Author(s): Jordan Everson, Vaishali Patel, Andrew W. Bazemore, Robert L. Phillips
Citation: Health Services Research, 58(4), 853-864
Date: 05/2023
Type: Document
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Defending Rural Healthcare Against Ransomware
A recorded webinar that discusses the burden of ransomware attacks on rural healthcare facilities. Provides information on how to prepare for, detect, and respond to a cyber attack. Transcript available below description.
Author(s): Michael Hamilton, Fred Langston, Johnathen Inskeep, Jake Milstein
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: Center for Optimizing Rural Health
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A recorded webinar that discusses the burden of ransomware attacks on rural healthcare facilities. Provides information on how to prepare for, detect, and respond to a cyber attack. Transcript available below description.
Author(s): Michael Hamilton, Fred Langston, Johnathen Inskeep, Jake Milstein
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: Center for Optimizing Rural Health
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Maximizing New Federal Investments in Broadband for Rural America
Policy brief covering the Broadband Equity, Access, and Deployment program with recommendations for stakeholders on how to close the digital divide for rural America. Discusses transparency and accountability, capacity building and community engagement, and implementation.
Author(s): Anthony F. Pipa, Laura Landes, Zoe Swarzenski
Date: 05/2023
Type: Document
Sponsoring organization: The Brookings Institution
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Policy brief covering the Broadband Equity, Access, and Deployment program with recommendations for stakeholders on how to close the digital divide for rural America. Discusses transparency and accountability, capacity building and community engagement, and implementation.
Author(s): Anthony F. Pipa, Laura Landes, Zoe Swarzenski
Date: 05/2023
Type: Document
Sponsoring organization: The Brookings Institution
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