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Rural Health Information Hub

Rural Health
Resources by Topic: Technology for health and human services

Broadband: FCC Is Taking Steps to Accurately Map Locations that Lack Access
Describes efforts by the Federal Communications Commission (FCC) to develop a location fabric, a geographically specific, granular dataset, representing existing and necessary broadband deployment sites. Presents findings from an examination of potential geographic data sources, surveys of 44 states and territories, and interviews with state and federal agency stakeholders. Discusses limitations related to the accuracy, completeness, and consistency of location data.
Additional links: Full Report
Date: 09/2021
Sponsoring organization: Government Accountability Office
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Housing Affordability, Adequacy, and Access to the Internet in Homes of Medicaid Enrollees
Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/non-metro status.
Author(s): Bradley Corallo
Date: 09/2021
Sponsoring organization: KFF
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States Reported Multiple Challenges with Using Telehealth to Provide Behavioral Health Services to Medicaid Enrollees
Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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Challenges to Public Health Reporting Experienced by Non-Federal Acute Care Hospitals, 2019
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs). Outlines challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Compares challenges faced by hospitals by size, CAH status, rural/urban, and independent/system affiliated and offers state-level maps of percent of hospitals reporting specific challenges.
Author(s): Chelsea Richwine, Carmelita Marshall, Christian Johnson, Vaishali Patel
Date: 09/2021
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Use of Electronic Health Records to Manage Tobacco Screening and Treatment in Rural Primary Care
Study examining the benefits of using electronic health records (EHR) in addressing tobacco dependence by primary care providers, comparing rural and urban data from the 2012-2015 National Ambulatory Medical Care Survey. Discusses the utility of EHR and barriers to EHR adoption in rural practices, and offers data tables covering patient characteristics and statistics related to primary care visits and smoking cessation.
Author(s): Jean A. Talbot, Erika C. Ziller, Carly M. Milkowski
Citation: Journal of Rural Health
Date: 09/2021
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Higher Electronic Health Record (EHR) Functionality Lowers Urban Hospital Costs but Rural Impacts Are Minimal
Examines the relationship between electronic health record (EHR) functionality and hospital costs. Compares the effect of increasing EHR functionality in urban and rural hospitals and by inpatient and outpatient service categories.
Author(s): Claudia Alejandra Rhoades, Brian E. Whitacre, Alison F. Davis
Date: 09/2021
Sponsoring organization: Center for Economic Analysis of Rural Health
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Assessing the Impact of COVID-19 on Low-Income Households and Communities in North Carolina
Discusses impacts of the COVID-19 pandemic on efforts to combat poverty and promote self-sufficiency in low-income communities across North Carolina. Presents excerpts from interviews with community leaders, and identifies takeaways related to the pandemic's impact on individuals, organizational strategies, partnerships and collaboration, and public health. Highlights rural communities and Black North Carolinians throughout, and covers topics including vaccination, internet access, mental health, and more. Provides recommendations for community action agencies.
Author(s): James H. Johnson Jr., Jeanne Milliken Bonds, Allan M. Parnell
Date: 08/2021
Sponsoring organizations: North Carolina Community Action Association, Urban Investment Strategies Center
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The Action Report: Kansas Power Up & Go
Explores strategies to retain young people and families in rural Kansas. Discusses issues such as child care, housing, broadband, employment with health insurance packages, career opportunities and economic development, cultural sensitivity, and more.
Date: 08/2021
Sponsoring organizations: Kansas Office Of Rural Prosperity, The Kansas Sampler Foundation
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Some Digital Divides Persist Between Rural, Urban, and Suburban America
Highlights differences in broadband access and digital technology adoption, such as smart phone, tablet, or computer, between rural, urban and suburban residents of the U.S.
Author(s): Emily A. Vogels
Date: 08/2021
Sponsoring organization: Pew Research Center
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"You're Going to Have to Think a Little Bit Different" Barriers and Facilitators to Using mHealth to Increase Physical Activity among Older, Rural Cancer Survivors
Study examining the potential of mobile health (mHealth) technology, specifically wearable activity trackers (WATs), to increase physical activity among rural older cancer survivors based on focus group interviews with 21 cancer survivors in New Mexico. Discusses motivation and barriers to using WATs related to peer emotional and informational support, social support, and engaging individuals with limited access to digital technologies.
Author(s): Tamar Ginossar, Heidi Rishel Brakey, Andrew L. Sussman, et al.
Citation: International Journal of Environmental Research and Public Health, 18(17), 8929
Date: 08/2021
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