Rural Health
Resources by Type: Document
Clarity for Rural Emergency Hospitals and Changes for Critical Access Hospitals: CMS Finalizes Conditions of Participation and Payment and Enrollment Policies But Pauses Stark Law Flexibilities
Provides an overview of the Rural Emergency Hospitals (REHs) provisions of the Calendar Year 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule. Discusses REH reimbursement, Conditions of Participation (CoPs), enrollment provisions, and Stark Law regulatory modifications to accommodate REHs. Highlights changes to the definition of "primary roads" related to Critical Access Hospital (CAH) CoPs.
Author(s): Emily Jane Cook, Caroline Reignley, Amber Arnold, Sandra M. DiVarco
Date: 11/2022
Sponsoring organization: McDermott Will & Emery
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Provides an overview of the Rural Emergency Hospitals (REHs) provisions of the Calendar Year 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule. Discusses REH reimbursement, Conditions of Participation (CoPs), enrollment provisions, and Stark Law regulatory modifications to accommodate REHs. Highlights changes to the definition of "primary roads" related to Critical Access Hospital (CAH) CoPs.
Author(s): Emily Jane Cook, Caroline Reignley, Amber Arnold, Sandra M. DiVarco
Date: 11/2022
Sponsoring organization: McDermott Will & Emery
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Aiming For 'Real and Accessible': EMS Simulations Give Rural Providers Hands-On Experience
Describes how simulation training is helping rural emergency medical services providers prepare for a variety of situations. Discusses the use of mobile simulation facilities and virtual reality, and features programs in Colorado, Maine, and Nebraska.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 11/2022
Sponsoring organization: Rural Health Information Hub
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Describes how simulation training is helping rural emergency medical services providers prepare for a variety of situations. Discusses the use of mobile simulation facilities and virtual reality, and features programs in Colorado, Maine, and Nebraska.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 11/2022
Sponsoring organization: Rural Health Information Hub
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Rural-Urban Prescribing Patterns by Primary Care and Behavioral Health Providers in Older Adults with Serious Mental Illness
Examines psychiatric prescription patterns by behavioral health specialists (BHSs) and primary care providers (PCPs) in older adults with serious mental illness (SMI). Analyzes 2018 Medicare data of 2,079,045 Medicare beneficiaries who received a prescription for their SMI diagnosis. Includes rural versus urban comparisons of psychiatric medication type and provider type.
Author(s): Ulrike Muench, Matthew Jura, Cindy Parks Thomas, Jennifer Perloff, Joanne Spetz
Citation: BMC Health Services Research, 22, 1440
Date: 11/2022
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Examines psychiatric prescription patterns by behavioral health specialists (BHSs) and primary care providers (PCPs) in older adults with serious mental illness (SMI). Analyzes 2018 Medicare data of 2,079,045 Medicare beneficiaries who received a prescription for their SMI diagnosis. Includes rural versus urban comparisons of psychiatric medication type and provider type.
Author(s): Ulrike Muench, Matthew Jura, Cindy Parks Thomas, Jennifer Perloff, Joanne Spetz
Citation: BMC Health Services Research, 22, 1440
Date: 11/2022
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Remotely Sensed Measures of Hurricane Michael Damage and Adverse Perinatal Outcomes and Access to Prenatal Care Services in the Florida Panhandle
Examines the damage caused by Hurricane Michael in 2018 on residential buildings in the predominantly rural Florida panhandle and the relationship to adverse perinatal outcomes and access to prenatal care (PNC) services in this population. Compares aerial photography of building damage to 8,965 women's geocoded addresses, utilizing data from the Florida Department of Health's Office of Vital Statistics. Includes demographic information of women giving birth in high risk/damaged areas and the related associations to perinatal outcomes and access to PNC services.
Author(s): Ke Pan, Elaina Gonsoroski, Christopher K. Uejio, et al.
Citation: Environmental Health, 21, 118
Date: 11/2022
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Examines the damage caused by Hurricane Michael in 2018 on residential buildings in the predominantly rural Florida panhandle and the relationship to adverse perinatal outcomes and access to prenatal care (PNC) services in this population. Compares aerial photography of building damage to 8,965 women's geocoded addresses, utilizing data from the Florida Department of Health's Office of Vital Statistics. Includes demographic information of women giving birth in high risk/damaged areas and the related associations to perinatal outcomes and access to PNC services.
Author(s): Ke Pan, Elaina Gonsoroski, Christopher K. Uejio, et al.
Citation: Environmental Health, 21, 118
Date: 11/2022
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Tribal Colleges and Universities (TCUs) Are Twice as Likely to Support Parenting Students With On-Campus Child Care as Other Institutions
Compares Tribal Colleges and Universities (TCUs) with other higher learning institutions and their likelihood to provide childcare options for their students. Discusses the importance of on-campus child care to support educational opportunities for American Indian and Alaska Native (AI/AN) students.
Author(s): Jessica Warren, Deana Around Him
Date: 11/2022
Sponsoring organization: Child Trends
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Compares Tribal Colleges and Universities (TCUs) with other higher learning institutions and their likelihood to provide childcare options for their students. Discusses the importance of on-campus child care to support educational opportunities for American Indian and Alaska Native (AI/AN) students.
Author(s): Jessica Warren, Deana Around Him
Date: 11/2022
Sponsoring organization: Child Trends
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VA Health Care: Additional Action Needed to Assess the Medical Scribe Pilot
Discusses the Veterans Health Administration's design of a medical scribe pilot program at 11 Department of Veterans Affairs (VA) medical centers. Describes seven lessons learned identified by VHA officials. Highlights challenges to hiring scribes in rural areas.
Additional links: Full Report
Date: 11/2022
Sponsoring organization: Government Accountability Office
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Discusses the Veterans Health Administration's design of a medical scribe pilot program at 11 Department of Veterans Affairs (VA) medical centers. Describes seven lessons learned identified by VHA officials. Highlights challenges to hiring scribes in rural areas.
Additional links: Full Report
Date: 11/2022
Sponsoring organization: Government Accountability Office
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Improving the Oral Health of Rural Veterans
Report explores rural veterans' access to oral healthcare. Compares the oral health of rural and urban veterans, highlights barriers to oral healthcare in rural areas, and makes recommendations for expanding access to oral healthcare.
Author(s): Annaliese Cothron, Hayam Megally, Don Clermont
Date: 11/2022
Sponsoring organization: CareQuest Institute for Oral Health
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Report explores rural veterans' access to oral healthcare. Compares the oral health of rural and urban veterans, highlights barriers to oral healthcare in rural areas, and makes recommendations for expanding access to oral healthcare.
Author(s): Annaliese Cothron, Hayam Megally, Don Clermont
Date: 11/2022
Sponsoring organization: CareQuest Institute for Oral Health
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Health, Work, and Care in Rural America
Report examining rural access to paid leave from work, the economic impacts of limited access to paid leave, and distances to hospital-based and skilled nursing care. Offers a broad view of rural economic and health dynamics, travel burdens to access hospital-based care, and presents policy recommendations to address paid leave as a social determinant of health.
Author(s): Vicki Shabo, Hannah Friedman
Date: 11/2022
Sponsoring organization: New America
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Report examining rural access to paid leave from work, the economic impacts of limited access to paid leave, and distances to hospital-based and skilled nursing care. Offers a broad view of rural economic and health dynamics, travel burdens to access hospital-based care, and presents policy recommendations to address paid leave as a social determinant of health.
Author(s): Vicki Shabo, Hannah Friedman
Date: 11/2022
Sponsoring organization: New America
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Who Will Care for Rural Older Adults? Measuring the Direct Care Workforce in Rural Areas
Policy brief examining existing disparities in the supply of home health aides and nursing assistants in rural areas compared to urban areas. Features statistics on the ratio of home health aides and nursing assistants relative to the population of adults age 65 and above, with breakdowns by urban and rural areas and by census region.
Author(s): Janette Dill, Carrie Henning-Smith, Rongxuan Zhu, Elizabeth Vomacka
Date: 11/2022
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief examining existing disparities in the supply of home health aides and nursing assistants in rural areas compared to urban areas. Features statistics on the ratio of home health aides and nursing assistants relative to the population of adults age 65 and above, with breakdowns by urban and rural areas and by census region.
Author(s): Janette Dill, Carrie Henning-Smith, Rongxuan Zhu, Elizabeth Vomacka
Date: 11/2022
Sponsoring organization: University of Minnesota Rural Health Research Center
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Improvements and Maintenance of Clinical and Functional Measures Among Rural Women: Strong Hearts, Healthy Communities-2.0 Cluster Randomized Trial
Analyzes the impact of the Strong Hearts, Healthy Communities-2.0 (SHHC-2.0) program for weight loss and improved fitness in rural women. Examines 182 midlife and older women in rural, medically underserved communities in New York. Includes demographic information of participants as well corresponding clinical and functional measures after completing the program.
Author(s): Rebecca A. Seguin-Fowler, Galen D. Eldridge, Chad D. Rethorst, et al.
Citation: Circulation: Cardiovascular Quality and Outcomes, 15(11), e009333
Date: 11/2022
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Analyzes the impact of the Strong Hearts, Healthy Communities-2.0 (SHHC-2.0) program for weight loss and improved fitness in rural women. Examines 182 midlife and older women in rural, medically underserved communities in New York. Includes demographic information of participants as well corresponding clinical and functional measures after completing the program.
Author(s): Rebecca A. Seguin-Fowler, Galen D. Eldridge, Chad D. Rethorst, et al.
Citation: Circulation: Cardiovascular Quality and Outcomes, 15(11), e009333
Date: 11/2022
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