Rural Health
Resources by Type: Document
Environmental Scan on Issues Related to the Development of Population-Based Total Cost of Care (TCOC) Models in the Broader Context of Alternative Payment Models (APMs) and Physician-Focused Payment Models (PFPMs)
Presents results of an environmental scan regarding population-based total cost of care (TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of TCOC payment models, relevant performance and outcome measures used in reporting and evaluation, findings from research related to population-based models and programs that seek to reduce TCOC, barriers and challenges related to implementing population-based TCOC models, and opportunities for improving and optimizing efforts to develop and implement these models. Highlights rural considerations and examples throughout.
Date: 03/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents results of an environmental scan regarding population-based total cost of care (TCOC) payment models and the role these models can play in optimizing health care delivery and value-based transformation in the context of alternative payment models (APMs) and physician-focused payment models (PFPMs). Provides an overview of TCOC payment models, relevant performance and outcome measures used in reporting and evaluation, findings from research related to population-based models and programs that seek to reduce TCOC, barriers and challenges related to implementing population-based TCOC models, and opportunities for improving and optimizing efforts to develop and implement these models. Highlights rural considerations and examples throughout.
Date: 03/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Hospital Community Benefit Spending in Minnesota, 2016 to 2019: A Report to the Minnesota Legislature
Reports on hospital-based and community benefits spending from 2016 to 2019 that promotes health in Minnesota. Includes geographic breakdowns of information according to isolated small rural town, small town, large rural city, and urban.
Additional links: Data Tables
Date: 03/2022
Sponsoring organization: Minnesota Department of Health
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Reports on hospital-based and community benefits spending from 2016 to 2019 that promotes health in Minnesota. Includes geographic breakdowns of information according to isolated small rural town, small town, large rural city, and urban.
Additional links: Data Tables
Date: 03/2022
Sponsoring organization: Minnesota Department of Health
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Rural Rising: Economic Development Strategies for America's Heartland
Discusses rural economic development strategies and categorizes rural communities based on proximity to urban areas, tourism, and economic drivers. Offers examples of economic development in different types of rural communities and highlights elements of thriving rural communities, including workforce, access to broadband and healthcare, and community partnerships.
Author(s): Mike Kerlin, Neil O'Farrell, Rachel Riley, Rachel Schaff
Date: 03/2022
Sponsoring organization: McKinsey and Company
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Discusses rural economic development strategies and categorizes rural communities based on proximity to urban areas, tourism, and economic drivers. Offers examples of economic development in different types of rural communities and highlights elements of thriving rural communities, including workforce, access to broadband and healthcare, and community partnerships.
Author(s): Mike Kerlin, Neil O'Farrell, Rachel Riley, Rachel Schaff
Date: 03/2022
Sponsoring organization: McKinsey and Company
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Mental Health Care: Access Challenges for Covered Consumers and Relevant Federal Efforts
Explores the experiences of consumers with health insurance coverage in accessing timely and appropriate mental healthcare. Describes challenges accessing mental health services, including workforce shortages and broadband availability in rural areas. Identifies ongoing and planned federal efforts to address these challenges.
Additional links: Full Report
Date: 03/2022
Sponsoring organization: Government Accountability Office
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Explores the experiences of consumers with health insurance coverage in accessing timely and appropriate mental healthcare. Describes challenges accessing mental health services, including workforce shortages and broadband availability in rural areas. Identifies ongoing and planned federal efforts to address these challenges.
Additional links: Full Report
Date: 03/2022
Sponsoring organization: Government Accountability Office
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Current State of the Health Center Workforce: Pandemic Challenges and Policy Solutions to Strengthen the Workforce of the Future
Presents results of a February 2022 survey regarding health center employee turnover in the prior 6 months. Compares survey results from urban and rural health centers, as well as the smallest and largest health centers. Identifies the workforce categories with the highest rates of employee turnover and the most common reasons for staff departures. Discusses policies that can be used to recruit and retain health center staff.
Date: 03/2022
Sponsoring organization: National Association of Community Health Centers
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Presents results of a February 2022 survey regarding health center employee turnover in the prior 6 months. Compares survey results from urban and rural health centers, as well as the smallest and largest health centers. Identifies the workforce categories with the highest rates of employee turnover and the most common reasons for staff departures. Discusses policies that can be used to recruit and retain health center staff.
Date: 03/2022
Sponsoring organization: National Association of Community Health Centers
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The Impact of a Grocery Store Closure in One Rural Highly Obese Appalachian Community on Shopping Behavior and Dietary Intake
Results of telephone surveys of people in Martin County, Kentucky, a highly obese community in which healthy food accessibility is scarce and which experienced the closure of a local grocery store in January 2020. Includes demographics for the participants, and compares their food shopping habits at the time of the initial contact with those at the time of a follow-up survey a year later.
Author(s): Rachel Gillespie, Emily DeWitt, Stacey Slone, Kathryn Cardarelli, Alison Gustafson
Citation: International Journal of Environmental Research and Public Health, 19(6), 3506
Date: 03/2022
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Results of telephone surveys of people in Martin County, Kentucky, a highly obese community in which healthy food accessibility is scarce and which experienced the closure of a local grocery store in January 2020. Includes demographics for the participants, and compares their food shopping habits at the time of the initial contact with those at the time of a follow-up survey a year later.
Author(s): Rachel Gillespie, Emily DeWitt, Stacey Slone, Kathryn Cardarelli, Alison Gustafson
Citation: International Journal of Environmental Research and Public Health, 19(6), 3506
Date: 03/2022
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Consequences of Structural Urbanism: Urban–Rural Differences in Cancer Patients' Use and Perceived Importance of Supportive Care Services from a 2017–2018 Midwestern Survey
Examines health disparities in supportive cancer care based on data from 326 rural and urban Midwestern cancer patients from November 2017 to May 2018. Includes participant data broken down by rurality, age, sex, race, marital status, insurance status, and related cancer diagnosis. Discusses closures of healthcare services and limited resources in rural areas and their impact on healthcare access for cancer patients.
Author(s): Marquita W. Lewis-Thames, Patricia Fank, Michelle Gates, et al.
Citation: International Journal of Environmental Research and Public Health, 19(6)
Date: 03/2022
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Examines health disparities in supportive cancer care based on data from 326 rural and urban Midwestern cancer patients from November 2017 to May 2018. Includes participant data broken down by rurality, age, sex, race, marital status, insurance status, and related cancer diagnosis. Discusses closures of healthcare services and limited resources in rural areas and their impact on healthcare access for cancer patients.
Author(s): Marquita W. Lewis-Thames, Patricia Fank, Michelle Gates, et al.
Citation: International Journal of Environmental Research and Public Health, 19(6)
Date: 03/2022
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Rural Hospital Profitability during the Global COVID-19 Pandemic Requires Careful Interpretation
Findings brief describing the trend of rural hospital profitability in 2011-19 and explaining why possible increases in reported profitability during the pandemic (2020-21) may mask the long-term financial challenges of rural hospitals. Features statistics including median total margin of all rural hospitals and percentage of rural hospitals with a total negative margin by year from 2011-2021, and estimated distribution of provider relief funding to hospitals as of February 2021, with breakdowns by urban or rural location.
Author(s): George Pink, Susie Gurzenda, Mark Holmes
Date: 03/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief describing the trend of rural hospital profitability in 2011-19 and explaining why possible increases in reported profitability during the pandemic (2020-21) may mask the long-term financial challenges of rural hospitals. Features statistics including median total margin of all rural hospitals and percentage of rural hospitals with a total negative margin by year from 2011-2021, and estimated distribution of provider relief funding to hospitals as of February 2021, with breakdowns by urban or rural location.
Author(s): George Pink, Susie Gurzenda, Mark Holmes
Date: 03/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Veterans Health Care: Efforts to Hire Licensed Professional Mental Health Counselors and Marriage and Family Therapists
Describes efforts taken by the Veterans Health Administration (VHA) to promote the hiring of licensed professional mental health counselors (LPMHC) and marriage and family therapists (MFT) at Department of Veterans Affairs' facilities. Examines the extent to which VA medical facilities are employing LPMHCs and MFTs and how their recent employment compares with other mental health professions. Discusses considerations regarding the availability of LPMHCs and MFTs in rural communities.
Additional links: Full Report
Date: 03/2022
Sponsoring organization: Government Accountability Office
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Describes efforts taken by the Veterans Health Administration (VHA) to promote the hiring of licensed professional mental health counselors (LPMHC) and marriage and family therapists (MFT) at Department of Veterans Affairs' facilities. Examines the extent to which VA medical facilities are employing LPMHCs and MFTs and how their recent employment compares with other mental health professions. Discusses considerations regarding the availability of LPMHCs and MFTs in rural communities.
Additional links: Full Report
Date: 03/2022
Sponsoring organization: Government Accountability Office
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Rural Hospital Administrators' Beliefs About Safety, Financial Viability, and Community Need for Offering Obstetric Care
Examines beliefs about the financial viability and need for rural obstetric care based on surveys completed by 93 rural hospital administrators. Discusses the volume necessary to provide safe obstetric care, priorities related to local community need, and issues related to workforce and policy.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Lindsay K. Admon, Bridget L. Basile Ibrahim
Citation: JAMA Health Forum, 3(3), e220204
Date: 03/2022
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Examines beliefs about the financial viability and need for rural obstetric care based on surveys completed by 93 rural hospital administrators. Discusses the volume necessary to provide safe obstetric care, priorities related to local community need, and issues related to workforce and policy.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Lindsay K. Admon, Bridget L. Basile Ibrahim
Citation: JAMA Health Forum, 3(3), e220204
Date: 03/2022
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