Rural Health
Resources by Type: Document
Recommendations for Strengthening Iowa's Community-Based Services System: Final Evaluation Report
Provides an overview of Iowa's Medicaid home- and community-based services and programs, as well as the policies and procedures to access those services. Offers recommendations on three approaches that can improve equity, quality, efficiency, coordination, transparency, and accountability. Includes rural references and considerations throughout.
Date: 01/2023
Sponsoring organizations: Iowa Department of Health and Human Services, Mathematica, The Harkin Institute
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Provides an overview of Iowa's Medicaid home- and community-based services and programs, as well as the policies and procedures to access those services. Offers recommendations on three approaches that can improve equity, quality, efficiency, coordination, transparency, and accountability. Includes rural references and considerations throughout.
Date: 01/2023
Sponsoring organizations: Iowa Department of Health and Human Services, Mathematica, The Harkin Institute
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Pre-Pandemic Geographic Access to Hospital-Based Telehealth for Cancer Care in the United States
Explores the availability of telehealth and oncology services across geographic and sociodemographic domains before the start of the COVID-19 pandemic. Utilizes 2019 and 2020 data sources to examine hospital characteristics by telehealth and oncology services, with information on hospital ownership, number of hospital beds, Health Professional Shortage Area (HPSA) status, presence of Rural Health Clinic (RHC) co-located at hospital, and more. Includes availability of telehealth, oncology, and hospital services broken down by county; HPSA status; income, average age, and race/ethnicity of residents; ratio of population to primary care physicians; rural noncore, rural micropolitan, or urban status; and more.
Author(s): David I. Shalowitz, Peiyin Hung, Whitney E. Zahnd, Jan Eberth
Citation: PLoS One, 18(1)
Date: 01/2023
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Explores the availability of telehealth and oncology services across geographic and sociodemographic domains before the start of the COVID-19 pandemic. Utilizes 2019 and 2020 data sources to examine hospital characteristics by telehealth and oncology services, with information on hospital ownership, number of hospital beds, Health Professional Shortage Area (HPSA) status, presence of Rural Health Clinic (RHC) co-located at hospital, and more. Includes availability of telehealth, oncology, and hospital services broken down by county; HPSA status; income, average age, and race/ethnicity of residents; ratio of population to primary care physicians; rural noncore, rural micropolitan, or urban status; and more.
Author(s): David I. Shalowitz, Peiyin Hung, Whitney E. Zahnd, Jan Eberth
Citation: PLoS One, 18(1)
Date: 01/2023
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Building a Better Wisconsin: Investing in the Health and Well-Being of Wisconsinites - 2023 Governor's Health Equity Council Report
Provides an overview of the Wisconsin Governor's Health Equity Council 2023 recommendations which are focused on upstream health interventions related to the economic, social, and physical environment, with specific attention to health and community services, education and housing, justice, governance, and family-sustaining fiscal policy. Includes strategies specific to rural communities as well as county-level maps on health outcomes and percentage of children in poverty.
Date: 01/2023
Sponsoring organization: Wisconsin Department of Health Services
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Provides an overview of the Wisconsin Governor's Health Equity Council 2023 recommendations which are focused on upstream health interventions related to the economic, social, and physical environment, with specific attention to health and community services, education and housing, justice, governance, and family-sustaining fiscal policy. Includes strategies specific to rural communities as well as county-level maps on health outcomes and percentage of children in poverty.
Date: 01/2023
Sponsoring organization: Wisconsin Department of Health Services
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January 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2023 meeting. Covers Medicaid data collection and reporting, nursing facility provider payment principles, challenges for states administering Medicaid home- and community-based services and access barriers for Medicaid beneficiaries, Medicaid managed care quality oversight, the unwinding of the Public Health Emergency, and more. Includes rural references and considerations throughout.
Date: 01/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2023 meeting. Covers Medicaid data collection and reporting, nursing facility provider payment principles, challenges for states administering Medicaid home- and community-based services and access barriers for Medicaid beneficiaries, Medicaid managed care quality oversight, the unwinding of the Public Health Emergency, and more. Includes rural references and considerations throughout.
Date: 01/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Early Challenges Highlight Areas for Improvement in COVID-19 Vaccination Programs
Explores challenges faced by 56 state, local, and territorial immunization programs in implementing COVID-19 vaccination programs, including challenges to reaching rural and underserved populations. Discusses mitigation strategies the immunization programs implemented to address those challenges. Includes recommendations for the CDC to improve the efficiency and equity of the COVID-19 vaccination programs.
Date: 01/2023
Sponsoring organization: Office of Inspector General (HHS)
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Explores challenges faced by 56 state, local, and territorial immunization programs in implementing COVID-19 vaccination programs, including challenges to reaching rural and underserved populations. Discusses mitigation strategies the immunization programs implemented to address those challenges. Includes recommendations for the CDC to improve the efficiency and equity of the COVID-19 vaccination programs.
Date: 01/2023
Sponsoring organization: Office of Inspector General (HHS)
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Challenges with Vaccination Data Hinder State and Local Immunization Program Efforts to Combat COVID-19
Presents results of a December 2021 survey of 56 state and local immunization programs regarding whether they receive individual-level COVID-19 vaccination data from Federal agencies and retail pharmacy partners. Discusses the impact of having incomplete individual-level vaccination data on reaching unvaccinated and vulnerable populations, including rural populations. Includes recommendations for the CDC to mitigate data gaps and ensure that state and local immunization programs are aware of existing tools to address vaccination campaign needs.
Date: 01/2023
Sponsoring organization: Office of Inspector General (HHS)
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Presents results of a December 2021 survey of 56 state and local immunization programs regarding whether they receive individual-level COVID-19 vaccination data from Federal agencies and retail pharmacy partners. Discusses the impact of having incomplete individual-level vaccination data on reaching unvaccinated and vulnerable populations, including rural populations. Includes recommendations for the CDC to mitigate data gaps and ensure that state and local immunization programs are aware of existing tools to address vaccination campaign needs.
Date: 01/2023
Sponsoring organization: Office of Inspector General (HHS)
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Hospitals in Illinois that are Likely to Seek the Rural Emergency Hospital Designation: An Exploratory Analysis
Examines hospitals in Illinois in rural and urban locations that may potentially seek the Rural Emergency Hospital (REH) designation. Analyzes factors such as population density, size of hospital, specialist vs. utilitarian hospital, for-profit status, and more to hypothesize potential REH membership.
Author(s): Adee Athiyaman
Date: 01/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Examines hospitals in Illinois in rural and urban locations that may potentially seek the Rural Emergency Hospital (REH) designation. Analyzes factors such as population density, size of hospital, specialist vs. utilitarian hospital, for-profit status, and more to hypothesize potential REH membership.
Author(s): Adee Athiyaman
Date: 01/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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Geographic Access to Pediatric Cancer Care in the US
Examines estimated travel time for various populations to access pediatric cancer care in the United States. Analyzes data from more than 90 million children and adolescents and young adults (AYAs) extracted from 2015-2019 American Community Survey 5-year estimates. Includes demographic breakdowns of median travel time by race/ethnicity, age, health insurance status, area deprivation index (ADI), U.S. region, and urban, large town, small town, or rural location. Provides maps that show travel time from population centroids of U.S. ZIP code tabulation areas as well as per capita pediatric oncologist supply by Census division and state.
Author(s): Xiaohui Liu, Mark N. Fluchel, Anne C. Kirchhoff, Haojie Zhu, Tracy Onega
Citation: JAMA Network Open, 6(1), e2251524
Date: 01/2023
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Examines estimated travel time for various populations to access pediatric cancer care in the United States. Analyzes data from more than 90 million children and adolescents and young adults (AYAs) extracted from 2015-2019 American Community Survey 5-year estimates. Includes demographic breakdowns of median travel time by race/ethnicity, age, health insurance status, area deprivation index (ADI), U.S. region, and urban, large town, small town, or rural location. Provides maps that show travel time from population centroids of U.S. ZIP code tabulation areas as well as per capita pediatric oncologist supply by Census division and state.
Author(s): Xiaohui Liu, Mark N. Fluchel, Anne C. Kirchhoff, Haojie Zhu, Tracy Onega
Citation: JAMA Network Open, 6(1), e2251524
Date: 01/2023
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Care Coordination and Community Partnerships for Cancer Care in Critical Access Hospitals
Presents findings from a survey of 135 Critical Access Hospitals (CAHs) regarding care coordination practices for patients with cancer. Describes the types of care coordination services provided by CAHs and the staff that provide these services. Discusses partnerships between CAHs and community organizations regarding cancer initiatives.
Author(s): Megan Lahr, Xiomara Santana, Nathan Bean, Helen Parsons, Ira Moscovice
Date: 01/2023
Sponsoring organization: Flex Monitoring Team
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Presents findings from a survey of 135 Critical Access Hospitals (CAHs) regarding care coordination practices for patients with cancer. Describes the types of care coordination services provided by CAHs and the staff that provide these services. Discusses partnerships between CAHs and community organizations regarding cancer initiatives.
Author(s): Megan Lahr, Xiomara Santana, Nathan Bean, Helen Parsons, Ira Moscovice
Date: 01/2023
Sponsoring organization: Flex Monitoring Team
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Mobile Health and Wellness Project: A Binational Collaboration of Frontline Health Services to the Latino Population in the United States in Times of COVID-19
Highlights the activities and initial outcomes of the education and vaccination efforts provided by the Mobile Health and Wellness project focused on Latino, immigrant, and rural communities in the U.S. to prevent the spread of COVID-19. Preventive health services were offered to Latinx populations in areas with limited access to health services, and provided via mobile health vehicles operated by the US-Mexico Border Health Commission (Mexico Section) along with Alianza Americas, Latino Commission on AIDS, and the Centers for Disease Control and Prevention (CDC).
Author(s): Cecilia B. Rosales, Hilda Dávila Chávez, Michael A. Flynn, et al.
Citation: Frontiers in Public Health, 10
Date: 01/2023
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Highlights the activities and initial outcomes of the education and vaccination efforts provided by the Mobile Health and Wellness project focused on Latino, immigrant, and rural communities in the U.S. to prevent the spread of COVID-19. Preventive health services were offered to Latinx populations in areas with limited access to health services, and provided via mobile health vehicles operated by the US-Mexico Border Health Commission (Mexico Section) along with Alianza Americas, Latino Commission on AIDS, and the Centers for Disease Control and Prevention (CDC).
Author(s): Cecilia B. Rosales, Hilda Dávila Chávez, Michael A. Flynn, et al.
Citation: Frontiers in Public Health, 10
Date: 01/2023
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