Rural Health
Resources by Type: Document
Incidence of Adverse Events in Indian Health Service Hospitals
Explores the occurrence of harm events in Indian Health Service (IHS) hospitals. Discusses the rates of adverse harm events, or those leading to prolonged or permanent patient harm, and temporary harm events. Breaks down data by hospital size and patient age and reason for admission. Makes recommendations regarding quality control and oversight.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Explores the occurrence of harm events in Indian Health Service (IHS) hospitals. Discusses the rates of adverse harm events, or those leading to prolonged or permanent patient harm, and temporary harm events. Breaks down data by hospital size and patient age and reason for admission. Makes recommendations regarding quality control and oversight.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Instances of IHS Labor and Delivery Care Not Following National Clinical Guidelines or Best Practices
Evaluates the labor and delivery practices of Indian Health Service (IHS) hospitals and highlights instances when they deviate from national clinical guidelines. Discusses the negative patient outcomes from deviating from national guidelines and makes recommendations regarding site visits and training.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Evaluates the labor and delivery practices of Indian Health Service (IHS) hospitals and highlights instances when they deviate from national clinical guidelines. Discusses the negative patient outcomes from deviating from national guidelines and makes recommendations regarding site visits and training.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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An Evidence-Based Walking Program in Oregon Communities: Step It Up! Survivors
Describes the implementation and effectiveness of Step It Up! Survivors (SIUS), an evidence-based program designed to help promote social connections and increase physical activity among cancer survivors and their family and friends. Discusses the acceptability, feasibility, cost, sustainability, and other factors associated with implementing SIUS in Oregon, including responses from 6 rural organizations.
Author(s): Cynthia K. Perry, Laura P. Campbell, Jessica Currier, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
Type: Document
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Describes the implementation and effectiveness of Step It Up! Survivors (SIUS), an evidence-based program designed to help promote social connections and increase physical activity among cancer survivors and their family and friends. Discusses the acceptability, feasibility, cost, sustainability, and other factors associated with implementing SIUS in Oregon, including responses from 6 rural organizations.
Author(s): Cynthia K. Perry, Laura P. Campbell, Jessica Currier, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
Type: Document
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Emergency Department Visits Involving Influenza and Influenza-Like Illnesses, 2016–2018
Presents statistics on influenza-like illness (ILI)-related emergency department (ED) visits in 34 states and the District of Columbia from 2016 through 2018. Includes data by location of patient's residence for metropolitan, rural metropolitan-adjacent, and rural remote areas, as well as a state-by-state map indicating the patient residence location where the rate of ED visits was highest.
Author(s): Lawrence D. Reid, Kathryn R. Fingar
Date: 12/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents statistics on influenza-like illness (ILI)-related emergency department (ED) visits in 34 states and the District of Columbia from 2016 through 2018. Includes data by location of patient's residence for metropolitan, rural metropolitan-adjacent, and rural remote areas, as well as a state-by-state map indicating the patient residence location where the rate of ED visits was highest.
Author(s): Lawrence D. Reid, Kathryn R. Fingar
Date: 12/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Substance Use Disorder: Reliable Data Needed for Substance Abuse Prevention and Treatment Block Grant Program
Reviews what is known about the number of substance use disorder (SUD) treatment facilities and services, overall treatment capacity, and barriers to expanding capacity. Describes the Substance Abuse Prevention and Treatment Block Grant (SABG), State Targeted Response to the Opioid Crisis (STR) and State Opioid Response (SOR) programs, and examines how seven states utilized these programs. Evaluates the data used to assess the effectiveness of these programs, and offers recommendations to improve the reliability of data collected on individuals served by the SABG program.
Additional links: Full Report
Date: 12/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Reviews what is known about the number of substance use disorder (SUD) treatment facilities and services, overall treatment capacity, and barriers to expanding capacity. Describes the Substance Abuse Prevention and Treatment Block Grant (SABG), State Targeted Response to the Opioid Crisis (STR) and State Opioid Response (SOR) programs, and examines how seven states utilized these programs. Evaluates the data used to assess the effectiveness of these programs, and offers recommendations to improve the reliability of data collected on individuals served by the SABG program.
Additional links: Full Report
Date: 12/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Drug Pricing Program: HHS Uses Multiple Mechanisms to Help Ensure Compliance with 340B Requirements
Examines the Health Services and Research Administration's (HRSA) oversight of covered entities' compliance with 340B Program requirements. Describes the 340B Program, the HRSA audit process, and findings from audits conducted between 2012-2019. Discusses additional efforts by HRSA to promote compliance and identify noncompliance.
Additional links: Full Report
Date: 12/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Examines the Health Services and Research Administration's (HRSA) oversight of covered entities' compliance with 340B Program requirements. Describes the 340B Program, the HRSA audit process, and findings from audits conducted between 2012-2019. Discusses additional efforts by HRSA to promote compliance and identify noncompliance.
Additional links: Full Report
Date: 12/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Changes in Poverty Rates and Poverty Areas Over Time: 2005 to 2019
Examines changes in county poverty rates, the prevalence of poverty areas, and changes in their distribution over three time periods: 2005-2009, 2010-2014, and 2015-2019.
Author(s): Alemayehu Bishaw, Craig Benson, Emily Shrider, Brian Glassman
Date: 12/2020
Type: Document
Sponsoring organization: U.S. Census Bureau
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Examines changes in county poverty rates, the prevalence of poverty areas, and changes in their distribution over three time periods: 2005-2009, 2010-2014, and 2015-2019.
Author(s): Alemayehu Bishaw, Craig Benson, Emily Shrider, Brian Glassman
Date: 12/2020
Type: Document
Sponsoring organization: U.S. Census Bureau
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Strengthening the Entry-Level Health Care Workforce: Finding a Path
Examines gaps in the existing healthcare workforce, challenges facing entry-level healthcare workers (EHCW), current EHCW training programs and contexts where training programs are used effectively, and strategies and policy opportunities to strengthen the EHCW. Includes rural references throughout and case studies for programs in rural Alaska and Washington. Provides an interactive inventory of existing policies and programs that support EHCW training, recruitment, and retention.
Additional links: Entry-Level Health Care Workforce: Information and Programs Visualization Tool
Author(s): Shira H. Fischer, Ryan K. McBain, Laura J. Faherty, et al.
Date: 12/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examines gaps in the existing healthcare workforce, challenges facing entry-level healthcare workers (EHCW), current EHCW training programs and contexts where training programs are used effectively, and strategies and policy opportunities to strengthen the EHCW. Includes rural references throughout and case studies for programs in rural Alaska and Washington. Provides an interactive inventory of existing policies and programs that support EHCW training, recruitment, and retention.
Additional links: Entry-Level Health Care Workforce: Information and Programs Visualization Tool
Author(s): Shira H. Fischer, Ryan K. McBain, Laura J. Faherty, et al.
Date: 12/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Indian Health Service: Actions Needed to Improve Oversight of Provider Misconduct and Substandard Performance
Evaluates Indian Health Service (IHS) oversight of policies related to provider misconduct and substandard performance. Provides recommendations for the director to IHS to implement to address inconsistencies in oversight across IHS areas and facilities.
Additional links: Full Report
Date: 12/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Evaluates Indian Health Service (IHS) oversight of policies related to provider misconduct and substandard performance. Provides recommendations for the director to IHS to implement to address inconsistencies in oversight across IHS areas and facilities.
Additional links: Full Report
Date: 12/2020
Type: Document
Sponsoring organization: Government Accountability Office
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COVID-19 Mortality Among American Indian and Alaska Native Persons — 14 States, January–June 2020
Reports on age-adjusted COVID-19-associated mortality for American Indian and Alaska Native (AI/AN) and non-Hispanic White populations, based on data from 14 states. Includes data by sex and by age group.
Author(s): Jessica Arrazola, Matthew M. Masiello, Sujata Joshi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(49), 1853-1856
Date: 12/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on age-adjusted COVID-19-associated mortality for American Indian and Alaska Native (AI/AN) and non-Hispanic White populations, based on data from 14 states. Includes data by sex and by age group.
Author(s): Jessica Arrazola, Matthew M. Masiello, Sujata Joshi, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(49), 1853-1856
Date: 12/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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