Rural Health
Resources by Type: Document
340B Drug Discount Program: Oversight of the Intersection with the Medicaid Drug Rebate Program Needs Improvement
Examines state and federal efforts to prevent duplicate discounts under the 340B and Medicaid Drug Rebate Programs and identifies limitations and weaknesses in federal oversight. Provides recommendations to the Centers for Medicare and Medicaid Services and the Health Resources and Services Administration to strengthen oversight of these programs.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Examines state and federal efforts to prevent duplicate discounts under the 340B and Medicaid Drug Rebate Programs and identifies limitations and weaknesses in federal oversight. Provides recommendations to the Centers for Medicare and Medicaid Services and the Health Resources and Services Administration to strengthen oversight of these programs.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Vermont Rural Health Services Task Force: Act 26 of 2019, Report and Recommendations
Report details Vermont's rural healthcare delivery system. Highlights the financial, administrative, and workforce barriers that rural facilities face and suggests ways the state can overcome those barriers.
Date: 01/2020
Type: Document
Sponsoring organizations: Rural Health Services Task Force, State of Vermont: Green Mountain Care Board
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Report details Vermont's rural healthcare delivery system. Highlights the financial, administrative, and workforce barriers that rural facilities face and suggests ways the state can overcome those barriers.
Date: 01/2020
Type: Document
Sponsoring organizations: Rural Health Services Task Force, State of Vermont: Green Mountain Care Board
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VA Health Care: Efforts to Prioritize and Translate Research into Clinical Practice
Examines how the U.S. Department of Veterans Affairs (VA) sets priorities for funding research, VA efforts to facilitate translation of research into clinical practice, and coordination between VA's research program and other parts of the VA. Briefly highlights a research study on the use of telemedicine outreach for rural veterans with PTSD.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Examines how the U.S. Department of Veterans Affairs (VA) sets priorities for funding research, VA efforts to facilitate translation of research into clinical practice, and coordination between VA's research program and other parts of the VA. Briefly highlights a research study on the use of telemedicine outreach for rural veterans with PTSD.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Suicide Rates by Industry and Occupation — National Violent Death Reporting System, 32 States, 2016
Examines suicide rates for major industry and occupational groups and detailed occupational groups. Includes information on suicide rates for occupations that are largely rural, including farmers, ranchers, and other agricultural managers; agricultural workers; and fishing and hunting workers.
Additional links: Supplementary Table 1: Major Industry Groups, Supplementary Table 2: Major and Detailed Occupational Groups
Author(s): Cora Peterson, Aaron Sussell, Jia Li, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(3), 57-62
Date: 01/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Examines suicide rates for major industry and occupational groups and detailed occupational groups. Includes information on suicide rates for occupations that are largely rural, including farmers, ranchers, and other agricultural managers; agricultural workers; and fishing and hunting workers.
Additional links: Supplementary Table 1: Major Industry Groups, Supplementary Table 2: Major and Detailed Occupational Groups
Author(s): Cora Peterson, Aaron Sussell, Jia Li, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(3), 57-62
Date: 01/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Alternative Drinking Water Systems: Use by Very Small Communities, Related Cost Savings, and Technical Assistance Provided by EPA and USDA
Provides an overview of 5 alternative drinking water systems used by communities with fewer than 500 people and the barriers to implementing new systems and technologies in small communities. Describes factors that influence the costs and cost-savings of alternative drinking water systems. Identifies 4 federal funding programs that support technical assistance and training for small drinking water systems serving communities of fewer than 10,000 people.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Provides an overview of 5 alternative drinking water systems used by communities with fewer than 500 people and the barriers to implementing new systems and technologies in small communities. Describes factors that influence the costs and cost-savings of alternative drinking water systems. Identifies 4 federal funding programs that support technical assistance and training for small drinking water systems serving communities of fewer than 10,000 people.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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State Telehealth Medicaid Fee-For-Service Policy: A Historical Analysis of Telehealth: 2013-2019
Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Farm and Farm Family Risk and Resilience: A Guide for Extension Educational Programming
A guide for educators focused on programming to reduce risk and increase resilience for farms and farm families. Includes a risk and resilience framework, logic models for programming with three different audiences, tools for assessment and teaching, and teaching resources. Part of the Farm and Farm Family Risk and Resilience Toolkit.
Additional links: Creating a Thriving Farm Visuals, Descriptions and Stacking Game, Farm and Farm Family Risk and Resilience Logic Models, Farm and Farm Family Risk and Resilience Program Planning Tool
Author(s): Bonnie Braun, Maria Pippidis
Date: 01/2020
Type: Document
Sponsoring organizations: University of Cooperative Delaware Extension, University of Maryland Extension
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A guide for educators focused on programming to reduce risk and increase resilience for farms and farm families. Includes a risk and resilience framework, logic models for programming with three different audiences, tools for assessment and teaching, and teaching resources. Part of the Farm and Farm Family Risk and Resilience Toolkit.
Additional links: Creating a Thriving Farm Visuals, Descriptions and Stacking Game, Farm and Farm Family Risk and Resilience Logic Models, Farm and Farm Family Risk and Resilience Program Planning Tool
Author(s): Bonnie Braun, Maria Pippidis
Date: 01/2020
Type: Document
Sponsoring organizations: University of Cooperative Delaware Extension, University of Maryland Extension
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Burnout: Measurement Tool(s), Cause(s) and Impact(s)
Reports on what is known about burnout among rural healthcare providers, highlighting several research studies. Discusses the impact of burnout on turnover, productivity, healthcare quality, and safety.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Reports on what is known about burnout among rural healthcare providers, highlighting several research studies. Discusses the impact of burnout on turnover, productivity, healthcare quality, and safety.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Physician Burnout: Definition(s), Cause(s), Impact(s), Solution(s)
Provides an overview of the causes and impact of physician burnout. Highlights interventions and solutions targeted to rural physicians. Features a medical school wellness-advocate in North Dakota, a Michigan researcher examining work-life balance among women physicians in rural family medicine, and South Dakota's Avera LIGHT program addressing physician wellness in a rural region.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Provides an overview of the causes and impact of physician burnout. Highlights interventions and solutions targeted to rural physicians. Features a medical school wellness-advocate in North Dakota, a Michigan researcher examining work-life balance among women physicians in rural family medicine, and South Dakota's Avera LIGHT program addressing physician wellness in a rural region.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Marketplace Premiums and Insurer Participation: 2017-2020
Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2017 to 2020 by state. Table 2 includes rural state-level lowest silver premiums by year for selected states, as well as year-over-year percent change.
Author(s): John Holahan, Erik Wengle, Caroline Elmendorf
Date: 01/2020
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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Reports on changes in average lowest silver premiums in the Affordable Care Act health insurance marketplaces from 2017 to 2020 by state. Table 2 includes rural state-level lowest silver premiums by year for selected states, as well as year-over-year percent change.
Author(s): John Holahan, Erik Wengle, Caroline Elmendorf
Date: 01/2020
Type: Document
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
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