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Rural Health
Resources by Type: Document

Adapting an Evidence-based Curriculum in a Rural Setting: The Longer-Term Impacts of "Reducing the Risk" in Kentucky
Presents evidence on two-year outcomes among students in rural Kentucky high schools who participated in a program designed to reduce teen pregnancy and sexually transmitted diseases.
Author(s): Brian Goesling, Joanne Lee, Robert G. Wood, Susan Zief
Date: 03/2018
Type: Document
Sponsoring organization: Administration for Children and Families
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Tribal Nursing Home Best Practices: Cultural Sensitivity
Details several models for culturally competent tribal nursing homes and the measures the facilities implemented to provide appropriate care for American Indian and Alaska Native elders. Discusses some initiatives implemented, such as hiring a cultural liaison to coordinate traditional activities and providing person-centered care.
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Rural Inpatient Mortality Study: Does Urban-Rural County Classification Predict Hospital Mortality in California?
Highlights a study on the correlation between rural hospitals and higher rates of hospital mortality in California. Breaks down data by age, gender, Critical Access Hospital (CAH) classification, and NCHS rurality-based class.
Author(s): Daniel T Linnen, John Kornak, Caroline Stephens
Citation: The Permanente Journal, 22, 17-078
Date: 03/2018
Type: Document
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The Geographic Variation in the Cost of the Opioid Crisis
Presents a study on the economic costs of the opioid crisis across the nation. Features state-by-state and county-level data on the monetary burden of opioid abuse on communities.
Author(s): Alex Brill, Scott Ganz
Date: 03/2018
Type: Document
Sponsoring organization: American Enterprise Institute
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Drinking Water Infrastructure Needs Survey and Assessment: Sixth Report to Congress
Describes the results of the 2015 Drinking Water Infrastructure Needs Survey and Assessment at the national and state levels. Includes information and statistics describing small water systems serving populations of 3,300 or fewer and addresses the needs of American Indian and Alaska Native Village water systems.
Date: 03/2018
Type: Document
Sponsoring organization: U.S. Environmental Protection Agency
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Physician Workforce: HHS Needs Better Information to Comprehensively Evaluate Graduate Medical Education Funding
Describes what is known about Graduate Medical Education (GME) costs, including the amount, type, and distribution of spending, and examines the extent to which the federal government collects GME-related information. Includes statistics on federal spending on GME in 2015, and information on which GME payment programs track whether residents are from rural areas, received training in rural areas, or went on to practice in rural areas.
Additional links: Full Report
Author(s): James Cosgrove, William Hadley, Christine Brudevold, Katherine Mack, A. Elizabeth Dobrenz, et al.
Date: 03/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Overdose Deaths Involving Opioids, Cocaine, and Psychostimulants — United States, 2015–2016
Examines age-adjusted death rates for overdoses involving all opioids, cocaine, and psychostimulants with abuse potential. Includes data by opioid subcategory for prescription opioids, heroin, and synthetic opioids. Provides data by urbanization level for metropolitan, micropolitan, and noncore counties, as well as data by decedent demographics.
Author(s): Puja Seth, Lawrence Scholl, Rose A. Rudd, Sarah Bacon
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(12), 349-358
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Four Annual Report
Fourth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Describes the experiences of providers, health systems, consumers, payers, and state officials during the final full implementation year for most Round 1 states. Presents interim impacts on healthcare utilization, cost, and quality for individuals reached by SIM-supported VPMs during the SIM Initiative period. Includes information specific to rural areas.
Date: 03/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Illinois Rural Community Care Organization – Princeton, IL: Statewide Rural Accountable Care Organization
Provides an overview of the work and impact of the Illinois Rural Community Care Organization (IRCCO), a Medicare shared savings Accountable Care Organization (ACO). IRCCO includes 24 Critical Access Hospitals and rural hospitals and associated physician practices and clinics.
Date: 03/2018
Type: Document
Sponsoring organization: American Hospital Association
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State-Based Marketplaces Outperform Federally-Facilitated Marketplaces
Compares state-based and federally-facilitated health insurance marketplaces from 2016-2018 related to changes in premiums and number of insurers. Includes some information on nonmetropolitan counties, with the appendix providing charts comparing carrier count in metro and nonmetro counties.
Additional links: Appendix
Author(s): Jane M. Zhu, Daniel Polsky, Yuehan Zhang
Date: 03/2018
Type: Document
Sponsoring organization: Leonard Davis Institute of Health Economics
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