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Rural Health
Resources by Type: Document

State Flex Program Rural Emergency Medical Services Assessment Strategies
Policy brief describing the emergency medical service (EMS) assessment projects and tools implemented by five State Flex Programs in Arizona, California, Minnesota, Nebraska, and Wisconsin to improve the integration of EMS into rural systems of care. Identifies differences in EMS focused State Flex activities and collaborations to improve local and regional EMS capacity and performance.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster, Andrew Coburn
Date: 11/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
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Distribution of Disproportionate Share Hospital Payments to Rural and Critical Access Hospitals
Provides information concerning the potential effects of Medicaid Disproportionate Share Hospital (DSH) payment on rural hospitals in 47 states. Features statistics on hospital Medicaid DSH payments by state and census region, with breakdowns for urban, rural, and Critical Access Hospitals.
Author(s): Erin M. Mobley, Fred Ullrich, Keith J. Mueller
Date: 11/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural Unintentional Injuries: They're Not Accidents – They're Preventable
Examines the three leading causes of rural unintentional injuries: transportation injuries, poisonings, and falls. Discusses how rural areas compare to urban areas for these concerns, and identifies successful rural prevention strategies related to motor vehicle fatalities, non-drug poisonings, and falls.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural America in Crisis: The Changing Opioid Overdose Epidemic
Discusses the history of the opioid epidemic from 1999 through 2017 and its effect on rural communities, as well as key functions of public health programs that can help prevent opioid overdoses. Lists several resources regarding opioids and overdose prevention.
Author(s): Rita Noonan
Date: 11/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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ESRD Facility Characteristics by Rurality and Risk of Closure
Profiles rural end-stage renal disease (ESRD) facilities, especially the ones at greatest risk for closure. Examines the facilities' characteristics, quality of care, and distance their patients would need to travel if the facilities should close. Features statistics with breakdowns by urban and rural locations.
Author(s): Jan M. Eberth, Fozia Ajmal, Kevin Bennett, Janice C. Probst
Date: 11/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Emerging Strategies to Ensure Access to Health Care Services: Virtual Care Strategies
Discusses opportunities to use telehealth to improve healthcare access and delivery to vulnerable rural and urban communities. Includes recommendations from the American Hospital Association Task Force on Ensuring Access in Vulnerable Communities and details the benefits of telehealth services and potential policy solutions such as reimbursement, interaction of state and federal laws, broadband access, and federal research.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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Staff Sharing Arrangements for Local Public Health
Describes several case studies of local public health organizations' arrangements for sharing health directors, physicians, nurses, inspectors, social workers, or administration staff. Includes descriptions of such arrangements in public health agencies in rural areas of Webster County, Iowa and in 3 adjacent northwestern Oregon counties with a mixture of urban, suburban, and rural areas.
Author(s): Gerald Young, Joshua Franzel
Date: 11/2017
Type: Document
Sponsoring organizations: Center for State & Local Government Excellence, Public Health Accreditation Board Center for Innovation
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Independent Grocery Stores in the Changing Landscape of the U.S. Food Retail Industry
Examines the performance of independent U.S. grocery stores in 2015, and reports on changes in the prevalence and performance of these stores between 2005 and 2015. Highlights the important role of rural independent grocery stores as employers, tax generators, and sources of healthy and specialty foods.
Author(s): Clare Cho, Richard Volpe
Date: 11/2017
Type: Document
Sponsoring organization: USDA Economic Research Service
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Meadville Medical Center: Care Coordination for Adults and Children
Describes the Meadville Medical Center Community Care Network (CCN), an interdisciplinary team of clinicians who focus on using care coordination to help patients manage chronic conditions and achieve their health and wellness goals. CCN's goal is to engage patients and encourage them to take ownership of their health, thereby reducing hospital readmissions, conserving resources, and improving the health of the population.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Kalispell Regional Healthcare: Managing the Needs of Medically and Socially Complex Patients or Superutilizers
Details how Kalispell Regional Healthcare teamed with Mountain-Pacific Quality Health to introduce a modified transitional care model, which is designed to reduce service utilization and improve the health of high-cost, high-need patients. Initiative is part of a special innovations project through the Centers for Medicare and Medicaid Services (CMS) and uses multidisciplinary "ReSource" teams to coordinate care and services across rural and underserved areas of Montana.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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