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The Rural Monitor

“It's the relationships”: Q&A with Peggy Broussard Wheeler

January 19, 2022
Peggy Broussard Wheeler, Vice President of Policy at the California Hospital Association, discusses the challenges that the hospitals in her state and nationwide have faced before and during the COVID-19 pandemic. She also shares rural hospitals' unique strengths and the importance of collaboration and relationships.

Understanding the “Tool-ish-ness” of Telehealth: Q&A with Dr. Jonathan Neufeld

December 8, 2021
Clinical psychologist and program director for the Great Plains Telehealth Resource & Assistance Center, Dr. Jonathan Neufeld, clarifies telehealth as an "enabler" of healthcare delivery. Emphasizing that telehealth is only a set of telecommunication tools, he details how the unique use and flexibility of these tools by skilled providers can bring quality care and impact rural health equity.

Technical Assistance Helps Community #SilencetheShameTN

November 24, 2021
When Henry County Medical Center (HCMC) and the community of Paris, Tennessee, wanted to combat behavioral and mental health challenges in their community, they used the technical assistance and resources provided by the Delta Region Community Health Systems Development (DRCHSD) program to address their needs.

It Takes a Village: Rural Recruitment and Retention

November 3, 2021
Healthcare facilities in Kansas and North Dakota and national organizations discuss the challenges of recruiting and retaining healthcare professionals in rural areas and share solutions, including partnering with local schools and businesses as well as other healthcare facilities.

Out of the Shadows: Reducing the Rural Impact of Epilepsy

October 20, 2021
A common health condition, epilepsy impacts rural populations in many ways, including the ability to drive. Medical and public health experts join an advocacy organization to review the condition's impact and outline rural management approaches — including seizure first aid.

Doulas Provide Support for Maternal and Infant Health in Rural Communities

October 6, 2021
Three programs across rural America demonstrate how doulas improve birth outcomes by providing prenatal, labor, and postpartum support. A New Mexico program reaches American Indian, Hispanic, and other populations who lack nearby labor/delivery units; a Minnesota program works with moms experiencing incarceration; and a North Dakota program is training postpartum doulas who will care for families impacted by opioid use disorder and other substance use.

Creating New Rural Residency Programs: Three Grantees Share Their Stories

September 22, 2021
HRSA's Rural Residency Planning and Development (RRPD) Program supports organizations developing new rural residency programs. Three grantees – St. Luke's University Health Network in Pennsylvania, Baptist Memorial Hospital in Mississippi, and Sutter Health in California – share what the RRPD grant has allowed them to accomplish so far.

Keeping the Doors Open: Vulnerable Rural Hospitals Benefit from Federally Funded Technical Assistance

September 1, 2021
It's a crisis: rural hospital closures. Helping at-risk hospitals thrive in order to continue to serve their communities, Texas A&M's Center for Optimizing Rural Health (CORH) offers technical assistance through a federally funded program for vulnerable hospitals. The CORH team and an Oklahoma program participant share specifics on just how the program's assistance can help keep doors open.

Understanding the Rural Swing Bed: More than Just a Reimbursement Policy

August 11, 2021
"Swing bed" is that oft-heard phrase describing not a physical hospital bed, but post-acute care for the rural patient who is well enough to leave the acute care hospital but not well enough to be safe at home. In this 2-part story, experts and hospital administrators review the swing bed program's historical implementation and provide stories and examples of the value this over 40-year-old healthcare delivery and reimbursement model brings to patients, to the hospitals providing their care, and ultimately to rural communities.