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Telehealth and Health Information Technology in Rural Healthcare – Resources

Selected recent or important resources focusing on Telehealth and Health Information Technology in Rural Healthcare.

Expansion of Telehealth Availability for Mental Health Care After State-Level Policy Changes From 2019 to 2022
Explores mental health access associated with state-level telehealth policy changes due to COVID-19. Highlights disparities in mental health via telehealth access before and after COVID-related policy changes and details access rates in counties based on race and rurality, among other measures.
Author(s): Ryan K. McBain, Megan S. Schuler, Nabeel Qureshi, et al.
Citation: JAMA Network Open, 6(6), e2318045
Date: 06/2023
Type: Document
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State Medicaid Telehealth Coverage Policy Decisions Since the COVID-19 Public Health Emergency
Describes changes to state Medicaid telehealth policy flexibilities and/or new policies enacted during the COVID-19 PHE as of April–May 2022. Focuses on flexibilities that were rolled back, as well as those made permanent in whole or in part. Examines the decision-making processes behind Medicaid telehealth policy changes. Summarizes findings from guided discussions with state Medicaid representatives across four domains: 1) state attitudes and perspectives on telehealth and telehealth policies; 2) state telehealth policy decision-making processes; 3) states' future plans for telehealth; and 4) challenges and lessons learned. Outlines potential opportunities for the future of telehealth. Includes rural references throughout.
Additional links: Executive Summary
Author(s): Peggy G. Chen, Sara E. Heins, Stephanie Dellva
Date: 05/2023
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Interoperability among Hospitals Treating Populations That Have Been Marginalized
Examines how hospitals that serve more marginalized patients engage with interoperability. Compares the percentage of hospitals supporting interoperable exchange and participating in national networks by hospital characteristics, including Critical Access Hospital (CAH) designation and rural-urban status.
Author(s): Jordan Everson, Vaishali Patel, Andrew W. Bazemore, Robert L. Phillips
Citation: Health Services Research, 58(4), 853-864
Date: 05/2023
Type: Document
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Defending Rural Healthcare Against Ransomware
A recorded webinar that discusses the burden of ransomware attacks on rural healthcare facilities. Provides information on how to prepare for, detect, and respond to a cyber attack. Transcript available below description.
Author(s): Michael Hamilton, Fred Langston, Johnathen Inskeep, Jake Milstein
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: Center for Optimizing Rural Health
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State Medicaid and Private Telemedicine Coverage Requirements and Telemedicine Use, 2013–2019
Examines the association between state Medicaid and private telemedicine coverage requirements and live video-based telemedicine use by analyzing nationally representative survey data from the 2013–2019 Association of American Medical Colleges Consumer Survey of Health Care Access. Evaluates the impact of these requirements by rurality. Explores whether telemedicine coverage requirements were associated with healthcare access.
Author(s): Brandy J. Lipton, Michael F. Pesko
Citation: Health Services Research, 2023
Date: 05/2023
Type: Document
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Pandemic Era Telehealth Innovations in the Mental Health and Substance Use Treatment Fields: Practice-Informed Findings and Recommendations
Report highlights some takeaways from the expansion of telebehavioral health during the COVID-19 pandemic. Discusses the ways behavioral health providers adapted telehealth to their practices and the effect that had on access, outcomes, and care utilization, among other factors. Details the effect telebehavioral health had on expanding access to rural areas.
Date: 05/2023
Type: Document
Sponsoring organization: National Council for Mental Wellbeing
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Association of Receipt of Opioid Use Disorder-Related Telehealth Services and Medications for Opioid Use Disorder with Fatal Drug Overdoses among Medicare Beneficiaries Before and During the COVID-19 Pandemic
Reports on a study to determine the benefits of expanding opioid use disorder (OUD) related telehealth services and remote prescribing of medications for opioid use disorder (MOUD) during the COVID-19 pandemic to reduce the number of fatalities due to drug overdose. Examines clinical and sociodemographic characteristics of Medicare fee-for-service beneficiaries with OUD by analyzing data on sex, age, race/ethnicity, county rural and urban status, death rates, disability, mental health diagnosis, chronic conditions, and other substance use disorders (SUDs).
Author(s): Christopher M. Jones, Carla Shoff, Carlos Blanco, et al.
Citation: JAMA Psychiatry, 80(5), 508–514
Date: 05/2023
Type: Document
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Health Industry Cybersecurity Practices: Managing Threats and Protecting Patients
Offers cybersecurity guidelines for healthcare organizations to help reduce cybersecurity risks. Outlines the top five cybersecurity threats, and discusses best practices to combat these threats. Technical Volume 1 discusses cybersecurity practices for small healthcare organizations.
Additional links: Technical Volume 1: Cybersecurity Practices for Small Health Care Organizations
Date: 04/2023
Type: Document
Sponsoring organizations: 405(d) Program, U.S. Department of Health and Human Services
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Challenges and Solutions for Disaster Behavioral Health in Rural and Remote Communities
Describes the scope and diversity of rural and remote populations across the nation, highlighting sources of strength and struggle, including the effects of stigma, for rural Americans and rural healthcare providers. Explores potential approaches to disaster behavioral health in rural and remote areas, including governmental and policy approaches, community-based approaches, and telemedicine.
Date: 04/2023
Type: Document
Sponsoring organization: SAMHSA Disaster Technical Assistance Center
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Landscape of the Health Informatics Workforce: Rapid Response Brief
Focuses on the clinical informatics and public health, population health, and social service informatics subdomains of the health informatics workforce. Mentions resource hubs that serve rural communities by providing guidelines, toolkits, screening tools, and other resources. Examines social determinants of health and gives examples of clinical informatics work that can improve access to care for rural and underserved populations. Features statistics on physicians certified in clinical informatics from 2013-2022.
Author(s): Cynthia LeRouge, Shahida Shahrir, Bianca K Frogner
Date: 04/2023
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Last Updated: 10/2/2024