New Documents Identified in the Past 30 Days:

The Number and Share of Veterans Living in Rural America Is Declining
Chart showing the percentage of veterans living in rural areas in 2007 compared to 2014, by service period.
Sponsoring organization: USDA Economic Research Service
Date: 05/2016
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An All-Payer View of Hospital Discharge to Postacute Care, 2013
Presents data on hospital discharges to different post-acute care settings: inpatient rehabilitation facilities, long-term care hospitals, skilled nursing facilities, and home health agency care. Includes information by hospital type for rural and urban hospitals, as well as by hospital size and region.
Author(s): Wen Tian
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 05/2016
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Career Expectancy of Physicians Active in Patient Care: Evidence from Mississippi
Reports on a study analyzing Mississippi’s physician populations based on specialty care, gender, race and urban/rural practice to determine the average length of time physicians practice in the state.
Author(s): Jamie Boydstun, J.S. Cossman
Location: Rural and Remote Health, 16, 3813
Date: 05/2016
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Wireless Substitution: Early Release of Estimates From the National Health Interview Survey, July-December 2015
Provides data on households that rely on wireless telephones rather than landlines. Indicates trends by providing figures for 6-month periods from July 2012 to December 2015. Includes data for non-metropolitan compared to metropolitan areas. Telephone surveys conducted using only landline numbers could be biased if the wireless-only population differs in relevant ways from the landline population.
Author(s): Stephen J. Blumberg, Julian V. Luke
Sponsoring organization: National Center for Health Statistics
Date: 05/2016
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Flexibilities and Support for Small Practices
Describes flexibilities and supports for medical practices in rural or health professional shortage areas, in response to provisions of the proposed CMS Quality Payment Program as part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 05/2016
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Understanding the Rise in Rural Child Poverty, 2003-14
Examines the causes of a decade-long net increase in rural child poverty. Provides data on rural and urban child poverty and discusses different ways of measuring child poverty. Also provides rural-urban data on income, demographics, and income inequality.
Author(s): Thomas Hertz, Tracey Farrigan
Sponsoring organization: USDA Economic Research Service
Date: 05/2016
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Systematic Review: Rural Healthcare Workforce
Management brief describing literature review of 59 publications from 2005-2015, identifying need for rural healthcare providers, exploring provider geographic choices, synthesizing evidence on interventions to increase recruitment and retention, and documenting efficacy of student training for rural healthcare.
Author(s): S Hempel, M Maggard Gibbons, JG Ulloa, et al.
Sponsoring organization: VA Health Services Research & Development Service
Location: Management Brief no. 112
Date: 05/2016
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Characteristics of Medicaid Beneficiaries Who Use Rural Health Clinics
Describes the population of Rural Health Clinic (RHC) users from North Carolina, Georgia, California, and Texas to assist in policy making and in research, using CMS Medicaid claim data from RHCs, or from healthcare providers practicing under the RHC program.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, et al.
Sponsoring organization: North Carolina Rural Health Research Program
Date: 05/2016
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Identifying Rural Health Clinics in Medicaid Data
Describes and compares 6 different tested methods for identifying Rural Health Clinics (RHCs) within Medicaid claims, using data from 4 states, as a technique to better understand Medicaid enrollees’ use of RHC services.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, Mark Holmes
Sponsoring organization: North Carolina Rural Health Research Program
Date: 05/2016
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LGBTQ Healthcare: Building Inclusive Rural Practices
Discusses the challenges rural LGBTQ individuals face in accessing quality care and what rural healthcare providers can do to improve the healthcare experience for this patient population.
Author(s): Zachary Toliver
Sponsoring organization: Rural Health Information Hub
Location: Rural Monitor
Date: 05/2016
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Health Information Exchange: A Strategy for Improving Access for Rural Veterans in the Maine Flex Rural Veterans Health Access Program
Describes the design and implementation of a project to expand access to healthcare for rural veterans through a bi-directional link between a statewide health information exchange in Maine and Veterans Administration facilities. Discusses the challenges and successes encountered in developing a health information system that is interoperable between a variety of complex agencies.
Author(s): Karen B. Pearson, Amanda Burgess, John Gale, Anush Y. Hansen, Andrew Coburn
Sponsoring organization: Maine Rural Health Research Center
Date: 05/2016
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Veterans' Health Care: Proper Plan Needed to Modernize System for Paying Community Providers
Examines the Veterans Health Administration (VHA), Medicare and TRICARE systems in regards to processing Veterans healthcare claims including processing times and factors that have impeded processing and payment, as well as modified provisions to improve claim processing. Provides an overview of the Veterans Choice Program and other types of community healthcare programs offered by Veterans Affairs (VA).
Author(s): Randall B. Williamson
Sponsoring organization: Government Accountability Office
Date: 05/2016
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Clinical Training in the Rural Setting: Using Photovoice to Understand Student Experiences
Reports on a qualitative study of medical and physician assistant student training in 2 rural locations using photovoice - a participatory research methodology that combines photography and participant commentary.
Author(s): Emily Mader, Carrie Roseamelia, Sarah Lewis, et al.
Location: Rural and Remote Health, 16, 3877
Date: 05/2016
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The Opioid Epidemic: Testing the Limits of Rural Healthcare
Discusses the factors that make rural communities vulnerable to the ongoing opioid epidemic and efforts needed in rural areas to address this crisis, including the role of rural first responders.
Author(s): Zachary Toliver
Sponsoring organization: Rural Health Information Hub
Location: Rural Monitor
Date: 05/2016
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Understanding Trends in Rural Child Poverty, 2003-14
Discusses the income inequality experienced in rural America, and the rising rural child poverty rate in spite of national economic growth.
Author(s): Thomas Hertz, Tracey Farrigan
Sponsoring organization: USDA Economic Research Service
Location: Amber Waves
Date: 05/2016
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The Continuing Spread of ACO Presence in Rural Places
Discusses the participation and characteristics of non-metropolitan health practice sites in Medicare Accountable Care Organizations (ACOs) throughout the U.S. Slides from a presentation given May 11, 2016, at the National Rural Health Annual Conference in Minneapolis, MN.
Author(s): Keith Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 05/2016
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School Factors Associated With the Percentage of Students Who Walk or Bike to School, School Health Policies and Practices Study, 2014
Examines health benefits of active school transport, such as walking or biking. Features statistics including breakdowns by school locations in cities, suburbs, towns, or rural locations.
Author(s): Sherry Everett Jones, Sarah Sliwa
Location: Preventing Chronic Disease, 13
Date: 05/2016
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Risks of Developing Breast and Colorectal Cancer in Association with Incomes and Geographic Locations in Texas: A Retrospective Cohort Study
Reports on a study examining median household income with the occurrence of breast and colorectal cancer in Texas, and to determine if the risk of cancer is affected by race or ethnicity, and geographic location.
Author(s): Zheyu Liu, Kai Zhang, Xianglin L. Du
Location: BMC Cancer, 16, 294
Date: 04/2016
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2015 National Healthcare Quality and Disparities Report and 5th Anniversary Update on the National Quality Strategy
Overview of healthcare quality and disparities of care received by the population of the United States. Identifies strength and weaknesses in the healthcare system including healthcare access, healthcare quality, and priorities of the National Quality Strategy.
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 04/2016
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HCIA Complex/High-Risk Patient Targeting: Second Annual Report
Second annual evaluations of 23 Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Several projects serve rural areas, offering caregiver education and support, telehealth services, and various care coordination approaches. Discusses common experiences of grantees serving rural areas, as well as profiles of each project.
Author(s): NORC at the University of Chicago
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 03/2016
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Tribal Health Profession Opportunity Grants (HPOG) Program Evaluation: Final Report
Presents findings from an evaluation of the five Tribal Health Profession Opportunity Grant (HPOG) programs funded in the first round of HPOG. Includes information on these health career programs' structure, processes, and training and employment outcomes.
Author(s): Michael Meit, Carol Hafford, Catharine Fromknecht, Alana Knudson, Tess Gilbert, Noelle Miesfeld
Sponsoring organization: Administration for Children and Families
Date: 03/2016
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Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Second Annual Report
Evaluations of 9 Health Care Innovation Awards Round One projects focused on implementing shared decision making or medication management programs. Provides findings across projects as well as profiles of each project. Includes medication management projects focused on rural areas.
Author(s): Acumen
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 03/2016
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Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: Second Annual Report
Second annual evaluations of 10 Health Care Innovation Awards Round One projects focused on mental health and substance abuse services. Offers overviews of all projects, including HealthLinkNow, which uses telehealth to provide behavioral care services in rural areas, and the Prevention and Recovery in Early Psychosis Program, which was expanded to serve to rural counties in California.
Author(s): Mathematica Policy Research
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 03/2016
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Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Second Annual Report
Second annual evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Discusses project impacts and challenges common across grantees. Includes profiles of 5 rural-focused projects, as well as projects serving rural and urban areas.
Author(s): RTI International
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 03/2016
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Second Annual Report: HCIA Disease-Specific Evaluation
Second annual evaluations of 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Discusses experiences common across grantees and profiles each project. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, cardiovascular disease, and chronic pain. Approaches discussed include care coordination, education, and telehealth.
Author(s): NORC at the University of Chicago
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 03/2016
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Evaluation of Hospital-Setting HCIA Awards: Second Annual Report, Final
Second annual evaluations of 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Includes findings across all projects, as well as profiles of each project. Includes projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Author(s): Abt Associates
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 03/2016
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Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, Second Annual Report
Second annual evaluations of 14 Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Discusses common experiences across projects and profiles each project. Includes 2 rural-focused projects and 7 additional projects that included services to rural areas.
Author(s): Mathematica Policy Research
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 03/2016
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After a Parent Left Employment, One in Five Children Lost Private Insurance
Examines children’s loss of private health insurance after parental job loss. Includes data on rural compared to urban privately insured children. Reports that, after parental job loss, rural and urban children were similarly impacted related to health insurance coverage.
Author(s): Kristin Smith
Sponsoring organization: Carsey School of Public Policy
Date: 2016
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Screening for Adverse Childhood Experiences in a Family Medicine Setting: A Feasibility Study
Reports on a study set in 3 rural clinical sites exploring the feasibility of using the Adverse Childhood Experience (ACE) screening model for adults during routine office visits. ACEs are generally accepted as predictors in adult health outcomes.
Author(s): Patricia T. Glowa, Ardis L. Olson, Deborah J. Johnson
Location: Journal of the American Board of Family Medicine, 29(3), 303-307
Date: 2016
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Achieving Health Equity: How Academic Medicine Is Addressing the Social Determinants of Health
Includes essays on healthcare challenges faced by rural veterans and on the characteristics of rural immersion training programs for physicians.
Sponsoring organization: Association of American Medical Colleges
Date: 2016
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The 2014 Small Area Income and Poverty Estimates (SAIPE): An Overview
Provides highlights from the 2014 SAIPE, which provides single-year median household income and poverty statistics. Includes many county-level maps showing income and poverty rates in 2014 and changes from 2007 to 2014. Figure 7 lists poverty data for metropolitan, micropolitan, and non-metropolitan areas. For additional information, including report charts, maps, and figures available for download, see SAIPE Release Highlights of 2014.
Sponsoring organization: U.S. Census Bureau
Date: 12/2015
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Health Care Innovation Awards (HCIA) Meta-Analysis and Evaluators Collaborative: Annual Report Year 1
Highlights key implementation and impact findings across 108 Health Care Innovation Awards (HCIA) grant recipients, based on work by 7 independent evaluators. Includes discussion of project experiences in rural areas.
Author(s): RTI International
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 11/2015
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