New Documents Identified in the Past 30 Days:

Change from the Inside Out: Ohio Wellness Program Inspires Healthy Bodies Through Healthy Minds
Profile of the Trinity Hospital Twin City’s Fit for Life wellness program, which helps participants in rural Ohio lose weight and improve their health. Highlights how funding from the Federal Office of Rural Health Policy has helped this program grow over time.
Author(s): Jenn Lukens
Sponsoring organization: Rural Health Information Hub
Location: Rural Monitor
Date: 08/2016
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Teen Hospital Stays for Childbirth, 2004-2013
Data on hospital stays for childbirth among teenagers aged 15-19 years from 2004 through 2013. Includes data by location of patient's residence for metropolitan, micropolitan, and rural (noncore) areas.
Author(s): Kathryn R. Fingar, Megan M. Hambrick
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 08/2016
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E-health and Telemedicine: Report to Congress
Addresses aspects of telehealth activities and challenges that apply to federal programs and the private sector. Focuses mainly on activity within the U.S. Department of Health and Human Services and discusses how delivery system reform initiatives may promote telehealth in urban and rural areas.
Sponsoring organization: U.S. Department of Health and Human Services
Date: 08/2016
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Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): First Annual Report
Summarizes the first year evaluation results of the 39 Health Care Innovation Awards Round Two projects. Includes findings for the individual grantees, which include 14 projects that serve rural areas.
Author(s): Mathematica Policy Research
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 08/2016
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Adolescent Births in California 2000-2014
A slide presentation providing statistics ranging from 2000 – 2014 on the number of births, and the number and age of females giving birth in California by race, ethnicity, and county.
Author(s): Center for Family Health
Sponsoring organization: California Department of Public Health
Date: 08/2016
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Strategies for Rural Provider Engagement in Transitioning to Value-based Purchasing and Population Health
Explores issues related to value models for rural providers and provides strategies rural hospitals may use to overcome challenges and enhance staff collaboration. Includes a list of rural provider leadership tools and resources.
Author(s): Karla Weng
Sponsoring organization: National Rural Health Resource Center
Date: 08/2016
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Telehealth Parity Laws
Policy brief discussing federal and state activities related to telehealth, as well as Medicaid and private insurer reimbursement for telehealth services. Identifies the arguments in favor of and against paying for telehealth at parity with in-person care. Discusses the role telehealth can play in rural access to healthcare.
Location: Health Affairs
Date: 08/2016
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Aging Gracefully: The PACE Approach to Caring for Frail Elders in the Community
Provides an overview of the Program of All-Inclusive Care for the Elderly (PACE) model, which offer participants comprehensive medical and long-term services and supports. Highlights Mountain Empire’s PACE, which serves older adults in rural Virginia.
Author(s): Martha Hostetter, Sarah Klein, Douglas McCarthy
Sponsoring organization: Commonwealth Fund
Date: 08/2016
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Profitability of Rural and Urban Hospitals
Infographic comparing rural and urban hospital profit margins from 2012-2014 and illustrating the geographic variation of profits across states.
Sponsoring organization: North Carolina Rural Health Research Program
Date: 08/2016
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Home-Based Cardiac Care for Rural Veterans
Video describing the Home-Based Cardiac Rehabilitation Program from the Department of Veterans Affairs. Focuses on individualized care for rural veterans through cardiac telehealth. This program allows for one-on-one care for patients who cannot come for traditional clinic rehab appointments due to geographic isolation, transportation challenges, or other impediments.
Sponsoring organization: U.S. Department of Veterans Affairs
Date: 08/2016
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Project ECHO’s Complex Care Initiative: Building Capacity to Help "Superutilizers" in Underserved Communities
Case study of the University of New Mexico’s Project ECHO (Extension for Community Health Outcomes) program, which uses telehealth to support primary care clinicians in underserved areas. Focuses on a project targeting Medicaid beneficiaries with substance abuse and mental health issues, with details on two primary care teams being supported, including one in a rural New Mexico community.
Author(s): Martha Hostetter, Sarah Klein, Douglas McCarthy
Sponsoring organization: Commonwealth Fund
Date: 08/2016
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Talking Rural Opioid Use at the United Nations: Q&A with Holly Andrilla
An interview with rural health researcher Holly Andrilla of the WWAMI Rural Health Research Center, recounting her experience presenting to the United Nations Office of Drugs and Crime in Vienna, Austria. Provides an international perspective on substance abuse prevention and treatment.
Author(s): Zachary Toliver
Sponsoring organization: Rural Health Information Hub
Location: Rural Monitor
Date: 08/2016
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The Validity of Race and Hispanic-origin Reporting on Death Certificates in the United States: An Update
Results of an evaluation study showing a high rate of misclassification of race and ethnicity on death certificates for the American Indian or Alaska Native population from 1999 to 2011, but not for the Hispanic or Asian and Pacific Islander populations. Features statistics with breakdowns by race and ethnicity, geographic region, and urban or rural status.
Author(s): Elizabeth Arias, Melonie Heron
Sponsoring organization: Centers for Disease Control and Prevention
Date: 08/2016
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Frontier Community Health Integration Project (FCHIP) Demonstration Fact Sheet
Provides an overview of the Frontier Community Health Integration Project (FCHIP) Demonstration, which will test new models of health care delivery in the most sparsely populated rural counties. Identifies the participating Critical Access Hospitals and the interventions they will address.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 08/2016
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Stratis Health Rural Palliative Care Impact Report
Report examines palliative care models that have proven to be effective in rural areas of Minnesota and establishes measures to understand ways in which palliative care offers value to patients and promotes community development.
Sponsoring organization: Stratis Health
Date: 07/2016
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Oregon Critical Access Hospital Quality Reporting Overview Guide
A guide to provide help Oregon Critical Access Hospital quality improvement officers develop and support quality improvement (QI) activities, and make informed decisions when reporting their QI efforts.
Author(s): Namrata Dave
Sponsoring organization: Oregon Office of Rural Health
Date: 07/2016
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On Pills and Needles: Counties Fight the Opioid Drug Crisis
Special issue focused on how counties are responding to the opioid crisis. Includes an interview with Michael Botticelli, director of the White House Office of National Drug Control Policy, focused on the federal response to rural opioid abuse.
Sponsoring organization: National Association of Counties
Location: County News
Date: 07/2016
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What Works? Strategies to Improve Rural Health
A guide for rural community health improvement. Explains how to find strategies that are likely to be effective. Identifies interventions related to health behaviors, healthcare access and quality, social and economic factors, and the physical environment.
Author(s): University of Wisconsin Population Health Institute
Sponsoring organization: County Health Rankings & Roadmaps
Date: 07/2016
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Oregon Acute Care Hospitals: Annual Financials Reporting Highlights, 2015
Reports on the extent to which hospitals in Oregon, both rural and urban, meet the need for healthcare services in their communities and continue to operate as financially viable organizations. Results for this report were drawn from financial data collected annually from acute care hospitals by the Oregon Health Authority.
Sponsoring organization: Oregon Health Authority
Date: 07/2016
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Overall Hospital Quality Star Ratings on Hospital Compare: Overview for Flex Programs and Rural Stakeholders
Provides background information and the methodology used for the development of the CMS Overall Hospital Star Ratings posted on the Hospital Compare website. Discusses the implications these ratings have on Critical Access Hospitals and other small rural hospitals.
Sponsoring organization: Stratis Health
Date: 07/2016
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Oral Health Care Service in North Dakota Community Health Care Centers
Presents an overview of the federally funded Community Health Center (CHC) program in North Dakota that includes their locations within the state, services provided, sources of revenue, and patient demographics. Particular attention is given to the oral health services provided by CHCs, and a cost comparison between oral health services and medical services.
Author(s): Jun Lee, Shawnda Schroeder,
Sponsoring organization: University of North Dakota Center for Rural Health
Date: 07/2016
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Social Factors Affecting Pediatric Oral Health in North Dakota
Presents the findings of surveys given to North Dakota children and youth in grade school through high school to determine their knowledge of, and resources to practice, good oral hygiene. Results were tabulated by race and demonstrated disparities exist in the frequency of brushing, the consumption of sugary beverages, and access to oral healthcare supplies.
Author(s): Shawnda Schroeder
Sponsoring organization: University of North Dakota Center for Rural Health
Date: 07/2016
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Variation in Interoperability Among U.S. Non-Federal Acute Care Hospitals in 2015
A discussion of how health information is shared between hospitals, including a review of the methods used and the rate of exchange between providers and health systems. Includes data and statistics about electronic health records (EHR), the Health Information Exchange (HIE), and specific information about the lower rates of use of both in small, rural, and Critical Access Hospitals.
Author(s): Vaishali Patel, JaWanna Henry, Yuriy Pylypchuk, Talisha Searcy
Sponsoring organization: Office of the National Coordinator for Health Information Technology
Date: 07/2016
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Graduates of Rural-Centric Family Medicine Residencies: Determinants of Rural and Urban Practice
Reports on a study analyzing the characteristics, experiences, and the attitudes of graduates from rural-centric family medicine residencies that influence their selection of practice locations.
Author(s): Davis G. Patterson, C. Holly A. Andrilla, Eric H. Larson
Sponsoring organization: WWAMI Rural Health Research Center
Date: 07/2016
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Hospital Closures and the Current Healthcare Climate: The Future of Rural Hospitals in the USA
Discusses impact of Affordable Care Act on rural hospitals, including financial considerations, and explores steps that may be taken in order to ensure that these facilities remain open.
Author(s): Soma Balasubramanian, Erick Jones
Location: Rural and Remote Health, 16
Date: 07/2016
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Rural Medicare Advantage Market Dynamics and Quality: Historical Context and Current Implications
Policy brief assessing ways in which market dynamics affect rural beneficiaries of Medicare Advantage (MA) plans and the variation in Medicare's star ratings of these plans. Features statistics including star ratings by urban and rural counties; MA contracts by star rating, rural characteristics, and experience; and percent enrollment in 4+ star plans with breakdowns by rural and urban counties.
Author(s): Leah Kemper, Abigail R. Barker, Lyndsey Wilbers, Timothy D. McBride, Keith Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 07/2016
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Vulnerable Rural Counties: The Changing Rural Landscape, 2000-2010
A study of how rural counties were impacted by the 2008 recession, specifically focused on an increase in poverty levels, shifts in population, and loss or reduction of healthcare services and facilities. Includes county-by-county maps with data such as poverty and unemployment rates, elderly population, educational level, non-white population, health insurance coverage, availability of primary care and other specialties, and change in number of hospitals and other healthcare facilities. Appendices include tables comparing urban and rural/remote county statistics.
Author(s): Kevin J. Bennett, Yu-Hsiu Lin, Matthew Yuen, Deshia Leonhirth, Janice C. Probst
Sponsoring organization: South Carolina Rural Health Research Center
Date: 07/2016
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Key Facts in Rural Health: Vulnerable Rural Counties, the Changing Rural Landscape, 2000-2010 (Fact Sheet)
Fact sheet regarding the shift in rural poverty levels, aging populations, and racial/ethnic diversity as impacted by the 2008 recession. Provides statistics reflective of those categories.
Sponsoring organization: South Carolina Rural Health Research Center
Date: 07/2016
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Breaking the Barriers to Specialty Care: Practical Ideas to Improve Health Equity and Reduce Cost
A collection of briefs focused on how to improve access to specialty care for rural and low-income patients. Discusses telehealth, developing primary care capacity to provide appropriate specialty care, and coordinated specialist networks as approaches to improve specialty care access. Free, but registration required to download.
Author(s): Bristol-Myers Squibb Foundation, FSG
Date: 06/2016
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Geographic Health Disparities in Kentucky: Starting a Conversation About Local Solutions
Features county-level maps showing disparities by life expectancy at birth, education level, median household income, and percentage of population living in poverty. The maps are intended to promote discussion and policy action to combat health disparities in Appalachian Kentucky.
Author(s): Steven H. Woolf, Derek A. Chapman, F. Douglas Scutchfield
Location: Frontiers in Public Health Services and Systems Research, 5(3), 1-8.
Date: 06/2016
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Telehealth: Mapping the Evidence for Patient Outcomes From Systematic Reviews
A review of literature resulting in an evidence map for telehealth impacts on clinical outcomes for use by policymakers and other healthcare leaders. Identifies key areas that lack evidence-based research and suggests future studies needed to aid systematic review.
Author(s): Annette M. Totten, Dana M. Womack, Karen B. Eden, et al.
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 06/2016
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Adequacy of EMS Systems of Care Protocols for Adults with OHCA, STEMI & Stroke in Oregon: A Structured Review (Executive Report)
Examines the EMS treatment protocols practiced in ambulance agencies in Oregon, and how they align with evidence-based practices for EMS treatment for adult patients with Out of Hospital Cardiac Arrest (OHCA), STEMI (ST Elevation Myocardial Infarction) and stroke.
Author(s): Paul S. Rostykus
Sponsoring organization: Oregon Office of Rural Health
Date: 05/2016
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Adequacy of EMS Systems of Care Protocols for Adults with OHCA, STEMI & Stroke in Oregon: A Structured Review
Examines the EMS treatment protocols practiced in ambulance agencies in Oregon, and how they align with evidence-based practices for EMS treatment for adult patients with Out of Hospital Cardiac Arrest (OHCA), STEMI (ST Elevation Myocardial Infarction) and stroke.
Author(s): Paul S. Rostykus
Sponsoring organization: Oregon Office of Rural Health
Date: 05/2016
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Food Security Among Hispanic Adults in the United States, 2011-2014
Analyzes the magnitude of food insecurity across diverse Hispanic adults in the U.S. using 2011-2014 data derived from the Current Population Survey’s Food Security Supplement, an annual survey conducted by the U.S. Census Bureau. Provides demographic data regarding ethnicity, immigration status, income, employment, educational attainment, and metropolitan/nonmetropolitan residence status.
Author(s): Matthew P. Rabbitt, Michael D. Smith, Alisha Coleman-Jensen
Sponsoring organization: USDA Economic Research Service
Date: 05/2016
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Federal Interagency Health Equity Team Compendium of Publicly Available Datasets and Other Data-Related Resources
Identifies and describes publicly available data that could be used by projects working to reduce health disparities. Includes datasets and data-related resources from agencies within the U.S. Department of Health and Human Services, as well as from the U.S. Census Bureau and U.S. Department of Commerce.
Author(s): Federal Interagency Health Equity Team
Sponsoring organization: National Partnership for Action to End Health Disparities
Date: 01/2016
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Guiding Innovations to Improve the Oral Health of Adult Medicaid Beneficiaries
Highlights several innovative ideas for providing oral healthcare to Medicaid-enrolled adults by discussing consumer outreach and engagement, workforce and training, access and delivery in rural and urban areas, and return on investment and business models.
Author(s): Stacey Chazin,
Sponsoring organization: Center for Health Care Strategies
Date: 01/2016
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Oregon Office of Rural Health
Identifies the mission and the activities of the Oregon State Office of Rural Health.
Sponsoring organization: Oregon Office of Rural Health
Date: 2016
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Planning for Transportation After Medical Services Pocket Guide, Rural Edition
Guide to help rural patients, caregivers, and healthcare providers consider transportation options after medical treatment.
Author(s): Easter Seals Project ACTION
Sponsoring organization: National Aging and Disability Transportation Center
Date: 2016
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Identifying High-Risk Neighborhoods Using Electronic Medical Records: A Population-Based Approach for Targeting Diabetes Prevention and Treatment Interventions
Reports findings from a study examining how electronic medical records (EMRs) can be used to address chronic health conditions, specifically diabetes. Discusses how EMRs can be used to identify at-risk neighborhoods for community-based interventions. The study focused on two urban counties and one rural county in Minnesota.
Author(s): Rose Gabert, Blake Thomson, Emmanuela Gakidou, Gregory Roth
Location: PLoS ONE, 11(7)
Date: 2016
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Rural Accountable Care Guide: Preparing Rural Health for the Approaching Accountable Care Era
A practical guide for healthcare providers and administrators to the successful creation of an ACO in a rural community. Identifies the eight essential elements of an ACO and discusses how to implement an ACO in a rural setting.
Author(s): Toward Accountable Care Consortium and Initiative (TAC)
Date: 2016
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ROI Toolkit: A Guide for Conducting a Return on Investment Analysis of Your Community Health Worker Health Program
A step-by-step guide to help healthcare organizations learn and understand the key elements for conducting a return on investment analysis for their community health worker (CHW) program.
Sponsoring organization: MHP Salud
Date: 2016
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Map the Meal Gap 2016: Highlights of Findings for Overall and Child Food Insecurity
A report on the Map the Meal Gap program, which provides county and congressional district level data and statistics regarding food insecurity and food cost. This report focuses on information gathered for the 2014 calendar year and includes both urban and rural data.
Sponsoring organization: Feeding America
Date: 2016
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2016 Legislative and Regulatory Agenda
Outlines rural healthcare policy issues in order to endorse legislative and regulatory action by Congress, federal regulatory agencies, the White House, states, and the healthcare industry.
Sponsoring organization: National Rural Health Association
Date: 2016
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2016 Kentucky Health Coalitions Directory
A directory, by county, of coalitions or care coordination groups working in the state of Kentucky, gathered to assist in networking and collaboration.
Sponsoring organization: Foundation for a Healthy Kentucky
Date: 2016
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The Oglala Sioux Tribe CHOICES Program: Modifying an Existing Alcohol-Exposed Pregnancy Intervention for Use in an American Indian Community
Describes how an existing alcohol-exposed pregnancy prevention program, Project CHOICES, for non-pregnant women was modified and integrated within an American Indian community to prevent Fetal Alcohol Spectrum Disorders (FASD). Also, provides the steps necessary to develop a similar program at another tribal or rural site.
Author(s): Jessica D. Hanson, Susan Pourier
Location: International Journal of Environmental Research and Public Health, 13(1), 1
Date: 12/2015
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Project ARCH: Initial Summary of Findings Relevant to the Choice Program
Provides an assessment of Project ARCH (Access Received Closer to Home), a congressionally legislated pilot program operated under the Veterans Health Administration (VHA) Chief Business Office (CBO), and funded by the VHA Office of Rural Health (ORH). The focus of Project ARCH was to increase access to cost effective non-VA medical care. Results of this assessment may inform the implementation of the Veteran’s Choice program.
Author(s): Keith J. Mueller, Clint MacKinney, Fred Ullrich, et al.
Sponsoring organization: Rural Policy Research Institute
Date: 12/2015
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Critical Access Hospital Finance 101
A manual providing non-technical financial information for state Medicare Rural Hospital Flexibility (Flex) Program personnel and boards of Critical Access Hospitals (CAHs).
Sponsoring organization: National Rural Health Resource Center
Date: 10/2015
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Beyond Rural Walls: Identifying Impacts and Interdependencies Among Rural and Urban Spaces - A Survey of Literature
Discusses the economic benefits of broadband distribution and usage in business, education, healthcare, and public safety in rural and urban areas. Describes the interdependencies between rural and urban broadband, and the impact of rural broadband utilization on urban areas.
Author(s): Joshua Seidemann
Sponsoring organization: NTCA: The Rural Broadband Association
Date: 10/2015
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