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New Resources Identified in the Past 30 Days:

Added October 11, 2021

Assessment of Rural-Urban and Geospatial Differences in Perceived Handgun Access and Reported Suicidality Among Youth in Colorado
Results of a study to understand the associations of rurality, school-level prevalence of easy handgun access, and suicidality measures in Colorado youth. Also explores spatial distribution of school-level measures, and identifies communities with high prevalence of easy handgun access and suicidality. Features statistics on characteristics of schools including weighted prevalence for study measures, with breakdowns by 7 levels of population density.
Author(s): Talia L. Spark, Erin Wright-Kelly, Ming Ma, et al.
Citation: JAMA Network Open, 4(10)
Date: 10/2021
Type: Document
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Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Reenvisioning Rural America
Examines census tracts designated as micropolitan, small town, and isolated rural by the U.S. Department of Agriculture's Rural-Urban Commuting Area (RUCA) code system, offering a typology of tracts based on assets and strengths. Organizes rural census tracts into categories including accessible, energy-rich hubs; high-employment agricultural areas; centers of wealth and health; and more. Includes a data map with information on each category of rural census tract and population, government, and geographic information for each tract.
Date: 09/2021
Type: Document
Sponsoring organization: Urban Institute
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Rural-Urban Disparities: Diabetes, Hypertension, Heart Disease, and Stroke Mortality Among Black and White Adults, 1999–2018
Article examining racial disparities in diabetes, hypertension, heart disease, and stroke mortality, comparing Black and White populations and breaking down data by rural and urban location using CDC Wonder 1999-2018 data. Discusses trends in racial disparities in urban and rural areas.
Author(s): Rahul Aggarwal, Nicholas Chiu, Emefah C. Loccoh, et al.
Citation: Journal of the American College of Cardiology, 77(11), 1480-1481
Date: 03/2021
Type: Document
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Statewide Age-Friendly Initiatives: An Environmental Scan
Policy brief examining statewide programs that support the health, independence, and well-being of elders as they age in place. Categorizes 33 initiatives in 22 states, distinguishing those that include specific rural focus, which are examined in greater detail in the additional policy brief.
Additional links: Examples of Statewide Age-Friendly Initiatives
Author(s): Jill Tanem, Carrie Henning-Smith, Megan Lahr
Date: 10/2021
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Added October 8, 2021

Birth Volume and Geographic Distribution of US Hospitals with Obstetric Services from 2010 to 2018
Examines the characteristics of hospitals with obstetric services by volume of births between 2010-2018. Describes the geographic distribution, proximity to other obstetric hospitals, and metropolitan status. Presents data on birth volume by hospital characteristics, including Critical Access Hospital and Rural Referral Center designation.
Author(s): Sara C. Handley, Molly Passarella, Heidi M. Herrick
Citation: JAMA Network Open, 4(10)
Date: 10/2021
Type: Document
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Financial Guide for the Rural Health Care Leaders During COVID and Post-COVID
Highlights strategies for addressing the financial challenges RHCs and CAHs may face during and after a public health emergency such as COVID-19. Discusses how rural providers can improve financial performance in the face of lower inpatient and outpatient volumes, fewer elective surgeries, and the added cost of PPE, ventilators, and staff, among others. Details indicators of financial stress and recommends corresponding strategies.
Date: 10/2021
Type: Document
Sponsoring organization: National Rural Health Resource Center
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State of Telehealth: Removing Barriers to Access and Improving Patient Outcomes
Presents a recording of an October 7, 2021, hearing before the U.S. Senate Committee on Commerce, Science, and Transportation Subcommittee on Communications, Media, and Broadband. Examines the importance of access to telehealth services, telehealth utilization during the COVID-19 pandemic, the impact of the pandemic on telehealth regulations, and the role of broadband access in the public health response. Features testimony from the American Academy of Family Physicians, Project ECHO, Avel eCare, and the Federal Communications Commission.
Additional links: American Academy of Family Physicians Testimony, Avel eCare Testimony, Federal Communications Commission Testimony, Project ECHO Testimony
Date: 10/2021
Type: Document
Sponsoring organization: Senate Committee on Commerce, Science, and Transportation
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Added October 7, 2021

Affordability and Availability: Expanding Broadband in the Black Rural South
Report examining broadband access in African American communities in the rural South, highlighting economic, healthcare, and educational opportunities that accompany broadband access. Discusses financial and policy barriers to broadband access in the Black rural South and offers policy recommendations to increase access.
Author(s): Dominique Harrison
Date: 10/2021
Type: Document
Sponsoring organization: Joint Center for Political and Economic Studies
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HHS Draft Strategic Plan, FY 2022 – 2026
Draft strategic plan identifying strategic goals and objectives of the U.S. Department of Health and Human Services (HHS). Includes information specific to meeting the needs of underserved communities, including rural and tribal communities. The Department is seeking public comment through November 7, 2021.
Date: 10/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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