Rural Health
Resources by State: Arizona
Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Fifth Annual Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, which tests the impact of providing financial incentives to home health agencies in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. Reports on the experiences of home health agencies and patients through 2020, the fifth performance year of the HHVBP Model, and the third year that agencies in the HHVBP states received a payment adjustment. Examines the impacts of the HHVBP Model on Medicare expenditures, healthcare utilization, quality of care and patient experience, and agency operations. Discusses rural access to high-quality home health agencies and the impact of HHVBP on rural home health patients.
Additional links: Findings at a Glance, Technical Appendices
Author(s): Alyssa Pozniak, Marc Turenne, Eric Lammers, et al.
Date: 04/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Arizona Frontier Special Area (SArea) 2021 Statistical Profile
Identifies the frontier areas in Arizona and provides data on the demographics, natality and infant mortality, and healthcare utilization of populations in those areas compared to rural and urban areas in Arizona. Includes data on health workforce to population ratios and healthcare facilities and services.
Date: 04/2022
Sponsoring organization: Arizona Bureau of Health Systems Development
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Identifies the frontier areas in Arizona and provides data on the demographics, natality and infant mortality, and healthcare utilization of populations in those areas compared to rural and urban areas in Arizona. Includes data on health workforce to population ratios and healthcare facilities and services.
Date: 04/2022
Sponsoring organization: Arizona Bureau of Health Systems Development
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Evaluating State Flex Program Population Health Activities
Provides an overview of the expectations for the Medicare Rural Hospital Flexibility (Flex) Program under Program Area 3: Population Health Improvement and summarizes State Flex Program (SFP) initiatives under this program area. Describes promising population health strategies implemented by SFPs and challenges to measuring the impact of these activities. Explores how Flex Program population health efforts can align with the U.S. Department of Health and Human Services' Healthy Rural Hometown Initiative (HRHI).
Author(s): John Gale, Celia Jewell, Sara Kahn-Troster, Zachariah Croll
Date: 03/2022
Sponsoring organization: Flex Monitoring Team
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Provides an overview of the expectations for the Medicare Rural Hospital Flexibility (Flex) Program under Program Area 3: Population Health Improvement and summarizes State Flex Program (SFP) initiatives under this program area. Describes promising population health strategies implemented by SFPs and challenges to measuring the impact of these activities. Explores how Flex Program population health efforts can align with the U.S. Department of Health and Human Services' Healthy Rural Hometown Initiative (HRHI).
Author(s): John Gale, Celia Jewell, Sara Kahn-Troster, Zachariah Croll
Date: 03/2022
Sponsoring organization: Flex Monitoring Team
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Helicobacter pylori Prevalence and Risk Factors in Three Rural Indigenous Communities of Northern Arizona
Explores a study on the prevalence of Helicobacter pylori (H.pylori) bacterial infections among members of the Navajo Nation in northeastern Arizona. Breaks down data by age, clinical history, and water sources, among other factors.
Author(s): Robin B. Harris, Heidi E. Brown, Rachelle L. Begay, et al.
Citation: International Journal of Environmental Research and Public Health, 19(2), 797
Date: 01/2022
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Explores a study on the prevalence of Helicobacter pylori (H.pylori) bacterial infections among members of the Navajo Nation in northeastern Arizona. Breaks down data by age, clinical history, and water sources, among other factors.
Author(s): Robin B. Harris, Heidi E. Brown, Rachelle L. Begay, et al.
Citation: International Journal of Environmental Research and Public Health, 19(2), 797
Date: 01/2022
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Evaluation of State-Led Surveillance of Neonatal Abstinence Syndrome — Six U.S. States, 2018–2021
Examines data collection challenges and infrastructure gaps that impact surveillance of neonatal abstinence syndrome (NAS), based on information from six states with mandated NAS reporting. Includes brief discussion of rural concerns, including disparities in the incidence of opioid use disorder and NAS and gaps in rural infrastructure and access to care.
Author(s): Shahla M. Jilani, Kristina West, Laura Jacobus-Kantor, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(2), 37-42
Date: 01/2022
Sponsoring organization: Centers for Disease Control and Prevention
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Examines data collection challenges and infrastructure gaps that impact surveillance of neonatal abstinence syndrome (NAS), based on information from six states with mandated NAS reporting. Includes brief discussion of rural concerns, including disparities in the incidence of opioid use disorder and NAS and gaps in rural infrastructure and access to care.
Author(s): Shahla M. Jilani, Kristina West, Laura Jacobus-Kantor, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 71(2), 37-42
Date: 01/2022
Sponsoring organization: Centers for Disease Control and Prevention
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State Summaries of Lifespan Respite Grant Activities and Outcomes: Final Reports, FY2017 – FY2018 Grantees
Summaries of final reports from the fiscal year 2017 and 2018 Administration for Community Living (ACL) State Lifespan Respite Care program grantees. The State Lifespan Respite Care program aims to create coordinated systems of accessible, community-based respite care services for family caregivers of children and adults of all ages with special needs. Describes each of the project's outcomes, accomplishments, and partnerships. Highlights programs serving rural areas.
Date: 2022
Sponsoring organization: ARCH National Respite Network and Resource Center
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Summaries of final reports from the fiscal year 2017 and 2018 Administration for Community Living (ACL) State Lifespan Respite Care program grantees. The State Lifespan Respite Care program aims to create coordinated systems of accessible, community-based respite care services for family caregivers of children and adults of all ages with special needs. Describes each of the project's outcomes, accomplishments, and partnerships. Highlights programs serving rural areas.
Date: 2022
Sponsoring organization: ARCH National Respite Network and Resource Center
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Arizona Health Workforce Profile: Direct Care Workers (DCWs)
Brief examining the direct care workforce in Arizona, including a breakdown of home health and personal aides, Nursing Assistants, and Licensed Practical Nurses by small, medium, and large counties. Uses data from the U.S. Bureau of Labor Statistics Occupational Handbook and the Arizona Office of Economic Opportunity.
Author(s): B. Koch, S. Coates, C. Drake, D. Derksen
Date: 2022
Sponsoring organization: Arizona Center for Rural Health
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Brief examining the direct care workforce in Arizona, including a breakdown of home health and personal aides, Nursing Assistants, and Licensed Practical Nurses by small, medium, and large counties. Uses data from the U.S. Bureau of Labor Statistics Occupational Handbook and the Arizona Office of Economic Opportunity.
Author(s): B. Koch, S. Coates, C. Drake, D. Derksen
Date: 2022
Sponsoring organization: Arizona Center for Rural Health
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Rural Transportation Incubator - Age Friendly Arizona
A case study that discusses the work of the Age Friendly Arizona (AFA) network to assess livability for seniors in rural areas and improve transportation through grant funding. Includes goals of the grant program, such as providing transportation for rural, low-income seniors, coordinating with partners, replicating the project in other areas, and reflecting on outcomes of the project to improve livability and rural transportation for seniors.
Date: 12/2021
Sponsoring organization: National Aging and Disability Transportation Center
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A case study that discusses the work of the Age Friendly Arizona (AFA) network to assess livability for seniors in rural areas and improve transportation through grant funding. Includes goals of the grant program, such as providing transportation for rural, low-income seniors, coordinating with partners, replicating the project in other areas, and reflecting on outcomes of the project to improve livability and rural transportation for seniors.
Date: 12/2021
Sponsoring organization: National Aging and Disability Transportation Center
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Community-Based Medication Disposal Pilot Initiative in Southwest Tribal Communities
Describes a public health pilot project testing a community-based prescription drug disposal system in tribal communities to increase awareness about the dangers of prescription drug accumulation in the home resulting in misuse and abuse of prescription drugs, and to improve drug disposal practices. Project provided drug deactivation bags for in-home use, and medication drop boxes were available in 29 healthcare facilities in mostly rural areas of Arizona, Minnesota, Nevada and Oklahoma.
Author(s): Isaac Ampadu, Robert Morones, Andrea Tsatoke, et al.
Citation: Injury Epidemiology, 8(Suppl 2), 67
Date: 12/2021
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Describes a public health pilot project testing a community-based prescription drug disposal system in tribal communities to increase awareness about the dangers of prescription drug accumulation in the home resulting in misuse and abuse of prescription drugs, and to improve drug disposal practices. Project provided drug deactivation bags for in-home use, and medication drop boxes were available in 29 healthcare facilities in mostly rural areas of Arizona, Minnesota, Nevada and Oklahoma.
Author(s): Isaac Ampadu, Robert Morones, Andrea Tsatoke, et al.
Citation: Injury Epidemiology, 8(Suppl 2), 67
Date: 12/2021
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Successful Implementation of the Healthy Diné Nation Act in Stores on the Navajo Nation
Highlights a study evaluating the implementation of the Healthy Diné Nation Act (HDNA), which adds a 2% tax on unhealthy foods and a 5% tax waiver for healthy foods in the grocery stores, training posts, and convenience stores across the Navajo Nation. Breaks down a timeline of the implementation process and the results from Navajo Nation stores.
Author(s): Carmen George, Carolyn Bancroft, Shine Salt, et al.
Citation: Preventive Medicine Reports, 24, 101573
Date: 12/2021
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Highlights a study evaluating the implementation of the Healthy Diné Nation Act (HDNA), which adds a 2% tax on unhealthy foods and a 5% tax waiver for healthy foods in the grocery stores, training posts, and convenience stores across the Navajo Nation. Breaks down a timeline of the implementation process and the results from Navajo Nation stores.
Author(s): Carmen George, Carolyn Bancroft, Shine Salt, et al.
Citation: Preventive Medicine Reports, 24, 101573
Date: 12/2021
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