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Rural Health
Resources by State: California

Is Bigger Better? Exploring the Impact of System Membership on Rural Hospitals
Describes how system membership affects financial performance and transfer patterns of rural hospitals in California. Shows what financial benefits are involved and examines whether membership increases or decreases likelihood of closure. Includes appendices with lists of system and nonsystem hospitals by county, and rural hospital intercompany transfer statistics from 2011-2015.
Author(s): Glenn Melnick, Katya Fonkych
Date: 05/2018
Type: Document
Sponsoring organization: California Health Care Foundation
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The Rural Inpatient Mortality Study: Does Urban-Rural County Classification Predict Hospital Mortality in California?
Highlights a study on the correlation between rural hospitals and higher rates of hospital mortality in California. Breaks down data by age, gender, CAH classification, and NCHS rurality-based class.
Author(s): Daniel T Linnen, John Kornak, Caroline Stephens
Citation: The Permanente Journal, 22, 17-078
Date: 03/2018
Type: Document
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A Healthy Smile Never Gets Old: A California Report on the Oral Health of Older Adults
Highlights oral health status and key issues among older adults living in California. Compares rates of untreated tooth decay and complete tooth loss in urban and rural areas of the state.
Author(s): Sahiti Bhaskara, Conrado E. Barzaga
Date: 03/2018
Type: Document
Sponsoring organization: Center for Oral Health
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California County Fact Sheets: Treatment Gaps in Opioid-Agonist Medication Assisted Therapy (OA-MAT) and Estimates of How Many Additional Prescribers Are Needed
Presents county-level estimates of opioid use disorder rates and treatment needs in California. Features statistics from 2016 including opioid overdose deaths, buprenorphine prescriptions, numbers of methadone patients, and February 2018 estimates of buprenorphine-waivered prescribers.
Author(s): Lisa Clemans-Cope, Douglas A. Wissoker, Marni Epstein
Date: 03/2018
Type: Website
Sponsoring organization: Urban Institute
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California's Current and Future Behavioral Health Workforce
Compiles and synthesizes data on California's licensed behavioral health workforce and pipeline of trainees. Features county-level behavioral health-related maps showing ratios of various types of providers to population and geographic distribution of training programs, graphs showing projected supply and demand for various types of providers, and demographic statistics on California's behavioral health workforce.
Author(s): Janet Coffman, Timothy Bates, Igor Geyn, Joanne Spetz
Date: 02/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Health Center-Based Medical-Legal Partnerships: Where They Are, How They Work, and How They Are Funded
Describes the recent, rapid expansion of medical-legal partnerships (MLPs) among America's health centers. Highlights programs in four states - Colorado, Oregon, Indiana, and California - and explains how MLPs operate, how they are financed, and how state primary care associations are supporting them. Briefly describes the reasons MLPs are more prevalent in urban areas than in rural areas.
Author(s): Alanna Williamson, Jennifer Trott, Marsha Regenstein
Date: 01/2018
Type: Document
Sponsoring organization: National Center for Medical-Legal Partnership
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USDA Rural Development 2017 Performance Report
Report highlights the performance of investments by the U.S. Department of Agriculture (USDA) Rural Development for 2017. Features three successful rural programs funded by USDA Rural Development. Includes a list of Rural Development State Offices.
Date: 2018
Type: Document
Sponsoring organization: USDA Rural Development
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Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies that states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings, and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide real-life examples of each strategy, and discusses rural-specific considerations throughout.
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 12/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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State Flex Program Rural Emergency Medical Services Assessment Strategies
Policy brief describing the emergency medical service (EMS) assessment projects and tools implemented by five State Flex Programs in Arizona, California, Minnesota, Nebraska, and Wisconsin to improve the integration of EMS into rural systems of care. Identifies differences in EMS focused State Flex activities and collaborations to improve local and regional EMS capacity and performance.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster, Andrew Coburn
Date: 11/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
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Rural Health Care Services Outreach Program Supports Sustainable Change
Provides an overview of the Federal Office of Rural Health Policy's Rural Health Care Services Outreach Program and the impact several grantees have made in their communities. Discusses the how the grantees planned their projects with the goal of sustaining services after the grant funding ends.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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