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Rural Health
Resources by State: Iowa

Activation and Utilization of an Electronic Health Record Patient Portal at an Academic Medical Center: Impact of Patient Demographics and Geographic Location
Analyzes the rates of patient portal activation and usage associated with the University of Iowa Hospitals and Clinics by patients in rural and urban areas of the state. Identifies population groups with the lowest activation rates, and discusses possible barriers to accessing patient portals.
Author(s): Sarah E. R. Oest, Maia Hightower, Matthew D. Krasowski
Citation: Academic Pathology, 5
Date: 10/2018
Type: Document
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The Workforce Trends of Physician Assistants in Iowa (1995-2015)
Examines the growth trends and attrition of the physician assistance (PA) workforce in Iowa with a focus on primary or specialty care practice settings, rural or urban locations, and Health Professional Shortage Areas (HPSAs).
Citation: PLOS One, 13(10)
Date: 10/2018
Type: Document
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Late Life Domestic Violence: No Such Thing as “Maturing Out” of Elder Abuse
Focuses on elder abuse, with information on prevalence, screening, costs, and legal issues. Also features work being done in indigenous populations to address elder abuse.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Intergenerational Continuity in Adverse Childhood Experiences and Rural Community Environments
Reports on a study of two-parent families with children in rural Iowa to determine the effect of community environment on intergenerational continuity in adverse childhood experiences (ACEs). Measures of community environment including socioeconomic status, social cohesion, perception of community services, and alcohol vendor density were correlated with ACEs to ascertain their significance in helping families break the cycle, and reduce or prevent childhood adversity.
Author(s): Thomas J. Schofield, M. Brent Donnellan, Melissa T. Merrick, Katie A. Ports, Joanne Klevens, et al.
Citation: American Journal of Public Health, 108(9), 1148–1152
Date: 09/2018
Type: Document
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Selected Rural Healthcare Facilities in Iowa
Shows the state’s Critical Access Hospitals (CAHs) and Rural Health Clinics (RHCs), as well as Federally Qualified Health Centers (FQHCs) located outside of urbanized areas.
Date: 07/2018
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Active Ottumwa: Adapting Evidence-Based Recommendations to Promote Physical Activity in a Micropolitan New Destination Community
Reports on the development of an evidence-based community-wide intervention promoting physical activity in Ottumwa, Iowa, a micropolitan community of nearly 25,000. This program, Active Ottumwa, utilizes lay health advisors, and incorporates behavioral and social intervention approaches to improve health. Evaluation procedures for this study include a community survey, longitudinal cohort assessment, observational data, interviews, and project records.
Author(s): Barbara Baquero, Christine M. Kava, Sato Ashida, Jason Daniel-Ulloa, Helena H. Laroche, et al.
Citation: International Journal of Environmental Research and Public Health, 15(5), 917
Date: 05/2018
Type: Document
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Relationships and Partnerships: How ACOs Are Improving Treatments for Super-Utilizers
Highlights three rural Accountable Care Organizations (ACOs) that are working to improve care for their super-utilizer patients. Features three success stories showing how the ACOs helped meet patient needs and improve patient health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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A Task-based Analysis of Black Carbon Exposure in Iowa Farmers During Harvest
Reports on a study that measures black carbon concentrations as an indicator for diesel exhaust exposure in farmers over a 20-day period during the harvest season in Southeast Iowa. The intent of the study is to determine the frequency and levels of exposure to black carbon associated with diesel-related activities, and if these levels were above concentrations found in urban environments.
Author(s): Emma M. Stapleton, Patrick T. O’Shaughnessy, Sarah J. Locke, Ralph W. Altmaier, Jonathan N. Hofmann, et al.
Citation: Journal of Occupational and Environmental Hygiene, 15(4), 293–304
Date: 04/2018
Type: Document
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State Innovation Model (SIM) Evaluation Report on Award Year 2 (AY2) Activities
Discusses the process and implementation activities of the State Innovation Model (SIM) grant program administered by the Centers for Medicare and Medicaid Services (CMS) in the state of Iowa. SIM provides funding for states to develop innovative strategies to address healthcare reform by improving the patient healthcare experience, population health, and reducing healthcare costs. Describes interventions and actions from the SIM initiative, community characteristics, and settings impacted by the initiative.
Author(s): Suzanne Bentler, Tessa Heeren, Rochelle Schultz Spinarski, Elizabeth Momany, Peter Damiano
Date: 03/2018
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Iowa: Federal Mental Health Care Shortage Designations
Shows designated counties as Mental Health Professional Shortage Areas (HPSAs) in Iowa.
Date: 02/2018
Type: Map/Mapping System
Sponsoring organization: Iowa Department of Public Health
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