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Rural Health
Resources by State: Iowa

Network Spotlight: Wright Health Partners
Describes the network characteristics, key learnings, challenges, and accomplishments of Clarion, Iowa-based Wright Health Partners, a rural healthcare consortium that works to address health issues in the area. Originally started as an agreement between two Critical Access Hospitals, Wright Health Partners has grown to include schools, an ambulance service, an orthopedic practice, and other partners. Members of Wright Health Partners share an electronic medical record (EMR) system, technical assistance resources, and program funding.
Date: 12/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Rural Unintentional Injuries: They’re Not Accidents – They’re Preventable
Examines the three leading causes of rural unintentional injuries: transportation injuries, poisonings, and falls. Discusses how rural areas compare to urban areas for these concerns, and identifies successful rural prevention strategies related to motor vehicle fatalities, non-drug poisonings, and falls.
Author(s): Kay Miller Temple
Location: Rural Monitor
Date: 11/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Staff Sharing Arrangements for Local Public Health
Describes several case studies of local public health organizations' arrangements for sharing health directors, physicians, nurses, inspectors, social workers, or administration staff. Includes descriptions of such arrangements in public health agencies in rural areas of Webster County, Iowa and in three adjacent northwestern Oregon counties with a mixture of urban, suburban, and rural areas.
Author(s): Gerald Young, Joshua Franzel
Date: 11/2017
Type: Document
Sponsoring organizations: Center for Sharing Public Health Services, Center for State & Local Government Excellence
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Stepping into the Breach: How States and Insurers Worked Together to Prevent Bare Counties for 2018
Examines six states - Iowa, Nevada, Ohio, Oklahoma, Tennessee, and Washington - that faced the prospect of having counties with no participating insurers ahead of the 2018 plan year open enrollment period. Shares insights from interviews with insurers and state regulators, focusing on how administrative and/or legislative actions and media coverage affected insurers' decisions to remain in the Marketplace. Includes a discussion on the challenges associated with risk assessment and rate setting in low-population, rural counties.
Author(s): Kevin Lucia, Jack Hoadley, Sabrina Corlette, Dania Palanker, Olivia Hoppe
Date: 11/2017
Type: Document
Sponsoring organization: Urban Institute
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Occupational Exposure to Vapor-Gas, Dust, and Fumes in a Cohort of Rural Adults in Iowa Compared with a Cohort of Urban Adults
Examines differences in occupational exposure to vapor-gas, dust, and fumes in rural and urban areas. The rural population studied included both current and former farmers, and those who never farmed, thereby providing insights related to non-agriculture occupational exposure to airborne pollutants in rural areas.
Author(s): Brent C. Doney, Paul K. Henneberger, Michael J. Humann, et al.
Location: MMWR Surveillance Summaries, 66(21), 1-5
Date: 11/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Improving Rural Oral Health: Six States’ Response to the United States Department of Health and Human Services Oral Health Strategic Framework
Findings brief describing how Colorado, Iowa, New Mexico, North Carolina, Pennsylvania, and South Carolina have responded to the Department of Health and Human Services' 2014-2017 goals for advancing oral health in America, with emphasis on programs available to children. Features statistics including number of dental insurance companies, number of public health dental clinics or Federally Qualified Health Centers providing oral health services, and number of full-time and part-time dentists and dental hygienists at these facilities in each of the six states.
Author(s): Amy B. Martin, Janice C. Probst, Karen M. Jones
Date: 08/2017
Type: Document
Sponsoring organization: South Carolina Rural Health Research Center
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Medicaid Expansion: Behavioral Health Treatment Use in Selected States in 2014
Report to Congress describing the population of Medicaid expansion enrollees with behavioral health diagnoses in 2014, and the use of behavioral health treatment among the enrolled population. Results are based on the experience of four states: Iowa, New York, Washington, and West Virginia. Includes a discussion on urban/rural geographic distribution of enrollees and the barriers to accessing treatment for enrollees living in rural areas.
Date: 06/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Determinants of the 5-Year Retention and Rural Location of Family Physicians: Results from the Iowa Family Medicine Training Network
Analysis of data from 8 residency programs associated with the Carver College of Medicine. Includes statistics with breakdowns by decade of graduation, place of residency, 5-year retention rate, and rural location.
Author(s): Gregory Nelson, Thomas S. Gruca
Location: Family Medicine, 49(6), 473-476
Date: 06/2017
Type: Document
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Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study
Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from eight states with significant rural populations, and examines ADE rates based on hospital characteristics and across four main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Evaluation of Provider Network in the Iowa Dental Wellness Plan, 2014-2016
Reports on Iowa’s Dental Wellness Plan (DWP) provider network established due to the poor oral health status of low income residents and the need for dental care within the state. Compares the first and second year of the DWP using outcomes measures that include dentist supply and distance to the nearest dentist in metropolitan and non-metropolitan areas.
Author(s): Susan McKernan, Mark Pooley, Aparna Ingleshwar, Elizabeth Momany, Peter Damiano
Date: 03/2017
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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