Rural Health
Resources by State: Iowa
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 people. 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, et al.
Citation: International Journal of Environmental Research and Public Health, 15(5), 917
Date: 05/2018
Type: Document
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Reports on the development of an evidence-based community-wide intervention promoting physical activity in Ottumwa, Iowa, a micropolitan community of nearly 25,000 people. 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, 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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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. Identifies the frequency and levels of exposure to black carbon associated with diesel-related activities and determines if these levels are above concentrations found in urban environments.
Author(s): Emma M. Stapleton, Patrick T. O'Shaughnessy, Sarah J. Locke, et al.
Citation: Journal of Occupational and Environmental Hygiene, 15(4), 293–304
Date: 04/2018
Type: Document
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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. Identifies the frequency and levels of exposure to black carbon associated with diesel-related activities and determines if these levels are above concentrations found in urban environments.
Author(s): Emma M. Stapleton, Patrick T. O'Shaughnessy, Sarah J. Locke, et al.
Citation: Journal of Occupational and Environmental Hygiene, 15(4), 293–304
Date: 04/2018
Type: Document
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Industrial Hog Farming Is Associated with Altered Circulating Immunological Markers
Highlights a study of immunological changes among hog farmers. Draws data from the Agricultural Health Study. Breaks down data by race, education, and body mass index, among other measures.
Author(s): Jonathan N. Hofmann, Meredith S. Shiels, Melissa C. Friesen, et al.
Citation: Occupational and Environmental Medicine, 75(3), 212-217
Date: 03/2018
Type: Document
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Highlights a study of immunological changes among hog farmers. Draws data from the Agricultural Health Study. Breaks down data by race, education, and body mass index, among other measures.
Author(s): Jonathan N. Hofmann, Meredith S. Shiels, Melissa C. Friesen, et al.
Citation: Occupational and Environmental Medicine, 75(3), 212-217
Date: 03/2018
Type: Document
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Occupational Pesticide Exposure and Subclinical Hypothyroidism among Male Pesticide Applicators
Details a study on thyroid dysfunction in licensed pesticide applicators. Draws data from the Agricultural Health Study. Looks at other health factors such as obesity, tobacco use, and alcohol consumption, as well as other demographic factors.
Author(s): Catherine C. Lerro, Laura E. Beane Freeman, Curt T. DellaValle, et al.
Citation: Occupational and Environmental Medicine, 75(2), 79-89
Date: 02/2018
Type: Document
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Details a study on thyroid dysfunction in licensed pesticide applicators. Draws data from the Agricultural Health Study. Looks at other health factors such as obesity, tobacco use, and alcohol consumption, as well as other demographic factors.
Author(s): Catherine C. Lerro, Laura E. Beane Freeman, Curt T. DellaValle, et al.
Citation: Occupational and Environmental Medicine, 75(2), 79-89
Date: 02/2018
Type: Document
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Evaluating Effective Leadership and Governance in a Midwestern Agricultural Safety and Health Coalition
Features a study on the effectiveness of the leadership of an Agricultural Health and Safety Center (Ag Center) serving 7 midwestern states. Details a qualitative and quantitative evaluation of the Ag Center's leadership.
Author(s): Mary J. Wendl, Mary E. Cramer
Citation: Workplace Health and Safety, 66(2), 84-94
Date: 02/2018
Type: Document
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Features a study on the effectiveness of the leadership of an Agricultural Health and Safety Center (Ag Center) serving 7 midwestern states. Details a qualitative and quantitative evaluation of the Ag Center's leadership.
Author(s): Mary J. Wendl, Mary E. Cramer
Citation: Workplace Health and Safety, 66(2), 84-94
Date: 02/2018
Type: Document
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Intensive Referral to Mutual-Help Groups: A Field Trial of Adaptations for Rural Veterans
Highlights a study on the effect of mutual help groups (MHGs) on outcomes for rural veterans with substance use disorder within the VA's Nebraska-Western Iowa Health Care System. Breaks down data by age, race, and substance use, among other factors.
Author(s): Kathleen M. Grant, Lance Brendan Young, Kimberly A. Tyler, et al.
Citation: Patient Education and Counseling, 101(1), 79-84
Date: 01/2018
Type: Document
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Highlights a study on the effect of mutual help groups (MHGs) on outcomes for rural veterans with substance use disorder within the VA's Nebraska-Western Iowa Health Care System. Breaks down data by age, race, and substance use, among other factors.
Author(s): Kathleen M. Grant, Lance Brendan Young, Kimberly A. Tyler, et al.
Citation: Patient Education and Counseling, 101(1), 79-84
Date: 01/2018
Type: Document
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Filling the Gap: USDA, Utility Co-ops Working to Bring Badly Needed Dental Services to Rural Iowans
Features the Fulfilling Iowa's Need for Dentists (FIND) program funded by USDA Rural Development via pass-through loans to several telephone and electric cooperatives to provide dental care to Iowa's rural communities. Details the development of FIND and the ways in which it helps place dentists in underserved areas.
Author(s): Darin Leach
Citation: Rural Cooperatives, 85(1), 12-13, 43
Date: 01/2018
Type: Document
Sponsoring organization: USDA Rural Development
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Features the Fulfilling Iowa's Need for Dentists (FIND) program funded by USDA Rural Development via pass-through loans to several telephone and electric cooperatives to provide dental care to Iowa's rural communities. Details the development of FIND and the ways in which it helps place dentists in underserved areas.
Author(s): Darin Leach
Citation: Rural Cooperatives, 85(1), 12-13, 43
Date: 01/2018
Type: Document
Sponsoring organization: USDA Rural Development
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Affiliation Partners Sought to Prepare Small Hospital for Value-Based Care
Details how Grinnell Regional Medical Center (GRMC) in Grinnell, Iowa, followed a robust due diligence process to identify affiliation partners and prepare for participation in risk-based reimbursement models. GRMC is a 49-bed private, nonprofit medical center that serves 6 rural counties in Iowa.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Health Value
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Details how Grinnell Regional Medical Center (GRMC) in Grinnell, Iowa, followed a robust due diligence process to identify affiliation partners and prepare for participation in risk-based reimbursement models. GRMC is a 49-bed private, nonprofit medical center that serves 6 rural counties in Iowa.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Health Value
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Reinventing Rural Health Care: A Case Study of Seven Upper Midwest States
Examines the state of rural healthcare in seven states - Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming - and uses the findings to determine the impact of existing federal policies, understand ongoing healthcare challenges, and identify opportunities for improvement in rural healthcare access and delivery. Addresses rightsizing healthcare services to fit community needs, creating rural funding mechanisms, building and supporting the primary care physician workforce, and expanding telemedicine services. Analysis is based on interviews with over 90 national thought leaders and key stakeholders.
Additional links: Infographic, Summary – Rural Health Care: Lessons Learned
Date: 01/2018
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Examines the state of rural healthcare in seven states - Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming - and uses the findings to determine the impact of existing federal policies, understand ongoing healthcare challenges, and identify opportunities for improvement in rural healthcare access and delivery. Addresses rightsizing healthcare services to fit community needs, creating rural funding mechanisms, building and supporting the primary care physician workforce, and expanding telemedicine services. Analysis is based on interviews with over 90 national thought leaders and key stakeholders.
Additional links: Infographic, Summary – Rural Health Care: Lessons Learned
Date: 01/2018
Type: Document
Sponsoring organization: Bipartisan Policy Center
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