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Rural Health
Resources by State: Iowa

The Impact of COVID-19 on the Rural Health Care Landscape: Challenges and Opportunities
Presents an overview of key findings from interviews with stakeholders in eight states - Iowa, Minnesota, Montana, Nebraska, Nevada, North Dakota, South Dakota, and Wyoming - regarding the rural healthcare landscape. Discusses rural hospital financial health, rural hospital transformation models, challenges facing the rural healthcare workforce, and the role of telehealth in increasing access to care. Provides recommendations aimed at further advancing the use of virtual care in all communities, including rural and frontier areas, beyond the temporary federal COVID-19 public health emergency flexibilities.
Author(s): Sabah Bhatnagar, Julia Harris, Tara Hartnett, et al.
Date: 05/2022
Type: Document
Sponsoring organization: Bipartisan Policy Center
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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
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Parent Partners Provide Mentoring and Support in Rural Iowa
Features a statewide program in Iowa that pairs families whose children have been removed from the home with mentors with shared experience who have successfully navigated the state's Department of Human Services system. Describes the services that mentors provide: coaching, advocating, and connecting clients with community resources.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 03/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Association Between Area-Level Socioeconomic Deprivation and Diabetes Care Quality in US Primary Care Practices
Results of a study examining the association between deprived and rural areas and optimal diabetes care, using data from patients who received care at Mayo Clinic or Mayo Clinic Health System primary care practices in Minnesota, Iowa, and Wisconsin in 2019. Features statistics with breakdowns by urban, rural, and highly rural areas.
Author(s): Shaheen Shiraz Kurani, Michelle A. Lampman, Shealeigh A. Funni, et al.
Citation: JAMA Network Open, 4(12)
Date: 12/2021
Type: Document
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Out of the Shadows: Reducing the Rural Impact of Epilepsy
Provides an overview of epilepsy in rural areas, including the impact that driving restrictions can have on rural people with epilepsy. Discusses rural management approaches, including self-management programs, Seizure First Aid, and Seizure Safe Schools.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Federal Agencies' Investment in Rural Cancer Control Fosters Partnerships between Researchers and Rural Communities
Highlights how researchers and rural communities are working together to address rural cancer prevention and control, with support from federal funding. Discusses projects that address health behaviors, cancer screening, vaccination, and rural participation in clinical trials.
Author(s): Mary Charlton, Whitney Zahnd, Jennifer Patterson, Kimberly Merchant
Citation: Rural Monitor
Date: 07/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Crosscutting Environmental Risk with Design: A Multi-site, Multi-city Socioecological Approach for Iowa's Diversifying Small Towns
Examines the intersection of built environments and environmental design with factors exacerbating health disparities in 3 small Iowa towns. Discusses how study results may be used by small towns to prioritize investments in built environments for vulnerable populations.
Author(s): Benjamin Shirtcliff, Rosie Manzo, Rachel Scudder
Citation: PLoS ONE, 16(6)
Date: 06/2021
Type: Document
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Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Firearm Exposure and Storage Practices in the Homes of Rural Adolescents
Surveyed 1,382 rural teenagers at the 2019 Iowa Future Farmers of American (FFA) Leadership Conference regarding firearm access and storage in their homes. Shows both access and storage data broken down by gender, age, race, and whether or not the surveyed lives on a farm, in the country, or in a town.
Author(s): Charles A. Jennissen, Kristel M. Wetjen, Cole C. Wymore, et al.
Citation: Western Journal of Emergency Medicine: Integrating Emergency Care with Population Health, 22(3)
Date: 05/2021
Type: Document
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Iowa Nursing Demand Survey Report
Summarizes the results of a survey conducted between February and September 2020 on the demand of licensed practical nurses, registered nurses, and advanced registered nurse practitioners in Iowa. Discusses anticipated changes to demand and potential shortages, as well as barriers to recruitment and retention. Presents data by employer type, urban or rural location, and size.
Date: 04/2021
Type: Document
Sponsoring organizations: Iowa Board of Nursing, Iowa Center for Nursing Workforce
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