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Rural Health Information Hub

Rural Health
Resources by State: Iowa

COVID-19 Vaccination Success Stories in Rural Communities
Identifies barriers to COVID-19 vaccine utilization in rural communities, and details strategies for increasing vaccine confidence and uptake. Includes case studies focused on Marshall County, Iowa; North Country, New Hampshire; Perry County, Kentucky; Rio Arriba County, New Mexico; Starr County, Texas; and Leflore and Jefferson Counties, Mississippi.
Author(s): Megan Heffernan, Jennifer Berktold
Date: 01/2023
Sponsoring organizations: East Tennessee State University, NORC at the University of Chicago
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Iowa's 2023-2027 State Health Improvement Plan
Provides information on the Healthy Iowans Partnership Steering Committee, public health department accreditation process, state health improvement plan (SHIP) and its phases, and population health metrics. Discusses health equity and improving health outcomes for disadvantaged populations, including rural.
Date: 01/2023
Sponsoring organization: Iowa Department of Health and Human Services
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Recommendations for Strengthening Iowa's Community-Based Services System: Final Evaluation Report
Provides an overview of Iowa's Medicaid home- and community-based services and programs, as well as the policies and procedures to access those services. Offers recommendations on three approaches that can improve equity, quality, efficiency, coordination, transparency, and accountability. Includes rural references and considerations throughout.
Date: 01/2023
Sponsoring organizations: Iowa Department of Health and Human Services, Mathematica, The Harkin Institute
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Who Cannot Afford to Pay Medical Bills in the North Central Region?
Reports on survey respondents from the North Central Region who struggled to pay bills within the last 12 months. Provides data by state, health status, income level, employment status, business type, business profitability, household type, marital status, sex, age, and race/ethnicity. Some of the demographic groups are further broken down by rural versus urban location.
Author(s): Zuzana Bednarik, Renee D. Wiatt
Date: 01/2023
Sponsoring organization: North Central Regional Center for Rural Development
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Exploring Health Insurance Coverage in the North Central Region at the Intersection of Location, Employment, Gender, Race, and Ethnicity
Provides data on health insurance coverage in North Central Region states. Includes rural versus urban coverage comparisons, further broken down by employment type and demographic variables.
Date: 12/2022
Sponsoring organization: North Central Regional Center for Rural Development
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Improving Access and Quality of Maternal and Infant Services in Rural Iowa through a Regional Center of Excellence
Profiles St. Anthony Regional Hospital in Carroll, Iowa, which serves six counties in west central Iowa. Discusses the hospital's efforts to improve maternal health and birth outcomes, including improving care coordination, increasing access to support and behavioral health services, and promoting better access to care in the region.
Date: 08/2022
Sponsoring organization: American Hospital Association
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Healthy Iowans: Iowa's State Health Assessment
Provides an overview of population health in Iowa with a focus on health outcomes and related social, economic, and environmental factors. Outlines Iowa's overall health profile and priority areas in public health. Includes county-level data on life expectancy, primary care and dentist workforce supply, and transportation; census tract data comparing rural and urban food access; and discussions geared toward rural-specific health issues.
Date: 06/2022
Sponsoring organization: Iowa Department of Health and Human Services
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The Use of Medical Claims Data for Identifying Missed Opportunities for HPV Immunization Among Privately Insured Adolescents in the State of Iowa
Examines the extent of missed opportunities (MOs) for human papillomavirus (HPV) vaccination among adolescents in Iowa between the ages of 11 to 13 and continuously enrolled in private health insurance. Compares the number of MOs by sex and rurality.
Author(s): Grace Ryan, Sato Ashida, Paul A. Gilbert, et al.
Citation: Journal of Community Health, 47, 783-789
Date: 06/2022
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State Innovation Model Testing Awards from the Centers for Medicare & Medicaid Services Innovation Center: Highlighting Rural Focus
Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Sponsoring organization: Rural Health Value
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Implementation of a Maternal Child Knowledgebase
Describes the development and implementation of the Maternal-Child Knowledgebase (MCK), an Obstetrics and Gynecology-focused enterprise data warehouse that integrates pregnancy and care data for patients of the University of Iowa Hospitals and Clinics to facilitate maternal and women's health surveillance and research. Offers an overview of the MCK architecture, interface, security, and data governance, and notes the need for maternal and child health data to address rural disparities.
Author(s): Donna A. Santillan, Mark K. Santillan, Heather A. Davis, et al.
Citation: AMIA Annual Symposium Proceedings Archive, 2022, 432-438
Date: 05/2022
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