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Rural Health
Resources by State: Maryland

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
Sponsoring organization: Centers for Medicare & Medicaid Services
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Aligning Systems to Advance Family and Community Well-Being: A Partnership Playbook for Community Action and Human Services Agencies
Provides an overview of how community action and human service agencies partnered, collaborated, and aligned services to address COVID-19 on a family-level and a systems-level. Presents field examples of partnerships in rural Maryland and rural Ohio with their successes and challenges when aligning services such as Head Start, housing assistance, and more. Discusses how rural models and strategies were employed in other geographic areas to mitigate COVID-19 issues in communities.
Date: 01/2022
Sponsoring organizations: American Public Human Services Association, Community Action Partnership
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Online Pilot Grocery Intervention Among Rural and Urban Residents Aimed to Improve Purchasing Habits
Results of a study comparing food purchase choices of 129 rural and urban adults in 7 counties in Kentucky, Maryland, and North Carolina who shopped at online or brick-and-mortar stores during an 8-week-long intervention in the fall of 2021. Features statistics including intervention effect of fruit and vegetable purchases during the study as well as demographics with breakdowns by urban or rural location.
Author(s): Alison Gustafson, Rachel Gillespie, Emily DeWitt, et al.
Citation: International Journal of Environmental Research and Public Health, 19(2), 871
Date: 01/2022
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Community Health Worker (CHW) Impact in Maryland
Infographic showing the value and impact of community health workers (CHWs) in Maryland. Features statistics including percents of the top 5 services CHWs report providing for their clients, with breakdowns by urban and rural locations.
Date: 2022
Sponsoring organization: Maryland State Office of Rural Health
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Community Health Workers (CHWs) in Rural Maryland
Infographic describing the role and activities of community health workers (CHWs) in rural areas of Maryland. Features statistics on percent of CHWs providing services to vulnerable populations in rural Maryland, and substance use disorder support and funding for CHWs, with breakdowns by urban or rural location.
Date: 2022
Sponsoring organization: Maryland State Office of Rural Health
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2021 Maryland Primary Care Needs Assessment
Identifies areas of focus for primary, dental, and mental healthcare and services in Maryland. Includes sections on Health Professional Shortage Areas, Medically Underserved Areas and Populations, Federally Qualified Health Centers, the J-1 Visa Waiver program, and the State Loan Repayment Program.
Date: 09/2021
Sponsoring organization: Maryland Department of Health
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The Effects of Play Streets on Social and Community Connectedness in Rural Communities
Reports the results of a study examining the impacts of the Play Streets program that seeks to increase physical activity among children in rural communities located in North Carolina, Maryland, Oklahoma, and Texas. Shares information from focus groups and interviews to further understand the added social and community benefits from the program.
Author(s): M. Renée Umstattd Meyer, Tyler Prochnow, Andrew C. Pickett, et al.
Citation: International Journal of Environmental Research and Public Health, 18(19), 9976
Date: 09/2021
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Hyperlocal Covid-19 Testing and Vaccination Strategies to Reach Communities with Low Vaccine Uptake
Describes promising state and local strategies to promote equitable and accessible COVID-19 testing and vaccination programs among communities with low vaccination rates. Presents examples of how states and communities use existing infrastructure and modify strategies to meet community needs. Includes rural examples and highlights rural-focused strategies for vaccinations.
Author(s): Andrea Thoumi, Kamaria Kaalund, Christina Silcox, et al.
Date: 09/2021
Sponsoring organization: Duke-Margolis Center for Health Policy
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Mobile Telemedicine for Buprenorphine Treatment in Rural Populations With Opioid Use Disorder
Results of a study conducted from June-October 2020 in Caroline County, Maryland, to evaluate the implementation of an initiative to extend access to telemedicine (TM) medications for opioid use disorder to rural communities, by bringing care via a TM mobile treatment unit (TM-MTU). Features demographics and statistics on opioid use during TM-MTU treatment.
Author(s): Eric Weintraub, Chamindi Seneviratne, Jessica Anane, et al.
Citation: JAMA Network Open, 4(8)
Date: 08/2021
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States Work to Support Rural Hospitals Despite Pandemic Challenges
Blog post highlighting state-level policies to address and prevent rural hospital closures. Discusses proposals in state legislatures regarding alternative payment methodologies and funding, service delivery models, and the recruitment and retention of a rural healthcare workforce.
Author(s): Beth Giambrone
Date: 04/2021
Sponsoring organization: Association of State and Territorial Health Officials
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