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Rural Health Information Hub

Rural Health
Resources by State: Michigan

SORH Response to the National Substance Use Disorder Crisis
Looks at the role of State Offices of Rural Health (SORHs) in state-level substance use disorder and opioid use disorder initiatives. Highlights the activities of SORHs in several states as case studies and details the lessons learned in those states.
Date: 10/2019
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Enhancing Services for Deaf, Hard of Hearing, and Deafblind Patients in Rural America
Discusses the barriers to care that rural patients who are deaf, hard of hearing, or deafblind face, including lack of accommodations and inadequate clinician training. Features a Michigan clinic with American Sign Language-fluent staff, a New Jersey state division providing deaf sensitivity training, and a Colorado program that brings interpreters to rural communities.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Use of Apprenticeship to Meet Demand for Medical Assistants in the U.S.
Reports findings from a study of registered medical assistant (MA) apprenticeship programs in 12 states. Discusses the workforce needs these programs may help address, including workforce needs in rural communities. Describes the programs and discusses challenges with starting and maintaining MA apprenticeship programs.
Additional links: Policy Brief
Author(s): Andrew D. Jopson, Susan M. Skillman, Bianca K. Frogner
Date: 09/2019
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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How Will Medicaid Work Requirements Affect Hospitals' Finances?
Examines the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 18 states. Includes a section on the potential impact on rural hospitals' operating margins. Updates a March 2019 report of the same title covering 13 states.
Author(s): Randy Haught, Allen Dobson, Joan DaVanzo
Date: 09/2019
Type: Document
Sponsoring organization: Commonwealth Fund
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Violence Against Hospital Workers: Growing Awareness, Rural Interventions, and Why It Still Goes Unreported
Provides an overview of workplace violence in healthcare settings. Features rural hospitals in Oregon and Idaho that are undertaking a range of prevention activities addressing workplace violence. Also features research findings from a Michigan healthcare system study on the topic, and identifies resources and tools that rural hospital leaders can use to help protect hospital staff.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Access to Primary Care Clinics for Patients With Chronic Pain Receiving Opioids
Results of a study of 194 Michigan primary care clinics, to assess their willingness to continue prescribing opioids to new patients and to determine whether this differs across payer types. Includes statistics on characteristics of clinics accepting new patients currently taking opioids, with breakdowns by urban and rural location.
Author(s): Pooja A. Lagisetty, Nathaniel Healy, Claire Garpestad, et al.
Citation: JAMA Network Open, 2(7)
Date: 07/2019
Type: Document
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Homelessness in Early Childhood
Estimates the number of homeless children under age 4 in Michigan by county and rural/urban location. Discusses the potential impacts of homelessness on children's emotional and cognitive development as well as programs that can help, such as Head Start.
Date: 06/2019
Type: Document
Sponsoring organization: Michigan League for Public Policy
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Are Rural and Urban Emergency Departments Equally Prepared to Reduce Avoidable Hospitalizations?
Presents the results of a cross-sectional, web-based survey sent to medical directors and/or nurse managers from 135 hospital-based emergency departments (EDs) in Michigan. Examines the rural and urban differences in the presence of clinical pathways, services to reduce admissions, barriers connecting patients to outpatient services, and the availability of resources to reduce or prevent avoidable admissions.
Author(s): Margaret B. Greenwood-Ericksen, Michelle L. Macy, Jason Ham, et al.
Citation: Western Journal of Emergency Medicine, 20(3), 477-484
Date: 05/2019
Type: Document
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Opioid Addiction: Meeting the Need for Treatment in Michigan
Analyzes survey data from village, township, city, and county leaders throughout Michigan to identify drug treatment needs across the state. Discusses access issues related to treatment programs that are particularly present in rural areas and information on providing local treatment programs. Offers policy implications and recommendations to improve treatment options.
Author(s): Amy Bohnert, Jennifer Erb-Downward, Thomas Ivacko
Date: 04/2019
Type: Document
Sponsoring organization: Poverty Solutions at the University of Michigan
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Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report
Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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