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Rural Health Information Hub

Rural Health
Resources by State: Missouri

2019 Physician Assistant Telehealth Survey
Discusses survey results of 95 physician assistants (PAs) across Kansas, Missouri, and Oklahoma regarding their use and perceptions of telehealth. Examines survey results across a variety of geographic and practice settings. Presents a brief overview of some federal and state-level policies about PA reimbursement and their ability to provide telehealth services.
Date: 08/2019
Type: Document
Sponsoring organization: Heartland Telehealth Resource Center
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A Guide for Rural Health Care Collaboration and Coordination
Describes how rural hospitals, community health centers, local public health departments, and other organizations can work together to identify health needs in their community and develop partnerships and strategies to help address these needs. Identifies areas of collaboration and coordination. Includes networking and collaboration case studies in rural Missouri and North Dakota. Provides a template and discussion questions for developing partnerships.
Date: 08/2019
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Long-Term Services and Supports Scorecard: Emerging Innovations - Mobility Managers
Report highlights the role of mobility managers in coordinating transportation services for older adults allowing them to age in place. Features examples of mobility managers functioning in both rural and urban settings.
Author(s): Doug Birnie, James McLary, Wendy Fox-Grage, Jana Lynott
Date: 06/2019
Type: Document
Sponsoring organization: AARP Public Policy Institute
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A Qualitative Study Identifying Barriers and Facilitators of Physical Activity in Rural Communities
Highlights a study on physical activity rates and structural impediments and advantages within rural communities that affect those rates. Bases findings on interviews with rural adults in southeast Missouri. Examines the attitudes and concerns about physical activity and makes suggestions for future interventions.
Author(s): Amanda S. Gilbert, Dixie D. Duncan, Alan M. Beck, Amy A. Eyler, Ross C. Brownson
Citation: Journal of Environmental and Public Health, (2019)
Date: 06/2019
Type: Document
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HIV Testing in 50 Local Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrence of HIV in Rural Areas, 2016–2017
Reports on HIV testing in 50 local jurisdictions where most new diagnoses of HIV infection in 2016 and 2017 were found and in 7 states with high rural rates of HIV. Includes rural-urban data on HIV testing for Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina.
Author(s): Marc A. Pitasi, Kevin P. Delaney, John T. Brooks, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 68(25), 561-567
Date: 06/2019
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Rural‐Urban Trends in Opioid Overdose Discharges in Missouri Emergency Departments, 2012‐2016
Study of opioid overdose cases treated by Missouri emergency departments from 2012-2016 that compares rural and urban rates. Analyzes billing data from the state's Patient Abstract System (PAS), including population information and type of opiate involved in the overdose over the data period. Discusses the role of non-heroin opioids in overdose rates and implications of observed trends for emergency departments.
Author(s): Whitney Coffey, Andrew Hunter, Evan Mobley, Alana Vivolo-Kantor
Citation: Journal of Rural Health, 36(2), 177-186
Date: 04/2019
Type: Document
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Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents - Payment Reform
Second annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents. Appendices include findings from participating programs in Alabama, Missouri, Indiana, Nevada, Colorado, New York, and Pennsylvania. Addresses challenges for rural participants throughout.
Additional links: Findings at a Glance
Date: 03/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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An Analysis of the Economic Impact of Missouri Hospitals
Provides an overview on the economic impact of Missouri hospitals, with a focus on input/output economic modeling, Medicaid spending, and economic impacts from operations, capital spending, and medical tourism. Includes a section on economic impacts in rural versus urban hospitals.
Author(s): David M. Mitchell
Date: 2019
Type: Document
Sponsoring organization: Missouri Hospital Association
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An Analysis of the Economic Impact of Missouri Physicians
Provides an overview on the economic impact of physicians in Missouri, with a focus on physician specialties, education, employment and salary conditions, and the economic inputs and outputs related to physicians. Includes rural versus urban physician economic impacts as well as county-level data on doctors of medicine (MDs), doctors of osteopathic medicine (DOs), physicians, and multi-specialty physicians, among other data.
Author(s): David M. Mitchell
Date: 2019
Type: Document
Sponsoring organization: Missouri Hospital Association
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Missouri's Health Care Workforce: Providing Care and Opportunity
Provides information on Missouri's healthcare workforce, including current demand and projected demand, healthcare education, projection of future healthcare needs, and more. Includes data on job postings in rural versus urban areas as well as county-level information on licensed practical nurses (LPNs), registered nurses (RNs), average age of citizens, net commuters, and projected percent change in demand for healthcare from 2017 to 2030, among other data.
Author(s): Jill Williams, David M. Mitchell
Date: 2019
Type: Document
Sponsoring organization: Missouri Hospital Association
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