Rural Health
Resources by State: North Carolina
North Carolina State Health Improvement Plan 2023
Describes North Carolina's 2023 plan for population health improvement. Provides data on selected health indicators, makes comparisons to 2030 targets, and identifies trends over time for selected demographics. Identifies factors contributing to health disparities and negative health outcomes, and sets priorities. Includes consideration of rural and underserved populations throughout.
Date: 10/2023
Sponsoring organization: North Carolina Department of Health and Human Services
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Describes North Carolina's 2023 plan for population health improvement. Provides data on selected health indicators, makes comparisons to 2030 targets, and identifies trends over time for selected demographics. Identifies factors contributing to health disparities and negative health outcomes, and sets priorities. Includes consideration of rural and underserved populations throughout.
Date: 10/2023
Sponsoring organization: North Carolina Department of Health and Human Services
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Self-Collection for Primary HPV Testing: Perspectives on Implementation From Federally Qualified Health Centers
Analyzes feedback from clinical staff, administrative staff, and leadership in Federally Qualified Health Centers (FQHCs) regarding the implementation of primary testing for high-risk human papillomavirus (HPV) by self-collection. Utilizes focus group and interview data from 6 North Carolina FQHCs about themes such as increased screening rates, accuracy of self-collection results, workflow disruptions, financial implications, impacts on clinic quality measures, and more. Includes feedback from rural FQHCs.
Author(s): Amanda Le, Catherine Rohweder, Stephanie B. Wheeler, et al.
Citation: Preventing Chronic Disease, 20
Date: 10/2023
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Analyzes feedback from clinical staff, administrative staff, and leadership in Federally Qualified Health Centers (FQHCs) regarding the implementation of primary testing for high-risk human papillomavirus (HPV) by self-collection. Utilizes focus group and interview data from 6 North Carolina FQHCs about themes such as increased screening rates, accuracy of self-collection results, workflow disruptions, financial implications, impacts on clinic quality measures, and more. Includes feedback from rural FQHCs.
Author(s): Amanda Le, Catherine Rohweder, Stephanie B. Wheeler, et al.
Citation: Preventing Chronic Disease, 20
Date: 10/2023
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Telehealth Use and Access to Neurology Outpatient Clinical Services for Children: An Observational Cohort Study
Analyzes pediatric neurology appointment completion, cancellation, and no-show rates among telehealth users and telehealth non-users at a tertiary care children's hospital in North Carolina. Compares appointment outcomes before and during the first year of the COVID-19 pandemic, including rural versus urban demographic and outcome data.
Author(s): Savithri Nageswaran, Annette Grefe, Shyh-Huei Chen, Eric Kirkendall, Edward H. Ip
Citation: North Carolina Medical Journal, 85(1)
Date: 09/2023
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Analyzes pediatric neurology appointment completion, cancellation, and no-show rates among telehealth users and telehealth non-users at a tertiary care children's hospital in North Carolina. Compares appointment outcomes before and during the first year of the COVID-19 pandemic, including rural versus urban demographic and outcome data.
Author(s): Savithri Nageswaran, Annette Grefe, Shyh-Huei Chen, Eric Kirkendall, Edward H. Ip
Citation: North Carolina Medical Journal, 85(1)
Date: 09/2023
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Assessing the Impact of Medicaid Telehealth Policy Change on Equitable Access to Telehealth Services in North Carolina
Describes the evolution of North Carolina's Medicaid telehealth coverage and reimbursement policies in response to the COVID-19 pandemic. Discusses the impact of these policies on access to care. Compares data on telehealth claims by volume and as a percentage of total claims by race and rural-urban residence between March 2020 and December 2022.
Author(s): Shannon Dowler, Sam Thompson, Michelle Savuto, Jacqueline Marks-Smith, Jared Augenstein
Date: 09/2023
Sponsoring organization: Milbank Memorial Fund
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Describes the evolution of North Carolina's Medicaid telehealth coverage and reimbursement policies in response to the COVID-19 pandemic. Discusses the impact of these policies on access to care. Compares data on telehealth claims by volume and as a percentage of total claims by race and rural-urban residence between March 2020 and December 2022.
Author(s): Shannon Dowler, Sam Thompson, Michelle Savuto, Jacqueline Marks-Smith, Jared Augenstein
Date: 09/2023
Sponsoring organization: Milbank Memorial Fund
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"This Is Not My Grandmother's Summer": Mitigating the Health Impacts of Extreme Heat in Rural Communities
Discusses the challenges rural areas face in helping address the impact of heat on health. Includes strategies used in rural North Carolina, Indiana, and Washington State to help inform and protect rural residents, including those exposed to heat through work outdoors.
Citation: Rural Monitor
Date: 09/2023
Sponsoring organization: Rural Health Information Hub
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Discusses the challenges rural areas face in helping address the impact of heat on health. Includes strategies used in rural North Carolina, Indiana, and Washington State to help inform and protect rural residents, including those exposed to heat through work outdoors.
Citation: Rural Monitor
Date: 09/2023
Sponsoring organization: Rural Health Information Hub
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Addressing Social Needs through Medicaid: Lessons from Planning and Early Implementation of North Carolina's Healthy Opportunities Pilots
Results of a study to generate findings and recommendations from the planning, capacity-building, and early implementation of the Healthy Opportunities Pilots program. Focuses on the health-related social needs of North Carolina Medicaid enrollees living in three primarily rural regions of the state.
Author(s): Katie M. Huber, William K. Bleser, Rebecca G. Whiteaker, et al.
Date: 09/2023
Sponsoring organizations: Duke-Margolis Center for Health Policy, Milbank Memorial Fund
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Results of a study to generate findings and recommendations from the planning, capacity-building, and early implementation of the Healthy Opportunities Pilots program. Focuses on the health-related social needs of North Carolina Medicaid enrollees living in three primarily rural regions of the state.
Author(s): Katie M. Huber, William K. Bleser, Rebecca G. Whiteaker, et al.
Date: 09/2023
Sponsoring organizations: Duke-Margolis Center for Health Policy, Milbank Memorial Fund
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Final 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. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on various access to care and Medicare spending issues. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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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. Examines how the financial incentives under the model influenced agency behavior. Describes impacts across key outcomes, including service utilization, quality of care, and patient experience, and examines the model's effects on various access to care and Medicare spending issues. Explores whether the model had unique impacts on access to home health care in rural areas.
Additional links: Appendices, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Arbor Research Collaborative for Health, Centers for Medicare and Medicaid Services, L&M Policy Research
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A Road Map for Asset Based Investing in Central Appalachia
Report highlighting various wellbeing and community asset measures in the Appalachian region in the areas of economics, population health, infrastructure, housing, health facilities, and more. Discusses the associations between wellbeing and community assets as well as the implications for investment.
Date: 08/2023
Sponsoring organizations: Community and Economic Development Initiative of Kentucky, Reinvestment Fund
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Report highlighting various wellbeing and community asset measures in the Appalachian region in the areas of economics, population health, infrastructure, housing, health facilities, and more. Discusses the associations between wellbeing and community assets as well as the implications for investment.
Date: 08/2023
Sponsoring organizations: Community and Economic Development Initiative of Kentucky, Reinvestment Fund
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Acceptability and Readiness to Promote Human Papillomavirus Vaccination at Ages 9–10 Years: A Feasibility Study among North Carolina Clinics
Examines the recommendation of vaccinating against the human papillomavirus (HPV) in children 9-10 years old. Analyzes feedback from providers in 2 rural North Carolina primary clinics about their perceptions regarding this recommendation.
Author(s): Nadja A. Vielot, Robyn M. Lane, Kaitlyn Loefstedt, et al.
Citation: Pilot and Feasibility Studies, 9,153
Date: 08/2023
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Examines the recommendation of vaccinating against the human papillomavirus (HPV) in children 9-10 years old. Analyzes feedback from providers in 2 rural North Carolina primary clinics about their perceptions regarding this recommendation.
Author(s): Nadja A. Vielot, Robyn M. Lane, Kaitlyn Loefstedt, et al.
Citation: Pilot and Feasibility Studies, 9,153
Date: 08/2023
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North Carolina Rural and Urban Counties
North Carolina county-level map with shadings showing urban and rural counties.
Date: 07/2023
Sponsoring organization: North Carolina Department of Health and Human Services
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North Carolina county-level map with shadings showing urban and rural counties.
Date: 07/2023
Sponsoring organization: North Carolina Department of Health and Human Services
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