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Rural Health Information Hub

Rural Health
Resources by State: Oregon

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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Teleophthalmology: Ophthalmologists Talk Remote Eye Care Solutions
Discusses the role of remote eye care technology in meeting rural eye care needs. Highlights the use of teleophthalmology in rural Oregon. Features a collaboration of the Joslin Diabetes Center and the Indian Health Service to address diabetic retinopathy using remote surveillance.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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System Failure: Work Organization and Injury Outcomes among Latino Forest Workers
Details a study of on-the-job injuries of Latino forest workers in southern Oregon. Looks on onsite safety practices, experiences with work injury, and the availability of medical treatment. Looks at the type of injury, type of treatment, and current injury status, among other measures.
Author(s): Carl Wilmsen, A. Butch de Castro, Diane Bush, Marcy J. Harrington
Citation: Journal of Agromedicine, 24(2), 186-196
Date: 2019
Type: Document
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Data, Capacity-Building, and Training Needs to Address Rural Health Inequities in the Northwest United States: A Qualitative Study
Describes the results of 28 interviews with rural local health department staff in Alaska, Idaho, Oregon, and Washington to examine their training needs and capacity to access and use data to better understand public health issues and allocate resources. Includes interview subjects' employment information and quotes highlighting the challenges to accessing or using data to monitor rural health issues.
Author(s): Betty Bekemeier, Seungeun Park, Uba Backonja, India Ornelas, Anne M. Turner
Citation: Journal of the American Medical Informatics Association, 26(8-9), 825-834
Date: 2019
Type: Document
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School Success: An Opportunity for Population Health: Proceedings of a Workshop (2019)
Explores how health sector capabilities can be used to improve educational outcomes from pre-school through 12th grade. Includes case studies on flu vaccination as a tool to reduce absenteeism in rural Arkansas and school-based wellness hubs in a rural frontier Oregon county.
Additional links: Read Online
Author(s): Board on Population Health and Public Health Practice
Date: 2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Experiences of Medicaid Programs and Health Centers in Implementing Telehealth
Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Five Annual Report
Fifth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Presents the final summary findings for SIM Round 1. Includes information specific to rural areas.
Additional links: Appendices, Findings at a Glance
Date: 12/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Understanding Infant and Toddler Child Care Deserts
Examines the availability of licensed infant-toddler child care in 9 states and the District of Columbia, with a focus on how rural communities are disproportionately affected by a limited or complete lack of access to childcare services. Features discussion on consequences of childcare deserts and offers policy recommendations to increase the supply of licensed child care.
Author(s): Steven Jessen-Howard, Rasheed Malik, Simon Workman, Katie Hamm
Date: 10/2018
Type: Document
Sponsoring organization: Center for American Progress
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Domestic and Intimate Partner Violence: Some Do's and Don'ts for Health Providers
Discusses the role rural healthcare providers can play in screening for and helping address domestic violence (DV) and interpersonal violence (IPV). Features a Kentucky physician assistant educator, universal screening at an Oregon Federally Qualified Health Center (FQHC), and insights from a Missouri orthopedic trauma surgeon and a national DV/IPV technical assistance provider.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medicaid Home- and Community-Based Services: Selected States' Program Structures and Challenges Providing Services
Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Type: Document
Sponsoring organization: Government Accountability Office
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