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Rural Health
Resources by State: Tennessee

Substance Use, the Opioid Epidemic, and Child Welfare Caseloads: Methodological Details from a Mixed Methods Study
Discusses a study on the relationship between substance use, specifically opioid misuse, and child welfare caseloads. Explores reports of child abuse and foster care entries along with drug mortality rates and retail opioid sales.
Date: 06/2018
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural Post-Acute Care: Healthcare Leaders Offer Practical Solutions to Workforce Challenges
Describes methods for preparing and supporting healthcare workers who provide post-acute care in rural areas. Highlights programs that empower and train staff, maximize community partnerships, involve community health workers, and use telemonitoring.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Post-Acute Care: Improving Transitions to Enhance Patient Recovery
Highlights approaches that are improving patient transitions from acute care to post-acute care (PAC) in rural settings. Features a tertiary facility’s communication with skilled nursing facilities in Tennessee and Kentucky, a Nebraska Critical Access Hospital’s swing bed program, and a home health agency serving rural Maine.
Author(s): Jenn Lukens
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Best Practices for States to Identify and Address Breast Cancer Disparities
Discusses best practices, lessons learned, and resources identified through a breast cancer disparities learning community to assist health departments in Arizona, Tennessee, and West Virginia identify and address unique state and local breast cancer screening disparities.
Author(s): Josh Berry
Date: 02/2018
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program
Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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State Innovation Models (SIM) Round 2: Model Test Annual Report Two
Second annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Covers adoption of delivery models and payment reforms related to value-based purchasing and alternative payment models (APMs); strategies to support healthcare delivery transformation related to quality, health information technology, and workforce; and population health strategies.
Date: 2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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State Innovation Models (SIM) Round 2: Model Test Annual Report One
First annual report describing the design and progress of the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Includes information about the program's organization, data and methods, and implementation activities. Also shares highlights from each state's site visits.
Date: 12/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies that states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings, and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide real-life examples of each strategy, and discusses rural-specific considerations throughout.
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 12/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Stepping into the Breach: How States and Insurers Worked Together to Prevent Bare Counties for 2018
Examines six states - Iowa, Nevada, Ohio, Oklahoma, Tennessee, and Washington - that faced the prospect of having counties with no participating insurers ahead of the 2018 plan year open enrollment period. Shares insights from interviews with insurers and state regulators, focusing on how administrative and/or legislative actions and media coverage affected insurers' decisions to remain in the Marketplace. Includes a discussion on the challenges associated with risk assessment and rate setting in low-population, rural counties.
Author(s): Kevin Lucia, Jack Hoadley, Sabrina Corlette, Dania Palanker, Olivia Hoppe
Date: 11/2017
Type: Document
Sponsoring organization: Urban Institute
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Drinking Water and Wastewater Infrastructure: Information on Identified Needs, Planning for Future Conditions, and Coordination of Project Funding
Reviews federal programs that provide funding for drinking water and wastewater infrastructure projects and describes how infrastructure needs are identified. Also details how federal agencies support states' efforts, and the extent to which federal agencies coordinate funding initiatives. Analysis is based on a review of infrastructure projects in six states: Alaska, California, New Mexico, New York, North Dakota, and Tennessee.
Additional links: Full Report
Date: 09/2017
Type: Document
Sponsoring organization: Government Accountability Office
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