Rural Health
Resources by State: Tennessee

At the Front Lines in Tennessee: Rural Clinic Offers Trauma-Informed Treatment for Substance Use Disorder
Describes the work of a rural Tennessee physician who uses medication-assisted treatment, cognitive behavioral therapy, and group therapy sessions to treat patients struggling with substance use disorder. Explores the connection between adverse childhood experiences and substance abuse, and stigma associated with seeking treatment.
Author(s): Mariel Gingrich
Date: 06/2019
Sponsoring organization: Center for Health Care Strategies
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In Support of Family Caregivers: A Snapshot of Five States
Examines policies developed in Washington, Minnesota, Hawaii, Tennessee, and Maine to support family caregivers, including those in rural areas. Features demographic characteristics of the states profiled, state expenditures by the Administration for Community Living in FY2016 on older adults and caregivers, and data on state Medicaid policies affecting these groups.
Additional links: Executive Summary
Author(s): Jennifer Aufill, Julia Burgdorf, Jennifer Wolff
Date: 06/2019
Sponsoring organizations: Milbank Memorial Fund, The John A. Hartford Foundation
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Serum Cotinine Versus Parent Reported Measures of Secondhand Smoke Exposure in Rural Appalachian Children
Highlights a study of secondhand smoke exposure in Appalachian children. Features data collected from children aged 7-9 and compares rates to national and Appalachian-state rates.
Author(s): Samrat Yeramaneni, Kimberly Yolton, Kurunthachalam Kannan, Kim N. Dietrich, Erin N. Haynes
Citation: Journal of Appalachian Health, 1(1), 15-26
Date: 04/2019
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Tracking Federal Funding to Combat the Opioid Crisis
Features a report tracking the federally funded programs aimed at addressing the opioid crisis for the fiscal years 2017-2018. Highlights examples in five states where it compares total money spent by department on opioid treatment and reduction, as well as the number of opioid related deaths.
Date: 03/2019
Sponsoring organization: Bipartisan Policy Center
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Strengthening Medicaid Long-term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies 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 examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Sponsoring organization: Center for Health Care Strategies
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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
Sponsoring organization: Flex Monitoring Team
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Association Among County-Level Economic Factors, Clinician Supply, Metropolitan or Rural Location, and Neonatal Abstinence Syndrome
Highlights a study on demographic factors that correlate with neonatal abstinence syndrome (NAS). Looks at a county's economic factors, rural status, and clinician supply in 8 different states.
Author(s): Stephen W. Patrick, Laura J. Faherty, Andrew W. Dick, et al.
Citation: JAMA, 321(4), 385-393
Date: 01/2019
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Identifying Priority and "Bright-Spot" Counties for Diabetes Preventive Care in Appalachia: An Exploratory Analysis
Details a study of type 2 diabetes prevalence and mortality in rural Appalachian counties and compares rates with non-Appalachian counties.
Author(s): Peter J. Mallow, Michael Topmiller, Jennifer Rankin, Jene Grandmont, David Grolling
Citation: Journal of Appalachian Health, 1(1), 27-33
Date: 2019
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The Social Determinants of Health and the Decline in U.S. Life Expectancy: Implications for Appalachia
Study explores life expectancy in the U.S. and compares these trends to those in Appalachia. Looks at social determinants of health such as substance use, injuries, and suicide, among others, as possible contributing factors.
Author(s): Steven H. Woolf, Heidi Schoomaker, Latoya Hill, Christine M. Orndahl
Citation: Journal of Appalachian Health, 1(1), 6-14
Date: 2019
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State Innovation Models (SIM) Round 2: Model Test Annual Report Three
Third 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. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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