Rural Health
Resources by State: Tennessee

Mental Health Disparities: Appalachian People
Breaks down the mental health disparities across Appalachia. Looks at behavioral health indicators, such as rates of depression, excessive drinking, and suicide, among others, as well as social determinants indicators, such as median household income, poverty, and education, among others.
Date: 2018
Sponsoring organization: American Psychiatric Association
view details

Cost of Practice Transformation in Primary Care: Joining an Accountable Care Organization
Examines the cost of becoming part of an Accountable Care Organization (ACO) for Rural Health Clinics (RHCs) using data from over 800 RHCs in nine states. Compares the cost per patient of RHCs that were part of the Medicare Shared Savings Program to a similar group of RHCs that were not part of the program.
Author(s): Richard Hofler, Judith Ortiz, Brian Cote
Citation: Journal of Health Care Finance, 44(3), 1-16
Date: 2018
view details

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
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details

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. Addresses challenges for rural areas throughout and shares highlights from each state's site visits.
Date: 12/2017
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details

Stepping into the Breach: How States and Insurers Worked Together to Prevent Bare Counties for 2018
Examines 6 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
Sponsoring organizations: Robert Wood Johnson Foundation, Urban Institute
view details

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 6 states: Alaska, California, New Mexico, New York, North Dakota, and Tennessee.
Additional links: Full Report
Date: 09/2017
Sponsoring organization: Government Accountability Office
view details

Health Disparities in Appalachia
Measures population health in Appalachia and explores disparities within the region and between Appalachia and the country as a whole. Features statistics on mortality, morbidity, behavioral health, child health, community characteristics, lifestyle, healthcare systems, quality of care, and social determinants, with breakdowns between urban and rural areas.
Author(s): Julie L. Marshall, Logan Thomas, Nancy M. Lane, et al.
Date: 08/2017
Sponsoring organizations: Appalachian Regional Commission, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
view details

Fighting AIDS in the Deep South: Glimmers of Hope
Discusses how the southern states, public health officials, and AIDS activists have developed policies and programs focused on getting people tested and connected with medical care to improve health outcomes and prevent the spread of HIV.
Author(s): Teresa Wiltz
Citation: Stateline
Date: 06/2017
Sponsoring organization: Pew
view details

Mass Media Campaign to Reduce Consumption of Sugar-Sweetened Beverages in a Rural Area of the United States
Results of a study in which messages about health risks associated with sugar-sweetened beverages (SSBs) were disseminated in 2015-2016 through television, digital channels, and local organizations, in 17 rural counties in Tennessee, Virginia, and Kentucky. Features statistics including comparisons of SSB sales in this area before and after the campaign.
Author(s): Thomas A. Farley, Hayli S. Halper, Anne M. Carlin, et al.
Citation: American Journal of Public Health, 107(6), 989-995
Date: 06/2017
view details

The Use of E-cigarettes among School-going Adolescents in a Predominantly Rural Environment of Central Appalachia
Highlights a study on e-cigarette use among adolescents in rural Northeast Tennessee. Breaks down data by gender, age, and the concurrent use of e-cigarette and other tobacco products, among other factors.
Author(s): Daniel Owusu, Jocelyn Aibangbee, Candice Collins, et al.
Citation: Journal of Community Health, 42(3), 624-631
Date: 06/2017
view details