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Rural Health
Resources by State: Vermont

Early Elective Delivery and Vaginal Birth After Cesarean in Rural US Maternity Hospitals
Results of a telephone survey of 263 rural hospitals in nine states, describing policies related to early elective delivery and vaginal birth after cesarean procedures. Includes statistics with breakdowns by birth volume, types and numbers of clinicians delivering babies, and types of operating rooms for cesareans.
Author(s): Demetra Heinrich, Rachel Vogel, Katy Kozhimannil
Citation: Rural and Remote Health, 16(4), 3956
Date: 11/2016
Type: Document
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Two Annual Report
Second annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Vermont, and Oregon - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Presents results from the second of three planned site visits to the states, including interviews, focus groups, and surveys. Connections made throughout to issues specifically affecting rural healthcare.
Date: 08/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Population Health Strategies of Critical Access Hospitals
Provides examples of population health strategies developed by Critical Access Hospitals (CAHs) from 8 different rural communities that have significantly contributed to the improvement of population health and the health of their community.
Author(s): John Gale, Andrew Coburn, Karen Pearson, Zachariah Croll, George Shaler
Date: 08/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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State Variations in the Rural Obstetric Workforce
Illustrates the challenges affecting the obstetric workforce in Critical Access Hospitals (CAHs) and other rural hospitals having at least 10 births in 2010 by analyzing data derived from a telephone survey conducted in 9 states. Includes data for each state on hospital and provider characteristics, and services provided for labor and delivery.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Carrie Henning-Smith, Shailendra Prasad
Date: 05/2016
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Factors Associated with High-Risk Rural Women Giving Birth in Non-NICU Hospital Settings
Identifies risk factors for childbirth among high-risk rural women in a hospital without a neonatal intensive care unit (NICU). Analyzes information from maternal hospital discharge data from childbirth hospitalizations for rural residents from Colorado, Iowa, Kentucky, New York, North Carolina, Oregon, Vermont, Washington, and Wisconsin. Includes statistics for women with multiple gestation and preterm delivery by age, primary payer, race, rurality, state, and local NICU capacity.
Author(s): K. B. Kozhimannil, P. Hung, M. M. Casey, S. A. Lorch
Citation: Journal of Perinatology, 36, 510–515
Date: 02/2016
Type: Document
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Caring for Pregnant Opioid Abusers in Vermont: A Potential Model for Non-Urban Areas
Provides an overview of the challenges managed and the approach used for the development of a comprehensive program for the treatment of opioid dependence during pregnancy in rural Vermont.
Author(s): Marjorie Meyer, Julie Phillips
Citation: Preventive Medicine, 80, 18-22
Date: 11/2015
Type: Document
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Systematic Review of Palliative Care in the Rural Setting
Synthesizes the results of an extensive search of the medical literature focused on the developments in palliative care for patients living in rural areas in the U.S. and internationally to determine where gaps in the research may occur. Suggests promising approaches including telehealth, community-academic partnerships, and training for rural healthcare providers.
Author(s): Marie A. Bakitas, Ronit Elk, Meka Astin, et al.
Citation: Cancer Control, 22(4), 450-464
Date: 10/2015
Type: Document
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Rural Women Delivering Babies in Non-Local Hospitals: Differences by Rurality and Insurance Status
Describes the factors, including health insurance status and degree of rurality, that influence rural pregnant women to give birth in non-local hospitals.
Author(s): Katy Kozhimannil, Michelle Casey, Peiyin Hung, Shailendra Prasad, Ira Moscovice
Date: 06/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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New England Regional Health Equity Profile & Call to Action
Report of the New England Regional Health Equity Council, identifying disparities in health among racial, ethnic, and disability populations and suggesting pathways for health equity. Includes statistics broken down by race/ethnicity, disability status, gender, age, and urban/rural status.
Author(s): C.E. Drum, K.G. Phillips, K. Chiu
Date: 2015
Type: Document
Sponsoring organizations: National Partnership for Action to End Health Disparities, New England Regional Health Equity Council
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The State HIE Program Four Years Later: Key Findings on Grantees' Experiences from a Six-State Review
Provides information on health information exchange (HIE) efforts in six states: Iowa, Mississippi, New Hampshire, Utah, Vermont, and Wyoming. Includes the population density for each of those states and discusses supportive factors and challenges in implementing statewide HIE services, as well as sustainability.
Author(s): Prashila Dullabh, Petry Ubri, Lauren Hovey
Date: 12/2014
Type: Document
Sponsoring organizations: NORC at the University of Chicago, Office of the National Coordinator for Health Information Technology
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