Rural Health
Resources by State: Vermont
Evaluation of the Vermont All-Payer Accountable Care Organization Model: Second Evaluation Report
Evaluates the first three performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes changes to the model's design in response to the COVID-19 public health emergency and how COVID-19 and a cyberattack impacted healthcare utilization. Includes information on hospital and provider participation in rural areas and limited participation by Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 12/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first three performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes changes to the model's design in response to the COVID-19 public health emergency and how COVID-19 and a cyberattack impacted healthcare utilization. Includes information on hospital and provider participation in rural areas and limited participation by Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 12/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Childcare for Farm Families: A Key Strategy to Keep Children Safe yet Largely Absent from Farm Programming
Analyzed programming and resources through an environmental scan and key informant interviews in Ohio, Vermont, and Wisconsin to assess how the farm industry addresses childcare and farm safety for farm families. Discusses the culture of families in farming and offers recommendations for future research.
Author(s): Florence Becot, Shoshanah Inwood, Andrea Rissing
Citation: Frontiers in Public Health, 10, 1043774
Date: 11/2022
Type: Document
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Analyzed programming and resources through an environmental scan and key informant interviews in Ohio, Vermont, and Wisconsin to assess how the farm industry addresses childcare and farm safety for farm families. Discusses the culture of families in farming and offers recommendations for future research.
Author(s): Florence Becot, Shoshanah Inwood, Andrea Rissing
Citation: Frontiers in Public Health, 10, 1043774
Date: 11/2022
Type: Document
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The Rural Opioid Initiative Consortium Description: Providing Evidence to Understand the Fourth Wave of the Opioid Crisis
Highlights an initiative aimed at developing interventions to address rural opioid use. Collects data from rural areas in 10 states via surveys of people who use drugs and explores overlapping issues, such as other drug use, homelessness, and lack of access to treatment, among others.
Author(s): Richard A. Jenkins, Bridget M. Whitney, Robin M. Nance, et al.
Citation: Addiction Science and Clinical Practice, 17, 38
Date: 07/2022
Type: Document
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Highlights an initiative aimed at developing interventions to address rural opioid use. Collects data from rural areas in 10 states via surveys of people who use drugs and explores overlapping issues, such as other drug use, homelessness, and lack of access to treatment, among others.
Author(s): Richard A. Jenkins, Bridget M. Whitney, Robin M. Nance, et al.
Citation: Addiction Science and Clinical Practice, 17, 38
Date: 07/2022
Type: Document
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Advancing Rural Health Equity Stakeholder Report
Outlines the strengths and challenges of rural healthcare delivery in New Hampshire and southeastern Vermont with a special emphasis on health equity using the Institute for Healthcare Improvement's Achieving Health Equity: A Guide for Healthcare Organizations framework. Describes the process for developing the Center for Advancing Rural Health Equity's (CARHE) scope and includes recommendations for the short-term, including strategies for collaboration among the community, healthcare research, and healthcare practice. Recommendations developed as a result of interviews with 13 rural stakeholders.
Author(s): Yaël Gill, Kate B. Hilton
Date: 06/2022
Type: Document
Sponsoring organization: Center for Advancing Rural Health Equity
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Outlines the strengths and challenges of rural healthcare delivery in New Hampshire and southeastern Vermont with a special emphasis on health equity using the Institute for Healthcare Improvement's Achieving Health Equity: A Guide for Healthcare Organizations framework. Describes the process for developing the Center for Advancing Rural Health Equity's (CARHE) scope and includes recommendations for the short-term, including strategies for collaboration among the community, healthcare research, and healthcare practice. Recommendations developed as a result of interviews with 13 rural stakeholders.
Author(s): Yaël Gill, Kate B. Hilton
Date: 06/2022
Type: Document
Sponsoring organization: Center for Advancing Rural Health Equity
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Northern Border Regional Commission State and Region Chartbooks: A Health-Focused Landscape Analysis
Webinar describing a project compiling the most recent publicly available data related to health and healthcare access at the county and state level for Maine, New Hampshire, New York, and Vermont. Discusses healthcare professional shortage areas and highlights counties with worse health outcomes than other counties in the region. Features statistics on demographics with breakdowns by rural location, socioeconomic characteristics, access to care, health outcomes and behaviors, community safety, death rates and top causes of death, internet access, insurance coverage, telehealth policies, scope of practice for various provider types, and maps showing Heath Professional Shortage Areas and locations of Rural Health Clinics, Federally Qualified Health Centers, and Critical Access Hospitals.
Additional links: Presentation Slides, Transcript
Author(s): Katherine Ahrens
Date: 06/2022
Type: Video/Multimedia
Sponsoring organizations: Maine Rural Health Research Center, Rural Health Research Gateway
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Webinar describing a project compiling the most recent publicly available data related to health and healthcare access at the county and state level for Maine, New Hampshire, New York, and Vermont. Discusses healthcare professional shortage areas and highlights counties with worse health outcomes than other counties in the region. Features statistics on demographics with breakdowns by rural location, socioeconomic characteristics, access to care, health outcomes and behaviors, community safety, death rates and top causes of death, internet access, insurance coverage, telehealth policies, scope of practice for various provider types, and maps showing Heath Professional Shortage Areas and locations of Rural Health Clinics, Federally Qualified Health Centers, and Critical Access Hospitals.
Additional links: Presentation Slides, Transcript
Author(s): Katherine Ahrens
Date: 06/2022
Type: Video/Multimedia
Sponsoring organizations: Maine Rural Health Research Center, Rural Health Research Gateway
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State Innovation Model Testing Awards from the Centers for Medicare & Medicaid Services Innovation Center: Highlighting Rural Focus
Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Type: Document
Sponsoring organization: Rural Health Value
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Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Type: Document
Sponsoring organization: Rural Health Value
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Expanded Naloxone Distribution to Reduce Rural Opioid Overdose Mortality
Discusses a study on the effect community-based and pharmacy-initiated naloxone distribution has had on rates of rural opioid overdose mortality. Highlights an intervention that expands naloxone access points in rural communities and pharmacies in addition to traditional provider-based treatment.
Date: 05/2022
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Discusses a study on the effect community-based and pharmacy-initiated naloxone distribution has had on rates of rural opioid overdose mortality. Highlights an intervention that expands naloxone access points in rural communities and pharmacies in addition to traditional provider-based treatment.
Date: 05/2022
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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Vermont: A Health-Focused Landscape Analysis
Chartbook examining population health and healthcare access in Vermont, identifying strengths and assets as well as opportunities for improvement. Features demographics and statistics on quality of care, health outcomes, health behaviors, and mortality rates and causes, with breakdowns by rural and urban counties. Includes maps showing locations of Health Professional Shortage Areas, substance use treatment facilities, Rural Health Clinics, Federally Qualified Health Centers, and hospitals.
Author(s): Katherine Ahrens, Amanda Burgess, Carly Milkowski, et al.
Date: 04/2022
Type: Document
Sponsoring organizations: Maine Rural Health Research Center, Northern Border Regional Commission
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Chartbook examining population health and healthcare access in Vermont, identifying strengths and assets as well as opportunities for improvement. Features demographics and statistics on quality of care, health outcomes, health behaviors, and mortality rates and causes, with breakdowns by rural and urban counties. Includes maps showing locations of Health Professional Shortage Areas, substance use treatment facilities, Rural Health Clinics, Federally Qualified Health Centers, and hospitals.
Author(s): Katherine Ahrens, Amanda Burgess, Carly Milkowski, et al.
Date: 04/2022
Type: Document
Sponsoring organizations: Maine Rural Health Research Center, Northern Border Regional Commission
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The Northern Border Region: A Health-Focused Landscape Analysis
Chartbook examining population health and healthcare access for Maine, New Hampshire, New York, and Vermont, and for the region overall. Identifies strengths and assets of the Northern Border region states, as well as opportunities for improvement. Features demographics and statistics on quality of care, health outcomes, health behaviors, mortality rates and causes, Health Professional Shortage Areas, telehealth policies, and telehealth grants awarded from 2018-2021. Includes maps showing locations of substance use treatment facilities, Rural Health Clinics, Federally Qualified Health Centers, and hospitals.
Author(s): Katherine Ahrens, Amanda Burgess, Carly Milkowski, et al.
Date: 04/2022
Type: Document
Sponsoring organizations: Maine Rural Health Research Center, Northern Border Regional Commission
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Chartbook examining population health and healthcare access for Maine, New Hampshire, New York, and Vermont, and for the region overall. Identifies strengths and assets of the Northern Border region states, as well as opportunities for improvement. Features demographics and statistics on quality of care, health outcomes, health behaviors, mortality rates and causes, Health Professional Shortage Areas, telehealth policies, and telehealth grants awarded from 2018-2021. Includes maps showing locations of substance use treatment facilities, Rural Health Clinics, Federally Qualified Health Centers, and hospitals.
Author(s): Katherine Ahrens, Amanda Burgess, Carly Milkowski, et al.
Date: 04/2022
Type: Document
Sponsoring organizations: Maine Rural Health Research Center, Northern Border Regional Commission
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Vermont's All-Payer Accountable Care Organization Model: Mt. Ascutney Hospital and Health Center's Experience
Profiles Mt. Ascutney Hospital and Health Center (MAHHC), a Critical Access Hospital and health center partnership in central Vermont. Describes how MAHHC provides care differently as a participant in the OneCare Vermont accountable care organization (ACO). Discusses how MAHHC adapted healthcare delivery during the COVID-19 pandemic. Highlights challenges and financial implications of MAHHC's participation in OneCare Vermont.
Date: 03/2022
Type: Document
Sponsoring organization: Rural Health Value
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Profiles Mt. Ascutney Hospital and Health Center (MAHHC), a Critical Access Hospital and health center partnership in central Vermont. Describes how MAHHC provides care differently as a participant in the OneCare Vermont accountable care organization (ACO). Discusses how MAHHC adapted healthcare delivery during the COVID-19 pandemic. Highlights challenges and financial implications of MAHHC's participation in OneCare Vermont.
Date: 03/2022
Type: Document
Sponsoring organization: Rural Health Value
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