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Rural Health
Resources by State: Washington

Behavioral Health Integration and Workforce Development
Issue brief examining the need for states to assess behavioral health integration (BHI) workforce needs, identify legal and policy barriers to practice, and effectively train and retain BHI practitioners, especially in underserved areas. Includes case studies of programs in Washington, Nebraska, and Michigan, and lists of resources.
Author(s): Rachel Block
Date: 05/2018
Type: Document
Sponsoring organization: Milbank Memorial Fund
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The Continuum of Rural Medical Education
Slide presentations from the RTT Collaborative 2018 Annual Meeting, on the topics of Undergraduate Medical Education, Rural-Based Graduate Medical Education in Eastern Washington from 1985-2018, and University of Washington School of Medicine Residency Network. Includes statistics and maps showing locations of rural programs in Washington, Wyoming, Alaska, Montana, and Idaho.
Author(s): John F. McCarthy, Robert K. Maudlin, Frederick Chen
Date: 04/2018
Type: Presentation Slides
Sponsoring organization: RTT Collaborative
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Washington Program Trains Dental Super-Generalists to Serve Rural Communities
Features the University of Washington School of Dentistry's Regional Initiatives in Dental Education (RIDE) program. Describes how the program is structured to create a “super-generalist” able to meet oral health needs in rural and underserved areas. Discusses the program's success placing graduates in rural locations.
Author(s): Kay Miller Temple
Date: 03/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Tribal Nursing Home Best Practices: Emergency Preparedness
Describes emergency preparedness approaches of 5 tribal nursing homes in the states of Arizona, Washington, New Mexico, and Wyoming.
Date: 12/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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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Washington State Behavioral Health Workforce Assessment
Details the results of a study analyzing the occupations, roles, size, distribution, career pathways, demand, policy, and practice issues for the behavioral health workforce in the state of Washington. Includes recommendations to address workforce-related barriers, improve access to behavioral healthcare, and rural specific information.
Author(s): Nova E. Gattman, Rachelle L. McCarty, Agnes Balassa, Susan M. Skillman
Date: 12/2017
Type: Document
Sponsoring organizations: UW Center for Health Workforce Studies, Washington State Workforce Training and Education Coordinating Board
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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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Assessing the Impact of Washington State’s Oral Health Workforce on Patient Access to Care
Study of the oral health workforce and access to oral care in Washington state. Includes information on workforce demographics, rural and urban distribution of oral health providers, and difficulty recruiting dental hygienists and assistants in rural areas. Provides recommendations, policy changes, and potential solutions offered by oral health workforce interviewees.
Additional links: Policy Brief
Author(s): Davis G. Patterson, C. Holly A. Andrilla, Malaika R. Schwartz, Lisa Hager, Susan M. Skillman
Date: 11/2017
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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No Wrong Door: Supporting Community Living for Veterans
Reports on several Veteran-Directed Home- and Community-Based Services (VD-HCBS) programs in 7 states. Presents a breakdown of each program and highlights challenges each program had to overcome. Bases analysis on 2 separate state surveys. Also includes tools useful to building collaborative partnerships between VA medical providers and aging and disability agencies in order to better serve veterans in their communities.
Author(s): Christina Neill Bowen, Wendy Fox-Grage, Kali Thomas, James Rudolph
Date: 11/2017
Type: Document
Sponsoring organization: AARP Public Policy Institute
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