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Rural Health
Resources by State: Washington

State Strategies for Averting Early Deaths: Innovations and Best Practices for Preventing Suicide
Reports on an exchange of state-level best practices for preventing suicide. Identifies lessons learned with a focus on three categories: cross-sector collaboration; strategic partnerships including with tribal and veterans organizations; and upstream prevention efforts, including school programs. Briefly addresses challenges for rural and tribal communities. Highlights model programs from Colorado, Washington, Idaho, and Utah.
Date: 2019
Sponsoring organization: National Governors Association
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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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The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
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Mandatory Reporting of Fatal and Nonfatal Opioid Overdoses in a Rural Public Health Department
Describes a mandatory reporting initiative in rural Clallam County, Washington of fatal and nonfatal opioid overdoses. Offers data on reported cases from 2016-2017 including age, sex, participation in syringe exchanges, overdose characteristics, and public health services provided per case.
Author(s): Christopher J. Frank, Siri E. Kushner, David A. Doran, Jeanette Stehr-Green
Citation: American Journal of Public Health, 108(12), 1646-1648
Date: 12/2018
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Drug, Opioid-Involved, and Heroin-Involved Overdose Deaths Among American Indians and Alaska Natives — Washington, 1999–2015
Reports on trends and disparities in drug, opioid-involved, and heroin-involved overdose mortality rates for American Indian/Alaska Native (AI/AN) and non-Hispanic White people in Washington state. Includes data on total overdose deaths for AI/AN and White people by county of residence for metropolitan and nonmetro counties.
Author(s): Sujata Joshi, Thomas Weiser, Victoria Warren-Mears
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(50), 1384-1387
Date: 12/2018
Sponsoring organization: Centers for Disease Control and Prevention
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Pacific County, Wash.: Connection to Services Through Jail Screening and Referral
Describes efforts of a rural Washington State community to address the number of people with mental illnesses in their jail, as part of the national "Stepping Up" initiative. Examines the process of screening and providing connections to community-based providers.
Author(s): Nastassia Walsh
Date: 09/2018
Sponsoring organization: National Association of Counties
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Medicaid Real-Time Eligibility Determinations and Automated Renewals: Lessons for Medi-Cal from Colorado and Washington
Explores strategies used in Colorado and Washington to increase administrative efficiencies and reduce barriers for consumers renewing enrollment in or applying for state Medicaid programs. Includes special considerations for rural populations enrolling in Medicaid. Designed to inform the thinking of California policymakers and stakeholders as they implement changes to the state's Medicaid program.
Author(s): Jane Wishner, Ian Hill, Jeremy Marks, Sarah Thornburgh
Date: 08/2018
Sponsoring organization: Urban Institute
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A Model for Internal Medicine Physicians in a Small Rural Hospital
Describes a provider staffing model for rural hospitals that uses internal medicine physicians to provide inpatient care and to consult on outpatient care in Washington state. Describes the hospital setting, staffing needs, and lessons learned.
Author(s): Paul Bunge
Citation: Rural and Remote Health, 18(3), 4419
Date: 08/2018
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Oregon Washington Health Network and Yellowhawk Tribal Health Center "Tackle Everything" to Improve the Health of Local Community Members
Provides an overview of the collaboration between the Oregon Washington Health Network and the Yellowhawk Tribal Health Center. Discusses programs that include peer counselors to address behavioral health, community education related to heart disease and cancer prevention, and working with local healthcare facilities and medical schools to improve recruitment and retention.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 06/2018
Sponsoring organization: Rural Health Information Hub
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Behavioral Health Integration and Workforce Development
Examines 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
Sponsoring organization: Milbank Memorial Fund
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