Rural Health
Resources by Topic: Access
Introducing Clinical Pharmacy Specialists into Interprofessional Primary Care Teams
Examines the integration of clinical pharmacy specialists as part of the interprofessional primary care team and in the Clinical Pharmacy Specialist Rural Veteran Access (CRVA) initiative to determine impacts on healthcare access for rural patients.
Author(s): Megan B. McCullough, Anna Zogas, Chris Gillespie, et al.
Citation: Medicine (Baltimore), 100(38), e26689
Date: 09/2021
view details
Examines the integration of clinical pharmacy specialists as part of the interprofessional primary care team and in the Clinical Pharmacy Specialist Rural Veteran Access (CRVA) initiative to determine impacts on healthcare access for rural patients.
Author(s): Megan B. McCullough, Anna Zogas, Chris Gillespie, et al.
Citation: Medicine (Baltimore), 100(38), e26689
Date: 09/2021
view details
Restoring Access to Maternity Care in Rural America
Examines regional partnerships to build rural access to maternity care through hub-and-spoke models of education and support from urban healthcare organizations to rural maternity providers, investments in telehealth, and remote monitoring systems. Discusses barriers to maternity care access in rural areas and highlights local examples of maternal health provider networks, investments in the rural maternity workforce, and policy implications of developing rural maternity care.
Author(s): Martha Hostetter, Sarah Klein
Date: 09/2021
Sponsoring organization: Commonwealth Fund
view details
Examines regional partnerships to build rural access to maternity care through hub-and-spoke models of education and support from urban healthcare organizations to rural maternity providers, investments in telehealth, and remote monitoring systems. Discusses barriers to maternity care access in rural areas and highlights local examples of maternal health provider networks, investments in the rural maternity workforce, and policy implications of developing rural maternity care.
Author(s): Martha Hostetter, Sarah Klein
Date: 09/2021
Sponsoring organization: Commonwealth Fund
view details
Obstacles Persist for Rural Patients to Access Hospice
Discusses challenges to delivering hospice care in rural areas. Highlights changes to allow providers at Rural Health Centers and Federal Qualified Health Centers to serve as attending physicians for hospice patients. Explores the impact of COVID-19 on the delivery of hospice services, including the use of telehealth services and workforce concerns.
Author(s): Jim Parker
Date: 09/2021
Sponsoring organization: Hospice News
view details
Discusses challenges to delivering hospice care in rural areas. Highlights changes to allow providers at Rural Health Centers and Federal Qualified Health Centers to serve as attending physicians for hospice patients. Explores the impact of COVID-19 on the delivery of hospice services, including the use of telehealth services and workforce concerns.
Author(s): Jim Parker
Date: 09/2021
Sponsoring organization: Hospice News
view details
Broadband: FCC Is Taking Steps to Accurately Map Locations that Lack Access
Describes efforts by the Federal Communications Commission (FCC) to develop a location fabric, a geographically specific, granular dataset, representing existing and necessary broadband deployment sites. Presents findings from an examination of potential geographic data sources, surveys of 44 states and territories, and interviews with state and federal agency stakeholders. Discusses limitations related to the accuracy, completeness, and consistency of location data.
Additional links: Full Report
Date: 09/2021
Sponsoring organization: Government Accountability Office
view details
Describes efforts by the Federal Communications Commission (FCC) to develop a location fabric, a geographically specific, granular dataset, representing existing and necessary broadband deployment sites. Presents findings from an examination of potential geographic data sources, surveys of 44 states and territories, and interviews with state and federal agency stakeholders. Discusses limitations related to the accuracy, completeness, and consistency of location data.
Additional links: Full Report
Date: 09/2021
Sponsoring organization: Government Accountability Office
view details
Hyperlocal Covid-19 Testing and Vaccination Strategies to Reach Communities with Low Vaccine Uptake
Describes promising state and local strategies to promote equitable and accessible COVID-19 testing and vaccination programs among communities with low vaccination rates. Presents examples of how states and communities use existing infrastructure and modify strategies to meet community needs. Includes rural examples and highlights rural-focused strategies for vaccinations.
Author(s): Andrea Thoumi, Kamaria Kaalund, Christina Silcox, et al.
Date: 09/2021
Sponsoring organization: Duke-Margolis Center for Health Policy
view details
Describes promising state and local strategies to promote equitable and accessible COVID-19 testing and vaccination programs among communities with low vaccination rates. Presents examples of how states and communities use existing infrastructure and modify strategies to meet community needs. Includes rural examples and highlights rural-focused strategies for vaccinations.
Author(s): Andrea Thoumi, Kamaria Kaalund, Christina Silcox, et al.
Date: 09/2021
Sponsoring organization: Duke-Margolis Center for Health Policy
view details
Association of Hospital Telestroke Adoption With Changes in Initial Hospital Presentation and Transfers Among Patients With Stroke and Transient Ischemic Attacks
Results of a study to assess whether implementation of telestroke services is associated with changes in where and how patients present with stroke symptoms, their decision to be transferred to another hospital, and to which hospitals they are transferred. Uses data from 593 hospitals that adopted telestroke from 2009-2016. Features statistics on hospital characteristics by telestroke status, with breakdowns by urban or rural location.
Author(s): Kori S. Zachrison, Jessica V. Richard, Andrew Wilcock, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
view details
Results of a study to assess whether implementation of telestroke services is associated with changes in where and how patients present with stroke symptoms, their decision to be transferred to another hospital, and to which hospitals they are transferred. Uses data from 593 hospitals that adopted telestroke from 2009-2016. Features statistics on hospital characteristics by telestroke status, with breakdowns by urban or rural location.
Author(s): Kori S. Zachrison, Jessica V. Richard, Andrew Wilcock, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
view details
NADTC Best Practices Compendium
Highlights innovative programs, best practices, and lessons learned by 16 programs funded by the National Aging and Disability Transportation Center (NADTC) between 2017-2019. Identifies common themes across the programs that serve as key considerations for communities that want to expand accessible transportation options for older adults and people with disabilities. Includes a section focused on rural transportation programs.
Date: 09/2021
Sponsoring organization: National Aging and Disability Transportation Center
view details
Highlights innovative programs, best practices, and lessons learned by 16 programs funded by the National Aging and Disability Transportation Center (NADTC) between 2017-2019. Identifies common themes across the programs that serve as key considerations for communities that want to expand accessible transportation options for older adults and people with disabilities. Includes a section focused on rural transportation programs.
Date: 09/2021
Sponsoring organization: National Aging and Disability Transportation Center
view details
Housing Affordability, Adequacy, and Access to the Internet in Homes of Medicaid Enrollees
Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/nonmetro status.
Author(s): Bradley Corallo
Date: 09/2021
Sponsoring organization: KFF
view details
Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/nonmetro status.
Author(s): Bradley Corallo
Date: 09/2021
Sponsoring organization: KFF
view details
Opportunities Exist to Strengthen Evaluation and Oversight of Telehealth for Behavioral Health in Medicaid
Explores how 37 states evaluated and conducted oversight of telehealth for behavioral health services for Medicaid enrollees in January and February 2020. Discusses states' experiences with telehealth and the impacts of telehealth on access to care, as well as concerns regarding the impact of these services on cost and quality of care. Provides recommendations for states the Centers for Medicare and Medicaid Services (CMS) to meet the behavioral health needs of Medicaid enrollees and prevent fraud, waste, and abuse.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
view details
Explores how 37 states evaluated and conducted oversight of telehealth for behavioral health services for Medicaid enrollees in January and February 2020. Discusses states' experiences with telehealth and the impacts of telehealth on access to care, as well as concerns regarding the impact of these services on cost and quality of care. Provides recommendations for states the Centers for Medicare and Medicaid Services (CMS) to meet the behavioral health needs of Medicaid enrollees and prevent fraud, waste, and abuse.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
view details
States Reported Multiple Challenges with Using Telehealth to Provide Behavioral Health Services to Medicaid Enrollees
Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
view details
Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
view details