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Rural Health
Resources by Topic: Care coordination

"We Got an Invite into the Fortress": VA-Community Partnerships for Meeting Veterans' Healthcare Needs
Evaluates the efficacy of the VA's Veteran's Community Partnership (VCP) initiative across the rural and urban continuum. Bases conclusions on focus group interviews with local representatives of organizations involved with VCP. Highlights program challenges, benefits, and achievements in rural and urban settings.
Author(s): Carol J. Ward, Curtis Child, Bret L. Hicken, et al.
Citation: International Journal of Environmental Research and Public Health, 18(16), 8334
Date: 08/2021
Type: Document
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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program
Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Additional links: Fact Sheet, October 2020
Date: 08/2021
Type: Website
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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Grantee Sourcebook: Rural Health Network Development Planning Program, 2020
Detailed descriptions of 20 Rural Health Network Development Planning Program grant projects funded in fiscal year 2020. Reports on each grantee's network infrastructure development, plans for sustaining the network after the grant, and program activities addressing topics such as integrated service delivery, creating efficiencies, integrating health services, chronic disease management, and care coordination. Grantee profiles identify the geographic areas served, network partners, and primary contact person.
Date: 07/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Advancing Primary Care Innovation in Medicaid Managed Care: A Toolkit for States
Designed to help states leverage their Medicaid managed care contracts and request for proposals (RFPs) supporting primary care innovation (PCI). Provides examples of state approaches, with rural considerations, for identifying and addressing social determinants of health, integrating behavioral healthcare, developing team-based care, and implementing technology to improve access.
Date: 07/2021
Type: Document
Sponsoring organization: Center for Health Care Strategies
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In New Mexico, Pathways Care Coordination Supports People With Opioid Use Disorder
Describes the efforts of the rural New Mexico-based Rio Arriba Health and Human Services to treat individuals with Opioid Use Disorder (OUD) through an outcomes-based chronic disease care coordination model. Discusses challenges of treating OUD in a rural frontier county, including limited transportation, housing concerns, and involvement in the criminal justice system.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Partnership Forum: The Role of Research in the Transformation of Veterans Affairs Community Care
Discusses how research has shaped the Veterans Affairs' Office of Community Care since its inception in 2015. Highlights the effect research has had on care coordination, quality of care, and network adequacy, among other measures, for all veterans including those in rural areas.
Author(s): Michelle A. Mengeling, Kristin M. Mattocks, Denise M. Hynes, et al.
Citation: Medical Care, 59, (6, Suppl3), 232-241
Date: 06/2021
Type: Document
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Interorganizational Care Coordination of Rural Veterans by Veterans Affairs and Community Care Programs: A Systematic Review
Details the findings of a systematic review of the efficacy of care coordination initiatives by Veterans Affairs (VA) to care for rural veterans. Distinguishes data from pre- and post-Veterans Choice Act and post-MISSION Act. Defines organizational policy and administration, culture, and mechanisms of community care programs, as well as relational practices, contextual factors, and third-party administrators.
Author(s): Lynn A. Garvin, Marianne Pugatch, Deborah Gurewich, et al.
Citation: Medical Care, 59, (6, Suppl3), 259-269
Date: 06/2021
Type: Document
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Post-Acute Care Trajectories for Rural Medicare Beneficiaries: Planned versus Actual Hospital Discharges to Skilled Nursing Facilities and Home Health Agencies
Examines care transitions among rural fee-for-service Medicare beneficiaries following discharge from an acute care hospital. Compares planned and actual discharges to home health agencies and skilled nursing facilities. Discusses implications of these findings on rural healthcare policy and practice.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, et al.
Date: 03/2021
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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2021 Rural Advocacy Agenda
Outlines the American Hospital Association's federal policy priorities for rural hospitals in 2021. Offers recommendations in the areas of payment and reimbursement, care coordination, maternal and obstetric care, behavioral health, regulations, health information technology, workforce, and prescription drug prices.
Date: 02/2021
Type: Document
Sponsoring organization: American Hospital Association
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Grantee Directory: Rural Health Network Development Planning Program, 2020
Detailed descriptions of 26 Rural Health Network Development Planning Program grant projects funded in fiscal year 2020. Lists grantees by state and focus area, including topics such as integrated service delivery, telehealth, care coordination, and chronic disease management. Includes grantee profiles describing their programs and network structures, geographic areas served, network partners, and contacts for each network.
Date: 01/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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