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Rural Health
Resources by Topic: Care coordination

The First 1,000 Days of Life: Creating Brighter Futures for New Moms and Babies
Podcast episode featuring a discussion with leaders from Intermountain Healthcare and St. James Health Care in Butte, Montana, regarding how their initiatives provide wraparound and intensive case management services to at-risk new moms from pregnancy through their baby's first two years. Includes a discussion with a former program participant.
Date: 04/2024
Type: Audio
Sponsoring organization: American Hospital Association
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Advancing Equity in Challenging Times: A Qualitative Study of Telehealth Expansion And Changing Patient–Provider Relationships In Primary Care Settings During the COVID-19 Pandemic
Examines the expansion of telehealth services during the COVID-19 pandemic and potential access issues related to technical and workforce barriers. Analyzes interview data from primary healthcare providers to explore challenges such as reduced team-based care coordination, technological difficulties, loss of nonverbal communication, and equity issues for vulnerable groups, including those in rural areas.
Author(s): Monisa Aijaz, Valerie A Lewis, Genevra F Murray
Citation: Digital Health, 10
Date: 02/2024
Type: Document
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Critical Access Hospital Telehealth Guide
Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, enhance care coordination, and address health inequity. Focuses on Medicare outpatient telehealth services, but also includes information on Medicaid coverage and remote services that may not strictly be considered telehealth.
Date: 02/2024
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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Fortifying Community Health Centers: Fostering Community Resilience, Equitable Response, and Disaster Preparedness
Discusses the impact of community health centers, with a focus on the diverse patients they serve, the low-cost/high-quality healthcare, and the ability to serve patients with complex needs. Includes discussion on disaster response, care coordination, and policies, such as those related to telehealth, that affect community health center work.
Date: 01/2024
Type: Document
Sponsoring organizations: Association of Clinicians for the Underserved, Healthcare Ready
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Veterans Health: VA Should Improve Its Monitoring of Severe Maternal Complications and Mental Health Screenings
Examines Veterans Administration (VA) data on deaths and severe maternal morbidity among pregnant and postpartum veterans from fiscal year 2011 through 2020. Explores actions the VA has taken to monitor maternal health outcomes among pregnant and postpartum veterans and the extent to which the VA facilitates mental health screenings for these veterans. Offers recommendations to the VA regarding monitoring trends in severe maternal morbidity by veteran characteristics and maternity care coordinators' screening of veterans for mental health conditions. Includes rural references throughout.
Additional links: Full Report
Date: 01/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Women Veterans: The Journey to Mental Wellness
Report discussing mental health for female veterans. Discusses topics including suicide prevention with a focus on rural issues, abuse and violence, substance use, eating disorders, social connectedness, maternity, and care coordination. Offers policy and research recommendations to the Veterans Health Administration.
Additional links: Quick Glance
Date: 2024
Type: Document
Sponsoring organization: Disabled American Veterans
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Breast Cancer Disparity and Outcomes in Underserved Women
Provides an overview of breast cancer disparities experienced by underserved and vulnerable women. Discusses racial and ethnic groups, gender minority population, and rural population, and highlights the significance of social determinants of health. Describes strategies to mitigate disparities and improve access, including education and engagement, community health workers, mobile mammography, and care coordination.
Author(s): B Bersu Ozcan, Başak E. Dogan, Ann R. Mootz, et al.
Citation: RadioGraphics, 44(1), 230090
Date: 12/2023
Type: Document
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Rural Health Care Coordination Program Directory, 2023-2027
Provides an overview of the 10 initiatives funded under the Rural Health Care Coordination Program during the 2023-2027 project period. Each profile includes information on the focus areas to be addressed, project partners, and targeted populations.
Date: 12/2023
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Study Protocol: Maintaining Preventive Care During Public Health Emergencies Through Effective Coordination
Presents a qualitative study protocol that examines screening rates at VA medical centers during COVID-19 to determine strategies that provide continued care during public health emergencies. Discusses selection of sites, which will be based on rurality, COVID-19 patient caseload, and performance related to cancer and mental health screenings. Highlights the importance of care coordination teams in regard to specialty care.
Author(s): Sylvia J. Hysong, Traber Davis Giardina, Jennifer Freytag, et al.
Citation: Implementation Science Communications, 4, 150
Date: 11/2023
Type: Document
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Community Care Hubs: A Promising Model for Health and Social Care Coordination
Examines the coordination of health and social needs by focusing on the community care hub model. Provides information on the types of organizations functioning as hubs as well as how the hubs operate, serve, and network within their communities. Includes case studies of hubs working within rural and underserved areas.
Author(s): Joshua Breslau, Petra W. Rasmussen, Nabeel Qureshi, Evan D. Peet
Date: 11/2023
Type: Document
Sponsoring organizations: Administration for Community Living, HHS Office of the Assistant Secretary for Planning and Evaluation
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