Rural Health
Resources by Topic: Care coordination

Are Rural and Urban Emergency Departments Equally Prepared to Reduce Avoidable Hospitalizations?
Presents the results of a cross-sectional, web-based survey sent to medical directors and/or nurse managers from 135 hospital-based emergency departments (EDs) in Michigan. Examines the rural and urban differences in the presence of clinical pathways, services to reduce admissions, barriers connecting patients to outpatient services, and the availability of resources to reduce or prevent avoidable admissions.
Author(s): Margaret B. Greenwood-Ericksen, Michelle L. Macy, Jason Ham, et al.
Citation: Western Journal of Emergency Medicine, 20(3), 477-484
Date: 05/2019
Type: Document
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Leveraging Medicaid Financing and Coverage Benefits to Deliver PrEP Intervention Services
Shows how stakeholders in Medicaid agencies, Medicaid managed care organizations, and public health departments can identify barriers to pre-exposure prophylaxis (PrEP) medication and clinical services, in an effort to prevent HIV. Includes a section on provision of PrEP through Federally Qualified Health Centers and Rural Health Centers, and through telehealth.
Author(s): Naomi Seiler
Date: 05/2019
Type: Document
Sponsoring organization: AcademyHealth
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Reducing Cancer Among Native Populations: Models for Research, Prevention, and Treatment
Highlights the work of a cancer researcher, a foundation director, and healthcare provider who are engaging American Indians and Alaska Natives in cancer research, prevention, and treatment.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 05/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Evaluating Breast Cancer Care Coordination at a Rural National Cancer Institute Comprehensive Cancer Center Using Network Analysis and Geospatial Methods
Examines geographic access data for breast cancer patients served by a National Cancer Institute Comprehensive Cancer Center in New England. Discusses cancer care coordination, physician networks, and care network density (the amount of patient sharing among providers in a care network) to evaluate healthcare quality and outcomes.
Author(s): Erika L. Moen, Nirav S. Kapadia, A. James O'Malley, Tracy Onega
Citation: Cancer Epidemiology, Biomarkers and Prevention, 28(3), 455-461
Date: 03/2019
Type: Document
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VA and Indian Health Service: Actions Needed to Strengthen Oversight and Coordination of Health Care for American Indian and Alaska Native Veterans
Report discusses the relationship between the Department of Veterans Affairs (VA) and the Indian Health Service (IHS) with regard to providing care to American Indian and Alaska Native veterans. Details the cooperative agreement between the two entities and the ways their efforts could be improved.
Additional links: Full Report
Date: 03/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report
Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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Addressing the Rural Opioid Addiction and Overdose Crisis Through Cross-Sector Collaboration: Little Falls, Minnesota
Explores a cross-sector community-based care coordination effort to reduce the use of opioids in Little Falls, MN. Discusses the collaboration between a rural hospital and clinic with the Morrison County Accountable Communities for Health (ACH) program and highlights changes to opioid prescribing practices and community awareness of treatment options.
Author(s): Caroline Au-Yeung, Lynn A. Blewett, Kathy Lange
Citation: American Journal of Public Health, 109(2), 260-262
Date: 02/2019
Type: Document
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Rural Patients with Chronic Disease: A Nonprofit Organization and a Health Department Leverage Federal Funding to Provide Health Education and Care Coordination
Features rural Alabama and North Carolina organizations that are using Federal Office of Rural Health Policy grants to improve health outcomes for patients with chronic disease through remote patient monitoring, health education, and network development.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Grantee Directory: Rural Health Network Development Planning Program, 2019
Detailed descriptions of 25 Rural Health Network Development Planning Program grant projects funded in fiscal year 2019. Lists grantees by state and focus area, including topics such as integrated service delivery, behavioral health, telehealth, and care coordination. Includes grantee profiles describing their programs and network structures, geographic areas served, network partners, and contacts for each network.
Date: 2019
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Critical Access Hospital Network (CAHN): Eastern Washington Critical Access Hospital Network's Rural Health Care Coordination Network Partnership Program, Washington
Brief overview of a care coordination program that used Washington State's Health Home Program, an intensive care coordination program for high risk Medicare-Medicaid patients, as a guide. Discusses the program's sustainability efforts, as well as key takeaways about the program. The program was funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018 and received additional philanthropic funding through a public-private partnership.
Date: 2019
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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