Rural Health
Resources by Topic: Care coordination
Integrated Behavioral Health In Montana: A Baseline Assessment of Benefits, Challenges, and Opportunities
Presents results from a baseline assessment of Montana's behavioral health system of care. Evaluates the possibility of addressing system deficiencies by implementing an integrated behavioral health model. Describes rural-specific benefits and challenges associated with system integration.
Additional links: Issue Brief
Author(s): Katie Loveland
Date: 04/2016
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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Presents results from a baseline assessment of Montana's behavioral health system of care. Evaluates the possibility of addressing system deficiencies by implementing an integrated behavioral health model. Describes rural-specific benefits and challenges associated with system integration.
Additional links: Issue Brief
Author(s): Katie Loveland
Date: 04/2016
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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Improving the Care of Dual Eligible Patients in Rural Federally Qualified Health Centers: The Impact of Care Coordinators and Clinical Pharmacists
Discusses a care coordination project that included 3 Federally Qualified Health Centers (FQHCs) and 502 patients in rural West Virginia and a tertiary care referral hospital in southern West Virginia to determine if expanded use of care coordinators and clinical pharmacists could improve the care experience and healthcare outcome of dual eligible patients.
Author(s): Daniel Doyle, Mary Emmett, Amber Crist, Craig Robinson, Michael Grome
Citation: Journal of Primary Care and Community Health, 7(2) 118-121
Date: 04/2016
Type: Document
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Discusses a care coordination project that included 3 Federally Qualified Health Centers (FQHCs) and 502 patients in rural West Virginia and a tertiary care referral hospital in southern West Virginia to determine if expanded use of care coordinators and clinical pharmacists could improve the care experience and healthcare outcome of dual eligible patients.
Author(s): Daniel Doyle, Mary Emmett, Amber Crist, Craig Robinson, Michael Grome
Citation: Journal of Primary Care and Community Health, 7(2) 118-121
Date: 04/2016
Type: Document
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Second Annual Report: HCIA Disease-Specific Evaluation
Second annual evaluations of 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Discusses experiences common across grantees and profiles each project. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, cardiovascular disease, and chronic pain. Approaches discussed include care coordination, education, and telehealth.
Date: 03/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Second annual evaluations of 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Discusses experiences common across grantees and profiles each project. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, cardiovascular disease, and chronic pain. Approaches discussed include care coordination, education, and telehealth.
Date: 03/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Second Annual Report
Second annual evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Discusses project impacts and challenges common across grantees. Includes profiles of 5 rural-focused projects, as well as projects serving rural and urban areas.
Date: 03/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Second annual evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Discusses project impacts and challenges common across grantees. Includes profiles of 5 rural-focused projects, as well as projects serving rural and urban areas.
Date: 03/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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HCIA Complex/High-Risk Patient Targeting: Second Annual Report
Second annual evaluations of 23 Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Several projects serve rural areas, offering caregiver education and support, telehealth services, and various care coordination approaches. Discusses common experiences of grantees serving rural areas, as well as profiles of each project.
Date: 03/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Second annual evaluations of 23 Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Several projects serve rural areas, offering caregiver education and support, telehealth services, and various care coordination approaches. Discusses common experiences of grantees serving rural areas, as well as profiles of each project.
Date: 03/2016
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluation of the Frontier Community Health Care Coordination Network Grant
Policy brief analyzing the effectiveness of using community health workers as community healthcare coordinators during a 3 year period (2012–2015) in frontier Montana. Includes recommendations to other communities that may consider implementing this model. Project was supported by the Federal Office of Rural Health Policy (FORHP) Frontier Community Health Care Network Coordination (FCHCNC) grant program.
Date: 09/2015
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Policy brief analyzing the effectiveness of using community health workers as community healthcare coordinators during a 3 year period (2012–2015) in frontier Montana. Includes recommendations to other communities that may consider implementing this model. Project was supported by the Federal Office of Rural Health Policy (FORHP) Frontier Community Health Care Network Coordination (FCHCNC) grant program.
Date: 09/2015
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Leading Change: Best Practices in Technical Assistance for Rural and Frontier Health-Care in an Era of Transformation
Provides resources, tools, and proven practices to augment technical assistance and support the development and implementation of services provided by State Offices of Rural Health (SORH), nonprofit organizations, and government agencies when working with rural and frontier health service organizations (HSOs).
Date: 08/2015
Type: Document
Sponsoring organization: National Center for Frontier Communities
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Provides resources, tools, and proven practices to augment technical assistance and support the development and implementation of services provided by State Offices of Rural Health (SORH), nonprofit organizations, and government agencies when working with rural and frontier health service organizations (HSOs).
Date: 08/2015
Type: Document
Sponsoring organization: National Center for Frontier Communities
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Investing in Population Health
Profile of a pilot project in rural New Mexico focused on population health for Medicaid recipients. Offers communities 3 levels of patient services and payment. Uses community health workers to address the social determinants of health.
Date: 08/2015
Type: Document
Sponsoring organization: Rural Health Value
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Profile of a pilot project in rural New Mexico focused on population health for Medicaid recipients. Offers communities 3 levels of patient services and payment. Uses community health workers to address the social determinants of health.
Date: 08/2015
Type: Document
Sponsoring organization: Rural Health Value
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Missouri Community, Public Health, and Primary Care Linkage: 2011–2012 Pilot Project Results & Evaluation
Describes a study examining the Missouri Heart Disease and Stroke Prevention Program (HDSP), which established partnerships between community organizations, healthcare providers, and local public health departments to identify, refer, and provide follow-up for community members with uncontrolled high blood pressure or pre-hypertension in communities in rural Missouri.
Author(s): Shumei Yun, Ellen Ehrhardt, Lisa Britt, et al.
Citation: Missouri Medicine, 112(4), 323-328
Date: 07/2015
Type: Document
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Describes a study examining the Missouri Heart Disease and Stroke Prevention Program (HDSP), which established partnerships between community organizations, healthcare providers, and local public health departments to identify, refer, and provide follow-up for community members with uncontrolled high blood pressure or pre-hypertension in communities in rural Missouri.
Author(s): Shumei Yun, Ellen Ehrhardt, Lisa Britt, et al.
Citation: Missouri Medicine, 112(4), 323-328
Date: 07/2015
Type: Document
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Government and Philanthropies Join Forces for Rural Health
Overview of the work of the Rural Health Philanthropy Partnership, a collaboration between rural federal programs and rural-focused trusts and foundations. Describes a care coordination program the group developed, and discusses an upcoming focus on the priority area of leadership in health equity.
Author(s): Becca Cruger
Citation: Rural Monitor
Date: 06/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Overview of the work of the Rural Health Philanthropy Partnership, a collaboration between rural federal programs and rural-focused trusts and foundations. Describes a care coordination program the group developed, and discusses an upcoming focus on the priority area of leadership in health equity.
Author(s): Becca Cruger
Citation: Rural Monitor
Date: 06/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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