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Rural Health Information Hub

Rural Health
Resources by Topic: Care coordination

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
Sponsoring organization: Government Accountability Office
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Practice Perspectives on Care Coordination in Rural Settings
Analyzes perspectives on care coordination models in rural areas that integrate social services with healthcare. Examines interview feedback from 16 healthcare informants in rural Missouri regarding integration of social determinant of health (SDOH) services into their practices, such as transportation, mental health, housing, food access, and dental care.
Author(s): Julie M. Kapp, Beau Underwood, Kristi Ressel, Kathleen Quinn
Citation: Professional Case Management, 29(1), 4-12
Date: 01/2024
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Compendium of Best Practices for Rural Age-Friendly Care
Offers best practices, models of care, policies, and more related to offering age-friendly care in rural settings. Covers care coordination, caregiving support, behavioral health, community programming, community health workers, the 4Ms, and state-level priorities.
Date: 2024
Sponsoring organizations: National Rural Health Association, The John A. Hartford Foundation
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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
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 different groups of women, including rural women, 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
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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
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Exploring Patient Care Navigation in the Medicare Program
Presents an overview of patient navigation programs through an environmental scan of literature published between 2013 and 2023 and discussions with key informants at four healthcare organizations. Describes the variety of patient navigation services, types of patients targeted, settings that offer navigation services, staffing, funding, clinical outcomes, and more. Includes a brief discussion of programs targeting patients in rural areas. Identifies implementation and policy considerations and potential barriers to supporting patient navigation services.
Additional links: Annex, Executive Summary
Author(s): Zachary Predmore, Joachim Hero, Stephanie Dellva, et al.
Date: 09/2023
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Health Care
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Cancer Survivorship Challenges of Rural Older Adults: A Qualitative Study
Examines the perspectives of rural, older cancer survivors regarding their experiences, challenges, and related recommendations. Provides feedback from 27 former cancer patients regarding survivorship care plans, communication with their healthcare team, and transportation, financial, psychological, diet, and physical health challenges.
Author(s): Evelyn Arana-Chicas, Laura M. Hincapie Prisco, Saloni Sharma, et al.
Citation: BMC Cancer, 23(917)
Date: 09/2023
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Care Coordination Between Rural Primary Care and Telemedicine to Expand Medication Treatment for Opioid Use Disorder: Results from a Single-Arm, Multisite Feasibility Study
Examines the feasibility of expanding access to medication treatment for opioid use disorder (MOUD) in rural areas through the use of telemedicine. Analyzes 6 rural primary care sites and their care coordination model. Includes data on patients referred to telemedicine and total number of patient-days on MOUD.
Author(s): Yih-Ing Hser, Larissa J. Mooney, Laura-Mae Baldwin, et al.
Citation: Journal of Rural Health, 39(4), 780-788
Date: 09/2023
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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.
Date: 09/2023
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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