Rural Health
Resources by Topic: Care coordination
Marshall Browning Spotlight Video
Profiles Marshall Browning Hospital, a participant in the 2019 cohort of the Delta Region Community Health Systems Development Program (DRCHSD). Describes how shifting the Marshall Browning Hospital mission statement led to improvements to care coordination and transitional care services.
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Profiles Marshall Browning Hospital, a participant in the 2019 cohort of the Delta Region Community Health Systems Development Program (DRCHSD). Describes how shifting the Marshall Browning Hospital mission statement led to improvements to care coordination and transitional care services.
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Evaluation of the Maternal Opioid Misuse (MOM) Model Second Annual Report (Implementation Year 1)
Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Provides an overview of the Maternal Opioid Misuse Model, which provides evidence-based integrated care and care coordination for pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD). Describes activities MOM Model awardees undertook during the MOM Model's first implementation year, July 1, 2021–June 30, 2022. Discusses barriers pregnant and postpartum people with OUD face in accessing high-quality, continuous care, specifically in rural areas.
Additional links: Findings at a Glance
Date: 04/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Insight Policy Research
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Rural Healthcare Disparities in the United States: Can Our Payer Structures Help Us Get Upstream?
Describes a care model utilizing CHWs to engage patients by screening for diseases, and offering education and information to help them manage their chronic conditions in an accessible, non-traditional setting such as a food bank distribution center, county fair, livestock auction, and educational events in rural Idaho. Discusses the value of CHWs, along with a primary care team, in improving outcomes for populations at risk, and the absence of payment models to support this model.
Author(s): Kelly McGrath
Citation: Journal of General Internal Medicine, 38 (Suppl 1), 16-17
Date: 03/2023
Type: Document
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Describes a care model utilizing CHWs to engage patients by screening for diseases, and offering education and information to help them manage their chronic conditions in an accessible, non-traditional setting such as a food bank distribution center, county fair, livestock auction, and educational events in rural Idaho. Discusses the value of CHWs, along with a primary care team, in improving outcomes for populations at risk, and the absence of payment models to support this model.
Author(s): Kelly McGrath
Citation: Journal of General Internal Medicine, 38 (Suppl 1), 16-17
Date: 03/2023
Type: Document
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Achieving Whole Health: A New Approach for Veterans and the Nation
Report offers guidance for providers both inside and outside of the VA for filling gaps in veterans healthcare. Discusses a team-based interprofessional care structure for preventing disease and promoting well-being. Highlights some considerations for providing a whole health approach for rural veterans as well.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 02/2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Report offers guidance for providers both inside and outside of the VA for filling gaps in veterans healthcare. Discusses a team-based interprofessional care structure for preventing disease and promoting well-being. Highlights some considerations for providing a whole health approach for rural veterans as well.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 02/2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Filling Behavioral Health Gaps in Rural Communities: A Unique Partnership in Washington State
Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Type: Document
Sponsoring organization: The Commonwealth Fund
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Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Type: Document
Sponsoring organization: The Commonwealth Fund
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Care Coordination and Community Partnerships for Cancer Care in Critical Access Hospitals
Presents findings from a survey of 135 Critical Access Hospitals (CAHs) regarding care coordination practices for patients with cancer. Describes the types of care coordination services provided by CAHs and the staff that provide these services. Discusses partnerships between CAHs and community organizations regarding cancer initiatives.
Author(s): Megan Lahr, Xiomara Santana, Nathan Bean, Helen Parsons, Ira Moscovice
Date: 01/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Presents findings from a survey of 135 Critical Access Hospitals (CAHs) regarding care coordination practices for patients with cancer. Describes the types of care coordination services provided by CAHs and the staff that provide these services. Discusses partnerships between CAHs and community organizations regarding cancer initiatives.
Author(s): Megan Lahr, Xiomara Santana, Nathan Bean, Helen Parsons, Ira Moscovice
Date: 01/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Engaging Rural Communities to Incorporate Social Determinants in Developing Strategies to Improve Access to Health Care in the Missouri Bootheel Counties
Presents a study on how social determinants of health affect healthcare access in several rural counties in Missouri. Discusses the perceived barriers to care in the rural "Bootheel" counties, such as economic issues, lack of health insurance coverage, and lack of coordinated care, among others.
Author(s): Ashish Shrestha, Katherine Stamatakis, Janice Ballard
Citation: Rural and Remote Health, 23, 7678
Date: 01/2023
Type: Document
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Presents a study on how social determinants of health affect healthcare access in several rural counties in Missouri. Discusses the perceived barriers to care in the rural "Bootheel" counties, such as economic issues, lack of health insurance coverage, and lack of coordinated care, among others.
Author(s): Ashish Shrestha, Katherine Stamatakis, Janice Ballard
Citation: Rural and Remote Health, 23, 7678
Date: 01/2023
Type: Document
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Coordinated Specialty Care for First Episode Psychosis: Costs and Financing Strategies
Report discusses the costs and funding options for coordinated specialty care (CSC) as an early intervention for patients experiencing their first episode of psychosis. Presents a systemic review of studies examining CSC costs and highlights current financing strategies. Makes recommendations for behavioral health organizations and features states expanding coverage of CSC to rural areas.
Date: 2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Report discusses the costs and funding options for coordinated specialty care (CSC) as an early intervention for patients experiencing their first episode of psychosis. Presents a systemic review of studies examining CSC costs and highlights current financing strategies. Makes recommendations for behavioral health organizations and features states expanding coverage of CSC to rural areas.
Date: 2023
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Rural Health Network Development Planning Program: 2022 Grantee Directory
Detailed descriptions of 23 Rural Health Network Development Planning Program grant projects funded in fiscal year 2022. Lists grantees by organization type and focus area, including topics such as network organization and infrastructure development, health system efficiencies, integrated service delivery, and behavioral health. Includes grantee profiles describing their programs and network structures, geographic areas served, network partners, and contacts for each network.
Date: 12/2022
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Detailed descriptions of 23 Rural Health Network Development Planning Program grant projects funded in fiscal year 2022. Lists grantees by organization type and focus area, including topics such as network organization and infrastructure development, health system efficiencies, integrated service delivery, and behavioral health. Includes grantee profiles describing their programs and network structures, geographic areas served, network partners, and contacts for each network.
Date: 12/2022
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Related funding:
Rural Health Network Development Planning Program
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National Advisory Council on the National Health Service Corps (NACNHSC) Meeting Minutes, November 15-16, 2022
Minutes from the November 15-16, 2022 meeting, including presentations on collaborative care, shortage designation policy, HRSA's geriatrics programs, family caregivers, effects of COVID-19, and National Health Service Corps updates.
Additional links: Agenda, Caring for the Care Collaborator: Building and Sustaining the Competent Team, Health Resources and Services Administration's Geriatrics Programs, Leading In Challenging Times… Creating the Future We Want and Our Communities and Patients Need, Policy Updates, Preparing Clinicians to "R.A.I.S.E." Family Caregivers
Date: 11/2022
Type: Document
Sponsoring organization: National Advisory Council on the National Health Service Corps
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Minutes from the November 15-16, 2022 meeting, including presentations on collaborative care, shortage designation policy, HRSA's geriatrics programs, family caregivers, effects of COVID-19, and National Health Service Corps updates.
Additional links: Agenda, Caring for the Care Collaborator: Building and Sustaining the Competent Team, Health Resources and Services Administration's Geriatrics Programs, Leading In Challenging Times… Creating the Future We Want and Our Communities and Patients Need, Policy Updates, Preparing Clinicians to "R.A.I.S.E." Family Caregivers
Date: 11/2022
Type: Document
Sponsoring organization: National Advisory Council on the National Health Service Corps
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