Rural Health
Resources by Topic: Care coordination
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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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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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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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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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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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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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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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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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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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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Transforming Tribal Health: Addressing American Indians and Alaska Natives Health Disparities
Recording of a June 8, 2023, conference session on addressing tribal health disparities as part of the Centers for Medicare & Medicaid Services (CMS) Health Equity Conference. Includes presentations from the Arizona Health Care Cost Containment System on the use of care coordination and care management strategies and the National Indian Health Board on rethinking how CMS approaches health equity for American Indians and Alaska Natives. Transcript available in the video description.
Additional links: Carrie Field, National Indian Health Board - Presentation Slides, Leslie Short, Arizona Health Care Cost Containment System - Presentation Slides
Date: 06/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Recording of a June 8, 2023, conference session on addressing tribal health disparities as part of the Centers for Medicare & Medicaid Services (CMS) Health Equity Conference. Includes presentations from the Arizona Health Care Cost Containment System on the use of care coordination and care management strategies and the National Indian Health Board on rethinking how CMS approaches health equity for American Indians and Alaska Natives. Transcript available in the video description.
Additional links: Carrie Field, National Indian Health Board - Presentation Slides, Leslie Short, Arizona Health Care Cost Containment System - Presentation Slides
Date: 06/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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