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Rural Health
Resources by Topic: Care coordination

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2021
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Offers a summary of the findings from the prior annual reports on the CCBHC demonstration, a comparison of cost and quality in the first two demonstration years, and the results of impact analyses. This is the fifth annual report to Congress on the CCBHC demonstration.
Date: 11/2022
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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The Involvement of Rural Health Clinic Practitioners in Cancer Treatment Decisions and Survivorship Care
Results of a survey examining how practitioners from 153 Rural Health Clinics (RHCs) in 36 states are involved in their patients' cancer treatment and survivorship decisions. Features statistics on RHC characteristics, proportions of RHC practitioners who provide care or engage in joint decisions with another practitioner, RHC practitioner roles in cancer survivorship care, and experience with follow-up care for cancer survivors.
Author(s): Whitney E. Zahnd, Allie F. Silverman, Stella Self, et al.
Date: 10/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Improving Rural Maternal Health Care through Network Models: Summary of the RMOMS Program 2021 Cohort
Describes the Rural Maternity and Obstetrics Management Strategies (RMOMS) program supporting increased access to maternal healthcare in rural communities and improvement in maternal and neonatal outcomes. Summarizes three RMOMS programs from the 2021 Cohort - Families First: Rural Maternity Health Collaborative (Minnesota), RMOM-Southeast Missouri Partnership, and West Virginia RMOMS Collaborative. Identifies their maternal health service area, network partners, and goals and strategies for improving healthcare access and outcomes.
Date: 09/2022
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Opioid-Related Outcomes Among Individuals with Co-Occurring Behavioral Health Conditions
Provides an overview of a quality measurement framework to improve the prevention and monitoring of opioid-related overdoses and mortality among individuals with co-occurring behavioral health conditions. Identifies existing measures, measure concepts, and recommendations to serve as a starting point for quality measurement. Highlights three essential domains for measurement: equitable access, clinical interventions, and integrated and comprehensive care for concurrent behavioral health conditions.
Date: 09/2022
Type: Document
Sponsoring organization: National Quality Forum
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Rural Health Equity and Quality Summit Report
Summarizes a June 2022 summit with experts in rural healthcare policy, health equity, value-based care, and clinical quality to explore the roles of small rural hospitals and Rural Health Clinics in achieving health equity. Discusses barriers and challenges to achieving rural health equity. Presents best practices and innovative models in promoting health equity in rural areas.
Date: 09/2022
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Leveraging Electronic Health Record EHR-Sourced Measures to Improve Care Communication and Coordination: Final Recommendations Report
Discusses recommendations developed by a multistakeholder committee for using electronic health record (EHR) data to improve the measurement of care communication and care coordination. Identifies challenges to collecting data in rural areas.
Date: 09/2022
Type: Document
Sponsoring organization: National Quality Forum
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Pride in Idaho Care Neighborhoods Roadmap - A Guide For Healthcare Communities
Presents a model for delivering culturally appropriate care to LGBTQ+ people living in rural areas. Discusses the application of this model to the state of Idaho and highlights recommendations for providers, and healthcare facilities in general, on how to provide comprehensive care to a marginalized group in a rural area. Includes a resource library for LGBTQ+ support programs and information.
Additional links: Resource Library
Date: 08/2022
Type: Document
Sponsoring organization: Cornerstone Whole Healthcare Organization, Inc.
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Improving Access and Quality of Maternal and Infant Services in Rural Iowa through a Regional Center of Excellence
Profiles St. Anthony Regional Hospital in Carroll, Iowa, which serves six counties in west central Iowa. Discusses the hospital's efforts to improve maternal health and birth outcomes, including improving care coordination, increasing access to support and behavioral health services, and promoting better access to care in the region.
Date: 08/2022
Type: Document
Sponsoring organization: American Hospital Association
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Advancing Primary Care Innovation in Medicaid Managed Care: A Toolkit for States
Designed to help states leverage their Medicaid managed care contracts and request for proposals (RFPs) to advance primary care innovation (PCI). Outlines strategies for states to conceptualize and design advanced primary care core functions and use managed care contract levers to drive uptake and spread. Provides examples of state approaches, with rural considerations, for identifying and addressing social determinants of health, integrating behavioral healthcare, developing team-based care, implementing technology to improve access, and more.
Date: 08/2022
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Grantee Sourcebook: Rural Health Network Development Planning Program, 2021
Detailed descriptions of 20 Rural Health Network Development Planning Program grant projects funded in fiscal year 2021. Reports on each grantee's network infrastructure development, plans for sustaining the network after the grant, and program activities addressing topics such as integrated service delivery, creating efficiencies, integrating health services, chronic disease management, and care coordination. Grantee profiles identify the geographic areas served, network partners, and primary contact person.
Date: 07/2022
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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