Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Care coordination

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
view details
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
view details
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
view details
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.
view details
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
view details
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
view details
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
view details
BuchananCares Program: A Team-based Care Pilot Led by a Rural Community Hospital and Local Pharmacist
Describes BuchananCares, a collaboration among health professionals from the Appalachian College of Pharmacy, Buchanan General Hospital in rural Virginia, and the Virginia Department of Health. Designed to reduce patient readmissions and improve medication use for patients with COPD, diabetes, heart failure, and pneumonia.
Date: 06/2022
Type: Document
Sponsoring organization: Community Preventive Services Task Force
view details
Behavioral Health Screening and Care Coordination for Rural Veterans in a Federally Qualified Health Center
Highlights the VA's nurse-led Collaborative System of Care (CSC) program's work in connecting veterans at rural Federally Qualified Health Centers (FQHCs) to the VA's behavioral health services and discusses the role care coordination can play in connecting rural veterans to other healthcare services. Details the efficacy of the CSC program and outlines the program's structure and screening process.
Author(s): M. Bryant Howren, Debra Kazmerzak, Sheryl Pruin, et al.
Citation: Journal of Behavioral Health Services and Research, 49, 50-60
Date: 05/2022
Type: Document
view details
Qualitative Analysis of Cancer Care Experiences among Rural Cancer Survivors and Caregivers
Examines cancer survivors and caregivers' perceptions toward cancer care in rural Nebraska. Discusses perceptions of community health status, sources of cancer information, cancer diagnosis, care coordination, provider communication and organizational support, and barriers to care, based on focus group data from 20 participants.
Author(s): Kendra L. Ratnapradipa, Jordan Ranta, Krishtee Napit, et al.
Citation: Journal of Rural Health, 38(4), 876-885
Date: 04/2022
Type: Document
view details