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Rural Health
Resources by Topic: Care coordination

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
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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
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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
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Meeting the Behavioral Health Needs of Farm Families in Times of Economic Distress
Offers strategies to support development and integration of behavioral health services across healthcare and community-based organizations, including leveraging payment systems to support coordinated care for farm families and aligning federal grant programs to address mental health and substance use disorders. Features recommendations including integrating primary and behavioral care for initial treatment of mental health and substance abuse concerns, expanding the workforce to improve rural behavioral health services capacity, increasing telehealth services, and expanding private and public insurance coverage.
Author(s): Andrew F. Coburn, Alva O. Ferdinand, Alana Knudson, et al.
Date: 02/2022
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Optimizing Care Coordination to Address Social Determinants of Health Needs for Dual-Use Veterans
Explores a study evaluating a care coordination program that aims to address social determinants of health (SDOH) for veterans who use both Veterans Health Administration (VHA) facilities and non-VA hospitals. Highlights the social worker-led program to help address SDOH factors, such as connecting veterans with transportation, homelessness resources, and financial assistance, among others. Discusses the role rurality plays in veterans' ability to access services and care.
Author(s): Heidi Sjoberg, Wenhui Liu, Carly Rohs, et al.
Citation: BMC Health Services Research, 22(59)
Date: 01/2022
Type: Document
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Technical Assistance Helps Community #SilencetheShameTN
Features behavioral and mental health programming offered by Henry County Medical Center and the community of Paris, Tennessee. Describes technical assistance and resources provided by the Delta Region Community Health Systems Development program to support this effort.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 11/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Health Workforce Strategic Plan
Provides a framework for health workforce improvements and addresses long-standing barriers to strengthening the health workforce. Focuses on recruiting and training health professionals from underserved communities to build a diverse, representative health workforce; ensuring equitable distribution of the workforce across geographic areas and health professions; strengthening the ability of the workforce to deliver high-quality care, including through strengthening cultural and linguistic competency of professionals; and using evidence and data to make better decisions about health workforce education and training investments. Mentions rural throughout.
Additional links: Comments from Federal National Advisory Committees
Date: 10/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Delta Memorial Hospital and DePaul Community Health Centers Spotlight Video
Explores how Delta Memorial Hospital and DePaul Community Health Centers worked together through the Delta Region Community Health Systems Development Program to strengthen their community care coordination.
Date: 09/2021
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Grantee Sourcebook: Rural HIV/AIDS Planning Program, 2020-2021
Detailed descriptions of 7 Rural HIV/AIDS Planning Program grant projects funded in fiscal year 2020. Reports on each grantee's key Ending the HIV Epidemic (EHE) strategies, secondary focus areas, target populations served, network development and planning activities, initial outcomes of their planning work, and sustainability strategies of the HIV/AIDS rural health networks and HIV-related programming beyond the planning year. Grantee profiles identify the geographic areas served, network partners, and primary contact person.
Date: 09/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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"We Got an Invite into the Fortress": VA-Community Partnerships for Meeting Veterans' Healthcare Needs
Evaluates the efficacy of the VA's Veteran's Community Partnership (VCP) initiative across the rural and urban continuum. Bases conclusions on focus group interviews with local representatives of organizations involved with VCP. Highlights program challenges, benefits, and achievements in rural and urban settings.
Author(s): Carol J. Ward, Curtis Child, Bret L. Hicken, et al.
Citation: International Journal of Environmental Research and Public Health, 18(16), 8334
Date: 08/2021
Type: Document
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