Rural Health
Resources by Topic: Care coordination
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
Sponsoring organization: Rural Health Information Hub
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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
Sponsoring organization: Rural Health Information Hub
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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
Sponsoring organization: National Rural Health Resource Center
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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
Sponsoring organization: National Rural Health Resource Center
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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
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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
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Understanding Adaptations in the Veteran Health Administration's Transitions Nurse Program: Refining Methodology and Pragmatic Implications for Scale-up
Highlights a study on adaptations to the rural Transitions Nurse Program (TNP) in Veterans Health Administration facilities. Focuses on TNP sites and discusses the adaptations and lessons learned from each.
Author(s): Michaela S. McCarthy, Lexus L. Ujano-De Motta, Mary A. Nunnery, et al.
Citation: Implementation Science, 16, 71
Date: 07/2021
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Highlights a study on adaptations to the rural Transitions Nurse Program (TNP) in Veterans Health Administration facilities. Focuses on TNP sites and discusses the adaptations and lessons learned from each.
Author(s): Michaela S. McCarthy, Lexus L. Ujano-De Motta, Mary A. Nunnery, et al.
Citation: Implementation Science, 16, 71
Date: 07/2021
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Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of Uptake
Examines an intervention, Telehealth-based Coordination of Non-Veterans Health Administration Care (TECNO Care), designed to improve care coordination between the Veterans Health Administration (VHA) and community providers for veterans living in rural areas.
Author(s): Allison A. Lewinski, Matthew J. Crowley, Christopher Miller, et al.
Citation: Medical Care, 59(6 Suppl 3), S242-S251
Date: 06/2021
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Examines an intervention, Telehealth-based Coordination of Non-Veterans Health Administration Care (TECNO Care), designed to improve care coordination between the Veterans Health Administration (VHA) and community providers for veterans living in rural areas.
Author(s): Allison A. Lewinski, Matthew J. Crowley, Christopher Miller, et al.
Citation: Medical Care, 59(6 Suppl 3), S242-S251
Date: 06/2021
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Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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In New Mexico, Pathways Care Coordination Supports People With Opioid Use Disorder
Describes the efforts of the rural New Mexico-based Rio Arriba Health and Human Services to treat individuals with Opioid Use Disorder (OUD) through an outcomes-based chronic disease care coordination model. Discusses challenges of treating OUD in a rural frontier county, including limited transportation, housing concerns, and involvement in the criminal justice system.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Sponsoring organization: Pew Charitable Trusts
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Describes the efforts of the rural New Mexico-based Rio Arriba Health and Human Services to treat individuals with Opioid Use Disorder (OUD) through an outcomes-based chronic disease care coordination model. Discusses challenges of treating OUD in a rural frontier county, including limited transportation, housing concerns, and involvement in the criminal justice system.
Author(s): Beth Connolly, Leslie Paulson
Date: 06/2021
Sponsoring organization: Pew Charitable Trusts
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Partnership Forum: The Role of Research in the Transformation of Veterans Affairs Community Care
Discusses how research has shaped the Veterans Affairs' Office of Community Care since its inception in 2015. Highlights the effect research has had on care coordination, quality of care, and network adequacy, among other measures, for all veterans including those in rural areas.
Author(s): Michelle A. Mengeling, Kristin M. Mattocks, Denise M. Hynes, et al.
Citation: Medical Care, 59, (6, Suppl3), 232-241
Date: 06/2021
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Discusses how research has shaped the Veterans Affairs' Office of Community Care since its inception in 2015. Highlights the effect research has had on care coordination, quality of care, and network adequacy, among other measures, for all veterans including those in rural areas.
Author(s): Michelle A. Mengeling, Kristin M. Mattocks, Denise M. Hynes, et al.
Citation: Medical Care, 59, (6, Suppl3), 232-241
Date: 06/2021
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Interorganizational Care Coordination of Rural Veterans by Veterans Affairs and Community Care Programs: A Systematic Review
Details the findings of a systematic review of the efficacy of care coordination initiatives by Veterans Affairs (VA) to care for rural veterans. Distinguishes data from pre- and post-Veterans Choice Act and post-MISSION Act. Defines organizational policy and administration, culture, and mechanisms of community care programs, as well as relational practices, contextual factors, and third-party administrators.
Author(s): Lynn A. Garvin, Marianne Pugatch, Deborah Gurewich, et al.
Citation: Medical Care, 59, (6, Suppl3), 259-269
Date: 06/2021
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Details the findings of a systematic review of the efficacy of care coordination initiatives by Veterans Affairs (VA) to care for rural veterans. Distinguishes data from pre- and post-Veterans Choice Act and post-MISSION Act. Defines organizational policy and administration, culture, and mechanisms of community care programs, as well as relational practices, contextual factors, and third-party administrators.
Author(s): Lynn A. Garvin, Marianne Pugatch, Deborah Gurewich, et al.
Citation: Medical Care, 59, (6, Suppl3), 259-269
Date: 06/2021
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Post-Acute Care Trajectories for Rural Medicare Beneficiaries: Planned versus Actual Hospital Discharges to Skilled Nursing Facilities and Home Health Agencies
Examines care transitions among rural fee-for-service Medicare beneficiaries following discharge from an acute care hospital. Compares planned and actual discharges to home health agencies and skilled nursing facilities. Discusses implications of these findings on rural healthcare policy and practice.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, et al.
Date: 03/2021
Sponsoring organization: WWAMI Rural Health Research Center
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Examines care transitions among rural fee-for-service Medicare beneficiaries following discharge from an acute care hospital. Compares planned and actual discharges to home health agencies and skilled nursing facilities. Discusses implications of these findings on rural healthcare policy and practice.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, et al.
Date: 03/2021
Sponsoring organization: WWAMI Rural Health Research Center
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