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Rural Health
Resources by Topic: Chronic disease management

Meadville Medical Center: Care Coordination for Adults and Children
Describes the Meadville Medical Center Community Care Network (CCN), an interdisciplinary team of clinicians who focus on using care coordination to help patients manage chronic conditions and achieve their health and wellness goals. CCN's goal is to engage patients and encourage them to take ownership of their health, thereby reducing hospital readmissions, conserving resources, and improving the health of the population.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Section for Small or Rural Hospitals
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Rural Innovation Profile: Medical-Legal Partnership Addresses Social Determinants of Health
Explores how FirstHealth of the Carolinas, a private, nonprofit healthcare network based in Pinehurst, North Carolina, reduced emergency department utilization and hospital readmission rates systemwide through the use of transitional care clinics (TCCs) and medical-legal partnerships (MLPs).
Date: 09/2017
Type: Document
Sponsoring organization: Rural Health Value
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Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality
Describes the distribution of Chronic Disease Self-Management Education (CDSME) programs across the U.S. by participants enrolled, workshops delivered, and counties reached. Compares the CDSME program distribution by rural designation, for example metro, nonmetro areas adjacent and not adjacent to metro areas. Includes a map of CDSME program distribution by rurality for every county in the U.S. and provides statistics on CDSME workshops and participants by rurality and workshop type.
Author(s): Matthew Lee Smith, Samuel D. Towne, Jr., Angelica Herrera-Venson, et al.
Location: International Journal of Environmental Research and Public Health, 14(6), 638
Date: 06/2017
Type: Document
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Diabetes Self-Management Education Programs in Nonmetropolitan Counties — United States, 2016
Examines the availability of diabetes self-management education (DSME) programs in nonmetropolitan counties. Includes data on related characteristics for nonmetro counties with and without DSME programs, including diabetes incidence and prevalence, race/ethnicity, income, educational attainment, and other demographic information.
Author(s): Stephanie A. Rutledge, Svetlana Masalovich, Rachel J. Blacher, Magon M. Saunders
Location: MMWR Surveillance Summaries, 66(10), 1-6
Date: 04/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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National Viral Hepatitis Action Plan 2017-2020
Describes goals and strategies for preventing new infections, reducing deaths and health disparities, improving the health of people with viral hepatitis, and coordinating and reporting on implementation of hepatitis activities. Features sections on groups disproportionately affected by viral hepatitis, including American Indians, Alaska Natives, Asian Americans, and Pacific Islanders.
Date: 01/2017
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Wake Up! HIV is at Your Door: African American Faith Leaders in the Rural South and HIV Perceptions: A Qualitative Analysis
Results of interviews with African American pastors in rural Alabama who participated in an HIV prevention study. Includes suggestions for the roll the church can play in changing the prevalence and remaining stigma of the disease in the rural South.
Author(s): Tiffiany M. Aholou, Eric Cooks, Ashley Murray, et al.
Location: Journal of Religion and Health, 55(6), 1968-1979
Date: 12/2016
Type: Document
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Polypharmacy and Health-Related Quality of Life Among US Adults With Arthritis, Medical Expenditure Panel Survey, 2010-2012
Results of a study of 6,132 adults with arthritis, to determine the relationship between treatment with prescription drugs from 6 or more drug classes and health-related quality of life. Features demographic statistics with breakdown between urban and rural areas of residence.
Author(s): Abdulkarim M. Meraya, Nilanjana Dwibedi, Usha Sambamoorthi
Location: Preventing Chronic Disease, 13
Date: 09/2016
Type: Document
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Vivir Mejor! (Live Better!)
Video highlighting the Vivir Mejor! (Live Better!) program, a comprehensive, culturally competent diabetes education program for Hispanic/Latino populations in rural Arizona. Features program staff and patients sharing how the program impacted the health of people in the region.
Date: 06/2016
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Chronic Care Management (CCM) Services for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Provides instructions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) on how to submit claims for chronic care management services according to the RHC All-Inclusive Rate and the FQHC Prospective Payment System, effective January 1, 2016.
Date: 11/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Offering Chronic Disease Self-Management Education in Rural Areas
Identifies challenges rural areas face in implementing evidence-based chronic disease self-management education (CDSME). Recommends strategies and resources rural communities can use to implement CDSME programs. Includes examples of successful programs.
Date: 07/2015
Type: Document
Sponsoring organization: National Council on Aging
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