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Rural Health
Resources by Topic: Chronic disease management

Medicaid: Efforts to Identify, Predict, or Manage High-Expenditure Beneficiaries
Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Making Connections: Nationwide Implementation of Video Telehealth Tablets to Address Access Barriers in Veterans
Results of a survey of 68 facility telehealth coordinators to evaluate implementation of a Department of Veterans Affairs initiative to provide tablets to high-need veterans with chronic conditions. Features statistics including demographics of tablet recipients and tablet users, with breakdowns by urban, rural, and highly rural location.
Author(s): Donna M. Zulman, Emily P. Wong, Cindie Slightam, et al.
Citation: JAMIA Open, 2(3), 323–329
Date: 08/2019
Type: Document
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Implementation of Liver Cancer Education Among Health Care Providers and Community Coalitions in the Cherokee Nation
Describes an intervention in 2017-2018 to plan and implement activities to increase knowledge and awareness of liver cancer prevention among Cherokee Nation health care providers. Includes recommendations to improve viral hepatitis surveillance, increase support for strategies to eliminate hepatitis B virus, and enhance services including risk factor screening and serologic testing.
Author(s): Behnoosh Momin, Jorge Mera, Whitney Essex, et al.
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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Creating a Public Health Community of Practice to Support American Indian and Alaska Native Communities in Addressing Chronic Disease
Describes use of the ECHO (Extension for Community Healthcare Outcomes) model to support and evaluate program objectives of the Centers for Disease Control and Prevention's Good Health and Wellness in Indian Country (GHWIC) program.
Author(s): Shawna L. Williams, Alexis Kaigler, Amy Armistad, David K. Espey, Bruce B. Struminger
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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A Rural Hospital Guide to Improving Chronic Obstructive Pulmonary Disease
A guide for rural hospital leaders, Rural Health Clinics, and their partners to help them understand rural chronic obstructive pulmonary disease (COPD) services and adopt best practices for COPD diagnosis, treatment, and long-term care. Addresses rural COPD prevalence and services, clinical diagnosis and treatment, service models, care management, technologies, and community support services. Includes considerations for implementing a pulmonary rehab program, roles and staffing needed, and basic billing and coding.
Date: 08/2019
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates, Technical Assistance and Services Center
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Sickle Cell Data Collection Program Brief: Births in Georgia, 2004-2016
Policy brief intended to inform decision-makers how gaps in diagnosis, treatment, and access to care for patients with sickle cell disease (SCD) can be addressed through policy changes, improved healthcare, and education. Features statistics on SCD births in Georgia from 2004-2016 and includes a Georgia map showing numbers of SCD births by county of residence from 2004-2016.
Date: 05/2019
Type: Document
Sponsoring organization: Georgia Health Policy Center
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Protocol for Links (Linking Individual Needs to Community and Clinical Services): A Prospective Matched Observational Study of a Community Health Worker Community Clinical Linkage Intervention on the U.S.-Mexico Border
Describes Linking Individual Needs to Community and Clinical Services (LINKS), a 3-year observational tool developed to examine the impact of CHW-led interventions using electronic health records and other applications to reduce chronic disease risk and promote well-being among Latinos residing in the U.S. Mexico border region of Arizona.
Author(s): Abby M. Lohr, Maia Ingram, Scott C. Carvajal, Kevin Doubleday, Benjamin Aceves, et al.
Citation: BMC Public Health,19, 399
Date: 04/2019
Type: Document
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Geographic and Social Factors Associated with Chronic Disease Self-Management Program Participation: Going the "Extra-Mile" for Disease Prevention
Analyzes geographic and social factors related to Chronic Disease Self-Management Program (CDSMP) and Diabetes Self-Management Program (DSMP) participants in rural and urban areas of Illinois. Compares rural and urban statistics describing CDSMP and DSMP participants by race, education, weekly physical activity, program enrollment, sessions attended, and more.
Author(s): Julie Bobitt, Liliana Aguayo, Laura Payne, Taylor Jansen, Andiara Schwingel
Citation: Preventing Chronic Disease, 16
Date: 03/2019
Type: Document
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North Dakota Tests Innovative Health IT Approaches to Improve Hypertension Identification and Control in Workplaces
Highlights a hypertension identification and control project in North Dakota. The program expanded blood pressure screening access to rural and tribal communities; leveraged health information technology; and included partnerships with local health departments, emergency medical services, health systems, and health insurance companies. Summarizes the program's strategies and activities, results, lessons learned, and recommendations.
Date: 03/2019
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Rural Patients with Chronic Disease: A Nonprofit Organization and a Health Department Leverage Federal Funding to Provide Health Education and Care Coordination
Features rural Alabama and North Carolina organizations that are using Federal Office of Rural Health Policy grants to improve health outcomes for patients with chronic disease through remote patient monitoring, health education, and network development.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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