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Rural Health
Resources by Topic: Culture and cultural competency

Notes from the Field: COVID-19 Case Investigation and Contact Tracing Program — Spirit Lake Tribe, North Dakota, September–November 2020
Reports on how the CDC helped the Spirit Lake Tribe build a tribally managed program to address increasing COVID-19 cases through comprehensive case investigations, case notification, contact tracing, contact testing, and contact management. Describes the work of Spirit Lake community members who served as investigators and contact tracers, providing culturally appropriate advice about the need to isolate or quarantine. Discusses housing challenges that impacted isolation and quarantine efforts.
Author(s): James Matthias, Tracy Charboneau, Cheri Schaffer, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 533-534
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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COVID-19 Incidence and Mortality Among American Indian/Alaska Native and White Persons — Montana, March 13–November 30, 2020
Examines COVID-19 incidence and mortality rates among American Indian/Alaska Native (AI/AN) and White people in Montana. Discusses factors that may have contributed to greater incidence and mortality for the AI/AN population and the need for culturally appropriate public health measures and vaccine allocation strategies to address disparities.
Author(s): Laura L. Williamson, Todd S. Harwell, Todd M. Koch, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 510-513
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Vaccine Central
Resources to support health departments, community-based organizations, and others with vaccine efforts among refugee, immigrant, and migrant communities.
Additional links: A Checklist for COVID-19 Vaccine Roll-out Among Refugees, Immigrants, and Migrants, COVID-19 Vaccines - Focus Group Discussion (FGD) Facilitation Guide, COVID-19 Vaccines - Focus Group Discussion (FGD) Note-Taking Guide & Template
Date: 04/2021
Type: Website
Sponsoring organization: National Resource Center for Refugees, Immigrants, and Migrants
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Healing Tool - Pocket Guide for Addressing Behavioral Health Goals in Native Communities
Provides data and strategies for addressing mental health and substance use issues in American Indian and Alaska Native communities. Discusses issues around stigma, medication-assisted treatment, and traditional healing practices, among other measures, for creating culturally competent care in tribal communities.
Author(s): Shirley M. Cain
Date: 03/2021
Type: Document
Sponsoring organization: National American Indian and Alaska Native Addiction Technology Transfer Center
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CHWs At Work: Making a Difference for Oklahoma's Marshallese Community
Highlights an Oklahoma program that uses community health workers (CHWs) for outreach to the Marshallese community in a three-county area. Provides a brief history and overview of the Marshallese population and discusses the health concerns the CHWs address.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 03/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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CMS Office of Minority Health COVID-19 Vaccine Resources
Vaccination resources for healthcare providers and community partners working with racial and ethnic minorities, people with disabilities, people with limited English proficiency, sexual and gender minorities, and rural populations. Provides resources to share with consumers and patients, including information in different languages.
Date: 03/2021
Type: Website
Sponsoring organizations: Centers for Medicare and Medicaid Services, CMS Office of Minority Health
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Critical Access Hospital in Oregon Uses Advisory Council and Trainings to Improve Cultural Competency
Features St. Charles Madras, a Critical Access Hospital in Oregon. Highlights how it improved care for American Indian and Latino patients by creating a Patient Family Advisory Council, implementing cultural competency trainings, and installing new artwork representing its community.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medicaid's Role in Health Care for American Indians and Alaska Natives
Provides an overview of the federal government's role in providing healthcare to American Indians and Alaska Natives (AI/AN). Discusses AI/AN demographics, economic and health disparities, and access to healthcare and insurance coverage. Describes the structure of the Indian Health Service (IHS), services provided, and IHS financing and spending. Highlights special rules and protections that apply to AI/AN Medicaid beneficiaries. Presents a series of policy issues that have been raised regarding the Medicaid and IHS relationship, as well as opportunities for improving Medicaid's role in providing healthcare to AI/AN populations.
Date: 02/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Medi-Cal Specialty Mental Health External Quality Review: FY 2019-20 Statewide Report
Reports on an external review of all 56 county Mental Health Plans (MHPs) that are contracted to provide specialty mental health services to Medi-Cal beneficiaries, including breakdowns for rural areas. Discusses challenges meeting demand and recruiting and retaining healthcare providers. Highlights access to services through telehealth, bilingual providers, and culturally responsive services; timeliness of providing service and tracking timeliness; and quality management.
Date: 01/2021
Type: Document
Sponsoring organization: California Department of Health Care Services
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Communication Strategies for Community Outreach and Education Webinar Series
8-part webinar series covering communication topics, connecting with rural communities, and telehealth opportunities. Each webinar builds on the others in the series, which is focuses on healthcare leadership. Produced by the DRCHSD (Delta) Program with guest experts from Legato Healthcare.
Date: 12/2020
Type: Website
Sponsoring organizations: Legato Healthcare, National Rural Health Resource Center
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