Rural Health
Resources by Topic: Emergency preparedness and response
Impacts of Critical Access Hospital Independence and System Ownership during the COVID-19 Pandemic
Summarizes findings from a survey of 155 Critical Access Hospital (CAH) executives regarding experiences and challenges responding to the COVID-19 pandemic. Examines the impact of healthcare system affiliation on the CAHs' response to COVID, including the advantages and disadvantages of system affiliation and independence.
Author(s): Madeleine Pick, Megan Lahr, Abigail Wenninger
Date: 01/2023
Sponsoring organization: Flex Monitoring Team
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Summarizes findings from a survey of 155 Critical Access Hospital (CAH) executives regarding experiences and challenges responding to the COVID-19 pandemic. Examines the impact of healthcare system affiliation on the CAHs' response to COVID, including the advantages and disadvantages of system affiliation and independence.
Author(s): Madeleine Pick, Megan Lahr, Abigail Wenninger
Date: 01/2023
Sponsoring organization: Flex Monitoring Team
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Examining Rural Telehealth During the Public Health Emergency
Examines the use of telehealth visits for rural and urban fee-for-service Medicare enrollees between January 2018 and June 2021. Compares telehealth utilization before the COVID-19 pandemic (2018-2019) with telehealth utilization from January 2020 to June 2021. Describes the demographic, geographical, and technological characteristics of telehealth services that were associated with increased telehealth use. Explores the extent to which the increased implementation and utilization of telehealth during the PHE impacted the cost of patient care and provider utilization.
Date: 01/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, CMS Alliance to Modernize Healthcare
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Examines the use of telehealth visits for rural and urban fee-for-service Medicare enrollees between January 2018 and June 2021. Compares telehealth utilization before the COVID-19 pandemic (2018-2019) with telehealth utilization from January 2020 to June 2021. Describes the demographic, geographical, and technological characteristics of telehealth services that were associated with increased telehealth use. Explores the extent to which the increased implementation and utilization of telehealth during the PHE impacted the cost of patient care and provider utilization.
Date: 01/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, CMS Alliance to Modernize Healthcare
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Hospital Cyber Resiliency Initiative: Landscape Analysis
Report evaluating current capabilities and preparedness for cybersecurity resiliency in hospitals. Discusses the growing threat of cyber attacks, cybersecurity practices adoption, outdated technology, cybersecurity insurance costs, cybersecurity workforce challenges, and more. Discusses rural throughout.
Author(s): Erik Decker, Robert Wood, Syed Mohiuddin, Douglas Nock, Akshay Venugopalan
Date: 2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Healthcare & Public Health Sector Coordinating Council, HHS 405(d), U.S. Department of Health and Human Services
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Report evaluating current capabilities and preparedness for cybersecurity resiliency in hospitals. Discusses the growing threat of cyber attacks, cybersecurity practices adoption, outdated technology, cybersecurity insurance costs, cybersecurity workforce challenges, and more. Discusses rural throughout.
Author(s): Erik Decker, Robert Wood, Syed Mohiuddin, Douglas Nock, Akshay Venugopalan
Date: 2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Healthcare & Public Health Sector Coordinating Council, HHS 405(d), U.S. Department of Health and Human Services
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First Responder Network Authority Roadmap
Describes First Responder Network Authority (FirstNet Authority) programs, activities, and investments to support the creation and evolution of a dedicated and differentiated broadband communications network. Discusses efforts to enhance coverage in rural areas.
Date: 2023
Sponsoring organization: FirstNet Authority
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Describes First Responder Network Authority (FirstNet Authority) programs, activities, and investments to support the creation and evolution of a dedicated and differentiated broadband communications network. Discusses efforts to enhance coverage in rural areas.
Date: 2023
Sponsoring organization: FirstNet Authority
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Communities, Climate Change, and Health Equity: Lessons Learned in Addressing Inequities in Heat-Related Climate Change Impacts: Proceedings of a Workshop-in Brief
Summary of a National Academies' Environmental Health Matters Initiative workshop in June 2023 discussing differences in outcomes for extreme heat. Highlights challenges with data gathering, recent policy changes, capacity building, and partnerships. Includes discussion of rural specific challenges, occupational health for farmworkers and other outdoor workers, and healthcare access.
Additional links: Read Online
Date: 2023
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summary of a National Academies' Environmental Health Matters Initiative workshop in June 2023 discussing differences in outcomes for extreme heat. Highlights challenges with data gathering, recent policy changes, capacity building, and partnerships. Includes discussion of rural specific challenges, occupational health for farmworkers and other outdoor workers, and healthcare access.
Additional links: Read Online
Date: 2023
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Navigating Infodemics and Building Trust During Public Health Emergencies
Proceedings of a workshop focused on public health infodemics, their history and impact, infodemics during public health emergencies, and tools and practices used to address infodemics. Includes discussions about building trust related to infodemics, particularly in the cultural context of rural, tribal, and/or underserved areas.
Additional links: Read Online
Author(s): Board on Health Sciences Policy
Date: 2023
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Proceedings of a workshop focused on public health infodemics, their history and impact, infodemics during public health emergencies, and tools and practices used to address infodemics. Includes discussions about building trust related to infodemics, particularly in the cultural context of rural, tribal, and/or underserved areas.
Additional links: Read Online
Author(s): Board on Health Sciences Policy
Date: 2023
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Future Planning for the Public Health Emergency Preparedness Enterprise: Lessons Learned from the COVID-19 Pandemic: Proceedings of a Workshop
Summarizes discussions held during a May 2022 workshop to explore the nation's public health emergency (PHE) preparedness enterprise. Includes key components, success stories, and failure points, to identify opportunities for effective catastrophic disaster, pandemic, and other large scale PHEs planning at the federal, state, local, tribal, and territorial levels. Mentions disparities between urban and rural or tribal areas throughout.
Additional links: Read Online
Author(s): Forum on Medical and Public Health Preparedness for Disasters and Emergencies
Date: 2023
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes discussions held during a May 2022 workshop to explore the nation's public health emergency (PHE) preparedness enterprise. Includes key components, success stories, and failure points, to identify opportunities for effective catastrophic disaster, pandemic, and other large scale PHEs planning at the federal, state, local, tribal, and territorial levels. Mentions disparities between urban and rural or tribal areas throughout.
Additional links: Read Online
Author(s): Forum on Medical and Public Health Preparedness for Disasters and Emergencies
Date: 2023
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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COVID-19 Relief Funds: Lessons Learned Could Improve Future Distribution of Federal Emergency Relief to Tribal Recipients
Examines approaches selected federal agencies used to administer programs that provided COVID-19 funds to tribal recipients. Identifies lessons learned that could improve future federal relief to these recipients.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Examines approaches selected federal agencies used to administer programs that provided COVID-19 funds to tribal recipients. Identifies lessons learned that could improve future federal relief to these recipients.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: Second Evaluation Report
Evaluates the first three performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes changes to the model's design in response to the COVID-19 public health emergency and how COVID-19 and a cyberattack impacted healthcare utilization. Includes information on hospital and provider participation in rural areas and limited participation by Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 12/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first three performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Describes changes to the model's design in response to the COVID-19 public health emergency and how COVID-19 and a cyberattack impacted healthcare utilization. Includes information on hospital and provider participation in rural areas and limited participation by Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 12/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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COVID-19 Response in System-Owned and Independent CAHs
Recording of a November 2022 webinar presenting findings from Critical Access Hospital (CAH) executives regarding experiences and challenges responding to the COVID-19 pandemic. Compares the experiences of system-affiliated and independent CAHs.
Additional links: Presentation Slides
Author(s): Madeleine Pick
Date: 11/2022
Sponsoring organization: Flex Monitoring Team
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Recording of a November 2022 webinar presenting findings from Critical Access Hospital (CAH) executives regarding experiences and challenges responding to the COVID-19 pandemic. Compares the experiences of system-affiliated and independent CAHs.
Additional links: Presentation Slides
Author(s): Madeleine Pick
Date: 11/2022
Sponsoring organization: Flex Monitoring Team
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