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Rural Health
Resources by Topic: Evaluation methods and resources

Implementing Evidence-Based Practices in Rural Settings: A Scoping Review of Theories, Models, and Frameworks
Scoping review of literature on theories, models, and frameworks commonly used in rural health research. Includes 61 articles published since 1998. Discusses Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM), Community-Based Participatory Research (CBPR), Consolidated Framework for Implementation Research (CFIR), and Promoting Action on Research Implementation in Health Services (iPARIHS).
Author(s): Robert E. Brady, Kathleen D. Lyons, Courtney J. Stevens, et al.
Citation: Frontiers in Health Services, 4, 1326777
Date: 07/2024
Type: Document
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RE-AIM For Rural Health Innovations: Perceptions of (Mis) Alignment Between the RE-AIM Framework and Evaluation Reporting in the Department of Veterans Affairs Enterprise-Wide Initiatives Program
Interviewed 48 Department of Veterans Affairs (VA) Office of Rural Health's (ORH) Enterprise-Wide Initiatives (EWI) team members on perceptions of, as well as barriers and facilitators to, implementation of the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) method of evaluation. Discusses the benefits and challenges of implementing a shared framework across diverse initiatives.
Author(s): Emily E. Chasco, Jennifer Van Tiem, Nicole Johnson, et al.
Citation: Frontiers in Health Services, 4, 1278209
Date: 04/2024
Type: Document
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Moving Toward Equity: An Evaluation Toolkit
Discusses how equity is connected to health outcomes for Ohio citizens and ways public health partners can evaluate progress when implementing initiatives to improve equity for disadvantaged populations, including those in rural and Appalachian areas. Focuses on assessment and planning, equitable evaluation plans, quality improvement, and collecting data.
Author(s): Carrie Almasi, Édith Nkenganyi, Tonni Oberly, Jacob Santiago
Date: 04/2024
Type: Document
Sponsoring organization: Health Policy Institute of Ohio
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Evaluating Telehealth Services
Webinar recording offering an overview of the evaluating telehealth services process in the domains of access, logistics, experience, effectiveness, and equity using the Rural Telehealth and Healthcare System Readiness Measurement Framework from the National Quality Forum. Includes resources for facilities wanting to implement telehealth services in Oklahoma and nationally. Transcript included in video description.
Date: 02/2024
Type: Video/Multimedia
Sponsoring organizations: Heartland Telehealth Resource Center, Oklahoma State University Center for Rural Health
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State Medicaid & CHIP Telehealth Toolkit
Toolkit to support state policymakers in expanding the use of telehealth to deliver Medicaid and Children's Health Insurance Program (CHIP) services. Provides information on telehealth flexibilities under Medicaid and CHIP; billing best practices; strategies for telehealth in value-based care; best practices from states during the COVID-19 public health emergency; strategies to promote the delivery of accessible and culturally competent care via telehealth; evaluation strategies to understand how telehealth affects quality, outcomes, and cost, and more. Offers state policy and operational considerations; information about common telehealth modalities; frequently asked questions for states to consider as they explore whether to expand the use of telehealth; Medicaid managed care and fee-for-service state checklists; and other planning tools. Includes information about using telehealth to deliver services to medically underserved and rural communities, American Indian and Alaska Native individuals, individuals with disabilities, older adults, and other specific populations.
Date: 02/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Methods for Scaling up an Outreach Intervention to Increase Colorectal Cancer Screening Rates in Rural Areas
Describes a method for scaling up a rural colorectal cancer (CRC) screening outreach program which utilizes mailed fecal immunochemical tests (FIT) and patient navigation. Discusses planning and implementation, including training and evaluation.
Author(s): Jennifer Coury, Gloria Coronado, Jessica J. Currier, et al.
Citation: Implementation Science Communications, 5, 6
Date: 01/2024
Type: Document
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Addressing COVID-19 Vaccine Hesitancy in Rural Community Pharmacies: A Protocol for a Stepped Wedge Randomized Clinical Trial
Evaluates implementation strategies of rural-located pharmacies looking to address COVID-19 vaccine hesitancy in their communities. Describes how the study will examine intervention fidelity, effectiveness, feasibility, acceptability, adoption, reach, and cost.
Author(s): Geoffrey Curran, Cynthia Mosley, Abigail Gamble, et al.
Citation: Implementation Science, 18, 72
Date: 12/2023
Type: Document
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Evaluating Maternal Health Capacity Building in Rural and Underserved Areas: A Research Protocol
Describes a research protocol evaluating a project addressing maternal care shortages in rural and underserved areas of Utah.
Author(s): R.W. Owens, T.C. Whittaker, A. Galt, et al.
Citation: Rural and Remote Health, 23(4)
Date: 12/2023
Type: Document
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Performance Management/Program Evaluation Guide: Medicare Rural Hospital Flexibility (Flex) Program
Offers guidance to state Flex program coordinators to incorporate performance management and evaluation into Flex program operations as required by the Flex Program Cooperative Agreement. Supports the state's capacity for assessing program activities, making improvements, and establishing if activities are effective. Defines key terms and concepts, discusses reporting requirements, demonstrates a performance year work plan, covers data collection, and provides examples of goals and measures to be included in the evaluation plan.
Additional links: Flex Program Glossary of Evaluation Terms, Quick List: Flex Program Evaluation Resources
Date: 10/2023
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Health Center Program Site Visit Protocol
Standardized review instrument to conduct operational site visits at health centers in rural and urban areas. Can be used to assess health centers' compliance with federal program requirements and to identify clinical and financial performance improvement areas.
Date: 10/2023
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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