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Rural Health
Resources by Topic: Frontier and remote areas

Rural and Frontier Healthcare Coalitions: A Preparedness and Response Snapshot
Summarizes interviews with rural and frontier healthcare coalitions from nine states. Describes the characteristics of healthcare coalitions. Covers strengths, barriers, and opportunities for rural and frontier healthcare coalitions.
Author(s): Shannon Davis
Date: 09/2018
Type: Document
Sponsoring organization: National Association of County and City Health Officials
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nebraska. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Oregon Areas of Unmet Health Care Need Report 2018
Reports on nine variables used to describe the areas of unmet healthcare need and measure access to primary physical, mental and oral healthcare in Oregon. Areas of unmet need are scored based on variables in three categories: availability of providers, ability to afford care, and utilization. Provides statistics and county-level information by service areas and maps to describe areas of unmet need.
Date: 08/2018
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Oregon’s State Health Assessment, 2018
Reports on the overall health of residents in state of Oregon. Includes information on social determinants of health, environmental health, prevention and health promotion, and other topics. Covers urban, rural, frontier statistics for economic disparities; educational attainment; food insecurity; homelessness; adult suicide rates; chronic disease; mortality; oral, primary care, and behavioral health workforce; communicable disease; and access to healthcare services.
Date: 07/2018
Type: Document
Sponsoring organization: Oregon Health Authority
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Realizing the Benefits of Rural Broadband: Challenges and Solutions
Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the benefits, challenges, and solutions to rural broadband issues. Features testimony from an Associate Administrator and Chief Nursing Officer at Wallowa Memorial Hospital, a 25-bed Critical Access Hospital (CAH) in Enterprise, Oregon, on the role broadband plays in healthcare access via telehealth to rural and frontier areas.
Additional links: Jenni Word Testimony
Date: 07/2018
Type: Video/Multimedia
Sponsoring organizations: House Energy and Commerce Committee, Subcommittee on Communications and Technology
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North Dakota Frontier Counties
Map of North Dakota identifying the counties designated as Frontier based on 2016 population estimates.
Date: 07/2018
Type: Map/Mapping System
Sponsoring organization: University of North Dakota Center for Rural Health
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A Compass for Families: Head Start in Rural America
Report details the importance of Head Start programs to rural communities. Discusses the services Head Start provides for rural families, such as child care, connection to health services, and transportation, among others. Features county level data and rural-urban comparisons.
Author(s): Rasheed Malik, Leila Schochet
Date: 04/2018
Type: Document
Sponsoring organization: Center for American Progress
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Market Characteristics Associated with Rural Hospitals' Provision of Post-Acute Care
Findings brief summarizing hospital- and market-level factors related to post-acute care (PAC) provided in rural hospitals from 2012-2015. Features statistics including number of rural Medicare cost reports from 2012-2015, PAC provision by census region in 2015, and percent of hospitals in frontier and remote areas in 2015 with breakdowns by type and PAC provision.
Author(s): Abby F. Hoffman, Randy K. Randolph, Alex R. Schulte, George H. Pink
Date: 04/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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QIOs in Action: Promoting Antimicrobial Stewardship in Rural Alaska
Describes efforts of Mountain-Pacific Quality Health and the Indian Health Service as they work together to provide education and resources to promote antimicrobial stewardship best practices among Alaska residents and providers.
Citation: QIO News
Date: 04/2018
Type: Document
Sponsoring organization: Quality Improvement Organization Program
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Emerging Strategies to Ensure Access to Health Care Services: Frontier Health System
Discusses the challenges to providing care in frontier communities and offers solutions for improving access to and the delivery of care. Proposes the creation of a frontier-specific accountable care organization (ACO), the Frontier Health System (FHS), that provides traditional ACO services along with transportation, swing bed, home-based care, expanded visiting nurse services, and more.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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