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Rural Health
Resources by Topic: Frontier and remote areas

Kansas Ambulance Service Assessment
Reports the results of a statewide emergency medical services (EMS) assessment conducted in 2017, to determine operational capacity and resource allocation strategies. Covers EMS agency, respondent, and geographic characteristics by population density peer group, such as frontier, rural, and densely-populated rural.
Date: 2017
Type: Document
Sponsoring organization: Kansas Office of Primary Care & Rural Health
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Oregon Rural And Frontier Health Facility Listening Tour, 2017
Reports on common issues, themes, and challenges found on the Oregon Office of Rural Health's 2017 rural and frontier health facility listening tour. Includes a focus on the behavioral health system and provides county-level statistics on key indicators, such as mortality, healthcare utilization, unemployment, substance abuse, and more.
Date: 2017
Type: Document
Sponsoring organization: Oregon Office of Rural Health
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Rural Health Networks and Care Coordination: Health Care Innovation in Frontier Communities to Improve Patient Outcomes and Reduce Health Care Costs
Discusses the findings of a single-case, community-based participatory design study in a frontier community in northern Minnesota to determine the effectiveness of developing of a community care team focused on collaboration and care coordination to improve patient outcomes and reduce emergency room use.
Author(s): Pat Conway, Heidi Favet, Laurie Hall, Jenny Uhrich, Jeanette Palcher, et al.
Citation: Journal of Health Care for the Poor and Underserved, 27(4A), 91–115
Date: 11/2016
Type: Document
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Frontier Community Health Integration Project (FCHIP) Demonstration Fact Sheet
Provides an overview of the Frontier Community Health Integration Project (FCHIP) Demonstration, which tests models of health care delivery in the most sparsely populated rural counties. Identifies the participating Critical Access Hospitals and the interventions they focus on.
Date: 08/2016
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Integrated Care in a Frontier Community
Examines the Southeast Health Group (SHG) in La Junta, Colorado, which coordinates physical and behavioral health using patient-centered, wellness-based care coordination to empower patients and promote self-directed care. Focuses on hiring providers who share SHG's philosophy of care, using community resources, and engaging peer support specialists.
Date: 07/2016
Type: Document
Sponsoring organization: Rural Health Value
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Alaska 2015-2016 Primary Care Needs Assessment
Reports on Phase I of an Alaska statewide primary healthcare needs assessment conducted to identify gaps, develop a health strategy, and plan for the future delivery of primary care in the state. Provides data on healthcare access, health status, and workforce shortages by census area or borough. Includes rural/urban comparisons on medical, dental and behavioral health workforce, patient transportation, and telehealth.
Date: 05/2016
Type: Document
Sponsoring organization: Alaska Division of Public Health
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Definition of Frontier
Policy paper discussing the various definitions of frontier and the methodologies for determining the different definitions. Offers support to state and federal programs in their selection of the most appropriate definition to attain their program goals.
Author(s): Susan Wilger, National Center for Frontier Communities
Date: 02/2016
Type: Document
Sponsoring organization: National Rural Health Association
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Colorado: County Designations, 2018
Map of Colorado identifying counties based on urban, rural, or frontier designation.
Date: 01/2016
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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The Feasibility of a Regional Food Hub for Southwest New Mexico: Ideas for Rural and Frontier Communities
Determines the viability of developing a food hub for rural and frontier regions. Highlights interviews conducted with farmers to gauge their interest and capacity to support a food hub, and with food service directors to review the requirements of food vendors, and their participation and interest in purchasing local foods from a regional food hub.
Author(s): Benjamin Rasmussen, Susan Wilger
Date: 01/2016
Type: Document
Sponsoring organization: National Center for Frontier Communities
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National Characteristics of Emergency Medical Services in Frontier and Remote Areas
Outlines national characteristics for emergency medical services in frontier and remote (FAR) areas. Includes patient demographics, provider clinical impression and injuries, and procedures performed in FAR and non-FAR patients.
Author(s): Landon R. Mueller, John P. Donnelly, Karen E. Jacobson, et al.
Citation: Prehospital Emergency Care, 20(2), 191-199
Date: 2016
Type: Document
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