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Rural Health
Resources by Topic: Frontier and remote areas

Designation of Frontier Health Professional Shortage Areas
Discusses the frontier-specific health professional shortage area designation and the unique characteristics attributed to frontier areas that may contribute to a more fragile healthcare delivery system and a greater need for healthcare professionals. Includes policy recommendations supporting an appropriate designation, improved healthcare access, and assistance in recruiting healthcare providers.
Author(s): Susan Wilger, Charlie Alfero
Date: 04/2015
Sponsoring organization: National Rural Health Association
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Frontier and Remote (FAR) Level 4 Zip Code Areas, 2010
Printable map that identifies the frontier and remote (FAR) level four ZIP code areas in the United States. Data source: USDA Economic Research Service, 2015.
Date: 2015
Sponsoring organization: Rural Health Information Hub
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Frontier and Remote (FAR) Level 3 Zip Code Areas, 2010
Printable map that identifies the frontier and remote (FAR) level three ZIP code areas in the United States. Data source: USDA Economic Research Service, 2015.
Date: 2015
Sponsoring organization: Rural Health Information Hub
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Frontier and Remote (FAR) Level 2 Zip Code Areas, 2010
Printable map that identifies the frontier and remote (FAR) level two ZIP code areas in the United States. Data source: USDA Economic Research Service
Date: 2015
Sponsoring organization: Rural Health Information Hub
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Frontier and Remote (FAR) Level 1 Zip Code Areas, 2010
Printable map that identifies the frontier and remote (FAR) level one ZIP code areas in the United States. Data source: USDA Economic Research Service, 2015.
Date: 2015
Sponsoring organization: Rural Health Information Hub
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Paediatric Trauma on the Last Frontier: An 11-Year Review of Injury Mechanisms, High-Risk Injury Patterns and Outcomes in Alaskan Children
Describes the development of a pediatric trauma system in remote, very rural, and urban Alaska from 2001 to 2011 using trauma data for all children 17 years and under. Includes comparative data for the type of injury and frequency, geographic region, high risk patterns, and outcomes.
Author(s): Christopher W. Snyder, Oliver J. Muensterer, Frank Sacco, Shawn D. Safford
Citation: International Journal of Circumpolar Health, 73(1)
Date: 08/2014
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The Role of Community Health Centers in Assessing the Social Determinants of Health for Planning and Policy: The Example of Frontier New Mexico
Discusses the use of the Tool for Health and Resilience in Vulnerable Environments (THRIVE) by a frontier-based community health center in New Mexico for evaluating and addressing social determinants of health.
Author(s): Sean Bruna, Lisa Cacari Stone, Susan Wilger, Jeremy Cantor, Carolina Guzman
Citation: Journal of Ambulatory Care Management, 37(3), 258-268
Date: 07/2014
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Pediatric Emergency Care Capabilities of Indian Health Service Emergency Medical Service Agencies Serving American Indians/Alaska Natives in Rural and Frontier Areas
Analyzes the Indian Health Service's (IHS) emergency medical services (EMS) agencies providing services for children. Discusses the importance of EMS services for healthcare access and challenges IHS EMS agencies face.
Author(s): Andrea L. Genovesi, Betty Hastings, Elizabeth A. Edgerton, Lenora Olson
Citation: Rural and Remote Health, 14(2), 2688
Date: 05/2014
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The Future of the Frontier Extended Stay Clinic
Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Sponsoring organization: National Rural Health Association
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Evaluation of the Medicare Frontier Extended Stay Clinic Demonstration: Report to Congress
Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Date: 2014
Sponsoring organization: U.S. Department of Health and Human Services
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