Rural Health
Resources by Topic: Funding
Although IHS Allocated COVID-19 Testing Funds to Meet Community Needs, It Did Not Ensure That the Funds Were Always Used in Accordance with Federal Requirements
Presents results of an audit of Indian Health Service (IHS) funds for COVID-19 testing. Examines if 10 IHS Direct, Tribal, and Urban Indian Organizations (UIO) in the Great Plains Area Office allocated COVID-19 testing funds to meet community needs, the effectiveness of the funding allocation, and if the funding was used in accordance with federal requirements. Outlines recommendations to IHS, as well as IHS comments and the U.S. Department of Health and Human Service Office of the Inspector General's response.
Additional links: Report in Brief
Date: 07/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Presents results of an audit of Indian Health Service (IHS) funds for COVID-19 testing. Examines if 10 IHS Direct, Tribal, and Urban Indian Organizations (UIO) in the Great Plains Area Office allocated COVID-19 testing funds to meet community needs, the effectiveness of the funding allocation, and if the funding was used in accordance with federal requirements. Outlines recommendations to IHS, as well as IHS comments and the U.S. Department of Health and Human Service Office of the Inspector General's response.
Additional links: Report in Brief
Date: 07/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Preparing the Next Generation of the Healthcare Workforce: State Strategies for Recruitment and Retention
Provides an overview of the first year of the National Governors Association's Next Generation of the Healthcare Workforce project, which works with states on implementing strategies to strengthen and grow the next generation of the healthcare workforce. Outlines project outcomes and provides additional information on ongoing state healthcare workforce initiatives in participating states. Covers statewide cross-agency coordination, funding healthcare workforce initiatives, health equity and workforce diversity, data collection, career pathways, rural workforce, and more.
Author(s): Anna Heard, Shelby Hockenberry, Elijah McCabe, et al.
Date: 07/2023
Type: Document
Sponsoring organization: National Governors Association
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Provides an overview of the first year of the National Governors Association's Next Generation of the Healthcare Workforce project, which works with states on implementing strategies to strengthen and grow the next generation of the healthcare workforce. Outlines project outcomes and provides additional information on ongoing state healthcare workforce initiatives in participating states. Covers statewide cross-agency coordination, funding healthcare workforce initiatives, health equity and workforce diversity, data collection, career pathways, rural workforce, and more.
Author(s): Anna Heard, Shelby Hockenberry, Elijah McCabe, et al.
Date: 07/2023
Type: Document
Sponsoring organization: National Governors Association
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Targeted Provider Relief Funds Allocated to Hospitals Had Some Differences with Respect to the Ethnicity and Race of Populations Served
Examines how early Provider Relief Fund Targeted Distributions (Targeted PRF) in 2020 correlated with the racial, ethnic, and economic characteristics of the communities providers serve. Analyzes the Targeted PRF allocations to hospitals and explores if there are statistically significant correlations between PRF per person and the racial, ethnic, and economic composition of the census tracts. Covers four Targeted PRF allocations to COVID-19 High Impact Area Hospitals, Safety Net Hospitals, Rural Hospitals, and Indian Health Service and Tribal Hospitals. Identifies and describes trends in the allotment to rural hospitals.
Date: 07/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Examines how early Provider Relief Fund Targeted Distributions (Targeted PRF) in 2020 correlated with the racial, ethnic, and economic characteristics of the communities providers serve. Analyzes the Targeted PRF allocations to hospitals and explores if there are statistically significant correlations between PRF per person and the racial, ethnic, and economic composition of the census tracts. Covers four Targeted PRF allocations to COVID-19 High Impact Area Hospitals, Safety Net Hospitals, Rural Hospitals, and Indian Health Service and Tribal Hospitals. Identifies and describes trends in the allotment to rural hospitals.
Date: 07/2023
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Early Financial Impact of the COVID-19 Pandemic on U.S. Hospitals
Examines how hospital profitability changed during the first year of the COVID-19 pandemic. Explores the association between COVID-19 infections and hospitalizations and county-level variables to operating margins (OMs) and total margins (TMs). Presents data by hospital characteristics, including size and Critical Access Hospital status, and compares findings from urban and rural hospitals.
Author(s): Kate Li, Mona Al-Amin, Michael D. Rosko
Citation: Journal of Healthcare Management, 68(4), 268-283
Date: 07/2023
Type: Document
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Examines how hospital profitability changed during the first year of the COVID-19 pandemic. Explores the association between COVID-19 infections and hospitalizations and county-level variables to operating margins (OMs) and total margins (TMs). Presents data by hospital characteristics, including size and Critical Access Hospital status, and compares findings from urban and rural hospitals.
Author(s): Kate Li, Mona Al-Amin, Michael D. Rosko
Citation: Journal of Healthcare Management, 68(4), 268-283
Date: 07/2023
Type: Document
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Informal and Formal Financial Assistance to Rural Women During Cancer Treatment
Interviews 36 rural women with cancer to explore their methods for handling financial hardship stemming from the costs of cancer. Discusses both informal assistance from the patients' support systems and formal assistance from healthcare systems and organizations. Highlights areas for potential financial disparities within existing inequalities.
Author(s): Emily Hallgren, Tess Thompson, Ramey Moore, et al.
Citation: SSM - Qualitative Research in Health
Date: 06/2023
Type: Document
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Interviews 36 rural women with cancer to explore their methods for handling financial hardship stemming from the costs of cancer. Discusses both informal assistance from the patients' support systems and formal assistance from healthcare systems and organizations. Highlights areas for potential financial disparities within existing inequalities.
Author(s): Emily Hallgren, Tess Thompson, Ramey Moore, et al.
Citation: SSM - Qualitative Research in Health
Date: 06/2023
Type: Document
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Uses of Decennial Census Programs Data in Federal Funds Distribution: Fiscal Year 2021
Outlines the allocation of federal funds distributed in fiscal year 2021, in whole or in part, using Census Bureau Decennial Census Programs data. Provides an overview of Decennial Census Programs and related programs across several federal agencies used in funding allocations, including the Census Bureau urban-rural classification and the Office of Management and Budget (OMB) metropolitan or micropolitan statistical areas.
Author(s): Ceci Villa Ross
Date: 06/2023
Type: Document
Sponsoring organization: U.S. Census Bureau
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Outlines the allocation of federal funds distributed in fiscal year 2021, in whole or in part, using Census Bureau Decennial Census Programs data. Provides an overview of Decennial Census Programs and related programs across several federal agencies used in funding allocations, including the Census Bureau urban-rural classification and the Office of Management and Budget (OMB) metropolitan or micropolitan statistical areas.
Author(s): Ceci Villa Ross
Date: 06/2023
Type: Document
Sponsoring organization: U.S. Census Bureau
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Tennessee Rural Health Care Task Force: Improving Rural Health Care Across Tennessee
Report from the Tennessee Rural Health Care Task Force. Offers recommendations to the state in the areas of access to care, workforce development, and social drivers of health. Discusses rural health research and advocacy, health insurance, telemedicine, workforce training, grants and loans, and more.
Author(s): Morgan McDonald, David Dill
Date: 06/2023
Type: Document
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Report from the Tennessee Rural Health Care Task Force. Offers recommendations to the state in the areas of access to care, workforce development, and social drivers of health. Discusses rural health research and advocacy, health insurance, telemedicine, workforce training, grants and loans, and more.
Author(s): Morgan McDonald, David Dill
Date: 06/2023
Type: Document
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The Impact of COVID-19 Funding on Profitability of Critical Access Hospitals
Examines the impacts of COVID-19 Public Health Emergency (PHE) funding on Critical Access Hospitals (CAHs). Compares CAH operating margins in the six years prior to the pandemic (April 2015 - March 2020) to operating margins during the pandemic (April 2020 - March 2022). Offers estimates to what CAH profitability would have been if CAHs did not receive PHE funding.
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines the impacts of COVID-19 Public Health Emergency (PHE) funding on Critical Access Hospitals (CAHs). Compares CAH operating margins in the six years prior to the pandemic (April 2015 - March 2020) to operating margins during the pandemic (April 2020 - March 2022). Offers estimates to what CAH profitability would have been if CAHs did not receive PHE funding.
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Capital Planning for Addressing Rural Health Needs
Recording of a June 2023 webinar discussing the connection between rural health topics and facility design. Profiles Desert Sage Health Center, a health center serving rural Idaho, and how it tailored the structure of its new facility to suit community needs. Outlines costs that should be considered when planning a capital project and how those costs may present unique challenges in rural areas. Free registration is required to access the webinar recording.
Additional links: Presentation Slides
Date: 06/2023
Type: Video/Multimedia
Sponsoring organization: Capital Link
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Recording of a June 2023 webinar discussing the connection between rural health topics and facility design. Profiles Desert Sage Health Center, a health center serving rural Idaho, and how it tailored the structure of its new facility to suit community needs. Outlines costs that should be considered when planning a capital project and how those costs may present unique challenges in rural areas. Free registration is required to access the webinar recording.
Additional links: Presentation Slides
Date: 06/2023
Type: Video/Multimedia
Sponsoring organization: Capital Link
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Advancing Health and Resilience in the Gulf of Mexico Region: Roadmap for Progress
Describes the current state of health and community resilience in the Gulf of Mexico region and identifies roadblocks to progress. Offers policy recommendations focused on addressing critical gaps in data and funding community resilience. Presents a road map for improving health and community resilience in the Gulf region. Includes rural references throughout.
Additional links: Read Online
Author(s): Committee on Progress Toward Human Health and Community Resilience in the Gulf of Mexico Region
Date: 06/2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Describes the current state of health and community resilience in the Gulf of Mexico region and identifies roadblocks to progress. Offers policy recommendations focused on addressing critical gaps in data and funding community resilience. Presents a road map for improving health and community resilience in the Gulf region. Includes rural references throughout.
Additional links: Read Online
Author(s): Committee on Progress Toward Human Health and Community Resilience in the Gulf of Mexico Region
Date: 06/2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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