Rural Health
Resources by Topic: Health workforce supply and demand
Reaching the Quadruple Aim: Workforce and Service Delivery Within Certified Community Behavioral Health Clinics
Summary of data collected between February and August 2019 on the Certified Community Behavioral Health Clinic (CCBHC) model's impact on the behavioral workforce and the aims of improving patient and provider experiences, improving the health of populations, and reducing costs. Discusses access and barriers to care, workforce capacity, primary care and behavioral healthcare integration, and offers recommendations for enhancing financing and reimbursement. Features statistics including populations served by CCBHCs, with breakdowns by urban, rural, and tribal locations.
Author(s): Dana Foney, Shannon Mace, Adriano Boccanelli
Date: 08/2019
Sponsoring organizations: National Council for Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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Summary of data collected between February and August 2019 on the Certified Community Behavioral Health Clinic (CCBHC) model's impact on the behavioral workforce and the aims of improving patient and provider experiences, improving the health of populations, and reducing costs. Discusses access and barriers to care, workforce capacity, primary care and behavioral healthcare integration, and offers recommendations for enhancing financing and reimbursement. Features statistics including populations served by CCBHCs, with breakdowns by urban, rural, and tribal locations.
Author(s): Dana Foney, Shannon Mace, Adriano Boccanelli
Date: 08/2019
Sponsoring organizations: National Council for Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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Medicaid: Efforts to Identify, Predict, or Manage High-Expenditure Beneficiaries
Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Sponsoring organization: Government Accountability Office
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Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Sponsoring organization: Government Accountability Office
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Expanding the Native American Health Care Workforce
Offers recommendations for increasing the number of American Indian and Alaska Native (AI/AN) medical school applicants, students, and graduates based on a summit, Populating the Native Health Care Workforce with American Indian and Alaska Native Physicians. Discusses the distribution of AI/AN physicians and the need for more AI/AN physicians to address health workforce shortages and disparities in Indian Country.
Date: 08/2019
Sponsoring organizations: Association of American Indian Physicians, Association of American Medical Colleges, UnitedHealth Group
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Offers recommendations for increasing the number of American Indian and Alaska Native (AI/AN) medical school applicants, students, and graduates based on a summit, Populating the Native Health Care Workforce with American Indian and Alaska Native Physicians. Discusses the distribution of AI/AN physicians and the need for more AI/AN physicians to address health workforce shortages and disparities in Indian Country.
Date: 08/2019
Sponsoring organizations: Association of American Indian Physicians, Association of American Medical Colleges, UnitedHealth Group
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Hospital Utilization Among Rural Children Served by Pediatric Neurology Telemedicine Clinics
Compares rates of emergency department visits and hospital admissions at a California academic children's hospital with similar groups of patients who received outpatient pediatric neurology care at remote telemedicine clinics or in-person clinics. Features statistics including baseline characteristics among telemedicine and in-person cohorts, and hospital encounter frequencies and rates.
Author(s): Parul Dayal, Celia H. Chang, William S. Benko
Citation: JAMA Network Open, 2(8)
Date: 08/2019
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Compares rates of emergency department visits and hospital admissions at a California academic children's hospital with similar groups of patients who received outpatient pediatric neurology care at remote telemedicine clinics or in-person clinics. Features statistics including baseline characteristics among telemedicine and in-person cohorts, and hospital encounter frequencies and rates.
Author(s): Parul Dayal, Celia H. Chang, William S. Benko
Citation: JAMA Network Open, 2(8)
Date: 08/2019
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2019 Medicaid and Commercial Access to Care Index: How Payer Type Influences Coloradans' Access to Needed Health Care
Provides information on healthcare access through both Medicaid and private insurers, as well as several other factors to determine whether the health needs of Colorado residents are being met. Measures improvement in healthcare access based on three components of access: potential access, barriers to care, and realized access. Features data breakdown by county.
Date: 07/2019
Sponsoring organization: Colorado Health Institute
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Provides information on healthcare access through both Medicaid and private insurers, as well as several other factors to determine whether the health needs of Colorado residents are being met. Measures improvement in healthcare access based on three components of access: potential access, barriers to care, and realized access. Features data breakdown by county.
Date: 07/2019
Sponsoring organization: Colorado Health Institute
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2018 Vermont Primary Care Physicians by Rational Service Areas: Population per FTE
County level map of primary care physicians by service area for the state of Vermont.
Date: 07/2019
Sponsoring organization: Vermont Department of Health
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County level map of primary care physicians by service area for the state of Vermont.
Date: 07/2019
Sponsoring organization: Vermont Department of Health
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All Vermont Primary Care Providers by Rational Service Areas: Population per FTE
County-level map showing numbers of physicians, osteopathic doctors, physician assistants, and advanced practice registered nurses by service area in Vermont.
Date: 07/2019
Sponsoring organization: Vermont Department of Health
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County-level map showing numbers of physicians, osteopathic doctors, physician assistants, and advanced practice registered nurses by service area in Vermont.
Date: 07/2019
Sponsoring organization: Vermont Department of Health
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Geriatrician Roles and the Value of Geriatrics in an Evolving Healthcare System
Research report focusing on how geriatric roles are changing as healthcare systems and organizations reorganize care. Features information on ways telemedicine is used in geriatric care delivery in rural areas, including the TeleECHO (Extension for Community Health Outcomes) model.
Author(s): Timothy Bates, Aubri Kottek, Joanne Spetz
Date: 07/2019
Sponsoring organization: University of California San Francisco Health Workforce Research Center on Long-Term Care
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Research report focusing on how geriatric roles are changing as healthcare systems and organizations reorganize care. Features information on ways telemedicine is used in geriatric care delivery in rural areas, including the TeleECHO (Extension for Community Health Outcomes) model.
Author(s): Timothy Bates, Aubri Kottek, Joanne Spetz
Date: 07/2019
Sponsoring organization: University of California San Francisco Health Workforce Research Center on Long-Term Care
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Immigrant Doctors Can Help Lower Physician Shortages in Rural America
Report highlighting physician shortages in rural areas and exploring pathways by which immigrants come to practice in those areas. Provides recommendations for state and federal policies that would better incorporate immigrant doctors into the effort to ease healthcare shortages in rural areas. Includes statistics on the number and percentage of International Medical Graduates who were resident physicians in the United States in 2017, with breakdowns by citizenship or visa status.
Author(s): Silva Mathema
Date: 07/2019
Sponsoring organization: Center for American Progress
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Report highlighting physician shortages in rural areas and exploring pathways by which immigrants come to practice in those areas. Provides recommendations for state and federal policies that would better incorporate immigrant doctors into the effort to ease healthcare shortages in rural areas. Includes statistics on the number and percentage of International Medical Graduates who were resident physicians in the United States in 2017, with breakdowns by citizenship or visa status.
Author(s): Silva Mathema
Date: 07/2019
Sponsoring organization: Center for American Progress
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Data Report: 2018 Indiana Physician Assistant Licensure Survey
Provides demographic and practice characteristics of the Indiana physician assistant (PA) workforce as well as supply and distribution information, intended to improve the quality and accessibility to primary care. Features statistics including county-level PA geographic distribution with breakdowns by urban and rural location.
Author(s): Analise Dickinson, Sierra Vaughn, Hannah Maxey
Date: 06/2019
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Provides demographic and practice characteristics of the Indiana physician assistant (PA) workforce as well as supply and distribution information, intended to improve the quality and accessibility to primary care. Features statistics including county-level PA geographic distribution with breakdowns by urban and rural location.
Author(s): Analise Dickinson, Sierra Vaughn, Hannah Maxey
Date: 06/2019
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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