Rural Health
Resources by Topic: Health workforce
Key Considerations for a Rural Hospital Assessing Conversion to Rural Emergency Hospital
Offers a conceptual framework of key considerations for rural hospitals contemplating conversion to a rural emergency hospital (REH). Covers financial feasibility, workforce, community impact, partnerships, and regulatory considerations.
Author(s): Kristin Reiter, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Offers a conceptual framework of key considerations for rural hospitals contemplating conversion to a rural emergency hospital (REH). Covers financial feasibility, workforce, community impact, partnerships, and regulatory considerations.
Author(s): Kristin Reiter, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Small Rural Hospitals with Low-Volume Emergency Departments that May Convert to a Rural Emergency Hospital (REH)
Explores a variety of characteristics of Critical Access Hospitals (CAHs) and rural hospitals eligible to convert to the Rural Emergency Hospital (REH) designation, including patient volume, services and technology, EMS, and clinical staffing characteristics. Compares eligible hospitals by emergency department volume in 2019. Summarizes observations made by emergency department physician advisers regarding this data and REH implementation concerns.
Author(s): Margaret Greenwood-Ericksen, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Explores a variety of characteristics of Critical Access Hospitals (CAHs) and rural hospitals eligible to convert to the Rural Emergency Hospital (REH) designation, including patient volume, services and technology, EMS, and clinical staffing characteristics. Compares eligible hospitals by emergency department volume in 2019. Summarizes observations made by emergency department physician advisers regarding this data and REH implementation concerns.
Author(s): Margaret Greenwood-Ericksen, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Home Health Agencies Used Multiple Strategies to Respond to the COVID-19 Pandemic, Although Some Challenges Persist
Presents results of a survey of home health agencies (HHAs) conducted between September through December 2021 to explore the challenges they faced during the COVID-19 pandemic. Discusses challenges related to staffing, infection control, the use of telehealth, and the adequacy of emergency preparedness plans, as well as challenges specific to rural HHAs. Provides recommendations for how the Centers for Medicare & Medicaid Services (CMS) can help HHAs prepare for and respond to current and future infectious disease outbreaks and changes to the home health care landscape.
Date: 10/2022
Sponsoring organization: Office of Inspector General (HHS)
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Presents results of a survey of home health agencies (HHAs) conducted between September through December 2021 to explore the challenges they faced during the COVID-19 pandemic. Discusses challenges related to staffing, infection control, the use of telehealth, and the adequacy of emergency preparedness plans, as well as challenges specific to rural HHAs. Provides recommendations for how the Centers for Medicare & Medicaid Services (CMS) can help HHAs prepare for and respond to current and future infectious disease outbreaks and changes to the home health care landscape.
Date: 10/2022
Sponsoring organization: Office of Inspector General (HHS)
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How Alaska Supports Rural and Frontier Behavioral Health Services
Describes Alaska's Behavioral Health Aide (BHA) program, a non-licensed provider type designed to promote behavioral health and wellness in Alaska Native individuals, families, and communities through culturally relevant training and education. Discusses qualifications for the BHA certification, payment, and next steps for other states seeking to develop similar programs.
Date: 10/2022
Sponsoring organization: National Academy for State Health Policy
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Describes Alaska's Behavioral Health Aide (BHA) program, a non-licensed provider type designed to promote behavioral health and wellness in Alaska Native individuals, families, and communities through culturally relevant training and education. Discusses qualifications for the BHA certification, payment, and next steps for other states seeking to develop similar programs.
Date: 10/2022
Sponsoring organization: National Academy for State Health Policy
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Nowhere to Go: Maternity Care Deserts Across the U.S. 2022
Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals and birth centers that offer obstetric (OB) care, distribution of OB providers, percentage of women without health insurance, percentage of births covered by Medicaid, and more. Includes rural versus urban characteristics of maternity care deserts as well as access and policy discussions specific to rural areas.
Date: 10/2022
Sponsoring organization: March of Dimes
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Explores maternal healthcare access and provides county-level U.S. maps that show maternity care deserts, hospitals and birth centers that offer obstetric (OB) care, distribution of OB providers, percentage of women without health insurance, percentage of births covered by Medicaid, and more. Includes rural versus urban characteristics of maternity care deserts as well as access and policy discussions specific to rural areas.
Date: 10/2022
Sponsoring organization: March of Dimes
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Community Health Worker Intervention Improves Early Childhood Vaccination Rates: Results from a Propensity-Score Matching Evaluation
Examines the effectiveness of community health worker (CHW) home visiting interventions in the Health Start Program (HSP) in Arizona to improve childhood vaccination rates. Utilizes the Arizona State Immunization Information System (ASIIS) database to compare vaccination uptake among children whose mothers participated in the HSP between 2006 and 2016 to a demographically similar cohort. Analyzes vulnerable populations with a history of low vaccination uptake including Hispanic/Latinx, American Indian, children of low socioeconomic status and/or living with parents with less than a high school education, rural border counties, children with teen mothers, and first-born children.
Author(s): Patrick Wightman, Kelly McCue, Samantha Sabo, et al.
Citation: BMC Public Health, 22,1854
Date: 10/2022
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Examines the effectiveness of community health worker (CHW) home visiting interventions in the Health Start Program (HSP) in Arizona to improve childhood vaccination rates. Utilizes the Arizona State Immunization Information System (ASIIS) database to compare vaccination uptake among children whose mothers participated in the HSP between 2006 and 2016 to a demographically similar cohort. Analyzes vulnerable populations with a history of low vaccination uptake including Hispanic/Latinx, American Indian, children of low socioeconomic status and/or living with parents with less than a high school education, rural border counties, children with teen mothers, and first-born children.
Author(s): Patrick Wightman, Kelly McCue, Samantha Sabo, et al.
Citation: BMC Public Health, 22,1854
Date: 10/2022
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'Filling the Cracks': How a Rural Maine Community Kept its 24/7 Urgent Care Open with Paramedics
Features a pilot program serving rural Maine where paramedics take shifts staffing the local health center after-hours and on weekends.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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Features a pilot program serving rural Maine where paramedics take shifts staffing the local health center after-hours and on weekends.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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Changes in the Supply and Rural-Urban Distribution of Social Workers in the U.S., 2014-2021
Describes the distribution of social workers in U.S. counties by rural or urban location and census division. Features statistics with breakdowns by 6 levels of population density and by year. Includes county-level map showing change in social workers per 100,000 population in rural counties, from 2014-2021.
Author(s): CHA Andrilla, SC Woolcock, LA Garberson, DG Patterson
Date: 10/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the distribution of social workers in U.S. counties by rural or urban location and census division. Features statistics with breakdowns by 6 levels of population density and by year. Includes county-level map showing change in social workers per 100,000 population in rural counties, from 2014-2021.
Author(s): CHA Andrilla, SC Woolcock, LA Garberson, DG Patterson
Date: 10/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Changes in the Supply and Rural-Urban Distribution of Psychiatrists in the U.S., 1995-2019
Describes the distribution of psychiatrists in U.S. counties by rural or urban location and census division. Features statistics with breakdowns by 6 levels of population density and by year. Includes county-level map showing change in psychiatrists per 100,000 population in rural counties, from 1995-2019.
Author(s): CHA Andrilla, SC Woolcock, LA Garberson, DG Patterson
Date: 10/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the distribution of psychiatrists in U.S. counties by rural or urban location and census division. Features statistics with breakdowns by 6 levels of population density and by year. Includes county-level map showing change in psychiatrists per 100,000 population in rural counties, from 1995-2019.
Author(s): CHA Andrilla, SC Woolcock, LA Garberson, DG Patterson
Date: 10/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Changes in the Supply and Rural-Urban Distribution of Psychiatric Nurse Practitioners in the U.S., 2014-2021
Describes the distribution of psychiatric nurse practitioners in U.S. counties by rural or urban location and census division. Features statistics with breakdowns by 6 levels of population density and by year. Includes county-level map showing change in psychiatric nurse practitioners per 100,000 population in rural counties, from 2014-2021.
Author(s): CHA Andrilla, SC Woolcock, LA Garberson, DG Patterson
Date: 10/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Describes the distribution of psychiatric nurse practitioners in U.S. counties by rural or urban location and census division. Features statistics with breakdowns by 6 levels of population density and by year. Includes county-level map showing change in psychiatric nurse practitioners per 100,000 population in rural counties, from 2014-2021.
Author(s): CHA Andrilla, SC Woolcock, LA Garberson, DG Patterson
Date: 10/2022
Sponsoring organization: WWAMI Rural Health Research Center
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