Rural Health
Resources by Topic: Healthcare facilities
An Inventory of State Flex Program Population Health Initiatives for Fiscal Years 2019-2023
Provides an overview of Medicare Rural Hospital Flexibility (Flex) Program funding for initiatives to improve rural population health under Program Area 3: Population Health Improvement. Offers a state-by-state summary of State Flex Program (SFP) population health initiatives between fiscal years 2019 and 2021. Details output and process measures, outcome measures, and SFP partners for each initiative.
Author(s): Celia Jewell, Sara Kahn-Troster, Zachariah Croll, John Gale
Date: 03/2022
Sponsoring organization: Flex Monitoring Team
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Provides an overview of Medicare Rural Hospital Flexibility (Flex) Program funding for initiatives to improve rural population health under Program Area 3: Population Health Improvement. Offers a state-by-state summary of State Flex Program (SFP) population health initiatives between fiscal years 2019 and 2021. Details output and process measures, outcome measures, and SFP partners for each initiative.
Author(s): Celia Jewell, Sara Kahn-Troster, Zachariah Croll, John Gale
Date: 03/2022
Sponsoring organization: Flex Monitoring Team
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Evaluating State Flex Program Population Health Activities
Provides an overview of the expectations for the Medicare Rural Hospital Flexibility (Flex) Program under Program Area 3: Population Health Improvement and summarizes State Flex Program (SFP) initiatives under this program area. Describes promising population health strategies implemented by SFPs and challenges to measuring the impact of these activities. Explores how Flex Program population health efforts can align with the U.S. Department of Health and Human Services' Healthy Rural Hometown Initiative (HRHI).
Author(s): John Gale, Celia Jewell, Sara Kahn-Troster, Zachariah Croll
Date: 03/2022
Sponsoring organization: Flex Monitoring Team
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Provides an overview of the expectations for the Medicare Rural Hospital Flexibility (Flex) Program under Program Area 3: Population Health Improvement and summarizes State Flex Program (SFP) initiatives under this program area. Describes promising population health strategies implemented by SFPs and challenges to measuring the impact of these activities. Explores how Flex Program population health efforts can align with the U.S. Department of Health and Human Services' Healthy Rural Hometown Initiative (HRHI).
Author(s): John Gale, Celia Jewell, Sara Kahn-Troster, Zachariah Croll
Date: 03/2022
Sponsoring organization: Flex Monitoring Team
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Delaware All HPSA Designations
Map showing the Primary Care, Mental Health, and Dental Health Professional Shortage Areas (HPSAs) and Federally Qualified Health Centers in Delaware.
Date: 03/2022
Sponsoring organization: Delaware Health Statistics Center
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Map showing the Primary Care, Mental Health, and Dental Health Professional Shortage Areas (HPSAs) and Federally Qualified Health Centers in Delaware.
Date: 03/2022
Sponsoring organization: Delaware Health Statistics Center
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Oklahoma Rural Health Clinics, Health Professional Shortage Areas: Primary Care
County-level map of Oklahoma showing the locations of all Rural Health Clinics (RHCs) in the state as well as National Health Service Corps (NHSC) RHC Sites, Geographic Health Professional Shortage Areas (HPSAs), and HPSA populations.
Date: 03/2022
Sponsoring organization: Oklahoma Office of Primary Care and Rural Health Development
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County-level map of Oklahoma showing the locations of all Rural Health Clinics (RHCs) in the state as well as National Health Service Corps (NHSC) RHC Sites, Geographic Health Professional Shortage Areas (HPSAs), and HPSA populations.
Date: 03/2022
Sponsoring organization: Oklahoma Office of Primary Care and Rural Health Development
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Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Fourth Annual Report
Evaluates the first four years of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; implementation of the model; changes in cardiovascular disease risk scores among high-risk beneficiaries; intermediate- and long-term impacts on beneficiaries; and the relevance of these findings to other research on cardiovascular disease prevention.
Author(s): Greg Peterson, Alli Steiner, Rhea Powell, et al.
Date: 02/2022
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica
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Evaluates the first four years of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; implementation of the model; changes in cardiovascular disease risk scores among high-risk beneficiaries; intermediate- and long-term impacts on beneficiaries; and the relevance of these findings to other research on cardiovascular disease prevention.
Author(s): Greg Peterson, Alli Steiner, Rhea Powell, et al.
Date: 02/2022
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica
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Missed Opportunities for Human Papillomavirus Vaccine Series Initiation in a Large, Rural U.S. State
Analyzes missed opportunities to initiate the human papillomavirus (HPV) vaccine series in rural vaccination clinic settings in Montana based on 2014-2017 data from 47,622 adolescents in the Montana immunization information system. Discusses differences in missed opportunities among private clinics, public health departments, Rural Health Clinics, Indian Health Service and tribal clinics, Federally Qualified Health Centers, community health centers, and other settings.
Author(s): Sophia R. Newcomer, Rain E. Freeman, Alexandria N. Albers, et al.
Citation: Human Vaccines & Immunotherapeutics, 18(1)
Date: 02/2022
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Analyzes missed opportunities to initiate the human papillomavirus (HPV) vaccine series in rural vaccination clinic settings in Montana based on 2014-2017 data from 47,622 adolescents in the Montana immunization information system. Discusses differences in missed opportunities among private clinics, public health departments, Rural Health Clinics, Indian Health Service and tribal clinics, Federally Qualified Health Centers, community health centers, and other settings.
Author(s): Sophia R. Newcomer, Rain E. Freeman, Alexandria N. Albers, et al.
Citation: Human Vaccines & Immunotherapeutics, 18(1)
Date: 02/2022
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Rural Emergency Hospital Conversion: Critical Factors for EMS Support
Policy position paper focused on emergency medical services (EMS) in communities with hospitals converting to Rural Emergency Hospital (REH) status. Outlines barriers to EMS delivery in rural areas including funding, workforce, and community engagement and support. Includes policy recommendations.
Author(s): Julie Bosak, Jed Hansen
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Policy position paper focused on emergency medical services (EMS) in communities with hospitals converting to Rural Emergency Hospital (REH) status. Outlines barriers to EMS delivery in rural areas including funding, workforce, and community engagement and support. Includes policy recommendations.
Author(s): Julie Bosak, Jed Hansen
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Rural Health Clinics
Policy position paper providing an overview of Rural Health Clinics. Offers policy recommendations regarding access to care, RHC reimbursement, and programmatic updates.
Author(s): Kelly Braun, Trent Bourland
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Policy position paper providing an overview of Rural Health Clinics. Offers policy recommendations regarding access to care, RHC reimbursement, and programmatic updates.
Author(s): Kelly Braun, Trent Bourland
Date: 02/2022
Sponsoring organization: National Rural Health Association
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Quality of Skilled Nursing Facilities Serving Rural Medicare Beneficiaries
Policy paper describing a study examining the quality of skilled nursing facilities (SNFs) that serve rural beneficiaries, based on ratings from the Centers for Medicare and Medicaid Services star rating system. Features statistics including characteristics of SNFs, overall star ratings, and staff star ratings in 2018 by rural-serving status.
Date: 02/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Policy paper describing a study examining the quality of skilled nursing facilities (SNFs) that serve rural beneficiaries, based on ratings from the Centers for Medicare and Medicaid Services star rating system. Features statistics including characteristics of SNFs, overall star ratings, and staff star ratings in 2018 by rural-serving status.
Date: 02/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Quantifying Rural Disparity in Healthcare Utilization in the United States: Analysis of a Large Midwestern Healthcare System
Analyzes patient utilization of rural versus urban outpatient clinics. Explores electronic health record data from 474,674 adult patients from June 2018 to March 2019 across variables such as age, sex, race, ethnicity, smoking status, and health status. Includes statistics and discussion of clinic utilization in relation to rural healthcare disparities.
Author(s): Akua Nuako, Jingxia Liu, Giang Pham, et al.
Citation: PLoS ONE, 17(2)
Date: 02/2022
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Analyzes patient utilization of rural versus urban outpatient clinics. Explores electronic health record data from 474,674 adult patients from June 2018 to March 2019 across variables such as age, sex, race, ethnicity, smoking status, and health status. Includes statistics and discussion of clinic utilization in relation to rural healthcare disparities.
Author(s): Akua Nuako, Jingxia Liu, Giang Pham, et al.
Citation: PLoS ONE, 17(2)
Date: 02/2022
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