Rural Health
Resources by Topic: Healthcare facilities
Repeat Annual Colorectal Cancer Screening in Rural Community Clinics: A Randomized Clinical Trial to Evaluate Outreach Strategies to Sustain Screening
Analyzes the effectiveness of outreach strategies for colorectal cancer (CRC) screening in rural areas. Examines 568 participants ages 50-75 and tracks screening rates with Fecal Immunochemical Test (FIT) kits after receiving a personal or automated call by a prevention counselor. Includes demographic breakdowns of participants and discusses intervention strategies to improve CRC screening in rural areas.
Author(s): Terry C. Davis, Alfred Rademaker, James Morris, et al.
Citation: Journal of Rural Health, 36(3), 307-315
Date: 06/2020
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Analyzes the effectiveness of outreach strategies for colorectal cancer (CRC) screening in rural areas. Examines 568 participants ages 50-75 and tracks screening rates with Fecal Immunochemical Test (FIT) kits after receiving a personal or automated call by a prevention counselor. Includes demographic breakdowns of participants and discusses intervention strategies to improve CRC screening in rural areas.
Author(s): Terry C. Davis, Alfred Rademaker, James Morris, et al.
Citation: Journal of Rural Health, 36(3), 307-315
Date: 06/2020
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RWHC Hospital Trustee Manual
Collection of brief articles covering hospital governance. Includes meeting ground rules, responsibilities and liabilities of nonprofit directors, board self-assessment, ensuring quality care, financial stewardship, population health improvement, leadership development, and advocacy for rural health, among other topics.
Date: 06/2020
Sponsoring organization: Rural Wisconsin Health Cooperative
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Collection of brief articles covering hospital governance. Includes meeting ground rules, responsibilities and liabilities of nonprofit directors, board self-assessment, ensuring quality care, financial stewardship, population health improvement, leadership development, and advocacy for rural health, among other topics.
Date: 06/2020
Sponsoring organization: Rural Wisconsin Health Cooperative
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Pennsylvania Mental Health Care Workforce Shortage: Challenges and Solutions: A Staff Study
Provides a discussion of mental healthcare workforce occupations and examines the factors that led to shortages in these fields. Describes how telemedicine can be used to extend the mental healthcare workforce in rural Pennsylvania and determines how state government entities can encourage more people to enter and remain in the mental healthcare workforce. Makes recommendations including increasing the number of psychiatric residencies in rural areas and designating more Rural Health Clinics. Includes a county-level map of Mental Health Professional Shortage Areas.
Author(s): Grant Rosul, Stephen J. Kramer, Wendy L. Baker
Date: 06/2020
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Provides a discussion of mental healthcare workforce occupations and examines the factors that led to shortages in these fields. Describes how telemedicine can be used to extend the mental healthcare workforce in rural Pennsylvania and determines how state government entities can encourage more people to enter and remain in the mental healthcare workforce. Makes recommendations including increasing the number of psychiatric residencies in rural areas and designating more Rural Health Clinics. Includes a county-level map of Mental Health Professional Shortage Areas.
Author(s): Grant Rosul, Stephen J. Kramer, Wendy L. Baker
Date: 06/2020
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Improving Rural Health: State Policy Options for Increasing Access to Care
Discusses strategies from state legislatures and other stakeholders to increase access to healthcare in rural areas. Focuses on policies and policy options for state legislatures in three areas: improving health insurance coverage, safeguarding rural health facilities, and changing rural healthcare delivery. Features examples from Colorado, Georgia, Pennsylvania, and Wisconsin.
Author(s): Jack Pitsor
Date: 06/2020
Sponsoring organization: National Conference of State Legislatures
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Discusses strategies from state legislatures and other stakeholders to increase access to healthcare in rural areas. Focuses on policies and policy options for state legislatures in three areas: improving health insurance coverage, safeguarding rural health facilities, and changing rural healthcare delivery. Features examples from Colorado, Georgia, Pennsylvania, and Wisconsin.
Author(s): Jack Pitsor
Date: 06/2020
Sponsoring organization: National Conference of State Legislatures
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HIV Testing Trends at Visits to Physician Offices, Community Health Centers, and Emergency Departments — United States, 2009–2017
Examines HIV testing by setting for visits of males and nonpregnant females to physician offices, community health centers, and emergency departments. Includes data for metropolitan and nonmetro areas.
Author(s): Karen W. Hoover, Ya-Lin A. Huang, Mary L. Tanner, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(25), 776-780
Date: 06/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Examines HIV testing by setting for visits of males and nonpregnant females to physician offices, community health centers, and emergency departments. Includes data for metropolitan and nonmetro areas.
Author(s): Karen W. Hoover, Ya-Lin A. Huang, Mary L. Tanner, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(25), 776-780
Date: 06/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Provision of Mental Health Services by Critical Access Hospital-Based Rural Health Clinics
Examines the extent to which Critical Access Hospital (CAH)-based Rural Health Clinics (RHCs) provide mental health services. Describes the characteristics and staffing patterns of CAH-based RHCs that offer these services. Explores challenges of providing mental health services at RHCs and strategies for integrating mental health and primary care services.
Author(s): John Gale, Zachariah Croll, Nathan First, Sara Kahn-Troster
Date: 06/2020
Sponsoring organization: Flex Monitoring Team
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Examines the extent to which Critical Access Hospital (CAH)-based Rural Health Clinics (RHCs) provide mental health services. Describes the characteristics and staffing patterns of CAH-based RHCs that offer these services. Explores challenges of providing mental health services at RHCs and strategies for integrating mental health and primary care services.
Author(s): John Gale, Zachariah Croll, Nathan First, Sara Kahn-Troster
Date: 06/2020
Sponsoring organization: Flex Monitoring Team
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CMS Bundled Payments for Care Improvement Advanced Model: Year 1 Evaluation Annual Report
A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare & Medicaid Services
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A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare & Medicaid Services
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Urban-Rural Inequities in Acute Stroke Care and In-Hospital Mortality
Examines rural/urban differences and trends in treatment patterns and outcomes for individuals hospitalized for stroke, including mortality rates, length of hospital stay, and discharge rates. Provides data and statistics on patient characteristics, comorbidities, use of thrombolytics and endovascular therapy, and more.
Author(s): Gmerice Hammond, Alina Luke, Lauren Elson, Amytis Towfighi, Karen Joynt Maddox
Citation: Stroke, 51, 2131–2138
Date: 06/2020
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Examines rural/urban differences and trends in treatment patterns and outcomes for individuals hospitalized for stroke, including mortality rates, length of hospital stay, and discharge rates. Provides data and statistics on patient characteristics, comorbidities, use of thrombolytics and endovascular therapy, and more.
Author(s): Gmerice Hammond, Alina Luke, Lauren Elson, Amytis Towfighi, Karen Joynt Maddox
Citation: Stroke, 51, 2131–2138
Date: 06/2020
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Characteristics and Costs of Potentially Preventable Inpatient Stays, 2017
Presents national estimates of potentially preventable inpatient stays among children and adults in 36 states and the costs associated with those stays. Includes data on potentially preventable hospitalization rates by the urban-rural status of patients' residences.
Additional links: Data Visualization
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents national estimates of potentially preventable inpatient stays among children and adults in 36 states and the costs associated with those stays. Includes data on potentially preventable hospitalization rates by the urban-rural status of patients' residences.
Additional links: Data Visualization
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2020
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Sponsoring organization: Medicare Payment Advisory Commission
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