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Rural Health
Resources by Topic: Healthcare facilities

Effectiveness of Interventions to Increase Colorectal Cancer Screening Among American Indians and Alaska Natives
Uses data on participants from 3 tribally operated healthcare clinics in rural areas to study whether direct mailing of fecal immunochemical test kits is effective in increasing colorectal cancer screening among American Indians and Alaska Natives.
Author(s): Donald Haverkamp, Kevin English, Jasmine Jacobs-Wingo, Amanda Tjemsland, David Espey
Citation: Preventing Chronic Disease, 17
Date: 07/2020
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Insights for What Enhances or Undermines Trust in Hospital Settings
Reviews research on the trust populations in rural and underserved areas have in hospitals. Highlights dimensions of patient trust identified by researchers. Profiles a study by the Colorado Hospital Association examining the relationship between patient and family engagement activities and patient trust in rural hospitals. Includes a discussion on the impact of the COVID-19 pandemic on rural hospitals and Critical Access Hospitals.
Author(s): Bonnie Austin Cluxton
Date: 07/2020
Sponsoring organization: AcademyHealth
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Advance Care Planning: New Realities in Times of COVID-19
Examines the challenges of advance care planning, planning for decision-making in times of medical crisis, due to COVID-19. Shares insights from clinicians and others involved in helping rural patients.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 07/2020
Sponsoring organization: Rural Health Information Hub
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2021
Comments on a May 29, 2020, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals to use commercial insurer data to set Medicare severity–diagnosis related group (MS–DRG) relative weights and adopt changes to geographic area delineations to establish hospital wage indexes for the IPPS and LTCH PPS.
Date: 07/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Pennsylvania Hospital Transitions HRSA-Funded Program to Online Services and Addresses COVID-19 Stress
Features Butler Memorial Hospital and how it adapted to the COVID-19 pandemic. Highlights the switch to online delivery for a chronic disease project funded by a HRSA Rural Health Care Services Outreach grant. Also describes initiatives to address healthcare workforce stress, help patients use tablets to visit with loved ones, and distribute healthy food to the community.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2020
Sponsoring organization: Rural Health Information Hub
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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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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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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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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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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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