Rural Health
Resources by Topic: Healthcare needs and services
Guideline-Discordant Inhaler Regimens after COPD Hospitalization: Associations with Rurality, Drive Time to Care, and Fragmented Care – a United States Cohort Study
Examines the factors related to guideline-discordant inhaler regimens following chronic obstructive pulmonary disease (COPD) hospitalization. Analyzes 33,785 patient inhaler prescriptions between 2017-2020 according to rurality, drive time to pulmonary specialty care, and fragmented care.
Author(s): Arianne K. Baldomero, Ken M. Kunisaki, Chris H. Wendt, et al.
Citation: The Lancet Regional Health - Americas, 26
Date: 09/2023
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Examines the factors related to guideline-discordant inhaler regimens following chronic obstructive pulmonary disease (COPD) hospitalization. Analyzes 33,785 patient inhaler prescriptions between 2017-2020 according to rurality, drive time to pulmonary specialty care, and fragmented care.
Author(s): Arianne K. Baldomero, Ken M. Kunisaki, Chris H. Wendt, et al.
Citation: The Lancet Regional Health - Americas, 26
Date: 09/2023
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"This Is Not My Grandmother's Summer": Mitigating the Health Impacts of Extreme Heat in Rural Communities
Discusses the challenges rural areas face in helping address the impact of heat on health. Includes strategies used in rural North Carolina, Indiana, and Washington State to help inform and protect rural residents, including those exposed to heat through work outdoors.
Citation: Rural Monitor
Date: 09/2023
Sponsoring organization: Rural Health Information Hub
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Discusses the challenges rural areas face in helping address the impact of heat on health. Includes strategies used in rural North Carolina, Indiana, and Washington State to help inform and protect rural residents, including those exposed to heat through work outdoors.
Citation: Rural Monitor
Date: 09/2023
Sponsoring organization: Rural Health Information Hub
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Will Availability of Over-the-Counter Narcan Increase Access?
Highlights state policies and recent research related to over-the-counter naloxone access. Includes information on the impact of rurality on access. Also discusses insurance coverage and impact of cost.
Author(s): Heather Saunders, Robin Rudowitz
Date: 09/2023
Sponsoring organization: KFF
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Highlights state policies and recent research related to over-the-counter naloxone access. Includes information on the impact of rurality on access. Also discusses insurance coverage and impact of cost.
Author(s): Heather Saunders, Robin Rudowitz
Date: 09/2023
Sponsoring organization: KFF
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September 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare Advantage benefits and coding, the Acute Care Hospital at Home program, and the shift of some surgical procedures from hospital outpatient departments to ambulatory surgical centers (ASCs). Includes rural references and considerations throughout.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare Advantage benefits and coding, the Acute Care Hospital at Home program, and the shift of some surgical procedures from hospital outpatient departments to ambulatory surgical centers (ASCs). Includes rural references and considerations throughout.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Implementation of Substance Use Screening in Rural Federally-Qualified Health Center Clinics Identified High Rates of Unhealthy Alcohol and Cannabis Use among Adult Primary Care Patients
Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
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Examines the feasibility of integrating electronic health record (EHR) tools into the screening of primary care patients for substance use. Discusses the process of screening 3,749 patients at 3 rural Federally Qualified Health Centers (FQHCs) via EHR-integrated methods and the potential impacts of this screening method on reducing rural primary care provider burden.
Author(s): Jennifer McNeely, Bethany McLeman, Trip Gardner, et al.
Citation: Addiction Science & Clinical Practice, 18, 56
Date: 09/2023
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Aging in Place: The Vital Role of Home Health in Access to Care
Recording of a September 19, 2023, U.S. Senate Committee on Finance Subcommittee on Health Care hearing on access to home health services and the role of home health in supporting aging in place. Features testimony from Carrie Edwards, Director of Home Care Services at Mary Lanning Healthcare in rural Nebraska, and Tracy Mroz, Associate Professor at the University of Washington and Investigator at the WWAMI Rural Health Research Center.
Additional links: Carrie Edwards, Mary Lanning Healthcare - Testimony, Tracy M. Mroz, University of Washington - Testimony
Date: 09/2023
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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Recording of a September 19, 2023, U.S. Senate Committee on Finance Subcommittee on Health Care hearing on access to home health services and the role of home health in supporting aging in place. Features testimony from Carrie Edwards, Director of Home Care Services at Mary Lanning Healthcare in rural Nebraska, and Tracy Mroz, Associate Professor at the University of Washington and Investigator at the WWAMI Rural Health Research Center.
Additional links: Carrie Edwards, Mary Lanning Healthcare - Testimony, Tracy M. Mroz, University of Washington - Testimony
Date: 09/2023
Sponsoring organization: Senate Committee on Finance, Subcommittee on Health Care
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State Principles for Financing Substance Use Care, Treatment, and Support Services
Provides an overview of strategies to strengthen and finance evidence-based substance use disorder (SUD) treatment and support services. Focuses on the role of public health to address SUD, the need for appropriate policy, and plans to reduce access issues and health disparities. Includes considerations and examples from rural areas.
Additional links: Executive Summary, Webinar
Author(s): Hadley Fitzgerald, Disha Williams
Date: 09/2023
Sponsoring organization: Center for Health Care Strategies
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Provides an overview of strategies to strengthen and finance evidence-based substance use disorder (SUD) treatment and support services. Focuses on the role of public health to address SUD, the need for appropriate policy, and plans to reduce access issues and health disparities. Includes considerations and examples from rural areas.
Additional links: Executive Summary, Webinar
Author(s): Hadley Fitzgerald, Disha Williams
Date: 09/2023
Sponsoring organization: Center for Health Care Strategies
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Improving Hospital Transfers: A Step Toward Equitable, Patient-Centered Acute Care
Discuss emergency department (ED) transfers, including the importance of timely transfers, where patients transferred from the ED are more likely to initially present, and how transferred patients are considered in hospital quality metrics. Identifies three ways to incentivize hospital coordination to improve patient-centered care for transfer patients.
Author(s): Charleen Hsuan
Citation: Health Affairs Forefront
Date: 09/2023
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Discuss emergency department (ED) transfers, including the importance of timely transfers, where patients transferred from the ED are more likely to initially present, and how transferred patients are considered in hospital quality metrics. Identifies three ways to incentivize hospital coordination to improve patient-centered care for transfer patients.
Author(s): Charleen Hsuan
Citation: Health Affairs Forefront
Date: 09/2023
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Indexed Age-Adjusted Mortality Rates by Geography for Oklahomans Age 25 to 64 (2016-2020)
Chart depicting mortality rates in Oklahoma for adults between 25 and 64. Compares rates between metropolitan and non-metropolitan tiers, all of Oklahoma, and the national rate for all causes of mortality, multiple chronic illnesses, cancer, stroke, suicide, opioids, and accidents. Click the full screen icon in the chart viewer to see the entire chart.
Date: 09/2023
Sponsoring organization: Oklahoma State University Center for Rural Health
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Chart depicting mortality rates in Oklahoma for adults between 25 and 64. Compares rates between metropolitan and non-metropolitan tiers, all of Oklahoma, and the national rate for all causes of mortality, multiple chronic illnesses, cancer, stroke, suicide, opioids, and accidents. Click the full screen icon in the chart viewer to see the entire chart.
Date: 09/2023
Sponsoring organization: Oklahoma State University Center for Rural Health
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Optimizing Inpatient Bed Management in a Rural Community-Based Hospital: A Quality Improvement Initiative
Provides an overview of a project aimed at maintaining appropriate hospital bed capacity within a hub-and-spoke healthcare system in rural, southwest Minnesota. Discusses project phases of discovery, planning, and implementation, as well as the strategy to increase capacity at the tertiary/hub medical center by utilizing beds at partner/spoke hospitals for less complex or acute inpatient stays.
Author(s): Brian N. Bartlett, Nadine N. Vanhoudt, Hanyin Wang, et al.
Citation: BMC Health Services Research, 23, 1000
Date: 09/2023
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Provides an overview of a project aimed at maintaining appropriate hospital bed capacity within a hub-and-spoke healthcare system in rural, southwest Minnesota. Discusses project phases of discovery, planning, and implementation, as well as the strategy to increase capacity at the tertiary/hub medical center by utilizing beds at partner/spoke hospitals for less complex or acute inpatient stays.
Author(s): Brian N. Bartlett, Nadine N. Vanhoudt, Hanyin Wang, et al.
Citation: BMC Health Services Research, 23, 1000
Date: 09/2023
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