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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Public Health Preparedness: HHS Needs a Coordinated National Approach for Diagnostic Testing for Pandemic Threats
Describes a roundtable of 19 experts the Government Accountability Office (GAO) convened to discuss actions the U.S. Department of Health and Human Services (HHS) should take to improve diagnostic testing for infectious diseases with pandemic potential. Identifies actions suggested by the experts, including two areas commonly repeated by experts. Offers four recommendations to HHS related to developing a national diagnostic testing strategy and establishing a national testing forum. Includes rural references throughout.
Additional links: Full Report
Date: 06/2025
Sponsoring organization: Government Accountability Office
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Iowa Community Health Centers and Value-Based Care
Describes how Iowa Primary Care Association (Iowa PCA) and two sister organizations, IowaHealth+ and INConcertCare, pursued value-based care opportunities before joining the Medicare Shared Savings Program. Discusses the network's Medicaid value-based care contract; a partnership with Main Street Health to expand value-based contracting and provide more comprehensive, integrated primary care to patients with Medicare Advantage; data analytics; strategic planning and roadmaps; and next steps.
Date: 06/2025
Sponsoring organization: Rural Health Value
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Health Care Vacancies and Turnover in Kansas
Provides data and trends of the Kansas healthcare workforce, including information on vacancies and turnover, data on nursing supply, hospital financial trends, projected job openings, and primary care physician Health Professional Shortage Areas (HPSAs) by county.
Date: 06/2025
Sponsoring organization: Kansas Hospital Association
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Sexual Assault Nurse Examiner Training Program - HRSA: Advanced Nursing Education (ANE)
Report discusses Montana's Sexual Assault Nurse Examiner (SANE) training program. Highlights the Montana SANE Consortium's efforts in recruiting, training, and certifying healthcare workforce with the support of HRSA's Advanced Nursing Education (ANE) program.
Date: 05/2025
Sponsoring organizations: Montana Area Health Education Center, Montana Office of Rural Health
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Rural Ready Nurse Practitioner Scholars - HRSA: Advanced Nursing Education Workforce (ANEW)
Report highlights the Rural Ready Nurse Practitioner Program, funded through the HRSA: Advanced Nursing Education Workforce (ANEW) program. Discusses the program's goals of enhancing rural healthcare access, workforce retention, and strengthening rural healthcare systems in Montana.
Date: 05/2025
Sponsoring organizations: Montana Area Health Education Center, Montana Office of Rural Health
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Stories of Impact: Lee County Health Department
Profiles the Lee County Health Department in Iowa and their work to support community health worker certification, continuing education for public health workers, mobile resource clinics, and health and human services referral processes.
Date: 05/2025
Sponsoring organization: Georgia Health Policy Center
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Early Estimates of Motor Vehicle Traffic Fatalities and Fatality Rate by Sub-Categories in 2024
Presents projections of traffic fatalities and the fatality rate per 100 million vehicle miles traveled in 2024. Includes data for rural versus urban roads, among other measures. Compares 2023 fatality data to 2024 rates by month for a number of indicators, including rural areas.
Date: 05/2025
Sponsoring organization: National Highway Traffic Safety Administration
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Characteristics and Trends of Critical Access Hospitals That Own or Operate Ambulance Services
Explores trends in the number of Critical Access Hospital (CAH)-based ambulance services between 2017 and 2022. Analyzes Medicare Cost Report data to compare the characteristics of of CAHs that own and operate ambulance services to CAHs that do not. Presents findings from interviews with eight CAH-based ambulance services regarding the challenges of operating these services, including workforce recruitment and retention issues, the role of partnerships and community involvement, and lessons learned.
Author(s): John Gale, Karen Pearson, Rebecca Stearns, Zachariah Croll
Date: 05/2025
Sponsoring organization: Flex Monitoring Team
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Evaluation of the Primary Care First Model: Third Annual Report
Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the PCF model implementation experiences for Cohort 1 and Cohort 2 practices through 2023. Explores the characteristics of practices and payers that continued to participate in the PCF model compared to those who left. Examines the role that the PCF Model's incentives and supports played in the strategies and practices adopted to improve care delivery and how the trajectory of these strategies and activities practices have transformed over time. Estimates the impact of the PCF Model on Medicare fee-for-service (FFS) expenditures and service use, including acute hospitalizations. Estimates the impacts of the model on a set of seven leading indicators to provide an early assessment of whether care delivery changes are resulting in meaningful early outcome changes.
Additional links: Executive Summary, Findings at a Glance
Date: 05/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Longitudinal Lipidomic Profile of Subclinical Peripheral Artery Disease in American Indians: The Strong Heart Family Study
Examines associations between lipid species and peripheral artery disease (PAD) among 1,886 American Indian members of tribal communities who participated in the Strong Heart Family Study. Provides data on the connection between specific lipid species and PAD, coronary heart disease, and other clinical factors.
Author(s): Mingjing Chen, Guanhong Miao, Mary J. Roman, et al.
Citation: Preventing Chronic Disease, 22, 240220
Date: 05/2025
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