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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare needs and services

Staffing Crisis Casts Shadow Over Vulnerable Rural Communities: Executive Summary
Summarizes key findings from a series of surveys of rural hospital leaders conducted in 2021 and 2022 regarding staffing shortages. Discusses COVID-19 vaccination and exemptions, nursing shortages and the impact on access to care, and the effectiveness of recruiting incentives on attracting staff.
Author(s): Michael Topchik, Troy Brown, Melanie Pinette, Billy Balfour, Ana Wiesse
Date: 12/2022
Sponsoring organization: The Chartis Group
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Virginia Community Services Boards Behavioral Health Services: 2022
Report on activities of Virginia's Community Services Boards (CSBs), the state's primary mechanism for providing publicly funded behavioral health services in local communities. Includes a section on CSBs' role in providing services to rural areas. Features statistics on numbers of substance use disorder and mental health consumers, with breakdowns by urban and rural CSBs.
Date: 12/2022
Sponsoring organization: Joint Legislative Audit and Review Commission
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Public Law 117–328: Consolidated Appropriations Act, 2023
Text of the Consolidated Appropriations Act, 2023, Public Law 117-328 (December 29, 2022). Section 4113 extends certain COVID-19 telehealth flexibilities, including the ability of Rural Health Clinics and Federally Qualified Health Centers to serve as distant site providers, through December 31, 2024. Section 4137 authorizes the extension of a 1% add-on payment for home health services provided in high-utilization rural counties through 2023.
Date: 12/2022
Sponsoring organization: U.S. Congress
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Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Emerging Adults Voice their Lived Experience: State of Hawai`i Substance Use System of Care Needs Assessment focused on Emerging Adults
Reports on a culturally responsive needs assessment focused on the substance use system in Hawaii and the experiences of emerging adults aged 18 to 29. Discusses qualitative data from behavioral health professionals as well as 24 emerging adults who have lived experiences with substance use disorder (SUD). Includes participants from various geographic areas with quotes from respective participants labeled by their rural or urban location.
Author(s): Susana Helm, Tai-An Miao, James Taylor, et al.
Date: 12/2022
Sponsoring organization: State of Hawai`i Department of Health, Alcohol & Drug Abuse Division
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Advancing Equity in Cancer Prevention in Primary Care and Rural Health Settings
Discusses equity and social determinants of health related to cancer prevention in rural primary care health settings. Presents projects and collaborations from the Health Resources and Services Administration (HRSA) grantees and stakeholders to improve cancer prevention and screening. Transcript available below description.
Date: 12/2022
Sponsoring organization: Health Resources and Services Administration
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December 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services and supporting Medicare safety-net hospitals, ambulatory surgical center services, outpatient dialysis services, physician and other health professional services, hospice services, skilled nursing facilities, home health services, and inpatient rehabilitation facility services. Includes rural references throughout.
Date: 12/2022
Sponsoring organization: Medicare Payment Advisory Commission
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National Hospital Ambulatory Medical Care Survey: 2020 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location.
Date: 12/2022
Sponsoring organization: National Center for Health Statistics
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Distance Learning and Online Coordination of Service in Pennsylvania's Rural School Districts
Examines the barriers rural Pennsylvania schools experienced in providing their communities with essential nonacademic services during COVID-19 pandemic closures. Analyzes information from rural school district websites, planning documents, superintendent surveys and interviews, and focus groups with constituents to understand needs around mental healthcare, professional development, internet and computer access, staff shortages, and more.
Additional links: Executive Summary
Author(s): Gerald LeTendre, Peggy Schooling, Hansol Woo, Meredith Bannon, Josh Almes
Date: 12/2022
Sponsoring organization: Center for Rural Pennsylvania
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Comparing Enhancements to Well-Child Visits in the Prevention of Obesity: ENCIRCLE Cluster-Randomized Controlled Trial
Analyzes care delivery models aimed at preventing obesity in preschool children from lower-income households in rural Pennsylvania. Reports on 2,025 parents and their preschool-aged children recruited in the ENCIRCLE (patiEnt-cliNic-Community Integration to prevent obesity in Rural preschool ChiLdrEn) trial, which tests the effectiveness of enhanced well-child visits (WCVs) that include obesity prevention tools.
Author(s): Lisa Bailey-Davis, Amy M. Moore, Melissa N. Poulsen, et al.
Citation: BMC Public Health, 22, 2429
Date: 12/2022
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