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Rural Health
Resources by Topic: Infrastructure

Alternative Drinking Water Systems: Use by Very Small Communities, Related Cost Savings, and Technical Assistance Provided by EPA and USDA
Provides an overview of the use of alternative drinking water systems by communities with fewer than 500 people. Describes five alternative drinking water systems used by very small communities. Discusses four programs funded by the Environmental Protection Agency (EPA) and United States Department of Agriculture (USDA) for technical assistance and training for small drinking water systems of fewer than 10,000 people.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Telehealth: An Opportunity for State and Territorial Health Agencies to Improve Access to Needed Health Services
Reports results from a 2019 telehealth capacity survey of state and territorial health agencies. Identifies strategies these agencies can take to advance state use of telehealth related to infrastructure, collaboration, and policy.
Author(s): Alexandra Kearly, Janet Oputa, Paris Harper-Hardy
Citation: Journal of Public Health Management and Practice, 26(1), 86-90
Date: 2020
Type: Document
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CDFIs 'Make Dreams Come True' by Creating Opportunity in Rural Spaces
Describes the role that Community Development Financial Institutions (CDFIs) can play in helping rural areas gain access to flexible financing options to support rural health projects. Highlights how the Claude Worthington Benedum Foundation and Healthcare Georgia Foundation work with CDFIs to help address rural health concerns. Also features a CDFI recipient of Uplift America, the South Carolina Community Loan Fund, that has helped support a health professions high school.
Author(s): Jenn Lukens
Date: 12/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Intergovernmental Advisory Committee to the Federal Communications Commission Advisory Recommendation No: 2019-2 in the Matter of State, Local Tribal, and Territorial Regulatory and Other Barriers and Incentives to Telemedicine
Examines the technical infrastructure necessary for effective telemedicine delivery in state, territorial, tribal, and local (rural and urban) areas. Discusses the regulatory barriers including legislation, licensing, reimbursement, malpractice insurance, and privacy that obstruct its development and utilization, and offers recommendations addressing these barriers. Appendix A presents case studies of broadband and telehealth development in several states and territories.
Date: 11/2019
Type: Document
Sponsoring organizations: Federal Communications Commission, Intergovernmental Advisory Committee to the Federal Communications Commission
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Rural Development Hubs: Strengthening America's Rural Innovation Infrastructure
Looks at the role rural development hubs play in rural infrastructure development. Discusses healthcare access and population health as beneficiaries of rural infrastructure development.
Date: 11/2019
Type: Document
Sponsoring organization: The Aspen Institute Community Strategies Group
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Agua4All: Providing Safe Drinking Water in Rural California Communities
Describes a safe drinking water program established in 2014 in 2 rural San Joaquin Valley communities. Examines the program's feasibility, acceptability, and effect on residents' water intake at 12 study sites. Features statistics including demographic characteristics of the communities, and daily volume of drinking water at the study sites from 2014-2016.
Author(s): Anisha I. Patel, Amelie A. Hecht, Karla E. Hampton, Christina Hecht, Sarah Buck
Citation: Preventing Chronic Disease, 16
Date: 11/2019
Type: Document
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Telecommunications: FCC Should Take Additional Action to Manage Fraud Risks in Its Program to Support Broadband Service in High-Cost Areas
Examines the funding reforms and fraud controls implemented by the Federal Communications Commission (FCC) for small, rural telecommunications carriers, identified as "rate-of-return carriers". Includes recommendations to the FCC supporting fraud risk management, regular assessments, and newly designed strategies. Appendix I identifies key elements of a fraud-risk management assessment process.
Additional links: Full Report
Date: 10/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Broadband Data and Mapping: Background and Issues for the 116th Congress
Explores policy issues and challenges related to high-speed internet access, including federal agency roles in broadband mapping. Includes a section comparing urban and rural areas in terms of access to telecommunications and information technologies.
Author(s): Colby Leigh Rachfal
Date: 10/2019
Type: Document
Sponsoring organization: Congressional Research Service
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Collaborating for Prosperity With American Indians and Alaska Natives: Rural Development Programs for Tribes, Tribal Families, Children, and Communities
Highlights the major USDA Rural Development (RD) programs and initiatives that support American Indians and Alaska Natives. Covers topics such as food security, housing, education, healthcare, economic opportunity, and infrastructure. Features success stories of how these programs have been used in tribal communities. Also includes contact information for the RD office in each state.
Date: 09/2019
Type: Document
Sponsoring organization: USDA Rural Development
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Community Facilities Direct Loan Program Guidance Book for Applicants
Describes the Community Facilities Direct Loan program, designed to help develop essential community facilities located in rural areas to serve rural people. Provides an overview of the program and includes information on eligibility determination, the pre-application process, the application process and underwriting, and closings and construction.
Date: 09/2019
Type: Document
Sponsoring organization: USDA Rural Development
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