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Rural Health
Resources by Topic: Infrastructure

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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Violence Against Hospital Workers: Growing Awareness, Rural Interventions, and Why It Still Goes Unreported
Provides an overview of workplace violence in healthcare settings. Features rural hospitals in Oregon and Idaho that are undertaking a range of prevention activities addressing workplace violence. Also features research findings from a Michigan healthcare system study on the topic, and identifies resources and tools that rural hospital leaders can use to help protect hospital staff.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 09/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Iowa's Grants to Counties Program: A Valuable but Underutilized Program for Protecting the Public Health of Private Well Users
Examines spending for Iowa's Grants to Counties program, which offers 7 categories related to wells, including water quality testing. Addresses county-level access to rural water and the impact on Grants to Counties spending. Supports expanded testing for private well water contaminants in partnership with county public health agencies, prioritizing shallow wells, enabling additional funding for addressing unsafe drinking water, and more.
Date: 08/2019
Type: Document
Sponsoring organizations: Center for Health Effects of Environmental Contamination, University of Iowa Public Policy Center
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Obesity and Diabetes in the Winnebago Tribe of Nebraska: From Community Engagement to Action, 2014-2019
Describes interventions implemented on the Winnebago Tribe reservation in rural Nebraska and Iowa, focusing on community-selected and culturally adapted policies, systems, and environmental improvements to reduce obesity and type 2 diabetes. Strategies include infant and childhood obesity prevention education, promotion of healthy foods and beverages, and improvements to pedestrian safety and built environment.
Author(s): Larry Alonso, Lorelei Decora, Ursula Bauer
Citation: Preventing Chronic Disease, 16
Date: 08/2019
Type: Document
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