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Rural Health
Resources by Topic: Infrastructure

The Importance of Video Visits in the Time of COVID-19
Highlights the importance of video-to-home telemedicine (VTH) for maintaining mental healthcare during the COVID-19 pandemic. Discusses the usefulness of VTH in expanding access to mental healthcare broadly, as well as some of the infrastructure-based limitations that currently exist.
Author(s): Jan A. Lindsay, Julianna B. Hogan, Anthony H. Ecker, et al.
Citation: Journal of Rural Health
Date: 06/2020
Type: Document
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Barriers to Telemedicine Implementation in Southwest Tribal Communities During COVID-19
Explores some of the barriers to expanding telemedicine to tribal communities in the Southwestern U.S. during the COVID-19 pandemic. Discusses some of the existing health and infrastructure disparities faced by the tribes and details both the need for telemedicine and the barriers to providing it.
Author(s): Janessa M. Graves, Jessica L. Mackelprang, Solmaz Amiri, et al.
Citation: Journal of Rural Health
Date: 06/2020
Type: Document
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RCAP Survey Shows Impact of COVID-19 on Rural and Tribal Water and Wastewater Systems
Provides data and statistics on the financial impact of COVID-19 on water and wastewater systems in rural and tribal communities, with survey responses obtained from 49 states and Puerto Rico. Includes information on staffing issues, sustainability, estimated revenue loss, and more. Offers links to individual fact sheets on survey responses from states and the nation as a whole, as well as a webinar discussing survey methodology and results.
Date: 05/2020
Type: Website
Sponsoring organization: Rural Community Assistance Partnership
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An Evaluation of Appalachian Regional Commission Funding of Drinking Water and Wastewater Infrastructure Projects: Fiscal Year 2009-Fiscal Year 2016
Assesses 379 drinking water and wastewater infrastructure projects funded by the Appalachian Regional Commission (ARC) in fiscal year (FY) 2009 to FY 2016 to benefit communities in all 13 Appalachian states. Offers discussion on the impact of ARC-funded projects on communities, including increased employment opportunities, household benefits, improved public health, and more. Provides background information, challenges, and outcomes for various projects completed before the end of FY 2018.
Author(s): Jeff Hughes, Maureen Berner, Austin Thompson, et al.
Date: 05/2020
Type: Document
Sponsoring organizations: Appalachian Regional Commission, The University of North Carolina Environmental Finance Center
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Rural Connections: Challenges and Opportunities in America's Heartland
Examines rural transportation challenges, including decreased state transportation revenues brought on by the COVID-19 pandemic, higher traffic fatality rates compared to urban settings, poor road and bridge conditions, and more. Comments on the importance of rural transportation for the nation's economy, emphasizing its role in transferring goods and helping rural communities access healthcare, education, job opportunities, and social services.
Date: 05/2020
Type: Document
Sponsoring organization: National Transportation Research Nonprofit (TRIP)
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RCAP Planning for Pandemics Toolkit
Toolkit designed by the Ohio Rural Community Assistance Program (RCAP) to help small water systems prepare for an epidemic. Includes flyers on COVID-19 and sanitation, and a continuity of operations plan template that can be used to prepare for a pandemic.
Date: 04/2020
Type: Website
Sponsoring organization: Rural Community Assistance Partnership
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The Exchange Feature Issue: Preparing for and Responding to Wildfires and Planned Outages
Newsletter issue focusing on lessons learned by medical facilities and communities in Colorado and California during the wildfires of 2017 and 2019. Covers information useful for rural hospital emergency managers and administration, including mass sheltering, hospital evacuation, managing stress and compassion fatigue among workers, and community recovery.
Citation: Issue 10
Date: 03/2020
Type: Document
Sponsoring organization: Office of the Assistant Secretary for Preparedness and Response
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2020 NACo Legislative Conference: Rural Grants 101: How County Officials Can Tap Into USDA Programs
Audio recording of National Association of Counties (NACo) panel discussion presented on March 2, 2020 in Washington, DC, describing ways in which counties can access USDA funding programs. Topics include rural electric cooperatives, rural telecommunications, and rural water and wastewater systems. Transcript available by clicking the dots above the Subscribe tab, then selecting Open Transcript.
Date: 03/2020
Type: Audio
Sponsoring organization: National Association of Counties
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Understanding the True State of Connectivity in America
Provides an overview of the TestIT mobile app, developed to study cellular and broadband internet services, and the data collected from app users. Examines download speeds by county compared to Federal Communications Commission (FCC) standards. Discusses challenges rural and underserved communities with a limited broadband infrastructure face, including economic development, education and workforce development, and access to health and human services.
Date: 02/2020
Type: Document
Sponsoring organizations: Farm Credit, Land O'Lakes, National Association of Counties, National Association of Development Organizations, Rural Community Assistance Partnership, Rural Local Initiatives Support Corporation
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Water Infrastructure: Technical Assistance and Climate Resilience Planning Could Help Utilities Prepare for Potential Climate Change Impacts
Examines federal technical and financial assistance to drinking and wastewater utilities for enhancing climate resilience. Discusses the needs of small and rural communities and identifies federal resources targeted to these areas.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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