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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 5 alternative drinking water systems used by communities with fewer than 500 people and the barriers to implementing new systems and technologies in small communities. Describes factors that influence the costs and cost-savings of alternative drinking water systems. Identifies 4 federal funding programs that support technical assistance and training for small drinking water systems serving communities of fewer than 10,000 people.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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After Hurricane Maria - Predisaster Conditions, Hurricane Damage, and Recovery Needs in Puerto Rico
Report details the state of Puerto Rico's economy, environment, education, and healthcare both before and after hurricane Maria. Discusses the barriers to rebuilding various infrastructures across the commonwealth, including in rural communities.
Author(s): Jordan R. Fischbach, Linnea Warren May, Katie Whipkey, et al.
Date: 2020
Type: Document
Sponsoring organization: RAND Corporation
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Toward Optimal and Equitable Rural Health
Explores how the COVID-19 pandemic has influenced public health and clinical care systems and infrastructure. Features discussion on rural health disparities and offers recommendations for promoting health equity and improving population health.
Author(s): Eduardo Sanchez
Citation: American Journal of Public Health, 110(9), 1340-1341
Date: 2020
Type: Document
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Applicant Toolkit for Competitive Funding Programs at USDOT
Provides information and resources to guide users through the process of finding and applying for United States Department of Transportation (USDOT) discretionary grants to fund transportation projects in rural communities. Includes an overview of the discretionary grant process, informational videos, financing resources, examples of past funding activities, and more. Developed as a component of the Rural Opportunities to Use Transportation for Economic Success (R.O.U.T.E.S.) Initiative.
Date: 2020
Type: Website
Sponsoring organization: United States Department of Transportation (USDOT)
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The VA MISSION Act of 2018: A Potential Game Changer for Rural GME Expansion and Veteran Health Care
Describes features of the VA Maintaining Internal Systems and Strengthening Integrated Outside Networks (MISSION) Act of 2018, including expansion of graduate medical education (GME) to rural areas, modernization of facilities, and financial aid for providers willing to accept VA assignments in shortage areas. Explores ways in which the MISSION Act can promote more effective and efficient care programs for veterans in rural and underserved areas.
Author(s): Anthony P. Albanese, Edward T. Bope, Karen M. Sanders, Marjorie Bowman
Citation: The Journal of Rural Health, 36(1), 133-136
Date: 2020
Type: Document
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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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