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Rural Health
Resources by Topic: Integrated service delivery

Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Tri-Area Community Health Provides Community-Focused Integrated Care
Features a rural Virginia Federally Qualified Health Center that provides integrated primary care and behavioral health services. Discusses how services have been adapted to meet the needs of a growing Hispanic population, and describes a behavioral health training program offered in partnership with Radford University.
Author(s): Kathryn Rutz
Citation: Rural Monitor
Date: 05/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Tackling America's Mental Health and Addiction Crisis Through Primary Care Integration
Explores how primary and behavioral healthcare integration can overcome the unmet needs for mental health and substance use services. Discusses barriers to integrated care delivery. Offers policy recommendations to improve the integration of primary and behavioral healthcare services through enhanced payments, training, and technical assistance, and improving access to behavioral health providers for consultation and referral.
Additional links: Infographic
Date: 03/2021
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Grantee Directory: Rural HIV/AIDS Planning Program, 2020
Detailed descriptions of 7 Rural HIV/AIDS Planning Program grant projects funded in fiscal year 2020. Lists grantees by state and Ending the HIV/AIDS Epidemic Key Strategies, including topics such as, planning and development of integrated HIV network, stigma, opioid use disorder, data tracking, and telehealth. Includes grantee profiles describing their programs and network structures, geographic areas and populations served, network partners, and contacts for each network.
Date: 01/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Grantee Directory: Rural Health Network Development Planning Program, 2020
Detailed descriptions of 26 Rural Health Network Development Planning Program grant projects funded in fiscal year 2020. Lists grantees by state and focus area, including topics such as integrated service delivery, telehealth, care coordination, and chronic disease management. Includes grantee profiles describing their programs and network structures, geographic areas served, network partners, and contacts for each network.
Date: 01/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Mental Health Systems Solutions Explorer
Interactive tool offering evidence-based solutions to increase mental healthcare utilization, increase access to care, and establish a continuum of care. Contains examples of each solution in practice. Solutions can be filtered to view those specifically of interest to rural communities.
Date: 01/2021
Type: Tool
Sponsoring organization: RAND Corporation
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How to Transform the U.S. Mental Health System: Evidence-based Recommendations
Discusses evidence-based strategies to promote mental healthcare utilization, improve access to care, and establish a continuum of care. Offers 15 recommendations to improve mental healthcare, including policies regarding reimbursement, workforce growth, and digital and telehealth services, among other topics. Includes rural references throughout.
Additional links: Full Report, Research Brief: Transforming Mental Health Care in the United States
Author(s): Ryan K. McBain, Nicole K. Eberhart, Joshua Breslau, et al.
Date: 01/2021
Type: Document
Sponsoring organization: RAND Corporation
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Telepsychiatric Consultation as a Training and Workforce Development Strategy for Rural Primary Care
Study examining the impacts of telepsychiatric consultations on the capacity for clinical and non-clinical staff to recognize and treat psychiatric disorders. Draws from interviews with 17 staff members at 3 rural primary care facilities in Washington. Discusses implications of telepsychiatric consultation for primary care and behavioral health integration models.
Author(s): Morhaf Al Achkar, Ian M. Bennet, Lydia Chwastiak, et al.
Citation: Annals of Family Medicine, 18(5), 438-445
Date: 09/2020
Type: Document
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Medical-Dental Integration Manual
Provides guidance to North Dakota's rural primary care providers looking to integrate a dental hygienist into their practice. Highlights rules and regulations, billing, scope of practice, and workflow issues, among other topics.
Date: 09/2020
Type: Document
Sponsoring organizations: North Dakota Department of Health, University of North Dakota Center for Rural Health
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2019
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes participating states' CCBHC activities including improved access to treatment and recovery support services, the range of services provided during the first year of the demonstration, how states have been reporting and utilizing required quality measures, and assess the costs to CCBHCs. This is the third of five annual reports to Congress on the CCBHC demonstration.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research, RAND Corporation
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