Rural Health
Resources by Topic: Policy
Isolated, Small, and Large Hospitals Have Fewer Nursing Resources than Urban Hospitals: Implications for Rural Health Policy
Describes the nurse work environment, nurse education, nursing skill mix, and patient-to-registered nurse (RN) ratios across hospitals in California, Florida, and Pennsylvania. Examines how the findings differ by urban, large, small, and isolated hospitals, and discusses the potential impact on patient outcomes.
Author(s): Jessica G. Smith, Colin M. Plover, Moira C. McChesney, Eileen T. Lake
Citation: Public Health Nursing, 36(4), 469-477
Date: 04/2019
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Describes the nurse work environment, nurse education, nursing skill mix, and patient-to-registered nurse (RN) ratios across hospitals in California, Florida, and Pennsylvania. Examines how the findings differ by urban, large, small, and isolated hospitals, and discusses the potential impact on patient outcomes.
Author(s): Jessica G. Smith, Colin M. Plover, Moira C. McChesney, Eileen T. Lake
Citation: Public Health Nursing, 36(4), 469-477
Date: 04/2019
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Sacramento, California, April 3-5, 2019
Summarizes the 85th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Sacramento, California. Presents an overview of national and state perspectives on the meeting's two areas of focus: rural cancer prevention and control and supportive services for older adults.
Date: 04/2019
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 85th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Sacramento, California. Presents an overview of national and state perspectives on the meeting's two areas of focus: rural cancer prevention and control and supportive services for older adults.
Date: 04/2019
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Geographic Variation in Spatial Accessibility of U.S. Healthcare Providers
Examines spatial accessibility and other factors of accessibility for key physician and non-physician groups, including primary care physicians, specialists, nurse practitioners, and chiropractors in rural and urban locations, using geospatial methods. Population data, Medicare claims, provider location, professional school location, and U.S. Census ZIP Code Tabulation Areas (ZCTAs) were used in the analyses.
Author(s): Keith B. Naylor, Joshua Tooto, Olga Yakusheva, et al.
Citation: PLoS One, 14(4)
Date: 04/2019
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Examines spatial accessibility and other factors of accessibility for key physician and non-physician groups, including primary care physicians, specialists, nurse practitioners, and chiropractors in rural and urban locations, using geospatial methods. Population data, Medicare claims, provider location, professional school location, and U.S. Census ZIP Code Tabulation Areas (ZCTAs) were used in the analyses.
Author(s): Keith B. Naylor, Joshua Tooto, Olga Yakusheva, et al.
Citation: PLoS One, 14(4)
Date: 04/2019
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Community Pharmacies as Access Points for Addiction Treatment
Investigates the distribution of community pharmacies in rural and urban counties of Wisconsin and the connection it has on county-level opioid-related overdose death rates and the number of treatment facilities.
Author(s): Kevin A. Look, Mercedes Kile, Katie Morgan, Andrew Roberts
Citation: Research in Social & Administrative Pharmacy, 15(4), 404-409
Date: 04/2019
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Investigates the distribution of community pharmacies in rural and urban counties of Wisconsin and the connection it has on county-level opioid-related overdose death rates and the number of treatment facilities.
Author(s): Kevin A. Look, Mercedes Kile, Katie Morgan, Andrew Roberts
Citation: Research in Social & Administrative Pharmacy, 15(4), 404-409
Date: 04/2019
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Buprenorphine Prescribing by Nurse Practitioners, Physician Assistants and Physicians After CARA 2016
Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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The Center for Medicare and Medicaid Innovation 2018 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2016 and 2018. Addresses Accountable Care Organization (ACO) models, population-based payment models, bundled payment models, and models that integrated Medicaid and Medicare beneficiary care. Identifies model adaptations for rural health organizations, such as the ACO Investment model, and includes a section on the Pennsylvania Rural Health Model.
Date: 04/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2016 and 2018. Addresses Accountable Care Organization (ACO) models, population-based payment models, bundled payment models, and models that integrated Medicaid and Medicare beneficiary care. Identifies model adaptations for rural health organizations, such as the ACO Investment model, and includes a section on the Pennsylvania Rural Health Model.
Date: 04/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): First Annual Report
Provides an overview of first-year findings for CPC+, including who participated, the supports practices received, how practices implemented CPC+, and the impacts on cost, service use, and outcomes for Medicare beneficiaries. Features statistics with breakdowns by rural, suburban, or urban location.
Additional links: Appendices to the Supplemental Volume, Findings at a Glance, Supplemental Volume
Author(s): Deborah Peikes, Grace Anglin, Mary Harrington, et al.
Date: 04/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Provides an overview of first-year findings for CPC+, including who participated, the supports practices received, how practices implemented CPC+, and the impacts on cost, service use, and outcomes for Medicare beneficiaries. Features statistics with breakdowns by rural, suburban, or urban location.
Additional links: Appendices to the Supplemental Volume, Findings at a Glance, Supplemental Volume
Author(s): Deborah Peikes, Grace Anglin, Mary Harrington, et al.
Date: 04/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Health Center Operational Site Visit (OSV)
Video intended to help Federally Qualified Health Centers prepare for the operational site visit (OSV). Includes updates from the Bipartisan Budget Act of 2018 and answers to frequently asked questions about OSVs.
Date: 04/2019
Sponsoring organization: Health Resources and Services Administration
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Video intended to help Federally Qualified Health Centers prepare for the operational site visit (OSV). Includes updates from the Bipartisan Budget Act of 2018 and answers to frequently asked questions about OSVs.
Date: 04/2019
Sponsoring organization: Health Resources and Services Administration
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Veterans Health Care: VA Needs to Address Challenges as It Implements the Veterans Community Care Program
Examines challenges and lessons learned from the former Veterans Choice Program in order to help the Department of Veterans Affairs (VA) implement the new Veterans Community Care Program (VCCP), which allows veterans to seek healthcare services from non-VA facilities in certain situations. Addresses the proposed access standards for the VCCP program. Offered as testimony at the April 10, 2019 U.S. Senate hearing, VA MISSION Act: Implementing the Veterans Community Care Program.
Additional links: Full Report
Date: 04/2019
Sponsoring organization: Government Accountability Office
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Examines challenges and lessons learned from the former Veterans Choice Program in order to help the Department of Veterans Affairs (VA) implement the new Veterans Community Care Program (VCCP), which allows veterans to seek healthcare services from non-VA facilities in certain situations. Addresses the proposed access standards for the VCCP program. Offered as testimony at the April 10, 2019 U.S. Senate hearing, VA MISSION Act: Implementing the Veterans Community Care Program.
Additional links: Full Report
Date: 04/2019
Sponsoring organization: Government Accountability Office
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Broadband Mapping: Challenges and Solutions
Recording of a hearing from the U.S. Senate Committee on Commerce, Science, and Transportation focusing on efforts to collect more accurate broadband coverage information. Includes testimonies from the U.S. Telecom Association, Competitive Carriers Association, Mississippi Farm Bureau Federation, and others regarding current mapping challenges and the importance of broadband access for rural communities, including for healthcare services.
Additional links: Jonathan Spalter Testimony, Mike McCormick Testimony, Mike Oblizalo Testimony, Tim Donovan Testimony
Date: 04/2019
Sponsoring organizations: Committee on Commerce, Science, and Transportation, U.S. Senate
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Recording of a hearing from the U.S. Senate Committee on Commerce, Science, and Transportation focusing on efforts to collect more accurate broadband coverage information. Includes testimonies from the U.S. Telecom Association, Competitive Carriers Association, Mississippi Farm Bureau Federation, and others regarding current mapping challenges and the importance of broadband access for rural communities, including for healthcare services.
Additional links: Jonathan Spalter Testimony, Mike McCormick Testimony, Mike Oblizalo Testimony, Tim Donovan Testimony
Date: 04/2019
Sponsoring organizations: Committee on Commerce, Science, and Transportation, U.S. Senate
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