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Rural Health Information Hub

Rural Health
Resources by Topic: Policy

Federally Supported Water Supply and Wastewater Treatment Programs
Examines federal funding for water and wastewater treatment programs, including those specific to rural areas. Discusses the differences in funding mechanisms and how appropriations for discretionary spending has varied.
Date: 05/2019
Sponsoring organization: Congressional Research Service
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Review of the FY2020 Budget Request for the Indian Health Service
Provides a recording of a U.S. Senate Committee on Appropriations hearing and statements regarding the FY2020 budget request for the Indian Health Service. Discussions address budget justifications, information on IHS services provided, and plans for the FY2020 year, including additional funding for HIV/AIDS and Hepatitis C treatment and prevention.
Date: 05/2019
Sponsoring organizations: Senate Committee on Appropriations, Subcommittee on Interior, Environment, and Related Agencies
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Pain Management for People with Serious Illness in the Context of the Opioid Use Disorder Epidemic: Proceedings of a Workshop
Reports on a workshop with multiple stakeholders discussing pain management in the context of the opioid misuse epidemic. Reviews the opioid epidemic, how responses to it have affected people with serious illness and pain, the pain management needs of people with substance use disorder, policy responses, and next steps. Includes a few examples from rural areas and addresses some challenges specific to rural.
Additional links: Read Online
Date: 05/2019
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Promising Practice: Innovative Program Teaches Colorado Providers to Be Rural Leaders
Highlights the Colorado Rural Health Center's (CRHC) Rural Colorado Primary Care Leaders (RCPCL) Program that works to educate rural primary care providers to become advocates for their rural patients and communities. Discusses program funding, and RCPCL training and education requirements. Provides details on the RCPCL Capstone project involving meetings at the state capital with local representatives and the state health committee.
Author(s): Beth Blevins
Date: 05/2019
Sponsoring organization: National Organization of State Offices of Rural Health
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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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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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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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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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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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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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