Rural Health
Resources by Topic: Policy
Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care
Explores concerns about inadequate healthcare quality provided in Indian Health Service (IHS) hospitals. Makes recommendations for implementing several oversight measures and identifies problem areas that will need to be addressed in order to improve healthcare quality in IHS hospitals. See companion report: Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care. Focuses on challenges related to quality reporting, Area Office vacancies, and health information technology.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Explores concerns about inadequate healthcare quality provided in Indian Health Service (IHS) hospitals. Makes recommendations for implementing several oversight measures and identifies problem areas that will need to be addressed in order to improve healthcare quality in IHS hospitals. See companion report: Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care. Focuses on challenges related to quality reporting, Area Office vacancies, and health information technology.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care
Study completed in response to concerns over inadequate quality of care being provided in Indian Health Service (IHS) hospitals. Included in the report are findings from a series of leadership and staff interviews, questionnaires, and document reviews. Recommendations for improving quality of care are made to IHS and the Office of the Secretary of Health and Human Services. Additional recommendations for improving quality through oversight measures can be found in the companion report: Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care Addresses healthcare access difficulties, health workforce challenges, and more.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Study completed in response to concerns over inadequate quality of care being provided in Indian Health Service (IHS) hospitals. Included in the report are findings from a series of leadership and staff interviews, questionnaires, and document reviews. Recommendations for improving quality of care are made to IHS and the Office of the Secretary of Health and Human Services. Additional recommendations for improving quality through oversight measures can be found in the companion report: Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care Addresses healthcare access difficulties, health workforce challenges, and more.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Oklahoma Integrated HIV Prevention and Care Plan 2017-2021
Provides a needs assessment and plan to address HIV prevention and care as required by the Ryan White Treatment and Modernization Act. Examines incidence for chlamydia, gonorrhea, syphilis, Hepatitis C, and HIV/AIDS by demographic group and county. Discusses the HIV care continuum, along with challenges for rural access to care, and efforts to provide care.
Date: 09/2016
Sponsoring organization: Oklahoma State Department of Health
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Provides a needs assessment and plan to address HIV prevention and care as required by the Ryan White Treatment and Modernization Act. Examines incidence for chlamydia, gonorrhea, syphilis, Hepatitis C, and HIV/AIDS by demographic group and county. Discusses the HIV care continuum, along with challenges for rural access to care, and efforts to provide care.
Date: 09/2016
Sponsoring organization: Oklahoma State Department of Health
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States Expand the Use of Dental Therapy: Access to Care Increases When Dentists Are Authorized to Hire Midlevel Providers
Presents a state-by-state guide to dental therapist legislation and policies. Summarizes the dental therapist model and details policy updates regularly.
Author(s): Jane Koppelman
Date: 09/2016
Sponsoring organization: Pew
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Presents a state-by-state guide to dental therapist legislation and policies. Summarizes the dental therapist model and details policy updates regularly.
Author(s): Jane Koppelman
Date: 09/2016
Sponsoring organization: Pew
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National Health Service Corps - An Extended Analysis: Final Report
Examines the distribution and retention of National Health Service Corps providers with a focus on Health Professional Shortage Areas (HPSAs) and Indian Health Service (IHS) sites. Compares long and short-term retention of NHSC and non-NHSC providers for 2000-2015 and NHSC participant location after completing their service requirements. Includes data breakdowns by type of HPSA (primary care, dental health, mental health), type of provider, race/ethnicity, and gender.
Author(s): Sebastian Negrusa, Paul Hogan, Projesh Ghosh, Lachlan Watkins
Date: 09/2016
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines the distribution and retention of National Health Service Corps providers with a focus on Health Professional Shortage Areas (HPSAs) and Indian Health Service (IHS) sites. Compares long and short-term retention of NHSC and non-NHSC providers for 2000-2015 and NHSC participant location after completing their service requirements. Includes data breakdowns by type of HPSA (primary care, dental health, mental health), type of provider, race/ethnicity, and gender.
Author(s): Sebastian Negrusa, Paul Hogan, Projesh Ghosh, Lachlan Watkins
Date: 09/2016
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Task Force on Ensuring Access in Vulnerable Communities, Rural and Frontier: Executive Summary and Report
Reviews characteristics of South Dakota's rural and frontier communities. Identifies innovative healthcare delivery and payment models and makes state and federal policy recommendations to improve rural health. Highlights the importance of Critical Access Hospitals (CAHs). Linked map includes locations of South Dakota CAHs, Rural Health Clinics, and more.
Date: 09/2016
Sponsoring organization: South Dakota Association of Healthcare Organizations
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Reviews characteristics of South Dakota's rural and frontier communities. Identifies innovative healthcare delivery and payment models and makes state and federal policy recommendations to improve rural health. Highlights the importance of Critical Access Hospitals (CAHs). Linked map includes locations of South Dakota CAHs, Rural Health Clinics, and more.
Date: 09/2016
Sponsoring organization: South Dakota Association of Healthcare Organizations
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Opioid Addiction: Laws, Regulations, and Other Factors Can Affect Medication-Assisted Treatment Access
Examines current federal laws and regulations related to the medication-assisted treatment (MAT) of opioid dependency, and discusses how these laws affect access to treatment, including in rural areas. Also explores other factors that affect access to treatment such as cost, insurance coverage, practitioner availability, and perceived value. Provides detailed descriptions about the uses and concerns of the three medications currently approved by the FDA for use in opioid MAT - methadone, buprenorphine, and naltrexone.
Additional links: Full Report
Date: 09/2016
Sponsoring organization: Government Accountability Office
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Examines current federal laws and regulations related to the medication-assisted treatment (MAT) of opioid dependency, and discusses how these laws affect access to treatment, including in rural areas. Also explores other factors that affect access to treatment such as cost, insurance coverage, practitioner availability, and perceived value. Provides detailed descriptions about the uses and concerns of the three medications currently approved by the FDA for use in opioid MAT - methadone, buprenorphine, and naltrexone.
Additional links: Full Report
Date: 09/2016
Sponsoring organization: Government Accountability Office
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Behavioral Health Among American Indian and Alaska Natives: An Overview
Describes Indian Health Service (IHS) and Substance Abuse and Mental Health Services Administration (SAMHSA) programs designed to address behavioral health problems in the American Indian and Alaska Native (AI/AN) population. Provides background information about risk factors, prevalence, and limited access to care.
Date: 09/2016
Sponsoring organization: Congressional Research Service
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Describes Indian Health Service (IHS) and Substance Abuse and Mental Health Services Administration (SAMHSA) programs designed to address behavioral health problems in the American Indian and Alaska Native (AI/AN) population. Provides background information about risk factors, prevalence, and limited access to care.
Date: 09/2016
Sponsoring organization: Congressional Research Service
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How Migration Impacts Rural America
Identifies five migration patterns that impact rural counties: youth migration, rural exodus, retirement, destination, and university influence. Discusses how different migration patterns impact the need for services, including healthcare. Part of the publication series Population Trends in Post-Recession Rural America.
Author(s): Miranda N. Smith, Richelle L. Winkler, Kenneth M. Johnson
Date: 09/2016
Sponsoring organization: Applied Population Laboratory
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Identifies five migration patterns that impact rural counties: youth migration, rural exodus, retirement, destination, and university influence. Discusses how different migration patterns impact the need for services, including healthcare. Part of the publication series Population Trends in Post-Recession Rural America.
Author(s): Miranda N. Smith, Richelle L. Winkler, Kenneth M. Johnson
Date: 09/2016
Sponsoring organization: Applied Population Laboratory
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Preparing Nurses for New Roles in Population Health Management
Report based on two meetings of the National Advisory Council on Nurse Education and Practice in 2016. Emphasizes changes in policy, legislation, and research to promote nursing's role in leading and practicing population health initiatives and addresses potential changes in nursing education to shift away from illness-focused acute care skills. Includes a section on population health in rural and underserved areas.
Date: 09/2016
Sponsoring organization: National Advisory Council on Nurse Education and Practice
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Report based on two meetings of the National Advisory Council on Nurse Education and Practice in 2016. Emphasizes changes in policy, legislation, and research to promote nursing's role in leading and practicing population health initiatives and addresses potential changes in nursing education to shift away from illness-focused acute care skills. Includes a section on population health in rural and underserved areas.
Date: 09/2016
Sponsoring organization: National Advisory Council on Nurse Education and Practice
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