Rural Health
Resources by Topic: Recruitment and retention of health professionals
Is Being There Enough? Postgraduate Nurse Practitioner Residencies in Rural Primary Care
Examines the characteristics of rural and rural-serving postgraduate nurse practitioner (NP) residency programs, and the practices they use to determine if and how they enable recruitment, transition, and retention of NPs in rural primary care practice. Interviews were conducted with residency program directors, clinic personnel, and current and former NP residents, and analyzed to identify key themes and variations in program structure.
Author(s): Louise Kaplan, Samantha W. Pollock, Susan M. Skillman, Davis G. Patterson
Citation: Journal of Rural Health, 39(3), 529-534
Date: 11/2022
Type: Document
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Examines the characteristics of rural and rural-serving postgraduate nurse practitioner (NP) residency programs, and the practices they use to determine if and how they enable recruitment, transition, and retention of NPs in rural primary care practice. Interviews were conducted with residency program directors, clinic personnel, and current and former NP residents, and analyzed to identify key themes and variations in program structure.
Author(s): Louise Kaplan, Samantha W. Pollock, Susan M. Skillman, Davis G. Patterson
Citation: Journal of Rural Health, 39(3), 529-534
Date: 11/2022
Type: Document
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Responding to One Rural Community's Primary Care Needs: Investing in Workforce and Broad Community Stakeholder Engagement
Commentary describing a model in which an academic health system in Rockingham County, North Carolina made targeted primary care investments to address rural health disparities while working to ensure sustainability within the health workforce. Examines challenges to improving rural health outcomes and offers suggestions for health systems seeking to replicate the Rockingham model.
Author(s): Sherry Hay, Emily M. Hawes, Alyssa Zamierowski, Stokes Ann Hunt, Cristen P. Page
Citation: North Carolina Medical Journal, 83(6), 435-439
Date: 11/2022
Type: Document
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Commentary describing a model in which an academic health system in Rockingham County, North Carolina made targeted primary care investments to address rural health disparities while working to ensure sustainability within the health workforce. Examines challenges to improving rural health outcomes and offers suggestions for health systems seeking to replicate the Rockingham model.
Author(s): Sherry Hay, Emily M. Hawes, Alyssa Zamierowski, Stokes Ann Hunt, Cristen P. Page
Citation: North Carolina Medical Journal, 83(6), 435-439
Date: 11/2022
Type: Document
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Relationships Matter: How Usual is the Usual Source of (Primary) Care?
Explores trends in usual source of care (USC), with statistics on patient characteristics associated with USC and percent of the U.S. population with a USC, with breakdowns by payer type, race/ethnicity, and types of USC. Discusses shortages of primary care physicians in rural areas, and strategies for attracting, retaining, and diversifying primary care physicians in rural and underserved areas.
Author(s): Yalda Jabbarpour, Ann Greiner, Anuradha Jetty, et al.
Date: 11/2022
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Explores trends in usual source of care (USC), with statistics on patient characteristics associated with USC and percent of the U.S. population with a USC, with breakdowns by payer type, race/ethnicity, and types of USC. Discusses shortages of primary care physicians in rural areas, and strategies for attracting, retaining, and diversifying primary care physicians in rural and underserved areas.
Author(s): Yalda Jabbarpour, Ann Greiner, Anuradha Jetty, et al.
Date: 11/2022
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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CMS Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities
Report outlines the Centers for Medicare & Medicaid Services (CMS) plan for improving health equity and health outcomes across the U.S. for rural, tribal, and geographically isolated communities. Details a 6 priority framework emphasizing the application of a community-informed geographic lens; the collection and use of standardized data; support for healthcare professionals; the optimization of medical and communication technology; the expansion of access to comprehensive healthcare coverage, benefits, and services and supports; and innovation and value-based care. Highlights examples of activities CMS is undertaking in support of each priority and recent CMS efforts that align with each priority.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Report outlines the Centers for Medicare & Medicaid Services (CMS) plan for improving health equity and health outcomes across the U.S. for rural, tribal, and geographically isolated communities. Details a 6 priority framework emphasizing the application of a community-informed geographic lens; the collection and use of standardized data; support for healthcare professionals; the optimization of medical and communication technology; the expansion of access to comprehensive healthcare coverage, benefits, and services and supports; and innovation and value-based care. Highlights examples of activities CMS is undertaking in support of each priority and recent CMS efforts that align with each priority.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Behavioral Health: Available Workforce Information and Federal Actions to Help Recruit and Retain Providers
Examines the available information on the behavioral health workforce, including federal data on the number of providers nationwide and the projection of the supply and demand for behavioral health providers in 2030. Identifies key barriers to recruiting and retaining behavioral health providers, as well as actions federal agencies have taken to support recruiting and retaining these providers. Outlines federal loan repayment, scholarship, and training programs designed to address workforce challenges in rural and other underserved areas.
Additional links: Full Report
Date: 10/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Examines the available information on the behavioral health workforce, including federal data on the number of providers nationwide and the projection of the supply and demand for behavioral health providers in 2030. Identifies key barriers to recruiting and retaining behavioral health providers, as well as actions federal agencies have taken to support recruiting and retaining these providers. Outlines federal loan repayment, scholarship, and training programs designed to address workforce challenges in rural and other underserved areas.
Additional links: Full Report
Date: 10/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Maternal Health: Availability of Hospital-Based Obstetric Care in Rural Areas
Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Key Considerations for a Rural Hospital Assessing Conversion to Rural Emergency Hospital
Offers a conceptual framework of key considerations for rural hospitals contemplating conversion to a rural emergency hospital (REH). Covers financial feasibility, workforce, community impact, partnerships, and regulatory considerations.
Author(s): Kristin Reiter, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Offers a conceptual framework of key considerations for rural hospitals contemplating conversion to a rural emergency hospital (REH). Covers financial feasibility, workforce, community impact, partnerships, and regulatory considerations.
Author(s): Kristin Reiter, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Health Workforce Implications for the Rural Emergency Hospital Model
Describes workforce challenges hospitals converting to Rural Emergency Hospital status may experience. Discusses flexible staffing models, utilization of behavioral health providers, colocation of health and human services providers and team-based care, and recruitment and retention.
Author(s): Jacob Rains
Citation: Health Affairs Forefront
Date: 10/2022
Type: Document
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Describes workforce challenges hospitals converting to Rural Emergency Hospital status may experience. Discusses flexible staffing models, utilization of behavioral health providers, colocation of health and human services providers and team-based care, and recruitment and retention.
Author(s): Jacob Rains
Citation: Health Affairs Forefront
Date: 10/2022
Type: Document
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Obstetricians, Gynecologists, and Maternal Health in Rural America, with Anne Banfield
An episode of the Exploring Rural Health podcast featuring Dr. Anne Banfield, physician administrative and clinical director at Women's Health at Leonardtown in Maryland, and member of the foundation board of the American College of Obstetricians and Gynecologists. Discusses the rural OBGYN workforce and the challenges of providing maternal care in rural areas.
Date: 09/2022
Type: Audio
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Dr. Anne Banfield, physician administrative and clinical director at Women's Health at Leonardtown in Maryland, and member of the foundation board of the American College of Obstetricians and Gynecologists. Discusses the rural OBGYN workforce and the challenges of providing maternal care in rural areas.
Date: 09/2022
Type: Audio
Sponsoring organization: Rural Health Information Hub
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State Flex Program Staff Sustainability Guide and Toolkit
A guide for state Flex Programs to help recruit good Flex Program staff, train them successfully, retain staff longer, and plan an orderly process of finding and training new staff before the outgoing staff leave. Presents a Staff Sustainability Cycle, a process for improving the retention of high-performing Flex Program staff, and outlines specific strategies and practical tools for addressing each component of the cycle.
Date: 08/2022
Type: Document
Sponsoring organization: National Rural Health Resource Center
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A guide for state Flex Programs to help recruit good Flex Program staff, train them successfully, retain staff longer, and plan an orderly process of finding and training new staff before the outgoing staff leave. Presents a Staff Sustainability Cycle, a process for improving the retention of high-performing Flex Program staff, and outlines specific strategies and practical tools for addressing each component of the cycle.
Date: 08/2022
Type: Document
Sponsoring organization: National Rural Health Resource Center
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