Rural Health
Resources by Topic: Scope of practice
An Examination of Practices and Barriers of Procedures Performed by Physicians in Rural Hawai'i
Surveys 47 rural Hawaiian physicians to evaluate their scope of practice for procedures and learn the barriers to performing procedures. Discusses specialty care, reimbursement, training, time management, resource access, and more.
Author(s): Joseph W. Turban, Eun Ah Cho, Weston McCue, Kelley Withy
Citation: Hawai'i Journal of Health & Social Welfare, 82(8), 183-187
Date: 08/2023
Type: Document
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Surveys 47 rural Hawaiian physicians to evaluate their scope of practice for procedures and learn the barriers to performing procedures. Discusses specialty care, reimbursement, training, time management, resource access, and more.
Author(s): Joseph W. Turban, Eun Ah Cho, Weston McCue, Kelley Withy
Citation: Hawai'i Journal of Health & Social Welfare, 82(8), 183-187
Date: 08/2023
Type: Document
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Proposed CY 2024 Physician Fee Schedule Fact Sheet
Fact sheet covering Centers for Medicare and Medicaid Services proposed policy changes for 2024 outlined in the proposed calendar year (CY) 2024 Physician Fee Schedule. Covers eligible services that can be delivered by telehealth, remote monitoring services, physician supervision, diabetes self-management training (DSMT), and more.
Date: 07/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Fact sheet covering Centers for Medicare and Medicaid Services proposed policy changes for 2024 outlined in the proposed calendar year (CY) 2024 Physician Fee Schedule. Covers eligible services that can be delivered by telehealth, remote monitoring services, physician supervision, diabetes self-management training (DSMT), and more.
Date: 07/2023
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Tennessee Rural Health Care Task Force: Improving Rural Health Care Across Tennessee
Report from the Tennessee Rural Health Care Task Force. Offers recommendations to the state in the areas of access to care, workforce development, and social drivers of health. Discusses rural health research and advocacy, health insurance, telemedicine, workforce training, grants and loans, and more.
Author(s): Morgan McDonald, David Dill
Date: 06/2023
Type: Document
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Report from the Tennessee Rural Health Care Task Force. Offers recommendations to the state in the areas of access to care, workforce development, and social drivers of health. Discusses rural health research and advocacy, health insurance, telemedicine, workforce training, grants and loans, and more.
Author(s): Morgan McDonald, David Dill
Date: 06/2023
Type: Document
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The EMS and Community Paramedic Workforces Respond to COVID-19
Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Results of a study in which 17 key informant experts shared their perspectives on how the emergency medical services (EMS) and community paramedicine (CP) workforces responded to COVID-19 during the first year of the pandemic. Also describes how the pandemic has affected EMS and CP. Features statistics on participant characteristics, with breakdowns by rural and urban locations.
Author(s): Davis G. Patterson, Marieke S. van Eijk, Samantha W. Pollack, Benjamin A. Stubbs, Christopher Hanson
Date: 06/2023
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Understanding and Overcoming Barriers to Rural Training in Family Medicine Obstetrics Fellowships
Highlights a study on access to rural-focused family medicine obstetrics (FM OB) fellowships for family medicine residency graduates. Explores the availability of rural-specific FM OB fellowships and the challenges programs face in providing rurally-oriented training to family medicine physicians. Breaks down data by fellowship type, training curriculum, and rurality of location, among other measures.
Date: 06/2023
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Highlights a study on access to rural-focused family medicine obstetrics (FM OB) fellowships for family medicine residency graduates. Explores the availability of rural-specific FM OB fellowships and the challenges programs face in providing rurally-oriented training to family medicine physicians. Breaks down data by fellowship type, training curriculum, and rurality of location, among other measures.
Date: 06/2023
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Access to Maternity Providers: Midwives and Birth Centers
Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of the role of certified nurse-midwives and birth centers in Medicaid and how beneficiaries use these services. Describes policy issues and barriers to expanding access to midwives and birth centers, including payment policies; contracting with managed care organizations; licensure, certification, and accreditation; scope of practice; and limited supply. Includes rural considerations throughout.
Date: 05/2023
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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What Do I Need to Know? CMS Waivers, Flexibilities, and the Transition Forward from the COVID-19 Public Health Emergency
Explains what to expect as the COVID-19 public health emergency comes to an end on May 11, 2023. Topics covered include COVID-19 vaccines, testing, and treatments; access to telehealth; inpatient hospital care at home; health workforce impacts; and more.
Date: 02/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Explains what to expect as the COVID-19 public health emergency comes to an end on May 11, 2023. Topics covered include COVID-19 vaccines, testing, and treatments; access to telehealth; inpatient hospital care at home; health workforce impacts; and more.
Date: 02/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Versus Urban Family Medicine Residency Scope of Training and Practice
Compares rural and urban residency programs related to graduates' perceptions of preparation for practice as well as postgraduation scope of practice (SOP). Examines 6,483 physicians surveyed 3 years after residency graduation and 44,325 physicians surveyed every 7 to 10 years after certification. Provides data on rural versus urban residency graduates and discusses differences in graduates' experiences by residency location.
Author(s): Samantha W. Pollack, C. Holly A. Andrilla, Lars Peterson, et al.
Citation: Family Medicine, 55
Date: 01/2023
Type: Document
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Compares rural and urban residency programs related to graduates' perceptions of preparation for practice as well as postgraduation scope of practice (SOP). Examines 6,483 physicians surveyed 3 years after residency graduation and 44,325 physicians surveyed every 7 to 10 years after certification. Provides data on rural versus urban residency graduates and discusses differences in graduates' experiences by residency location.
Author(s): Samantha W. Pollack, C. Holly A. Andrilla, Lars Peterson, et al.
Citation: Family Medicine, 55
Date: 01/2023
Type: Document
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State Strategies to Support the Future of the Primary Care Physician and Nursing Workforce
Discusses primary care physician and nursing workforce challenges, including the shortage of these providers in rural and underserved areas. Describes policies and strategies implemented by states to address these challenges. Offers resources for states, health systems, and academic institutions exploring innovative strategies to address healthcare workforce challenges.
Author(s): Elaine Chhean, Anita Cardwell, Lauren Block, Sarah Tocher
Date: 12/2022
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Discusses primary care physician and nursing workforce challenges, including the shortage of these providers in rural and underserved areas. Describes policies and strategies implemented by states to address these challenges. Offers resources for states, health systems, and academic institutions exploring innovative strategies to address healthcare workforce challenges.
Author(s): Elaine Chhean, Anita Cardwell, Lauren Block, Sarah Tocher
Date: 12/2022
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Dental Therapy Resource Guide
Describes the role of dental therapists in expanding access to dental health care in rural and underserved communities. Outlines the status of state laws and regulations regarding dental therapy education and practice as of August 2021. Compares the scope of practice of dental therapists to other dental care providers.
Date: 11/2022
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Describes the role of dental therapists in expanding access to dental health care in rural and underserved communities. Outlines the status of state laws and regulations regarding dental therapy education and practice as of August 2021. Compares the scope of practice of dental therapists to other dental care providers.
Date: 11/2022
Type: Document
Sponsoring organization: National Association of Community Health Centers
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