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Rural Health
Resources by Topic: Service delivery models

The Imperative for Strategic Workforce Planning And Development: Challenges and Opportunities
Discusses workforce planning and development in rural hospitals as well as other key topics that present challenges and opportunities in workforce recruitment and retention, such as diversity, the shortage of behavioral health professionals, technology, and more. Covers three rural specific examples that expand access to healthcare services through telehealth services and a rural residency matching incentive programs.
Date: 02/2018
Type: Document
Sponsoring organization: American Hospital Association
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The Health Center Program Is Increasing Access to Care Through Telehealth
Provides a snapshot showing how community health centers utilize telehealth to expand access to quality healthcare. Includes data comparing how rural and urban health centers use telehealth to provide different types of healthcare services.
Date: 02/2018
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Telemedicine in the Management of Type 1 Diabetes
Describes a study in which 32 patients with type 1 diabetes who live in rural Alabama and Georgia received endocrinology care from an Atlanta telehealth clinic, from June 2014 to October 2016. Includes demographic statistics on patients and presence of other diseases and medical conditions.
Author(s): Timothy Xu, Shreya Pujara, Sarah Sutton, Mary Rhee
Location: Preventing Chronic Disease, 15
Date: 01/2018
Type: Document
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Taking Stock: Policy Opportunities for Advancing Rural Health
Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Reinventing Rural Health Care: A Case Study of Seven Upper Midwest States
Examines the current state of rural healthcare in seven states - Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming - and uses the findings to determine the impact of existing federal policies, understand ongoing healthcare challenges, and identify opportunities for improvement in rural healthcare access and delivery. Recommends the following actions to improve rural healthcare: rightsizing healthcare services to fit community need, creating rural funding mechanisms, building and supporting the primary care physician workforce, and expanding telemedicine services. Analysis is based on interviews with over 90 national thought leaders and key stakeholders.
Additional links: Infographic, Summary – Rural Health Care: Lessons Learned
Date: 01/2018
Type: Document
Sponsoring organization: Bipartisan Policy Center
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An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program
Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Maryland Rural Health Plan 2018
Details the current state of rural healthcare in Maryland, including areas of need, success of existing health plans, and corresponding recommendations. Presents county-level data, including the health priorities for each rural county.
Date: 2018
Type: Document
Sponsoring organization: Maryland Rural Health Association
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State Innovation Models (SIM) Round 2: Model Test Annual Report One
First annual report describing the design and progress of the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Includes information about the program's organization, data and methods, and implementation activities. Also shares highlights from each state's site visits.
Date: 12/2017
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Modernizing Rural Health Clinic Provisions
Reviews Rural Health Clinics (RHCs) statutory authorization and current regulations to identify areas for improvement to meet the current and future healthcare needs. Includes recommendations regarding payment options, program support, services offered, workforce issues, and law requirements.
Date: 12/2017
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Telehealth as Means to Diagnose and Treat Opioid Abuse
Discusses the impact of opioid abuse in rural communities, which often have limited access to treatment facilities. Describes specific ways telehealth technology could be used for diagnosis and treatment.
Author(s): Erica Liebelt, Stuart Rabinowitz, Ira Nathan, Paula Bruland
Date: 12/2017
Type: Document
Sponsoring organization: Healthcare Information and Management Systems Society
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