Rural Health
Resources by Topic: Service delivery models
Vermont Rural Health Services Task Force: Act 26 of 2019, Report and Recommendations
Report details Vermont's rural healthcare delivery system. Highlights the financial, administrative, and workforce barriers that rural facilities face and suggests ways the state can overcome those barriers.
Date: 01/2020
Type: Document
Sponsoring organizations: Rural Health Services Task Force, State of Vermont: Green Mountain Care Board
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Report details Vermont's rural healthcare delivery system. Highlights the financial, administrative, and workforce barriers that rural facilities face and suggests ways the state can overcome those barriers.
Date: 01/2020
Type: Document
Sponsoring organizations: Rural Health Services Task Force, State of Vermont: Green Mountain Care Board
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VA Health Care: Efforts to Prioritize and Translate Research into Clinical Practice
Examines how the U.S. Department of Veterans Affairs (VA) sets priorities for funding research, VA efforts to facilitate translation of research into clinical practice, and coordination between VA's research program and other parts of the VA. Briefly highlights a research study on the use of telemedicine outreach for rural veterans with PTSD.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Examines how the U.S. Department of Veterans Affairs (VA) sets priorities for funding research, VA efforts to facilitate translation of research into clinical practice, and coordination between VA's research program and other parts of the VA. Briefly highlights a research study on the use of telemedicine outreach for rural veterans with PTSD.
Additional links: Full Report
Date: 01/2020
Type: Document
Sponsoring organization: Government Accountability Office
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State Telehealth Medicaid Fee-For-Service Policy: A Historical Analysis of Telehealth: 2013-2019
Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Examines national and state-by-state trends in Medicaid fee-for-service policies regarding telehealth between 2013-2019. Highlights changes in expanded telehealth and telemedicine definitions, modalities that are reimbursed, and geographic limitations. Provides graphs and national maps throughout to supplement reported trends.
Date: 01/2020
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Second Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on the impact of the Next Generation Accountable Care Organization model in 2016 and 2017, with information on the full sample of 46 participating NGACOs. Provides information on the models' impact on gross and net Medicare spending. The appendices include data on community characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports on the impact of the Next Generation Accountable Care Organization model in 2016 and 2017, with information on the full sample of 46 participating NGACOs. Provides information on the models' impact on gross and net Medicare spending. The appendices include data on community characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Update of Evaluation of California's Community Paramedicine Pilot Program
Updates the evaluation of the California Emergency Medical Services Authority pilot community paramedicine program, which began in 2014 to test 7 community paramedicine concepts and has involved 14 communities, including rural Butte county. Provides an overview of the projects, summarizes how the community paramedics were trained, reports on the patients served and program effectiveness, and discusses potential savings for Medi-Cal and Medicare.
Author(s): Janet M. Coffman, Lisel Blash, Ginachukwu Amah
Date: 01/2020
Type: Document
Sponsoring organizations: Healthforce Center at UCSF, Philip R. Lee Institute for Health Policy Studies
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Updates the evaluation of the California Emergency Medical Services Authority pilot community paramedicine program, which began in 2014 to test 7 community paramedicine concepts and has involved 14 communities, including rural Butte county. Provides an overview of the projects, summarizes how the community paramedics were trained, reports on the patients served and program effectiveness, and discusses potential savings for Medi-Cal and Medicare.
Author(s): Janet M. Coffman, Lisel Blash, Ginachukwu Amah
Date: 01/2020
Type: Document
Sponsoring organizations: Healthforce Center at UCSF, Philip R. Lee Institute for Health Policy Studies
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White Paper on Telehealth in the Rural American West
Describes issues of healthcare access for rural communities in the American West and ways that telehealth can address disparities in access and health conditions for rural and underserved populations. Offers an overview of telehealth technology, policy, barriers to implementation, and recommendations.
Author(s): Bruce E. Cain
Date: 2020
Type: Document
Sponsoring organization: Stanford Bill Lane Center for the American West
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Describes issues of healthcare access for rural communities in the American West and ways that telehealth can address disparities in access and health conditions for rural and underserved populations. Offers an overview of telehealth technology, policy, barriers to implementation, and recommendations.
Author(s): Bruce E. Cain
Date: 2020
Type: Document
Sponsoring organization: Stanford Bill Lane Center for the American West
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Lifehacks for Telemedicine: Top Hacks Handbook
Provides highlights from Telemedicine Hack, a 10-week virtual learning community hosted through teleECHO sessions and discussion panels. Topics include telemedicine implementation, documentation, billing and reimbursement, and clinical best practices. Video recordings of the sessions and other resources are available via links throughout the guide.
Date: 2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Provides highlights from Telemedicine Hack, a 10-week virtual learning community hosted through teleECHO sessions and discussion panels. Topics include telemedicine implementation, documentation, billing and reimbursement, and clinical best practices. Video recordings of the sessions and other resources are available via links throughout the guide.
Date: 2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Telehealth and Telemedicine in Missouri
Discusses telehealth programs in Missouri, including the early contributions of the Missouri Telehealth Network to the growth of telehealth and the MO HealthNet program. Discusses telehealth's impact on rural healthcare access and state-level approaches to reimbursement, licensing, restrictions, and telemedicine delivery.
Author(s): Mirna Becevic, Lincoln R. Sheets, Emmanuelle Wallach, et al.
Citation: Missouri Medicine, 117(3), 228-234
Date: 2020
Type: Document
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Discusses telehealth programs in Missouri, including the early contributions of the Missouri Telehealth Network to the growth of telehealth and the MO HealthNet program. Discusses telehealth's impact on rural healthcare access and state-level approaches to reimbursement, licensing, restrictions, and telemedicine delivery.
Author(s): Mirna Becevic, Lincoln R. Sheets, Emmanuelle Wallach, et al.
Citation: Missouri Medicine, 117(3), 228-234
Date: 2020
Type: Document
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties - Final Report
Presents findings from the Frontier Community Health Integration Project Demonstration (FCHIP) demonstration project over the 3-year project period. Shares results for the 10 participating Critical Access Hospitals in three states: North Dakota, Montana, and Nevada. The demonstration focused on interventions addressing ambulance services, skilled nursing facility/nursing facility beds, and telehealth. Offers recommendations for legislative and administrative action.
Date: 2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Presents findings from the Frontier Community Health Integration Project Demonstration (FCHIP) demonstration project over the 3-year project period. Shares results for the 10 participating Critical Access Hospitals in three states: North Dakota, Montana, and Nevada. The demonstration focused on interventions addressing ambulance services, skilled nursing facility/nursing facility beds, and telehealth. Offers recommendations for legislative and administrative action.
Date: 2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Supporting American Indian & Alaskan Native Communities Combating COVID-19
Reports on a virtual roundtable panel on health disparities related to COVID-19 facing American Indian and Alaska Native communities. Discusses the Indian Health Service response to the pandemic and gaps in pandemic-related services, including telehealth access, underfunded and understaffed healthcare facilities, data quality and information access, cultural literacy, and behavioral health needs. Addresses social determinants of health for Native populations, citing data from research studies and quoting roundtable panelists.
Date: 2020
Type: Document
Sponsoring organization: Executives for Health Innovation
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Reports on a virtual roundtable panel on health disparities related to COVID-19 facing American Indian and Alaska Native communities. Discusses the Indian Health Service response to the pandemic and gaps in pandemic-related services, including telehealth access, underfunded and understaffed healthcare facilities, data quality and information access, cultural literacy, and behavioral health needs. Addresses social determinants of health for Native populations, citing data from research studies and quoting roundtable panelists.
Date: 2020
Type: Document
Sponsoring organization: Executives for Health Innovation
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