Rural Health
Resources by Topic: Service delivery models
Experiences of Community Health Centers in Expanding Telemedicine
Presents an overview of the experiences of nine health centers in California that received funding to increase their telemedicine services. Describes barriers to implementing and sustaining expanded services, including reimbursement policies and other regulatory restrictions. Includes recommendations for health centers and policymakers to promote the use of telehealth services.
Author(s): Lori Uscher-Pines, Jessica Sousa, Alina I. Palimaru, et al.
Date: 07/2020
Sponsoring organization: RAND Corporation
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Presents an overview of the experiences of nine health centers in California that received funding to increase their telemedicine services. Describes barriers to implementing and sustaining expanded services, including reimbursement policies and other regulatory restrictions. Includes recommendations for health centers and policymakers to promote the use of telehealth services.
Author(s): Lori Uscher-Pines, Jessica Sousa, Alina I. Palimaru, et al.
Date: 07/2020
Sponsoring organization: RAND Corporation
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Evidence Briefing: Tackling the Digital Divide & Telehealth Access for Low-Income Californians
Recording of a July 28, 2020 briefing that features a panel of health care providers discussing strategies to improve access to broadband internet and telehealth services in California. Offers perspectives from a Federally Qualified Health Center and a VA health system that serve rural California residents. Transcript available by clicking the dots above the Subscribe tab, then selecting Open Transcript.
Date: 07/2020
Sponsoring organization: California Initiative for Health Equity and Action
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Recording of a July 28, 2020 briefing that features a panel of health care providers discussing strategies to improve access to broadband internet and telehealth services in California. Offers perspectives from a Federally Qualified Health Center and a VA health system that serve rural California residents. Transcript available by clicking the dots above the Subscribe tab, then selecting Open Transcript.
Date: 07/2020
Sponsoring organization: California Initiative for Health Equity and Action
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Pharmacist-Led Chronic Care Management for Medically Underserved Rural Populations in Florida During the COVID-19 Pandemic
Describes how ambulatory care pharmacists and student pharmacists are implementing telehealth during the COVID-19 pandemic to provide chronic care management to underserved, rural communities in Florida. Discusses implications for public health.
Author(s): Madison Como, Chenita White Carter, Margareth Larose-Pierre, et al.
Citation: Preventing Chronic Disease, 17:200265
Date: 07/2020
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Describes how ambulatory care pharmacists and student pharmacists are implementing telehealth during the COVID-19 pandemic to provide chronic care management to underserved, rural communities in Florida. Discusses implications for public health.
Author(s): Madison Como, Chenita White Carter, Margareth Larose-Pierre, et al.
Citation: Preventing Chronic Disease, 17:200265
Date: 07/2020
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How Clarke County Hospital Is Expanding Its Telehealth Services into Home Monitoring COVID-19 Patients
Describes how Clarke County Hospital, a Critical Access Hospital in rural Osceola, Iowa, is using funding from the Federal Communications Commission's COVID-19 Telehealth Program to expand its telehealth and remote patient monitoring services. Offers lessons learned from applying for funding from the program.
Date: 07/2020
Sponsoring organization: American Hospital Association
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Describes how Clarke County Hospital, a Critical Access Hospital in rural Osceola, Iowa, is using funding from the Federal Communications Commission's COVID-19 Telehealth Program to expand its telehealth and remote patient monitoring services. Offers lessons learned from applying for funding from the program.
Date: 07/2020
Sponsoring organization: American Hospital Association
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Medicare Beneficiary Use of Telehealth Visits: Early Data from the Start of the COVID-19 Pandemic
Examines changes in Medicare in-person primary care visits and the use of telehealth services at the start of the COVID-19 public health emergency. Discusses how Medicare telehealth flexibilities implemented in response to COVID-19 impacted access to these services. Compares the percentage of primary care telehealth visits between rural and urban providers. Includes a county-level map displaying the percentage of primary care visits conducted via telehealth services in April 2020.
Date: 07/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines changes in Medicare in-person primary care visits and the use of telehealth services at the start of the COVID-19 public health emergency. Discusses how Medicare telehealth flexibilities implemented in response to COVID-19 impacted access to these services. Compares the percentage of primary care telehealth visits between rural and urban providers. Includes a county-level map displaying the percentage of primary care visits conducted via telehealth services in April 2020.
Date: 07/2020
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural Healthcare Surge Readiness
Resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 07/2020
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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Resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 07/2020
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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Improving Substance Use Care: Addressing Barriers to Expanding Integrated Treatment Options for Post-9/11 Veterans
Report details the barriers to behavioral health treatment for veterans of the post-9/11 wars. Highlights challenges specific to rural veterans, such as stigma around mental health and substance use issues, as well as distance to care. Discusses methods for overcoming barriers to treatment.
Author(s): Eric R. Pedersen, Kathryn E. Bouskill, Stephanie Brooks Holliday, et al.
Date: 07/2020
Sponsoring organization: RAND Corporation
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Report details the barriers to behavioral health treatment for veterans of the post-9/11 wars. Highlights challenges specific to rural veterans, such as stigma around mental health and substance use issues, as well as distance to care. Discusses methods for overcoming barriers to treatment.
Author(s): Eric R. Pedersen, Kathryn E. Bouskill, Stephanie Brooks Holliday, et al.
Date: 07/2020
Sponsoring organization: RAND Corporation
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The Growing Divide in the Composition of Public Health Delivery Systems in US Rural and Urban Communities, 2014–2018
Analyzes data from the National Longitudinal Survey of Public Health Systems to examine rural-urban differences in the scope of public health delivery system activities and organizational networks from 2014-2018. Provides geographic breakdowns on various characteristics, including poverty, unemployment, trends for public health activities, and more.
Author(s): Kelsey M. Owsley, Mika K. Hamer, Glen P. Mays
Citation: American Journal of Public Health, 110(Suppl 2), S204-S210
Date: 07/2020
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Analyzes data from the National Longitudinal Survey of Public Health Systems to examine rural-urban differences in the scope of public health delivery system activities and organizational networks from 2014-2018. Provides geographic breakdowns on various characteristics, including poverty, unemployment, trends for public health activities, and more.
Author(s): Kelsey M. Owsley, Mika K. Hamer, Glen P. Mays
Citation: American Journal of Public Health, 110(Suppl 2), S204-S210
Date: 07/2020
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The Influence of Telehealth for Better Health Across Communities
Describes the use of Extension for Community Healthcare Outcomes (ECHO), a videoconferencing peer learning application used by healthcare providers in predominantly rural areas of Missouri for the treatment of COVID-19–positive patients with chronic diseases such as diabetes, COPD, and hypertension. Discusses implications for public health and ways to optimize health system performance.
Author(s): Jane A. McElroy, Tamara M. Day, Mirna Becevic
Citation: Preventing Chronic Disease, 17
Date: 07/2020
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Describes the use of Extension for Community Healthcare Outcomes (ECHO), a videoconferencing peer learning application used by healthcare providers in predominantly rural areas of Missouri for the treatment of COVID-19–positive patients with chronic diseases such as diabetes, COPD, and hypertension. Discusses implications for public health and ways to optimize health system performance.
Author(s): Jane A. McElroy, Tamara M. Day, Mirna Becevic
Citation: Preventing Chronic Disease, 17
Date: 07/2020
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Second Annual Report
Reports on the first two program years of the CPC+, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practices changes and outcomes for Medicare fee-for-service beneficiaries. Includes statistics with breakdowns by rural, suburban, or urban practice location.
Additional links: Appendices to the Supplemental Volume, CMS Perspective Report, Findings at a Glance, Supplemental Volume
Date: 07/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Reports on the first two program years of the CPC+, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practices changes and outcomes for Medicare fee-for-service beneficiaries. Includes statistics with breakdowns by rural, suburban, or urban practice location.
Additional links: Appendices to the Supplemental Volume, CMS Perspective Report, Findings at a Glance, Supplemental Volume
Date: 07/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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