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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

2019 Physician Assistant Telehealth Survey
Discusses survey results of 95 physician assistants (PAs) across Kansas, Missouri, and Oklahoma regarding their use and perceptions of telehealth. Examines survey results across a variety of geographic and practice settings. Presents a brief overview of some federal and state-level policies about PA reimbursement and their ability to provide telehealth services.
Date: 08/2019
Type: Document
Sponsoring organization: Heartland Telehealth Resource Center
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Reaching the Quadruple Aim: Workforce and Service Delivery Within Certified Community Behavioral Health Clinics
Summary of data collected between February and August 2019 on the Certified Community Behavioral Health Clinic (CCBHC) model's impact on the behavioral workforce and the aims of improving patient and provider experiences, improving the health of populations, and reducing costs. Discusses access and barriers to care, workforce capacity, primary care and behavioral healthcare integration, and offers recommendations for enhancing financing and reimbursement. Features statistics including populations served by CCBHCs, with breakdowns by urban, rural, and tribal locations.
Author(s): Dana Foney, Shannon Mace, Adriano Boccanelli
Date: 08/2019
Type: Document
Sponsoring organizations: National Council for Mental Wellbeing, University of Michigan Behavioral Health Workforce Research Center
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Improving the Health and Well-Being of Rural Communities Through Collaboration
Webinar recording discusses the Federal Office of Rural Health Policy's report on care coordination between hospitals, health centers, and public health agencies. Features presentations from representatives from the Health Care Collaborative of Rural Missouri and the Sakakawea Medical Center.
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 08/2019
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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RHC - Becoming a Primary Care Medical Home
Presentation slides from an August 2019 webinar discussing how a Rural Health Clinic (RHC) can become a Patient-Centered Medical Home (PCMH). Profiles one RHC in the Mississippi Delta that became both a PCMH and an Accountable Care Organization and details the challenges and benefits of the transition. Part of the Rural Health Clinic Technical Assistance Series.
Date: 08/2019
Type: Video/Multimedia
Sponsoring organizations: Federal Office of Rural Health Policy, National Association of Rural Health Clinics
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Medicaid: Efforts to Identify, Predict, or Manage High-Expenditure Beneficiaries
Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Making Connections: Nationwide Implementation of Video Telehealth Tablets to Address Access Barriers in Veterans
Results of a survey of 68 facility telehealth coordinators to evaluate implementation of a Department of Veterans Affairs initiative to provide tablets to high-need veterans with chronic conditions. Features statistics including demographics of tablet recipients and tablet users, with breakdowns by urban, rural, and highly rural location.
Author(s): Donna M. Zulman, Emily P. Wong, Cindie Slightam, et al.
Citation: JAMIA Open, 2(3), 323–329
Date: 08/2019
Type: Document
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Small Rural Hospital Transition (SRHT) Project Guide: A Rural Hospital Guide to Improving Care Management: 2019 Update
A guide for rural hospital leadership that identifies best practices in care management. Addresses care management roles and staffing needs and covers utilization review and discharge planning. Helps identify opportunities for process improvement. Also discusses competencies needed to transition to a value-based reimbursement environment focused on population health.
Date: 08/2019
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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Rural Care Coordination and Population Health Management Summit: Summit Findings
Provides guidance to rural hospitals, clinics, and healthcare networks on incorporating community care coordination planning to prepare for population health management. Identifies tools and resources to support the transition to value-based payment models. Summarizes findings from a series of summits with national experts.
Author(s): Rebecca Jolley
Date: 08/2019
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Rural Health Association of Tennessee
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Rural Hospital Care Coordination and Population Health Management Summit Report
Materials related to the 2019 Rural Care Coordination and Population Health Management Summit, which focused on the role community care coordination plays in helping healthcare leaders prepare for population health management. Includes a short video of panelist interviews as well as a findings report from the summit and a care management best practices guide.
Date: 08/2019
Type: Website
Sponsoring organization: National Rural Health Resource Center
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The Evolving Policy Landscape of Telehealth Services Delivered in the Home and Other Nonclinical Settings
Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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