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Resources by Topic: Service delivery models

Geographic and Social Factors Associated with Chronic Disease Self-Management Program Participation: Going the "Extra-Mile" for Disease Prevention
Analyzes geographic and social factors related to Chronic Disease Self-Management Program (CDSMP) and Diabetes Self-Management Program (DSMP) participants in rural and urban areas of Illinois. Compares rural and urban statistics describing CDSMP and DSMP participants by race, education, weekly physical activity, program enrollment, sessions attended, and more.
Author(s): Julie Bobitt, Liliana Aguayo, Laura Payne, Taylor Jansen, Andiara Schwingel
Citation: Preventing Chronic Disease, 16
Date: 03/2019
Type: Document
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Assessing Disparities in Pneumococcal Vaccine Service Delivery in the Rural Fee-for-Service Medicare Population
Slides from a March 2019 National Vaccine Program Office (NVAC) meeting discussing pneumococcal vaccine service disparities in rural Medicare fee-for-service populations based on data from 2012 to 2015. Includes data describing rural and urban vaccination services by provider type. Examines community pharmacies as a potential vaccine service provider.
Author(s): Jeffery Talbert, Patricia R. Freeman
Date: 03/2019
Type: Presentation Slides
Sponsoring organization: Rural and Underserved Health Research Center
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VA and Indian Health Service: Actions Needed to Strengthen Oversight and Coordination of Health Care for American Indian and Alaska Native Veterans
Report discusses the relationship between the Department of Veterans Affairs (VA) and the Indian Health Service (IHS) with regard to providing care to American Indian and Alaska Native veterans. Details the cooperative agreement between the two entities and the ways their efforts could be improved.
Additional links: Full Report
Date: 03/2019
Type: Document
Sponsoring organization: Government Accountability Office
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North Dakota Tests Innovative Health IT Approaches to Improve Hypertension Identification and Control in Workplaces
Highlights a hypertension identification and control project in North Dakota. The program expanded blood pressure screening access to rural and tribal communities; leveraged health information technology; and included partnerships with local health departments, emergency medical services, health systems, and health insurance companies. Summarizes the program's strategies and activities, results, lessons learned, and recommendations.
Date: 03/2019
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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The Availability of Medication-Assisted Treatment for Opioid Addiction in Pennsylvania
Report details the availability of medication-assisted treatment (MAT) for opioid addiction throughout the state of Pennsylvania. Compares rural and urban counties and highlights MAT delivery methods to rural areas.
Additional links: Executive Summary
Author(s): Harry D. Holt, Matin Katirai, Whitney Katirai
Date: 03/2019
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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STOP Playbook: How Health Plans Are Tackling the Opioid Crisis
Offers strategies used by health plans to address opioid misuse through the Safe, Transparent Opioid Prescribing (STOP) Initiative, which focuses on improving prescribing patterns and practices. Includes strategies and examples for increasing substance abuse treatment access in rural areas. Summarizes the health insurance impacts of the Substance Use Disorder Prevention that Promotes Opioid Recovery and Treatment (SUPPORT) for Patients and Communities legislation.
Date: 03/2019
Type: Document
Sponsoring organization: AHIP
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Strengthening Medicaid Long-term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Comparing Rural and Urban Medicare Advantage Beneficiary Characteristics
Describes differences in rural and urban populations enrolled in the Medicare Advantage (MA) program. Features statistics from the 2012-13 Medicare Current Beneficiary Survey, including measures of access by MA Beneficiaries, with breakdowns by rural and urban residence.
Author(s): Abigail Barker, Lindsey Nienstedt, Leah Kemper, Timothy McBride, Keith Mueller
Date: 03/2019
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Pender Community Hospital Uses SRHT Project to Propel Forward
Highlights a Critical Access Hospital in Nebraska that participated in a Small Rural Hospital Transition (SRHT) project focused on discharge issues, electronic health record improvements, and Patient Centered Medical Home (PCMH) status for system clinics. Discusses project implementation, hospital culture, and project outcomes.
Date: 03/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report
Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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