Rural Health
Resources by Topic: Service delivery models
How to Better Support Small Physician-led Accountable Care Organizations: Recent Program Updates, Challenges, and Policy Implications
Describes the strategies of successful small physician-led Accountable Care Organizations (ACOs). Discusses how policy changes contribute to the opportunities and challenges for these ACOs. Explores how "ACO Enablers" aid small ACOs in participating in risk-bearing models. Includes a brief discussion of how the ACO Investment Model program supported ACOs in rural and underserved areas with access to capital.
Author(s): Jonathan Gonzalez-Smith, Hannah Crook, Elizabeth Singletary, William Bleser, Robert Saunders
Date: 02/2020
Sponsoring organizations: Duke Margolis Center for Health Policy, Robert Wood Johnson Foundation
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Describes the strategies of successful small physician-led Accountable Care Organizations (ACOs). Discusses how policy changes contribute to the opportunities and challenges for these ACOs. Explores how "ACO Enablers" aid small ACOs in participating in risk-bearing models. Includes a brief discussion of how the ACO Investment Model program supported ACOs in rural and underserved areas with access to capital.
Author(s): Jonathan Gonzalez-Smith, Hannah Crook, Elizabeth Singletary, William Bleser, Robert Saunders
Date: 02/2020
Sponsoring organizations: Duke Margolis Center for Health Policy, Robert Wood Johnson Foundation
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Defense Health Care: Plans Needed to Ensure Implementation of Required Elements for TRICARE's Managed Care Support Contracts
Report highlights the Government Accountability Office recommendations for the implementation of changes to the Department of Defense's TRICARE managed support contracts that were required by Congress. Evaluates the specific improvements relating to healthcare delivery and touches on their importance in rural areas.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Report highlights the Government Accountability Office recommendations for the implementation of changes to the Department of Defense's TRICARE managed support contracts that were required by Congress. Evaluates the specific improvements relating to healthcare delivery and touches on their importance in rural areas.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Rural Health Predictions: Q&A with Alan Morgan
An interview with National Rural Health Association (NRHA) CEO Alan Morgan. Focuses on NRHA's work on rural health issues and shares rural health predictions for 2020.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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An interview with National Rural Health Association (NRHA) CEO Alan Morgan. Focuses on NRHA's work on rural health issues and shares rural health predictions for 2020.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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Health Disparities in Rural America: Current Challenges and Future Solutions
Describes health risks experienced by rural people and the problems they face in accessing healthcare in shortage areas, and offers possible solutions. Includes a map showing Primary Care Health Professional Shortage Areas by county, and a list of states allowing full practice authority for nurse practitioners as of 2019.
Author(s): Theresa Capriotti, Tiffany Pearson, Lillian Dufour
Date: 02/2020
Sponsoring organization: Clinical Advisor
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Describes health risks experienced by rural people and the problems they face in accessing healthcare in shortage areas, and offers possible solutions. Includes a map showing Primary Care Health Professional Shortage Areas by county, and a list of states allowing full practice authority for nurse practitioners as of 2019.
Author(s): Theresa Capriotti, Tiffany Pearson, Lillian Dufour
Date: 02/2020
Sponsoring organization: Clinical Advisor
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Building Partnerships to Improve Health in the Rural South: CareSouth Carolina
Provides an overview of CareSouth Carolina, a Federally Qualified Health Center (FQHC), and its approaches to increase engagement with low-income patients in its service area. Describes the role of community health workers to address social determinants of health. Discusses partnerships with community organizations and the development of an independent practice association with other FQHCs in South Carolina. Includes CareSouth Carolina's performance scorecard and a summary of lessons learned.
Author(s): Martha Hostetter, Sarah Klein
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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Provides an overview of CareSouth Carolina, a Federally Qualified Health Center (FQHC), and its approaches to increase engagement with low-income patients in its service area. Describes the role of community health workers to address social determinants of health. Discusses partnerships with community organizations and the development of an independent practice association with other FQHCs in South Carolina. Includes CareSouth Carolina's performance scorecard and a summary of lessons learned.
Author(s): Martha Hostetter, Sarah Klein
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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Options for Rural Health Care Delivery in Maryland
Presents a high-level overview of rural health care delivery options and considerations for future access to health services in Kent and upper Queen Anne's Counties and other rural Maryland communities. Features demographics and statistics on inpatient discharges from 2014-2018.
Date: 01/2020
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Presents a high-level overview of rural health care delivery options and considerations for future access to health services in Kent and upper Queen Anne's Counties and other rural Maryland communities. Features demographics and statistics on inpatient discharges from 2014-2018.
Date: 01/2020
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Telehealth Use among Rural Individuals with Disabilities
Presents a review of literature on telehealth use by people with disabilities in rural areas, covering research published in the period 2000-2019. Identifies benefits, limitations, and challenges, including barriers associated with regulation and funding, and identifies areas for further study.
Author(s): Keith M. Christensen, Jill Bezyak
Date: 01/2020
Sponsoring organization: Rocky Mountain ADA Center (RMADAC)
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Presents a review of literature on telehealth use by people with disabilities in rural areas, covering research published in the period 2000-2019. Identifies benefits, limitations, and challenges, including barriers associated with regulation and funding, and identifies areas for further study.
Author(s): Keith M. Christensen, Jill Bezyak
Date: 01/2020
Sponsoring organization: Rocky Mountain ADA Center (RMADAC)
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Preventing Opioid Overdose with Peer-Administered Naloxone: Findings from a Rural State
Highlights a study on the efficacy of peer-administered naloxone to prevent opioid overdose deaths. Bases conclusions on interviews with individuals who have received the training and the naloxone kits from a program in rural Alaska.
Author(s): Bridget L. Hanson, Rebecca R. Porter, Amanda L. Zöld, Heather Terhorst-Miller
Citation: Harm Reduction Journal, 17(1), 4
Date: 01/2020
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Highlights a study on the efficacy of peer-administered naloxone to prevent opioid overdose deaths. Bases conclusions on interviews with individuals who have received the training and the naloxone kits from a program in rural Alaska.
Author(s): Bridget L. Hanson, Rebecca R. Porter, Amanda L. Zöld, Heather Terhorst-Miller
Citation: Harm Reduction Journal, 17(1), 4
Date: 01/2020
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Association of a Remotely Offered Infectious Diseases eConsult Service with Improved Clinical Outcomes
Discusses an asynchronous infectious disease eConsultation program for hospitalized patients, and examines the program's effect on mortality, readmission, and hospital transfer at two rural Minnesota hospitals. Compares the implementation of this service with other telemedicine programs. Describes referring provider and infection disease specialists' satisfaction with the eConsultation service.
Author(s): Aaron J. Tande, Elie F. Berbari, Priya Ramar, et al.
Citation: Open Forum Infectious Diseases, 7(1)
Date: 01/2020
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Discusses an asynchronous infectious disease eConsultation program for hospitalized patients, and examines the program's effect on mortality, readmission, and hospital transfer at two rural Minnesota hospitals. Compares the implementation of this service with other telemedicine programs. Describes referring provider and infection disease specialists' satisfaction with the eConsultation service.
Author(s): Aaron J. Tande, Elie F. Berbari, Priya Ramar, et al.
Citation: Open Forum Infectious Diseases, 7(1)
Date: 01/2020
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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
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
Sponsoring organizations: Rural Health Services Task Force, State of Vermont: Green Mountain Care Board
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