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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Factors Determining Patients' Choice Between Mobile Health and Telemedicine: Predictive Analytics Assessment
Results of a study to examine factors influencing the choice of communication medium for receiving healthcare, through analysis of mobile health versus telemedicine visits with a virtual urgent clinic. Features statistics including demographics of virtual urgent clinic users, with breakdowns by urban and rural settings.
Author(s): Saif Khairat, Songzi Liu, Tanzila Zaman, Barbara Edson, Robert Gianforcaro
Citation: JMIR Mhealth Uhealth, 7(6)
Date: 06/2019
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Tailoring Crisis Response and Pre-arrest Diversion Models for Rural Communities
Outlines a guide for rural communities to develop crisis response and pre-arrest diversion programs for people with mental health or substance use disorders. Discusses the use of technology to connect law enforcement with behavioral health programs, as well as building off of current programs to address the specific needs of the community.
Date: 06/2019
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Lower Health Care Costs Act
Recording of a U.S. Senate Committee on Health, Education, Labor and Pensions hearing on the Lower Health Care Costs Act, which covers access to healthcare, surprise medical bills, market competition, drug prices, and other issues. Includes testimony from an organization that works primarily with small and rural practices, the American Hospital Association, American Enterprise Institute, and others.
Additional links: Benedic N. Ippolito Testimony, Sean Cavanaugh Testimony, Tom Nickels Testimony
Date: 06/2019
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Access to Maternal Health Care in Rural Communities: A Patient's Personal Story
Offers a short video featuring a patient's story about accessing maternal healthcare in rural Iowa. Includes the perspective of the obstetrician/gynecologist who provided her care using a combination of telehealth and in-person visits from South Dakota, the closest facility offering the services she needed. Transcript available below description.
Date: 06/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Broadband Availability and Access in Rural Pennsylvania
Report details broadband access in rural Pennsylvania. Discussed broadband speed and the role it plays in rural telehealth services. Features a literature review and policy recommendations.
Author(s): Sascha D. Meinrath, Hannah Bonestroo, Georgia Bullen, et al.
Date: 06/2019
Sponsoring organization: Center for Rural Pennsylvania
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Idaho Community Paramedic Toolkit
Toolkit providing step-by-step instructions on how to develop, operate, and evaluate a Community Paramedic program. Includes tools, resources, guidelines, and recommendations.
Author(s): Anne Montera, Christopher Montera, Pat Songer, Mikaela Greene
Date: 05/2019
Sponsoring organization: Idaho Department of Health and Welfare
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Operationalizing an Implementation Framework to Disseminate a Care Coordination Program for Rural Veterans
Features a study on a framework for assessment prior to the implementation of a care coordination program in Veterans Affairs (VA) facilities. Details a nurse-led care coordination program and highlights the methods for assessing the local context of the program before implementation.
Author(s): Chelsea Leonard, Heather Gilmartin, Marina McCreight, et al.
Citation: Journal of General Internal Medicine, 34, 58-66
Date: 05/2019
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Practical Use of Process Mapping to Guide Implementation of a Care Coordination Program for Rural Veterans
Details a study on the use of process mapping in the implementation of a care coordination program in Veterans Affairs (VA) facilities. Discusses a nurse-led care coordination program and outlines its implementation process.
Author(s): Marina S. McCreight, Heather M. Gilmartin, PhD, Chelsea A. Leonard, et al.
Citation: Journal of General Internal Medicine, 34, 67-74
Date: 05/2019
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Are Rural and Urban Emergency Departments Equally Prepared to Reduce Avoidable Hospitalizations?
Presents the results of a cross-sectional, web-based survey sent to medical directors and/or nurse managers from 135 hospital-based emergency departments (EDs) in Michigan. Examines the rural and urban differences in the presence of clinical pathways, services to reduce admissions, barriers connecting patients to outpatient services, and the availability of resources to reduce or prevent avoidable admissions.
Author(s): Margaret B. Greenwood-Ericksen, Michelle L. Macy, Jason Ham, et al.
Citation: Western Journal of Emergency Medicine, 20(3), 477-484
Date: 05/2019
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Infectious Diseases Society of America Position Statement on Telehealth and Telemedicine as Applied to the Practice of Infectious Diseases
Position statement to educate members of the Infectious Diseases Society of America on telehealth and to promote use of this technology in clinical care, research, and education. Explores the potential to increase access to subspecialist care in rural areas, and describes reimbursement policies of private insurers, Medicare, and Medicaid, for telehealth services provided to patients in rural areas. Also describes HIPAA requirements for telehealth interactions and protected health information.
Author(s): Jeremy D. Young, Rima Abdel-Massih, Thomas Herchline, et al.
Citation: Clinical Infectious Diseases, 68(9), 1437-1443
Date: 05/2019
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