This website is being reviewed for updates. Some information is offline. We apologize for any inconvenience.
Skip to main content
Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

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
Sponsoring organization: Center for Rural Pennsylvania
view details
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
Sponsoring organization: AHIP
view details
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
Sponsoring organization: Center for Health Care Strategies
view details
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
Sponsoring organization: National Rural Health Resource Center
view details
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
Sponsoring organization: Flex Monitoring Team
view details
5 Strategies Rural Hospitals Are Using to Bolster Their Workforce
Provides examples from rural hospitals and health systems of how they are addressing workforce development and planning. Highlights Rural Training Tracks (RTT), grow your own programs, telehealth, behavioral health integration, and care teams including nurse practitioners and physician assistants.
Date: 03/2019
Sponsoring organization: American Hospital Association
view details
Addressing the Rural Opioid Addiction and Overdose Crisis Through Cross-Sector Collaboration: Little Falls, Minnesota
Explores a cross-sector community-based care coordination effort to reduce the use of opioids in Little Falls, MN. Discusses the collaboration between a rural hospital and clinic with the Morrison County Accountable Communities for Health (ACH) program and highlights changes to opioid prescribing practices and community awareness of treatment options.
Author(s): Caroline Au-Yeung, Lynn A. Blewett, Kathy Lange
Citation: American Journal of Public Health, 109(2), 260-262
Date: 02/2019
view details
Perspectives From the Frontline of Two North American Community Paramedicine Programs: An Observational, Ethnographic Study
Discusses the motivations, job satisfaction, and challenges from the viewpoints of community paramedics and their managers in two independent programs in rural Ontario, Canada and Colorado, USA. Presents qualitative data derived through interviews, informal discussions, focus groups, and direct observation of practice.
Author(s): Angela C Martin, Peter O'Meara
Citation: Rural and Remote Health, 19(1), 4888
Date: 02/2019
view details
Fact Sheet: Telehealth
Discusses the growth of telehealth use in hospitals from 2010 through 2017, and ongoing challenges to expanding and providing telehealth services. Covers rural considerations throughout the document.
Date: 02/2019
Sponsoring organization: American Hospital Association
view details
2019 Telehealth Policy Barriers
Discusses existing policy barriers at the federal and state levels that inhibit the use of telehealth in rural and urban areas, including: reimbursement; malpractice; licensing; HIPAA, privacy, and security; prescribing; credentialing and privileging; and other influences on policy.
Date: 02/2019
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details