Rural Health
Resources by Topic: Service delivery models
Impact of Participation in Technology-Enabled Collaborative Learning and Capacity Building (ECHO) Models on Provider Retention: Final Report
Examines whether participation in technology-enabled collaborative learning and capacity building (ECHO) models improves retention of providers at the provider-level and the site-level, and whether results differ for Health Professional Shortage Area (HPSA) vs. non-HPSA sites.
Author(s): Sebastian Negrusa, Paul Hogan, Matt Zhou
Date: 12/2018
Sponsoring organization: The Lewin Group
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Examines whether participation in technology-enabled collaborative learning and capacity building (ECHO) models improves retention of providers at the provider-level and the site-level, and whether results differ for Health Professional Shortage Area (HPSA) vs. non-HPSA sites.
Author(s): Sebastian Negrusa, Paul Hogan, Matt Zhou
Date: 12/2018
Sponsoring organization: The Lewin Group
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Five Annual Report
Fifth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Presents the final summary findings for SIM Round 1. Includes information specific to rural areas.
Additional links: Appendices, Findings at a Glance
Date: 12/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Fifth annual report on Round 1 of the CMS State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to move providers to value-based payment models (VPMs). Presents the final summary findings for SIM Round 1. Includes information specific to rural areas.
Additional links: Appendices, Findings at a Glance
Date: 12/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Reforming America's Healthcare System Through Choice and Competition
Describes how state and federal laws, regulations, guidance, and policies affect choice and competition in healthcare markets, and offers recommendations for improvement. Includes rural-relevant issues such as scope of practice, workforce mobility, and telehealth.
Date: 12/2018
Sponsoring organization: U.S. Department of Health and Human Services
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Describes how state and federal laws, regulations, guidance, and policies affect choice and competition in healthcare markets, and offers recommendations for improvement. Includes rural-relevant issues such as scope of practice, workforce mobility, and telehealth.
Date: 12/2018
Sponsoring organization: U.S. Department of Health and Human Services
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The Special Registration for Telemedicine: In Brief
Describes changes to the Controlled Substance Act (CSA) authorizing special registration for telemedicine to increase access to healthcare providers that can prescribe controlled substances using telemedicine, with the goal of helping address the opioid crisis and shortage of mental health providers. Outlines the seven categories for the practice of telemedicine under the authority of the CSA. The Drug Enforcement Administration plans to publish the related proposed rule to finalize the registration process and procedures.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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Describes changes to the Controlled Substance Act (CSA) authorizing special registration for telemedicine to increase access to healthcare providers that can prescribe controlled substances using telemedicine, with the goal of helping address the opioid crisis and shortage of mental health providers. Outlines the seven categories for the practice of telemedicine under the authority of the CSA. The Drug Enforcement Administration plans to publish the related proposed rule to finalize the registration process and procedures.
Date: 12/2018
Sponsoring organization: Congressional Research Service
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Practice Rurality of Family Physicians Enrolled in a Practice Transformation Network
An analysis of the enrollment of small and rural practices in the Transforming Clinical Practice Initiative (TCPI), supporting nationwide, collaborative and peer-based learning, to determine if a greater proportion of rural practices are enrolled in Practice Transformation Networks (PTNs) than are found among non-enrolled practices. In addition, the analysis includes the enrollment of family physicians across states and PTNs. Rural Urban Commuting Area (RUCA, version 2.0) codes were used to determine rurality. TCPI enrollment variation within rural practices is discussed.
Author(s): Robert L. Phillips, Elizabeth M. Bishop, Lars E. Peterson, et al.
Citation: Journal of the American Board of Family Medicine, 31(6), 952-956
Date: 11/2018
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An analysis of the enrollment of small and rural practices in the Transforming Clinical Practice Initiative (TCPI), supporting nationwide, collaborative and peer-based learning, to determine if a greater proportion of rural practices are enrolled in Practice Transformation Networks (PTNs) than are found among non-enrolled practices. In addition, the analysis includes the enrollment of family physicians across states and PTNs. Rural Urban Commuting Area (RUCA, version 2.0) codes were used to determine rurality. TCPI enrollment variation within rural practices is discussed.
Author(s): Robert L. Phillips, Elizabeth M. Bishop, Lars E. Peterson, et al.
Citation: Journal of the American Board of Family Medicine, 31(6), 952-956
Date: 11/2018
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Feasibility of Synchronous Online Focus Groups of Rural Breast Cancer Survivors on Web-based Distress Self-Management
Details a study on a web-based post-diagnosis focus group for women with breast cancer. Bases findings on the perceptions of cancer survivors on the effectiveness of the focus group. Features the perceptions of 23 cancer survivors living in rural Nebraska.
Author(s): Robin M. Lally, Christine Eisenhauer, Sydney Buckland, Kevin Kupzyk
Citation: Oncology Nursing Forum, 45(6), E111-E124
Date: 11/2018
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Details a study on a web-based post-diagnosis focus group for women with breast cancer. Bases findings on the perceptions of cancer survivors on the effectiveness of the focus group. Features the perceptions of 23 cancer survivors living in rural Nebraska.
Author(s): Robin M. Lally, Christine Eisenhauer, Sydney Buckland, Kevin Kupzyk
Citation: Oncology Nursing Forum, 45(6), E111-E124
Date: 11/2018
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Using Telehealth to Support Opioid Use Disorder Treatment
Provides an issue brief on how telehealth can increase access to medication-assisted treatment (MAT) for opioid use disorder (OUD). Addresses how telehealth is used, implemented, and reimbursed, highlighting the implications for MAT.
Date: 11/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an issue brief on how telehealth can increase access to medication-assisted treatment (MAT) for opioid use disorder (OUD). Addresses how telehealth is used, implemented, and reimbursed, highlighting the implications for MAT.
Date: 11/2018
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Looking Back But Leaning Forward: New Opportunities and Challenges for North Carolina's Rural Communities
Issue brief describing efforts among local and state leaders to promote community engagement in rural North Carolina and to address shortages of physicians and advanced practitioners. Also examines challenges faced by rural North Carolina hospitals, uses of telemedicine, plans to promote quality care for children and families, and recommendations for the future.
Author(s): Thomas G. Irons, Margaret L. Sauer
Citation: North Carolina Medical Journal, 79(6), 366-371
Date: 11/2018
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Issue brief describing efforts among local and state leaders to promote community engagement in rural North Carolina and to address shortages of physicians and advanced practitioners. Also examines challenges faced by rural North Carolina hospitals, uses of telemedicine, plans to promote quality care for children and families, and recommendations for the future.
Author(s): Thomas G. Irons, Margaret L. Sauer
Citation: North Carolina Medical Journal, 79(6), 366-371
Date: 11/2018
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Factors Influencing Patient Adherence with Diabetic Eye Screening in Rural Communities: A Qualitative Study
Reports on a study in rural Wisconsin to understand the circumstances affecting diabetic patients' adherence to yearly eye screening in order to design effective interventions and increase screenings in rural health settings.
Author(s): Yao Liu, Nicholas J. Zupan, Olayinka O. Shiyanbola, et al.
Citation: PLoS One, 13(11)
Date: 11/2018
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Reports on a study in rural Wisconsin to understand the circumstances affecting diabetic patients' adherence to yearly eye screening in order to design effective interventions and increase screenings in rural health settings.
Author(s): Yao Liu, Nicholas J. Zupan, Olayinka O. Shiyanbola, et al.
Citation: PLoS One, 13(11)
Date: 11/2018
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Update: Rural/Urban Disparities in Pneumococcal Vaccine Service Delivery Among the Fee-for-Service Medicare Population, 2012-2015
Updated report on a study to identify disparities in vaccine provision to people ages 65 and over, and to assess the impact of pharmacies as alternate site providers in rural areas. Revised version specifically assesses the uptake of the 13-valent pneumococcal conjugate vaccine, in response to the revised vaccination recommendations issued in 2014. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and state-level maps with rate of service delivery per eligible population, using 2014 and 2015 data.
Author(s): Joseph C. Vanghelof, Aric Schadler, Patricia R. Freeman, Jeffery C. Talbert
Date: 11/2018
Sponsoring organization: Rural and Underserved Health Research Center
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Updated report on a study to identify disparities in vaccine provision to people ages 65 and over, and to assess the impact of pharmacies as alternate site providers in rural areas. Revised version specifically assesses the uptake of the 13-valent pneumococcal conjugate vaccine, in response to the revised vaccination recommendations issued in 2014. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and state-level maps with rate of service delivery per eligible population, using 2014 and 2015 data.
Author(s): Joseph C. Vanghelof, Aric Schadler, Patricia R. Freeman, Jeffery C. Talbert
Date: 11/2018
Sponsoring organization: Rural and Underserved Health Research Center
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