Rural Health
Resources by Topic: Service delivery models
Experiences of Medicaid Programs and Health Centers in Implementing Telehealth
Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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LTSS Research: Improving Care for Adults with Disabilities in Indian Country - Highlights from the Field
Report details a number of programs providing disability care in Indian Country. Discusses services provided, such as peer support, medical transportation, mental health counseling, and attendant care, among other services related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Report details a number of programs providing disability care in Indian Country. Discusses services provided, such as peer support, medical transportation, mental health counseling, and attendant care, among other services related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Narrowing the Rural Oral Healthcare Gap: The 2017 Rural Interprofessional Oral Health Practice Symposium
Discusses a 2017 symposium on interprofessional oral health practice in rural communities. Details the current state of interprofessional practice, as well as goals for the future. Discusses the results of a number of survey questions given to the symposium participants.
Author(s): Sean G. Boynes, Ce Ce Heyward, Christine Kenney, et al.
Citation: BMC Oral Health, 18(Supplement 1), 212
Date: 12/2018
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Discusses a 2017 symposium on interprofessional oral health practice in rural communities. Details the current state of interprofessional practice, as well as goals for the future. Discusses the results of a number of survey questions given to the symposium participants.
Author(s): Sean G. Boynes, Ce Ce Heyward, Christine Kenney, et al.
Citation: BMC Oral Health, 18(Supplement 1), 212
Date: 12/2018
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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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