Rural Health
Resources by Topic: Service delivery models
Veterans Choice Program: Improvements Needed to Address Access-Related Challenges as VA Plans Consolidation of Its Community Care Programs
Presents a study on the Veterans Health Administration (VHA) Veterans Choice Program. Evaluates the VHA's ability to consolidate Community Care Programs without affecting access for rural veterans. Highlights findings and provides recommendations for changes.
Additional links: Full Report
Date: 06/2018
Sponsoring organization: Government Accountability Office
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Presents a study on the Veterans Health Administration (VHA) Veterans Choice Program. Evaluates the VHA's ability to consolidate Community Care Programs without affecting access for rural veterans. Highlights findings and provides recommendations for changes.
Additional links: Full Report
Date: 06/2018
Sponsoring organization: Government Accountability Office
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The Evolution of Annual Wellness Visits at Bellin Health Partners Next Generation Accountable Care Organization
Features a primarily rural Accountable Care Organization serving Michigan's upper peninsula and northeastern Wisconsin. Outlines their initiative to maximize the benefits of annual wellness visits using a care team and health information technology. Addresses provider incentives and efforts to improve care team communications, as well as the initiative's results and next steps.
Date: 05/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Features a primarily rural Accountable Care Organization serving Michigan's upper peninsula and northeastern Wisconsin. Outlines their initiative to maximize the benefits of annual wellness visits using a care team and health information technology. Addresses provider incentives and efforts to improve care team communications, as well as the initiative's results and next steps.
Date: 05/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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ThedaCare: Leveraging Community Paramedics To Bridge Persistent Gaps in Care
Describes ThedaCare, a 2016 participant in the Transforming Complex Care initiative from the Robert Wood Johnson Foundation and Center for Health Care Strategies, a community paramedic (CP) program that works to extend the reach of clinic services to medically and socially complex patients in Northeastern Wisconsin. Discusses program goals, steps to establishing the CP program, and sustainability.
Author(s): Naomi Freundlich
Date: 05/2018
Sponsoring organization: Center for Health Care Strategies
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Describes ThedaCare, a 2016 participant in the Transforming Complex Care initiative from the Robert Wood Johnson Foundation and Center for Health Care Strategies, a community paramedic (CP) program that works to extend the reach of clinic services to medically and socially complex patients in Northeastern Wisconsin. Discusses program goals, steps to establishing the CP program, and sustainability.
Author(s): Naomi Freundlich
Date: 05/2018
Sponsoring organization: Center for Health Care Strategies
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Delta Memorial Hospital's SEAL Team
Describes Delta Memorial Hospital's (DMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, completed in 2017, focused on improving quality of care and transition of care. DMH is a 25-bed Critical Access Hospital located in Dumas, Arkansas. 12 months after implementing the recommendations, DMH met two of their three measurable goals. The SEAL team, or Service Excellence Advisor Leaders, are charged with regularly reviewing patient satisfaction surveys to identify service areas that need improvement.
Date: 05/2018
Sponsoring organization: National Rural Health Resource Center
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Describes Delta Memorial Hospital's (DMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, completed in 2017, focused on improving quality of care and transition of care. DMH is a 25-bed Critical Access Hospital located in Dumas, Arkansas. 12 months after implementing the recommendations, DMH met two of their three measurable goals. The SEAL team, or Service Excellence Advisor Leaders, are charged with regularly reviewing patient satisfaction surveys to identify service areas that need improvement.
Date: 05/2018
Sponsoring organization: National Rural Health Resource Center
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Telemedicine Reimbursement
Policy position brief showing how telemedicine can help safety net providers care for people who live and work in rural and underserved areas. Lists types of programs, explores reimbursement issues, gives examples of innovative programs with telemedicine components, and offers recommendations for increasing access and improving outcomes.
Author(s): Becky Sanders, Zach Allen, Greg Maurer
Date: 05/2018
Sponsoring organization: National Rural Health Association
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Policy position brief showing how telemedicine can help safety net providers care for people who live and work in rural and underserved areas. Lists types of programs, explores reimbursement issues, gives examples of innovative programs with telemedicine components, and offers recommendations for increasing access and improving outcomes.
Author(s): Becky Sanders, Zach Allen, Greg Maurer
Date: 05/2018
Sponsoring organization: National Rural Health Association
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Demonstrations and Pilots: Rural Centric Transformation
Policy brief describing the need for an intentional increase in funding for rural centric innovation for demonstration projects and pilot programs. Analyzes current national policies and National Rural Health Association (NRHA) policy positions, and covers the need for rural specific demonstration project data. Includes policy recommendations.
Author(s): Kathy Whitmire, Sue Grafstrom, Erin Tanenbaum
Date: 05/2018
Sponsoring organization: National Rural Health Association
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Policy brief describing the need for an intentional increase in funding for rural centric innovation for demonstration projects and pilot programs. Analyzes current national policies and National Rural Health Association (NRHA) policy positions, and covers the need for rural specific demonstration project data. Includes policy recommendations.
Author(s): Kathy Whitmire, Sue Grafstrom, Erin Tanenbaum
Date: 05/2018
Sponsoring organization: National Rural Health Association
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Toward Hospital Global Budgeting: State Considerations
Overview of hospital global budgeting, using case studies from Maryland, Pennsylvania, and Vermont. Explores ways in which global budgets can offer some financial stability for rural hospitals.
Author(s): Robert Murray
Date: 05/2018
Sponsoring organization: State Health & Value Strategies
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Overview of hospital global budgeting, using case studies from Maryland, Pennsylvania, and Vermont. Explores ways in which global budgets can offer some financial stability for rural hospitals.
Author(s): Robert Murray
Date: 05/2018
Sponsoring organization: State Health & Value Strategies
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Relationships and Partnerships: How ACOs Are Improving Treatments for Super-Utilizers
Highlights three rural Accountable Care Organizations (ACOs) that are working to improve care for their super-utilizer patients. Features three success stories showing how the ACOs helped meet patient needs and improve patient health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2018
Sponsoring organization: Rural Health Information Hub
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Highlights three rural Accountable Care Organizations (ACOs) that are working to improve care for their super-utilizer patients. Features three success stories showing how the ACOs helped meet patient needs and improve patient health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2018
Sponsoring organization: Rural Health Information Hub
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Toolkit: State Strategies to Develop Value-Based Payment Methodologies for Federally Qualified Health Centers
Designed to help policymakers implement Medicaid value-based payment (VBP) methodologies by providing background information, key considerations, and state strategies. Table 1 in the Payment Methodologies section gives an overview of select state VBP methodologies for Federally Qualified Health Centers (FQHCs). Addresses challenges for small and rural FQHCs.
Author(s): Rachel Donlon, Hannah Dorr, Kitty Purington
Date: 05/2018
Sponsoring organization: National Academy for State Health Policy
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Designed to help policymakers implement Medicaid value-based payment (VBP) methodologies by providing background information, key considerations, and state strategies. Table 1 in the Payment Methodologies section gives an overview of select state VBP methodologies for Federally Qualified Health Centers (FQHCs). Addresses challenges for small and rural FQHCs.
Author(s): Rachel Donlon, Hannah Dorr, Kitty Purington
Date: 05/2018
Sponsoring organization: National Academy for State Health Policy
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Establishing Effective Patient Navigation Programs in Oncology: Proceedings of a Workshop
Summarizes workshop proceedings and discussion to examine how to improve cancer patients' healthcare services navigation. Discusses current models of patient navigation programs, including programs in rural areas. Covers lessons learned, policy changes, and opportunities to improve cancer patient healthcare services navigation. Document is free to download after providing an email address.
Additional links: Read Online, Videos
Author(s): Board on Health Care Services
Date: 05/2018
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes workshop proceedings and discussion to examine how to improve cancer patients' healthcare services navigation. Discusses current models of patient navigation programs, including programs in rural areas. Covers lessons learned, policy changes, and opportunities to improve cancer patient healthcare services navigation. Document is free to download after providing an email address.
Additional links: Read Online, Videos
Author(s): Board on Health Care Services
Date: 05/2018
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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