Rural Health
Resources by Topic: Service delivery models
CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 5 Evaluation & Monitoring Annual Report
Shares findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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More Employers Are Paying for Telemedicine, but Enrollee Take-Up Has Been Relatively Low
Analyzes 2018 Employer Health Benefit Survey (EHBS) data regarding telemedicine trends in employer health plan coverage. Includes discussion on telemedicine improving access to healthcare in rural areas. Covers statistics of telemedicine utilization between rural and urban large employer health plan enrollees.
Author(s): Matthew Rae, Cynthia Cox
Date: 10/2018
Type: Document
Sponsoring organization: KFF
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Analyzes 2018 Employer Health Benefit Survey (EHBS) data regarding telemedicine trends in employer health plan coverage. Includes discussion on telemedicine improving access to healthcare in rural areas. Covers statistics of telemedicine utilization between rural and urban large employer health plan enrollees.
Author(s): Matthew Rae, Cynthia Cox
Date: 10/2018
Type: Document
Sponsoring organization: KFF
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Community Health Needs Assessments: Resources for Community Paramedicine & Mobile Integrated Healthcare
Provides information for emergency medical service (EMS) agencies exploring community paramedicine and mobile integrated healthcare (CP-MIH). Includes resources to match CP-MIH services with targeted community health needs and covers rural CP-MIH program examples.
Date: 10/2018
Type: Document
Sponsoring organization: National Association of State EMS Officials
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Provides information for emergency medical service (EMS) agencies exploring community paramedicine and mobile integrated healthcare (CP-MIH). Includes resources to match CP-MIH services with targeted community health needs and covers rural CP-MIH program examples.
Date: 10/2018
Type: Document
Sponsoring organization: National Association of State EMS Officials
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Pioneering Telehealth in Mississippi: Lessons for Facilities Leaders
Describes the implementation and accessibility of a virtual state healthcare program offering specialized care and public health services to rural communities through telehealth technology.
Author(s): Alex Raubicheck
Citation: HealthSpaces Blog
Date: 09/2018
Type: Document
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Describes the implementation and accessibility of a virtual state healthcare program offering specialized care and public health services to rural communities through telehealth technology.
Author(s): Alex Raubicheck
Citation: HealthSpaces Blog
Date: 09/2018
Type: Document
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Leveraging Technology to Promote Smoking Cessation in Urban and Rural Primary Care Medical Offices
Study examining use of telemedicine to promote smoking cessation in 8 New York counties, comparing the effectiveness of automated voice recognition (AVR) messages directed to underserved urban and rural populations. Analyzes data from 5812 participants based on age, sex, race, and residence in rural compared to urban areas.
Author(s): Martin Mahoney, Deborah Erwin, Annamaria Twarozek, et al.
Citation: Preventative Medicine, 114, 102-106
Date: 09/2018
Type: Document
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Study examining use of telemedicine to promote smoking cessation in 8 New York counties, comparing the effectiveness of automated voice recognition (AVR) messages directed to underserved urban and rural populations. Analyzes data from 5812 participants based on age, sex, race, and residence in rural compared to urban areas.
Author(s): Martin Mahoney, Deborah Erwin, Annamaria Twarozek, et al.
Citation: Preventative Medicine, 114, 102-106
Date: 09/2018
Type: Document
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Weight Loss Success of Participants Residing in Rural and Urban Areas
Compares the weight loss outcomes of residents in rural and urban areas of Arkansas and Vermont participating in an on-line behavioral weight loss intervention, and assesses any rural and urban differences in adherence to treatment goals.
Author(s): Elise Mench, Delia West, Rebecca Krukowski, Jean Harvey
Citation: Journal of Rural Health, 34(4), 396-400
Date: 09/2018
Type: Document
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Compares the weight loss outcomes of residents in rural and urban areas of Arkansas and Vermont participating in an on-line behavioral weight loss intervention, and assesses any rural and urban differences in adherence to treatment goals.
Author(s): Elise Mench, Delia West, Rebecca Krukowski, Jean Harvey
Citation: Journal of Rural Health, 34(4), 396-400
Date: 09/2018
Type: Document
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Telestroke Adoption among Community Hospitals in North Carolina: A Cross-sectional Study
Discusses the advantages of implementing telestroke in rural acute care hospitals, including Critical Access Hospitals (CAHs), where stroke mortality is higher than in urban settings. Identifies the community and hospital characteristics associated with the adoption of the telestroke approach in acute care hospitals in North Carolina.
Author(s): Christopher M. Shea, Amir Alishahi Tabriz, Kea Turner, Steve North, Kristin L. Reiter
Citation: Journal of Stroke and Cerebrovascular Diseases, 27(9), 2411-2417
Date: 09/2018
Type: Document
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Discusses the advantages of implementing telestroke in rural acute care hospitals, including Critical Access Hospitals (CAHs), where stroke mortality is higher than in urban settings. Identifies the community and hospital characteristics associated with the adoption of the telestroke approach in acute care hospitals in North Carolina.
Author(s): Christopher M. Shea, Amir Alishahi Tabriz, Kea Turner, Steve North, Kristin L. Reiter
Citation: Journal of Stroke and Cerebrovascular Diseases, 27(9), 2411-2417
Date: 09/2018
Type: Document
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Hepatitis C Within a Single Health System: Progression Along the Cascade to Cure Is Higher for Those With Substance Misuse When Linked to a Clinic With Embedded Support Services
Recognizes the barriers to treatment of hepatitis C virus (HCV) by identifying patient and HCV clinic characteristics associated with the achievement of sustained virologic response (SVR) in a large medical center serving a rural population. Characteristics documented included proximity to the health center, household income and assets, availability of private insurance, medical comorbidities, and patients with recorded substance misuse. Suggests models for expanding access to treatment in rural areas through increased prescribing by primary care providers and through telehealth.
Author(s): J. E. Sherbuk, K. A. McManus, E. T. Rogawski McQuade, et al.
Citation: Open Forum Infectious Diseases, 5(9)
Date: 09/2018
Type: Document
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Recognizes the barriers to treatment of hepatitis C virus (HCV) by identifying patient and HCV clinic characteristics associated with the achievement of sustained virologic response (SVR) in a large medical center serving a rural population. Characteristics documented included proximity to the health center, household income and assets, availability of private insurance, medical comorbidities, and patients with recorded substance misuse. Suggests models for expanding access to treatment in rural areas through increased prescribing by primary care providers and through telehealth.
Author(s): J. E. Sherbuk, K. A. McManus, E. T. Rogawski McQuade, et al.
Citation: Open Forum Infectious Diseases, 5(9)
Date: 09/2018
Type: Document
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Rural Hospital Closures: Number and Characteristics of Affected Hospitals and Contributing Factors
Examines rural hospital closures from 2013-2017, including their financial health, hospital characteristics, and the impact on healthcare access. Compares data to 2008-2012 closures and discusses the implications for federal healthcare policies. Addresses the role of Medicare rural hospital designations, new healthcare delivery and payment models, and other rural Health and Human Services (HHS) programs. Identifies the number of rural hospitals that closed for each state.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Examines rural hospital closures from 2013-2017, including their financial health, hospital characteristics, and the impact on healthcare access. Compares data to 2008-2012 closures and discusses the implications for federal healthcare policies. Addresses the role of Medicare rural hospital designations, new healthcare delivery and payment models, and other rural Health and Human Services (HHS) programs. Identifies the number of rural hospitals that closed for each state.
Additional links: Full Report
Date: 09/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Health Care in Rural America: Examining Experiences and Costs
Provides a recording of a Senate Subcommittee on Primary Health and Retirement Security meeting addressing rural healthcare challenges. Discusses healthcare access, workforce shortages, costs, reimbursement, care delivery issues, and potential solutions, such as telehealth.
Additional links: Alan Levine Testimony, Deborah Richter Testimony, Morgan Reed Testimony, Tom Glause Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Provides a recording of a Senate Subcommittee on Primary Health and Retirement Security meeting addressing rural healthcare challenges. Discusses healthcare access, workforce shortages, costs, reimbursement, care delivery issues, and potential solutions, such as telehealth.
Additional links: Alan Levine Testimony, Deborah Richter Testimony, Morgan Reed Testimony, Tom Glause Testimony
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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