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Rural Health
Resources by Topic: Service delivery models

Virtual Urgent Care - Bryan Health, Lincoln, NE
Case study of Bryan Health ezVisit, an online diagnosis and treatment option being used by a nonprofit health system in Lincoln, Nebraska to provide healthcare services for minor conditions to surrounding rural communities.
Date: 02/2018
Type: Document
Sponsoring organization: American Hospital Association
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Rural Family Physicians in Patient Centered Medical Homes Have a Broader Scope of Practice
Results of a study to determine whether rural family physicians in Patient Centered Medical Home (PCMH) practices have a broader scope of practice than those in non-PCMH practices. Features statistics including physician characteristics and scope of clinical services, with breakdowns by PCMH and non-PCMH and by large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Rural/Urban Disparities in Pneumococcal Vaccine Service Delivery Among the Fee-for-Service Medicare Population
Describes 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. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and a state-level map with rate of service delivery per eligible population, using 2014 data.
Author(s): Jeffery C. Talbert, Aric Schadler, Patricia R. Freeman
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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New Mexico Mobile Screening Program for Miners Brings Care to the Patients
Highlights a New Mexico program that uses screenings, specialty care via telehealth, and collaboration to meet the healthcare needs of miners with occupational lung disease. Services are provided via a mobile screening clinic housed in a semi that goes to 12 locations in the state.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Promising Practice: Wisconsin Office of Rural Health Rallies EMS Providers in the State
Describes how EMS Day at the Wisconsin capitol brought 50 local EMS agencies and two state EMS associations together to meet with state legislators and advocate for their support and recognition of their needs. This event developed out of an effort by the Wisconsin Office of Rural Health (WI-ORH) to design and implement an assessment tool evaluating rural ambulance services within the state.
Author(s): Beth Blevins
Date: 01/2018
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Case Studies of Telehealth Programs in New York
Synthesizes information from 7 case studies of healthcare providers who regularly use telehealth applications in service delivery, including those who serve patients in rural communities. Identifies common themes and findings related to the impact of these services on provider organizations and patient populations. Featured programs include those emphasizing oral health, home care, and psychiatric care.
Author(s): Robert Martiniano, Carol Rodat, Bridget Baker, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Telemedicine in the Management of Type 1 Diabetes
Describes a study in which 32 patients with type 1 diabetes who live in rural Alabama and Georgia received endocrinology care from an Atlanta telehealth clinic, from June 2014 to October 2016. Includes demographic statistics on patients and presence of other diseases and medical conditions.
Author(s): Timothy Xu, Shreya Pujara, Sarah Sutton, Mary Rhee
Citation: Preventing Chronic Disease, 15
Date: 01/2018
Type: Document
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Taking Stock: Policy Opportunities for Advancing Rural Health
Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Reinventing Rural Health Care: A Case Study of Seven Upper Midwest States
Examines the state of rural healthcare in seven states - Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming - and uses the findings to determine the impact of existing federal policies, understand ongoing healthcare challenges, and identify opportunities for improvement in rural healthcare access and delivery. Addresses rightsizing healthcare services to fit community needs, creating rural funding mechanisms, building and supporting the primary care physician workforce, and expanding telemedicine services. Analysis is based on interviews with over 90 national thought leaders and key stakeholders.
Additional links: Infographic, Summary – Rural Health Care: Lessons Learned
Date: 01/2018
Type: Document
Sponsoring organization: Bipartisan Policy Center
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An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program
Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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