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Rural Health
Resources by Topic: Service delivery models

Modernizing Rural Health Clinic Provisions
Reviews Rural Health Clinics (RHCs) statutory authorization and current regulations to identify areas for improvement to meet the current and future healthcare needs. Includes recommendations regarding payment options, program support, services offered, workforce issues, and law requirements.
Date: 12/2017
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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The Rural Primary Care Practice Guide to Creating Interprofessional Oral Health Networks
Provides guidance on establishing interprofessional networks between primary care providers and oral health providers. Presents activities for both parties to work toward the goal of oral healthcare integration.
Additional links: Executive Summary
Date: 11/2017
Type: Document
Sponsoring organization: DentaQuest Institute
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Impact of a Mobile Health Application on User Engagement and Pregnancy Outcomes among Wyoming Medicaid Members
Examines the effects of a mobile health application, Due Date Plus, on user engagement and birth outcomes among pregnant Medicaid members compared to pregnant Medicaid members not using the application in Wyoming. Compares data on four outcomes: 6-month or more prenatal visit, C-section, low birth weight, and neonatal intensive care unity (NICU) admission to evaluate the association between Due Date Plus with pregnancy and birth outcomes.
Author(s): James Bush, Dilek E. Barlow, Jennie Echols, Jasmine Wilkerson, Katherine Bellevin
Citation: Telemedicine Journal and e-Health, 23(11), 891-898
Date: 11/2017
Type: Document
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Emerging Strategies to Ensure Access to Health Care Services: Emergency Medical Center
Provides an overview of the emergency medical center (EMC) model, which would allow struggling hospitals to convert to EMC status and provide emergency and outpatient services, without having to provide inpatient acute care services. Also outlines rural-specific federal policy proposals that seek to create similar hospital designations, with the goal of improving access to and the delivery of care in underserved communities.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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Emerging Strategies to Ensure Access to Health Care Services: Frontier Health System
Discusses the challenges of providing care in frontier communities and offers solutions for improving access to and delivery of care. Proposes the creation of a frontier-specific accountable care organization (ACO), the Frontier Health System (FHS), that provides traditional ACO services along with transportation, swing beds, home-based care, expanded visiting nurse services, and more.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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Telehealth Services Proposed for Medicare Part B Reimbursements, 2018: Fact Sheet
Identifies the five conditions that a telehealth service must meet in order to be covered by Medicare Part B, provides an overview of how telehealth services get added to Medicare's reimbursable list, and outlines proposed services that may be added for calendar year 2018.
Date: 11/2017
Type: Document
Sponsoring organization: Congressional Research Service
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Emerging Strategies to Ensure Access to Health Care Services: Virtual Care Strategies
Discusses opportunities to use telehealth to improve healthcare access and delivery to vulnerable rural and urban communities. Includes recommendations from the American Hospital Association Task Force on Ensuring Access in Vulnerable Communities and details the benefits of telehealth services and potential policy solutions such as reimbursement, interaction of state and federal laws, broadband access, and federal research.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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Meadville Medical Center: Care Coordination for Adults and Children
Describes the Meadville Medical Center Community Care Network (CCN), an interdisciplinary team of clinicians who focus on using care coordination to help patients manage chronic conditions and achieve their health and wellness goals. CCN's goal is to engage patients and encourage them to take ownership of their health, thereby reducing hospital readmissions, conserving resources, and improving the health of the population.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Kalispell Regional Healthcare: Managing the Needs of Medically and Socially Complex Patients or Superutilizers
Details how Kalispell Regional Healthcare teamed with Mountain-Pacific Quality Health to introduce a modified transitional care model, which is designed to reduce service utilization and improve the health of high-cost, high-need patients. Initiative is part of a special innovations project through the Centers for Medicare and Medicaid Services (CMS) and uses multidisciplinary "ReSource" teams to coordinate care and services across rural and underserved areas of Montana.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Ensuring Access with a Hospital's Conversion to a Freestanding Emergency Department
Outlines Ellijay, Georgia-based North Georgia Medical Center's transition from a traditional community hospital to a freestanding emergency department (ED). Shares administrative, legal, and logistical challenges that, once overcome, resulted in Piedmont Mountainside Hospital Emergency Services - a successful, community-focused, freestanding ED.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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