Rural Health
Resources by Topic: Service delivery models
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
Sponsoring organization: American Hospital Association Rural Health Services
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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
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
Sponsoring organization: American Hospital Association Rural Health Services
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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
Sponsoring organization: American Hospital Association Rural Health Services
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Foundations' Efforts To Improve Rural Health Care
Highlights several rural-specific, foundation-funded projects that are working to address challenges associated with rural health and healthcare. Includes examples in the following problem areas: access, care delivery, publications, quality of care, and rural philanthropy.
Citation: Health Affairs, 36(11), 2023-2025
Date: 11/2017
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Highlights several rural-specific, foundation-funded projects that are working to address challenges associated with rural health and healthcare. Includes examples in the following problem areas: access, care delivery, publications, quality of care, and rural philanthropy.
Citation: Health Affairs, 36(11), 2023-2025
Date: 11/2017
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Rural Health Care Services Outreach Program Supports Sustainable Change
Provides an overview of the Federal Office of Rural Health Policy's Rural Health Care Services Outreach Program and the impact several grantees have made in their communities. Discusses how the grantees planned their projects with the goal of sustaining services after the grant funding ends.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2017
Sponsoring organization: Rural Health Information Hub
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Provides an overview of the Federal Office of Rural Health Policy's Rural Health Care Services Outreach Program and the impact several grantees have made in their communities. Discusses how the grantees planned their projects with the goal of sustaining services after the grant funding ends.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2017
Sponsoring organization: Rural Health Information Hub
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Implementation and Dissemination of a Transition of Care Program for Rural Veterans: A Controlled Before and after Study
Highlights a study on the Veterans Health Administration's (VHA) nurse-led transitional care program. Study uses the Practical, Robust, Implementation, and Sustainability Model (PRISM) to evaluate the implementation's ability to support the transitions of rural veterans from hospital to home.
Author(s): Chelsea Leonard, Emily Lawrence, Marina McCreight, et al.
Citation: Implementation Science, 12, 123
Date: 10/2017
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Highlights a study on the Veterans Health Administration's (VHA) nurse-led transitional care program. Study uses the Practical, Robust, Implementation, and Sustainability Model (PRISM) to evaluate the implementation's ability to support the transitions of rural veterans from hospital to home.
Author(s): Chelsea Leonard, Emily Lawrence, Marina McCreight, et al.
Citation: Implementation Science, 12, 123
Date: 10/2017
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Building Complex Care Programs: A Road Map for States
Provides guidance for state leaders who are working to establish and advance complex care programs, particularly for high-need, high-cost Medicaid patients. Shares lessons learned from the National Governors Association's work with multiple state and local complex care initiatives. Includes program details and considerations specific to rural areas.
Author(s): Sandra Wilkniss, Sonia Pandit, Flora Arabo, Sally Malone, Hemi Tewarson
Date: 10/2017
Sponsoring organization: National Governors Association
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Provides guidance for state leaders who are working to establish and advance complex care programs, particularly for high-need, high-cost Medicaid patients. Shares lessons learned from the National Governors Association's work with multiple state and local complex care initiatives. Includes program details and considerations specific to rural areas.
Author(s): Sandra Wilkniss, Sonia Pandit, Flora Arabo, Sally Malone, Hemi Tewarson
Date: 10/2017
Sponsoring organization: National Governors Association
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Behavioral Health Trends in Ohio
Covers publications focusing on behavioral health research in Ohio. Includes research briefs on a variety of topics, such as housing retention, care coordination, employment, social connectedness, and others, as they relate to behavioral health.
Date: 10/2017
Sponsoring organization: Ohio Department of Mental Health and Addiction Services
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Covers publications focusing on behavioral health research in Ohio. Includes research briefs on a variety of topics, such as housing retention, care coordination, employment, social connectedness, and others, as they relate to behavioral health.
Date: 10/2017
Sponsoring organization: Ohio Department of Mental Health and Addiction Services
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Mountain-Pacific Quality Health Pilot: Closing the Gaps in Rural Complex Care
Profiles Mountain-Pacific Quality Health, a nonprofit corporation that established a pilot program to improve the health of rural patients through the use of technology and interdisciplinary care teams working together in Montana's Flathead Valley. Describes a $1 million innovation award from the Center for Medicare and Medicaid Innovation to support their use of ReSource Teams and help care for high-cost, high-need Medicare patients in the region.
Additional links: Case Study: Shared Military Background Helps Community Health Workers Connect with Patients in Rural Montana
Date: 10/2017
Sponsoring organization: Center for Health Care Strategies
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Profiles Mountain-Pacific Quality Health, a nonprofit corporation that established a pilot program to improve the health of rural patients through the use of technology and interdisciplinary care teams working together in Montana's Flathead Valley. Describes a $1 million innovation award from the Center for Medicare and Medicaid Innovation to support their use of ReSource Teams and help care for high-cost, high-need Medicare patients in the region.
Additional links: Case Study: Shared Military Background Helps Community Health Workers Connect with Patients in Rural Montana
Date: 10/2017
Sponsoring organization: Center for Health Care Strategies
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Utilizing Patient Geographic Information System Data to Plan Telemedicine Service Locations
Describes a model for determining optimal locations for telemedicine service providers by using electronic health record (EHR) data in a geographic information system (GIS). Demonstrates the method for extracting GIS patient data from EHRs using an EHR sample of 4,027 visits to a neurodevelopmental pediatric service provider in 2011-2012. Discusses potential and limitations for using EHR data and GIS mapping to plan for specific telemedicine interventions.
Author(s): Neelkamal Soares, Joseph Dewalle, Ben Marsh
Citation: Journal of the American Medical Informatics Association, 24(5), 891-896
Date: 09/2017
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Describes a model for determining optimal locations for telemedicine service providers by using electronic health record (EHR) data in a geographic information system (GIS). Demonstrates the method for extracting GIS patient data from EHRs using an EHR sample of 4,027 visits to a neurodevelopmental pediatric service provider in 2011-2012. Discusses potential and limitations for using EHR data and GIS mapping to plan for specific telemedicine interventions.
Author(s): Neelkamal Soares, Joseph Dewalle, Ben Marsh
Citation: Journal of the American Medical Informatics Association, 24(5), 891-896
Date: 09/2017
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Using Telehealth to Identify and Manage Mental Health and Substance Use Disorder Conditions in Rural Areas
Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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