Rural Health
Resources by Topic: Service delivery models
First Annual Report: Next Generation Accountable Care Organization (NGACO) Model Evaluation
Reports initial descriptive and analytic findings for the 18 Next Generation ACOs (NGACOs) that launched in 2016. Includes information on NGACO organizational characteristics, market characteristics, model implementation, and performance. Offers some data and discussion related to the inclusion of rural areas. Also provides information on institutional providers by type of facility, including Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers.
Additional links: Findings at a Glance, Volume II: Technical Appendices, January 2018
Date: 08/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports initial descriptive and analytic findings for the 18 Next Generation ACOs (NGACOs) that launched in 2016. Includes information on NGACO organizational characteristics, market characteristics, model implementation, and performance. Offers some data and discussion related to the inclusion of rural areas. Also provides information on institutional providers by type of facility, including Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers.
Additional links: Findings at a Glance, Volume II: Technical Appendices, January 2018
Date: 08/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Rural Hospitals and Medicaid Payment Policy
Describes how rural hospitals serve Medicaid beneficiaries and the process through which Medicaid programs pay rural hospitals. Features statistics from 2015 with breakdowns by urban hospitals, Critical Access Hospitals (CAHs), and other rural hospitals.
Date: 08/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Describes how rural hospitals serve Medicaid beneficiaries and the process through which Medicaid programs pay rural hospitals. Features statistics from 2015 with breakdowns by urban hospitals, Critical Access Hospitals (CAHs), and other rural hospitals.
Date: 08/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Telemental Health Research Catalogue
Presents telemental health literature measuring the use of telehealth in achieving one or more of the Triple Aim goals to: improve the patient healthcare experience, improve population health, and reduce the per capita cost of healthcare.
Date: 08/2018
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Presents telemental health literature measuring the use of telehealth in achieving one or more of the Triple Aim goals to: improve the patient healthcare experience, improve population health, and reduce the per capita cost of healthcare.
Date: 08/2018
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Adult Experts' Perceptions of Telemental Health for Youth: A Delphi Study
Study exploring telemental health treatment based on online surveys of 25 adult experts, including mental health professionals, adults who experienced depression or suicidality as youth, and parents of youth with similar experiences, following the Delphi process. Discusses barriers to youth access to mental health services in rural and urban areas, including stigma, provider shortages, and transportation issues. Survey results also address the need for support of telemental health among healthcare organizations, especially in rural areas, and possible delivery modalities.
Author(s): Abigail Howard, Mindy Flanagan, Michelle Drouin, et al.
Citation: JAMIA Open, 1(1), 67-74
Date: 07/2018
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Study exploring telemental health treatment based on online surveys of 25 adult experts, including mental health professionals, adults who experienced depression or suicidality as youth, and parents of youth with similar experiences, following the Delphi process. Discusses barriers to youth access to mental health services in rural and urban areas, including stigma, provider shortages, and transportation issues. Survey results also address the need for support of telemental health among healthcare organizations, especially in rural areas, and possible delivery modalities.
Author(s): Abigail Howard, Mindy Flanagan, Michelle Drouin, et al.
Citation: JAMIA Open, 1(1), 67-74
Date: 07/2018
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Primary Care: The Foundation for a High Performance Rural Health Care System
Describes elements of a robust rural primary care system. Discusses the development and maintenance of a high performance rural primary care system and workforce. Includes policy considerations and opportunities to address rural primary care and sustainability.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 07/2018
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Describes elements of a robust rural primary care system. Discusses the development and maintenance of a high performance rural primary care system and workforce. Includes policy considerations and opportunities to address rural primary care and sustainability.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 07/2018
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Telemedicine in N.H.
Radio interview discusses the advantages and barriers to telemedicine both broadly and within New Hampshire. Covers the role of state laws regarding reimbursement, broadband access, and how rural hospitals are using telemedicine.
Citation: New Hampshire Public Radio
Date: 07/2018
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Radio interview discusses the advantages and barriers to telemedicine both broadly and within New Hampshire. Covers the role of state laws regarding reimbursement, broadband access, and how rural hospitals are using telemedicine.
Citation: New Hampshire Public Radio
Date: 07/2018
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Realizing the Benefits of Rural Broadband: Challenges and Solutions
Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the benefits, challenges, and solutions to rural broadband issues. Features testimony from an Associate Administrator and Chief Nursing Officer at Wallowa Memorial Hospital, a 25-bed Critical Access Hospital (CAH) in Enterprise, Oregon, on the role broadband plays in healthcare access via telehealth to rural and frontier areas.
Additional links: Jenni Word Testimony
Date: 07/2018
Sponsoring organizations: House Committee on Energy and Commerce, Subcommittee on Communications and Technology
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Presents the U.S. House of Representatives Energy and Commerce Committee hearing on the benefits, challenges, and solutions to rural broadband issues. Features testimony from an Associate Administrator and Chief Nursing Officer at Wallowa Memorial Hospital, a 25-bed Critical Access Hospital (CAH) in Enterprise, Oregon, on the role broadband plays in healthcare access via telehealth to rural and frontier areas.
Additional links: Jenni Word Testimony
Date: 07/2018
Sponsoring organizations: House Committee on Energy and Commerce, Subcommittee on Communications and Technology
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Integrating Responses at the Intersection of Opioid Use Disorder and Infectious Disease Epidemics: Proceedings of a Workshop
Features the proceedings of a public workshop on the relationship between the opioid epidemic and the spread of infectious diseases. Presents research and policy options, such as integrating infectious disease treatment into opioid treatment and prevention efforts, as well as exploring the role of law enforcement. Discusses barriers to treatment and prevention in rural areas.
Additional links: Read Online
Date: 07/2018
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Features the proceedings of a public workshop on the relationship between the opioid epidemic and the spread of infectious diseases. Presents research and policy options, such as integrating infectious disease treatment into opioid treatment and prevention efforts, as well as exploring the role of law enforcement. Discusses barriers to treatment and prevention in rural areas.
Additional links: Read Online
Date: 07/2018
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Telepsychiatry Program: Children's Hospital and Medical Center
Describes the development, impact, lessons learned, and future goals of a telepsychiatry program designed to provide behavioral healthcare services to children in rural Nebraska.
Date: 07/2018
Sponsoring organization: American Hospital Association
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Describes the development, impact, lessons learned, and future goals of a telepsychiatry program designed to provide behavioral healthcare services to children in rural Nebraska.
Date: 07/2018
Sponsoring organization: American Hospital Association
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Does Patient-Centered Medical Home Recognition Relate to Accountable Care Organization Participation?
Examines factors influencing Rural Health Clinic (RHC) participation in the Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) based on a survey of all RHCs in 9 states. Offers recommendations for increasing ACO model adoption in rural areas.
Author(s): Yi-Ling Lin, Yuan Du, Cristina Gomez, Judith Ortiz
Citation: Population Health Management, 21(3), 188-195
Date: 06/2018
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Examines factors influencing Rural Health Clinic (RHC) participation in the Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs) based on a survey of all RHCs in 9 states. Offers recommendations for increasing ACO model adoption in rural areas.
Author(s): Yi-Ling Lin, Yuan Du, Cristina Gomez, Judith Ortiz
Citation: Population Health Management, 21(3), 188-195
Date: 06/2018
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