Rural Health
Resources by Topic: Service delivery models
Evaluation of the Minnesota Accountable Health Model
Describes the final results of Minnesota's State Innovation Model (SIM) initiative evaluation sponsored by the Centers for Medicare and Medicaid (CMS). Includes information on SIM investments in rural counties, considerations to strengthen and support infrastructure to advance integrated health partnerships in rural areas, and engagement strategies to include rural clinics and providers in Health Care Homes care coordination cost study.
Author(s): Donna Spencer, Christina Worrall, Emily Zylla, et al.
Date: 09/2017
Sponsoring organization: State Health Access Data Assistance Center
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Describes the final results of Minnesota's State Innovation Model (SIM) initiative evaluation sponsored by the Centers for Medicare and Medicaid (CMS). Includes information on SIM investments in rural counties, considerations to strengthen and support infrastructure to advance integrated health partnerships in rural areas, and engagement strategies to include rural clinics and providers in Health Care Homes care coordination cost study.
Author(s): Donna Spencer, Christina Worrall, Emily Zylla, et al.
Date: 09/2017
Sponsoring organization: State Health Access Data Assistance Center
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In Focus: Expanding Access to Addiction Treatment Through Primary Care
Discusses the lack of access to treatment for drug addiction and presents models for implementing medication-assisted treatment (MAT) for addiction, including one in a rural community health center. Looks at barriers to expanding MAT in primary care, as well as methods for overcoming those barriers.
Author(s): Martha Hostetter, Sarah Klein
Citation: Transforming Care: Reporting on Health System Improvement
Date: 09/2017
Sponsoring organization: Commonwealth Fund
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Discusses the lack of access to treatment for drug addiction and presents models for implementing medication-assisted treatment (MAT) for addiction, including one in a rural community health center. Looks at barriers to expanding MAT in primary care, as well as methods for overcoming those barriers.
Author(s): Martha Hostetter, Sarah Klein
Citation: Transforming Care: Reporting on Health System Improvement
Date: 09/2017
Sponsoring organization: Commonwealth Fund
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Tackling the Opioid Crisis in a Rural Community
Discusses a partnership between a rural hospital physician and the director of a community counseling center to establish a medication-assisted treatment (MAT) for opioid addiction in rural Maine. Presents the program's support structure, as well as the advantages of having an integrated treatment approach.
Date: 09/2017
Sponsoring organization: American Hospital Association
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Discusses a partnership between a rural hospital physician and the director of a community counseling center to establish a medication-assisted treatment (MAT) for opioid addiction in rural Maine. Presents the program's support structure, as well as the advantages of having an integrated treatment approach.
Date: 09/2017
Sponsoring organization: American Hospital Association
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Barriers and Facilitators to Implementation of VA Home-based Primary Care on American Indian Reservations: A Qualitative Multi-case Study
Highlights a study on the efficacy of the Veterans Health Affairs (VA) home-based primary care program at providing non-institutional long-term care for rural American Indian veterans living on reservations. Bases findings on a qualitative analysis of interviews conducted with staff, clinicians, and managers who oversaw the program's implementation. Discusses the challenges, barriers, and facilitators related the program's expansion into Indian Country.
Author(s): B. Josea Kramer, Sarah D. Cote, Diane I. Lee, Beth Creekmur, Debra Saliba
Citation: Implementation Science, 12, 109
Date: 09/2017
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Highlights a study on the efficacy of the Veterans Health Affairs (VA) home-based primary care program at providing non-institutional long-term care for rural American Indian veterans living on reservations. Bases findings on a qualitative analysis of interviews conducted with staff, clinicians, and managers who oversaw the program's implementation. Discusses the challenges, barriers, and facilitators related the program's expansion into Indian Country.
Author(s): B. Josea Kramer, Sarah D. Cote, Diane I. Lee, Beth Creekmur, Debra Saliba
Citation: Implementation Science, 12, 109
Date: 09/2017
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State Innovation Models (SIM) Initiative Evaluation: Model Test Year Three Annual Report
Third annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Focuses on sharing cross-state progress and findings, state-specific findings and lessons learned, and lessons for policymakers. Additional emphasis is placed on monitoring healthcare experience, utilization, and expenditures in participating SIM states.
Date: 09/2017
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Third annual report detailing the findings of CMS's State Innovation Models (SIM) Initiative, which tests the ability of the governments in six states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - to accelerate health system transformation in the areas of delivery systems, payment models, information technology, workforce development, and more. Focuses on sharing cross-state progress and findings, state-specific findings and lessons learned, and lessons for policymakers. Additional emphasis is placed on monitoring healthcare experience, utilization, and expenditures in participating SIM states.
Date: 09/2017
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Financing Project ECHO: Options for State Medicaid Programs
Outlines how 4 states are using Medicaid funds to support Project ECHO and enhance services in California, Colorado, New Mexico, and Oregon. Shares design considerations for specific delivery system environments and ways to ensure long-term program sustainability. Project ECHO seeks to expand access to specialty healthcare services in rural and underserved areas.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Sponsoring organization: Center for Health Care Strategies
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Outlines how 4 states are using Medicaid funds to support Project ECHO and enhance services in California, Colorado, New Mexico, and Oregon. Shares design considerations for specific delivery system environments and ways to ensure long-term program sustainability. Project ECHO seeks to expand access to specialty healthcare services in rural and underserved areas.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Sponsoring organization: Center for Health Care Strategies
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Medicaid Financing Models for Project ECHO
Explains the different Medicaid financing mechanisms available for supporting current and potential Project ECHO strategies. Options are listed in table format and organized into three categories: managed care, care management programs, and value-based payment strategies and integrated care programs.
Date: 09/2017
Sponsoring organization: Center for Health Care Strategies
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Explains the different Medicaid financing mechanisms available for supporting current and potential Project ECHO strategies. Options are listed in table format and organized into three categories: managed care, care management programs, and value-based payment strategies and integrated care programs.
Date: 09/2017
Sponsoring organization: Center for Health Care Strategies
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Telehealth and Patient Satisfaction: A Systematic Review and Narrative Analysis
Provides a literature review on articles related to patient satisfaction of telehealth regarding its effectiveness and efficiency. Discusses factors such as cost, health outcomes, quality, ease of use, communication, drive time, access to healthcare, and more, with references to telehealth impacts specific to rural populations.
Author(s): Clemens Scott Kruse, Nicole Krowski, Blanca Rodriguez, et al.
Citation: BMJ Open, 7(8)
Date: 08/2017
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Provides a literature review on articles related to patient satisfaction of telehealth regarding its effectiveness and efficiency. Discusses factors such as cost, health outcomes, quality, ease of use, communication, drive time, access to healthcare, and more, with references to telehealth impacts specific to rural populations.
Author(s): Clemens Scott Kruse, Nicole Krowski, Blanca Rodriguez, et al.
Citation: BMJ Open, 7(8)
Date: 08/2017
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State Innovation Models (SIM) Round 2: Model Design Final Report
Shares results from a federal evaluation of the Round 2 State Innovation Models (SIM) Initiative awards, which focused on reforming payment and delivery systems, health information exchanges, workforce development, and sustainability. Provides a summary and review of each awardees' final State Health System Innovations Plan (SHSIP). Includes several suggestions and recommendations for improving rural healthcare delivery, payment, and access.
Author(s): Donald Nichols, Kathleen Farrell, Marisa Morrison, et al.
Date: 08/2017
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares results from a federal evaluation of the Round 2 State Innovation Models (SIM) Initiative awards, which focused on reforming payment and delivery systems, health information exchanges, workforce development, and sustainability. Provides a summary and review of each awardees' final State Health System Innovations Plan (SHSIP). Includes several suggestions and recommendations for improving rural healthcare delivery, payment, and access.
Author(s): Donald Nichols, Kathleen Farrell, Marisa Morrison, et al.
Date: 08/2017
Sponsoring organization: Centers for Medicare and Medicaid Services
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Trends in the Development of the Dental Service Organization Model: Implications for the Oral Health Workforce and Access to Services
Results of a 2017 survey of dental service organizations, which often build new practices in underserved and rural areas, and case studies of 6 dental support organizations providing general or specialty dentistry in North Carolina, Georgia, Texas, Florida, and Massachusetts.
Author(s): Margaret Langelier, Shen Wang, Simona Surdu, Elizabeth Mertz, Cynthia Wides
Date: 08/2017
Sponsoring organizations: Center for Health Workforce Studies, Oral Health Workforce Research Center
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Results of a 2017 survey of dental service organizations, which often build new practices in underserved and rural areas, and case studies of 6 dental support organizations providing general or specialty dentistry in North Carolina, Georgia, Texas, Florida, and Massachusetts.
Author(s): Margaret Langelier, Shen Wang, Simona Surdu, Elizabeth Mertz, Cynthia Wides
Date: 08/2017
Sponsoring organizations: Center for Health Workforce Studies, Oral Health Workforce Research Center
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