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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

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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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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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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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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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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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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Promising Practice: Alabama SORH Collaborates with VA to Provide Telehealth Care for Vets
Describes a collaboration between the Alabama State Office of Rural Health and Alabama Veterans Affairs to create and implement a telehealth program aimed at delivering care to rural veterans.
Author(s): Beth Blevins
Date: 06/2018
Sponsoring organization: National Organization of State Offices of Rural Health
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Spurring Innovation: The Role of Child Health Policy
Identifies four target areas to improve child health: Medicaid and the Children's Health Insurance Program (CHIP) delivery and payment reforms; consumer digital health; precision medicine in pediatrics; and addiction and neonatal abstinence syndrome (NAS). Provides recommendations to further develop child health research and policy. Discusses removing barriers and expanding access to telehealth services to deliver care to children living in rural areas, and the rural incidence of NAS.
Date: 06/2018
Sponsoring organization: AcademyHealth
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Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): Third Annual Report
Summarizes the third year evaluation results of 38 Health Care Innovation Awards Round Two projects, one awardee of the original 39 having left the program in September 2016. Focuses on implementation effectiveness, developing payment models, planning for sustainability, and some preliminary work related to evaluating program impacts. Provides findings for the individual awardees, which include projects that serve rural areas.
Date: 06/2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Opportunities and Challenges to Utilizing Telehealth Technologies in the Provision of Medication Assisted Therapies in the Medi-Cal Program
Describes advantages and barriers to using telehealth for delivery of medication-assisted treatment (MAT) to California's Medicaid enrollees, especially those in rural and underserved areas. Includes recommendations for changes to California state laws in order to alleviate the challenges. Appendix C lists states allowing telehealth prescribing.
Date: 06/2018
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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