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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Behavioral Health Integration into Primary Care
Profile of a rural health system, Western Wisconsin Health (WWH), and its work to deliver behavioral health services. Provides an overview of how behavioral health providers and services were integrated with primary care, with a change to focus on whole-person care. Includes information on Medicare and Medicaid reimbursement for the behavioral health services provided at WWH's Rural Health Clinic. Discusses how WWH behavioral health providers offer telehealth services to other rural areas of Wisconsin.
Date: 03/2018
Sponsoring organization: Rural Health Value
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Barriers and Best Practices for Using Telehealth Services in Nebraska
Explores the use of telehealth to receive mental health services in rural areas of Nebraska. Includes county-level maps of metropolitan and micropolitan areas, county-level maps of primary and satellite locations of psychiatrists, as well rural versus urban behavioral workforce supply per 100,000 citizens.
Additional links: Brief
Author(s): Shinobu Watanabe-Galloway, Ellana Haakenstad, Joe Evans, Howard Liu
Date: 02/2018
Sponsoring organization: Behavioral Health Workforce Research Center
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Developing a "Toolkit" to Measure Implementation of Concurrent Palliative Care in Rural Community Cancer Centers
Reports on the implementation of an early palliative care telehealth model identified as ENABLE (Educate, Nurture, Advise, Before Life Ends) for patients with recently diagnosed cancer and their caregivers in 4 rural cancer centers. Describes the measures used to determine early palliative care implementation and their development and testing, and the challenges and lessons learned in the implementation process.
Author(s): Lisa Zubkoff, J. Nicholas Dionne-Odom, Maria Pisu, et al.
Citation: Palliative & Supportive Care, 16(1), 60-72
Date: 02/2018
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Hospitals and Health Systems Ensuring Access in Their Communities: A Compendium of Case Examples
Identifies 9 primary strategies used by hospitals to increase access to healthcare services in rural and urban areas and offers examples of each. Covers virtual care options such as telehealth, emergency and urgent care models such as freestanding emergency departments (EDs), rural hospital networks, partnerships with Indian Health Service providers, and strategies to address social determinants of health.
Date: 02/2018
Sponsoring organization: American Hospital Association
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Evaluation of an Academic-Community Partnership to Implement MTM Services in Rural Communities to Improve Pharmaceutical Care for Patients with Diabetes and/or Hypertension
Evaluates a pilot project in Arizona where community health center and independent retail pharmacies offered medication therapy management (MTM) services on site and by phone to rural, underserved Arizonans with diabetes or high blood pressure.
Author(s): Melissa Johnson, Rebecca Jastrzab, Jared Tate, et al.
Citation: Journal of Managed Care & Specialty Pharmacy, 24(2), 132-141
Date: 02/2018
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Virtual Urgent Care - Bryan Health, Lincoln, NE
Case study of Bryan Health ezVisit, an online diagnosis and treatment option being used by a nonprofit health system in Lincoln, Nebraska to provide healthcare services for minor conditions to surrounding rural communities.
Date: 02/2018
Sponsoring organization: American Hospital Association
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Rural Family Physicians in Patient Centered Medical Homes Have a Broader Scope of Practice
Results of a study to determine whether rural family physicians in Patient Centered Medical Home (PCMH) practices have a broader scope of practice than those in non-PCMH practices. Features statistics including physician characteristics and scope of clinical services, with breakdowns by PCMH and non-PCMH and by large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Sponsoring organization: Rural and Underserved Health Research Center
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Rural/Urban Disparities in Pneumococcal Vaccine Service Delivery Among the Fee-for-Service Medicare Population
Describes a study to identify disparities in vaccine provision to people ages 65 and over, and to assess the impact of pharmacies as alternate site providers in rural areas. Includes statistics on pneumococcal vaccine services provided by fee-for-service pharmacies and primary care providers, with breakdowns by rural and urban frequency, and a state-level map with rate of service delivery per eligible population, using 2014 data.
Author(s): Jeffery C. Talbert, Aric Schadler, Patricia R. Freeman
Date: 02/2018
Sponsoring organization: Rural and Underserved Health Research Center
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New Mexico Mobile Screening Program for Miners Brings Care to the Patients
Highlights a New Mexico program that uses screenings, specialty care via telehealth, and collaboration to meet the healthcare needs of miners with occupational lung disease. Services are provided via a mobile screening clinic housed in a semi that goes to 12 locations in the state.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2018
Sponsoring organization: Rural Health Information Hub
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Delivering CBT to Rural Latino Children with Anxiety Disorders: A Qualitative Study
Examines perceptions of different methods of providing cognitive behavior therapy (CBT) that could increase access to care for anxiety in rural Latino youth. Compares telephone based, bibliotherapy, and therapist supported bibliotherapy from both the viewpoint of Latino parents and mental health providers.
Author(s): Denise A. Chavira, Cristina E. Bustos, Maritza S. Garcia, Bernardo Ng, Alvaro Camacho
Citation: Community Mental Health Journal, 53(1), 53-61
Date: 01/2018
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