Rural Health
Resources by Topic: Service delivery models
Promising Practice: Wisconsin Office of Rural Health Rallies EMS Providers in the State
Describes how EMS Day at the Wisconsin capitol brought 50 local EMS agencies and two state EMS associations together to meet with state legislators and advocate for their support and recognition of their needs. This event developed out of an effort by the Wisconsin Office of Rural Health (WI-ORH) to design and implement an assessment tool evaluating rural ambulance services within the state.
Author(s): Beth Blevins
Date: 01/2018
Sponsoring organization: National Organization of State Offices of Rural Health
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Describes how EMS Day at the Wisconsin capitol brought 50 local EMS agencies and two state EMS associations together to meet with state legislators and advocate for their support and recognition of their needs. This event developed out of an effort by the Wisconsin Office of Rural Health (WI-ORH) to design and implement an assessment tool evaluating rural ambulance services within the state.
Author(s): Beth Blevins
Date: 01/2018
Sponsoring organization: National Organization of State Offices of Rural Health
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Case Studies of Telehealth Programs in New York
Synthesizes information from 7 case studies of healthcare providers who regularly use telehealth applications in service delivery, including those who serve patients in rural communities. Identifies common themes and findings related to the impact of these services on provider organizations and patient populations. Featured programs include those emphasizing oral health, home care, and psychiatric care.
Author(s): Robert Martiniano, Carol Rodat, Bridget Baker, et al.
Date: 01/2018
Sponsoring organization: Center for Health Workforce Studies
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Synthesizes information from 7 case studies of healthcare providers who regularly use telehealth applications in service delivery, including those who serve patients in rural communities. Identifies common themes and findings related to the impact of these services on provider organizations and patient populations. Featured programs include those emphasizing oral health, home care, and psychiatric care.
Author(s): Robert Martiniano, Carol Rodat, Bridget Baker, et al.
Date: 01/2018
Sponsoring organization: Center for Health Workforce Studies
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Telemedicine in the Management of Type 1 Diabetes
Describes a study in which 32 patients with type 1 diabetes who live in rural Alabama and Georgia received endocrinology care from an Atlanta telehealth clinic, from June 2014 to October 2016. Includes demographic statistics on patients and presence of other diseases and medical conditions.
Author(s): Timothy Xu, Shreya Pujara, Sarah Sutton, Mary Rhee
Citation: Preventing Chronic Disease, 15
Date: 01/2018
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Describes a study in which 32 patients with type 1 diabetes who live in rural Alabama and Georgia received endocrinology care from an Atlanta telehealth clinic, from June 2014 to October 2016. Includes demographic statistics on patients and presence of other diseases and medical conditions.
Author(s): Timothy Xu, Shreya Pujara, Sarah Sutton, Mary Rhee
Citation: Preventing Chronic Disease, 15
Date: 01/2018
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Taking Stock: Policy Opportunities for Advancing Rural Health
Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Reinventing Rural Health Care: A Case Study of Seven Upper Midwest States
Examines the state of rural healthcare in seven states - Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming - and uses the findings to determine the impact of existing federal policies, understand ongoing healthcare challenges, and identify opportunities for improvement in rural healthcare access and delivery. Addresses rightsizing healthcare services to fit community needs, creating rural funding mechanisms, building and supporting the primary care physician workforce, and expanding telemedicine services. Analysis is based on interviews with over 90 national thought leaders and key stakeholders.
Additional links: Infographic, Summary – Rural Health Care: Lessons Learned
Date: 01/2018
Sponsoring organization: Bipartisan Policy Center
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Examines the state of rural healthcare in seven states - Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming - and uses the findings to determine the impact of existing federal policies, understand ongoing healthcare challenges, and identify opportunities for improvement in rural healthcare access and delivery. Addresses rightsizing healthcare services to fit community needs, creating rural funding mechanisms, building and supporting the primary care physician workforce, and expanding telemedicine services. Analysis is based on interviews with over 90 national thought leaders and key stakeholders.
Additional links: Infographic, Summary – Rural Health Care: Lessons Learned
Date: 01/2018
Sponsoring organization: Bipartisan Policy Center
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An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program
Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Sponsoring organization: Flex Monitoring Team
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Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Sponsoring organization: Flex Monitoring Team
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Transforming Health Care from the Ground Up
Describes two examples of innovation driven by doctors, nurses, administrators, entrepreneurs, and patients involving a major transformation of healthcare delivery. One example was an initiative developed through the University of Mississippi Medical Center where a telehealth network was created to increase patient access to care in rural areas with a focus on Critical Access Hospitals (CAHs).
Author(s): Vijay Govindarajan, Ravi Ramamurti
Citation: Harvard Business Review
Date: 2018
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Describes two examples of innovation driven by doctors, nurses, administrators, entrepreneurs, and patients involving a major transformation of healthcare delivery. One example was an initiative developed through the University of Mississippi Medical Center where a telehealth network was created to increase patient access to care in rural areas with a focus on Critical Access Hospitals (CAHs).
Author(s): Vijay Govindarajan, Ravi Ramamurti
Citation: Harvard Business Review
Date: 2018
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The Impact of the Vermont Support and Services at Home Program on Healthcare Expenditures
The Support and Services at Home (SASH) program helps rural and urban program participants access healthcare and support services in order to maintain their health and age securely and safely in their homes. Report estimates the impact of the Vermont SASH program on Medicare expenditures.
Author(s): Amy Kandilov, Vince Keyes, Martijn van Hasselt, et al.
Citation: Cityscape, 20(2)
Date: 2018
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The Support and Services at Home (SASH) program helps rural and urban program participants access healthcare and support services in order to maintain their health and age securely and safely in their homes. Report estimates the impact of the Vermont SASH program on Medicare expenditures.
Author(s): Amy Kandilov, Vince Keyes, Martijn van Hasselt, et al.
Citation: Cityscape, 20(2)
Date: 2018
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Living With Diabetes in Appalachia: A Focus Group Study
Focus group study in rural West Virginia examining how adults with type 2 diabetes manage the challenges brought on by their condition. Aims to inform holistic nursing practices in Appalachia by analyzing participants' responses to various interview questions.
Author(s): Roger Carpenter, Mary Jane Smith
Citation: Holistic Nursing Practice, 32(4), 196-201
Date: 2018
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Focus group study in rural West Virginia examining how adults with type 2 diabetes manage the challenges brought on by their condition. Aims to inform holistic nursing practices in Appalachia by analyzing participants' responses to various interview questions.
Author(s): Roger Carpenter, Mary Jane Smith
Citation: Holistic Nursing Practice, 32(4), 196-201
Date: 2018
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ACOs' Impact on Hospitalization Rates of Rural Older Adults with Diabetes: Early Indications
Examines the impact of Accountable Care Organizations (ACOs) on reducing the hospitalization rate for diabetes related conditions of older adults living in rural southeast areas of the U.S. where the prevalence of diagnosed diabetes is higher. Highlights the characteristics of Rural Health Clinics (RHCs) participating in ACOs and the adult patients they serve.
Author(s): Yi-Ling Lin, Judith Ortiz, Celeste Boor
Citation: Family & Community Health, 41(4), 265-273
Date: 2018
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Examines the impact of Accountable Care Organizations (ACOs) on reducing the hospitalization rate for diabetes related conditions of older adults living in rural southeast areas of the U.S. where the prevalence of diagnosed diabetes is higher. Highlights the characteristics of Rural Health Clinics (RHCs) participating in ACOs and the adult patients they serve.
Author(s): Yi-Ling Lin, Judith Ortiz, Celeste Boor
Citation: Family & Community Health, 41(4), 265-273
Date: 2018
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