Rural Health
Resources by Topic: Service delivery models
Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.
Offers a geospatial analysis using TRICARE and other data to determine access to and utilization of mental and behavioral healthcare services for veterans who reside in remote locations. Recommends two pathways for improving access to care: telehealth service and collaborative care between primary care and specialty behavioral care.
Author(s): Ryan Andrew Brown, Grant N. Marshall, Joshua Breslau, et al.
Date: 2015
Sponsoring organization: RAND Corporation
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Offers a geospatial analysis using TRICARE and other data to determine access to and utilization of mental and behavioral healthcare services for veterans who reside in remote locations. Recommends two pathways for improving access to care: telehealth service and collaborative care between primary care and specialty behavioral care.
Author(s): Ryan Andrew Brown, Grant N. Marshall, Joshua Breslau, et al.
Date: 2015
Sponsoring organization: RAND Corporation
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Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: First Annual Report
Evaluations of 10 Health Care Innovation Awards Round One projects focused on mental health and substance abuse services. Provides information on whether and how each project addressed the needs of underserved areas, including rural areas. One rural-focused project used telehealth to deliver services. Other projects provided transportation to help meet rural needs.
Date: 12/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Evaluations of 10 Health Care Innovation Awards Round One projects focused on mental health and substance abuse services. Provides information on whether and how each project addressed the needs of underserved areas, including rural areas. One rural-focused project used telehealth to deliver services. Other projects provided transportation to help meet rural needs.
Date: 12/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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State Innovation Models (SIM) Initiative Evaluation: Model Test Base Year Annual Report
First annual report on 6 states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - that received federal support in the first round of the State Innovation Model (SIM) initiative to design and implement health care innovation plans. Presents results of the first site visits to the states, including information from interviews and focus groups, and baseline data on care coordination, quality of care, healthcare utilization, and healthcare expenditures. Includes some discussion of issues specific to rural healthcare.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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First annual report on 6 states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - that received federal support in the first round of the State Innovation Model (SIM) initiative to design and implement health care innovation plans. Presents results of the first site visits to the states, including information from interviews and focus groups, and baseline data on care coordination, quality of care, healthcare utilization, and healthcare expenditures. Includes some discussion of issues specific to rural healthcare.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, First Annual Report
Evaluations of 14 Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Includes 2 rural-focused projects and 9 projects that included services to rural areas.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Evaluations of 14 Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Includes 2 rural-focused projects and 9 projects that included services to rural areas.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Annual Report 1: HCIA Disease-Specific Evaluation
Evaluations of 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, and cardiovascular disease. Approaches discussed include care coordination, education, and telehealth.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluations of 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, and cardiovascular disease. Approaches discussed include care coordination, education, and telehealth.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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HCIA Complex/High-Risk Patient Targeting: First Annual Report
Evaluations of 23 Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Identifies several projects serving rural areas, including programs that use telehealth, in-home care, and various care coordination approaches.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluations of 23 Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Identifies several projects serving rural areas, including programs that use telehealth, in-home care, and various care coordination approaches.
Date: 11/2014
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Transforming Care for Vulnerable Populations: Lessons from the Safety Net Medical Home Initiative
Thematic issue focused on the Commonwealth Fund's Safety Net Medical Home Initiative (SNMHI), a project to develop a replicable approach for establishing a patient-centered medical home (PCMH) in practices serving vulnerable and underserved populations. SNMHI included rural practices and the articles included in this issue are applicable to rural facilities.
Citation: Medical Care, 52(11), S1-S63
Date: 11/2014
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Thematic issue focused on the Commonwealth Fund's Safety Net Medical Home Initiative (SNMHI), a project to develop a replicable approach for establishing a patient-centered medical home (PCMH) in practices serving vulnerable and underserved populations. SNMHI included rural practices and the articles included in this issue are applicable to rural facilities.
Citation: Medical Care, 52(11), S1-S63
Date: 11/2014
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How 3 Rural Safety Net Clinics Integrate Care for Patients: A Qualitative Case Study
Case study of two Rural Health Clinics and one rural Federally Qualified Health Center that were part of the Commonwealth Fund's Safety Net Medical Home Initiative (SNMHI), a project to implement and evaluate the patient-centered medical home (PCMH). Reports on challenges encountered related to a transition to team-based care and practical approaches for rural care coordination.
Author(s): Sarah Derrett, Kathryn E. Gunter, Robert S. Nocon, et al.
Citation: Medical Care, 52(11), S39-S47
Date: 11/2014
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Case study of two Rural Health Clinics and one rural Federally Qualified Health Center that were part of the Commonwealth Fund's Safety Net Medical Home Initiative (SNMHI), a project to implement and evaluate the patient-centered medical home (PCMH). Reports on challenges encountered related to a transition to team-based care and practical approaches for rural care coordination.
Author(s): Sarah Derrett, Kathryn E. Gunter, Robert S. Nocon, et al.
Citation: Medical Care, 52(11), S39-S47
Date: 11/2014
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The Utah Remote Monitoring Project: Improving Health Care One Patient at a Time
Examines telemonitoring devices to expand and improve chronic disease management for patients living with diabetes and/or hypertension by measuring clinical parameters. Includes demographic data such as age, sex, and primary spoken language. Covers pre- and post-intervention data on patients' hemoglobin A1C, blood pressure, and low-density lipoprotein values.
Author(s): Laura Shane-McWhorter, Leslie Lenert, Marta Petersen, et al.
Citation: Diabetes Technology & Therapeutics, 16(10), 653-660
Date: 10/2014
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Examines telemonitoring devices to expand and improve chronic disease management for patients living with diabetes and/or hypertension by measuring clinical parameters. Includes demographic data such as age, sex, and primary spoken language. Covers pre- and post-intervention data on patients' hemoglobin A1C, blood pressure, and low-density lipoprotein values.
Author(s): Laura Shane-McWhorter, Leslie Lenert, Marta Petersen, et al.
Citation: Diabetes Technology & Therapeutics, 16(10), 653-660
Date: 10/2014
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A Retrospective Evaluation of Remote Pharmacist Interventions in a Telepharmacy Service Model Using a Conceptual Framework
Examines a telepharmacy service in Nebraska using a conceptual framework to compare documented telepharmacy interventions by year, hospital, and remote pharmacist and across rural hospitals with or without an on-site pharmacist. Includes data on rural hospitals using the telepharmacy service, levels and categories for care interventions, and the documented telepharmacy interventions.
Author(s): Jayashri Sankaranarayanan, Lori J. Murante, Lisa M. Moffett
Citation: Telemedicine Journal and e-Health, 20(10), 893-901
Date: 10/2014
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Examines a telepharmacy service in Nebraska using a conceptual framework to compare documented telepharmacy interventions by year, hospital, and remote pharmacist and across rural hospitals with or without an on-site pharmacist. Includes data on rural hospitals using the telepharmacy service, levels and categories for care interventions, and the documented telepharmacy interventions.
Author(s): Jayashri Sankaranarayanan, Lori J. Murante, Lisa M. Moffett
Citation: Telemedicine Journal and e-Health, 20(10), 893-901
Date: 10/2014
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