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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Using GIS to Plan Specialty Health Services for Veterans: The Example of Acute Stroke Care
Examines access to stroke care for veterans who are age 65 and older and focuses on veterans' travel time to receive stroke care. Discusses improving access to care by building relationships with community partners and using telehealth equipment for stroke care.
Author(s): Diane C. Cowper Ripley, Eric R. Litt, Huanguang Jia, et al.
Citation: Journal of Geographic Information System, 6(3), 46463
Date: 05/2014
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Realizing Rural Care Coordination: Considerations and Action Steps for State Policy-Makers
Identifies action steps and policy considerations for coordinating care in rural areas based on the experiences of six states: Colorado, Alabama, New Mexico, Montana, Vermont, and North Carolina.
Author(s): Michael Stanek, Carrie Hanlon, Tess Shiras
Date: 03/2014
Sponsoring organization: Robert Wood Johnson Foundation
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Nonmydriatic Fundus Photography for Teleophthalmology Diabetic Retinopathy Screening in Rural and Urban Clinics
Examines the diagnostic value of telehealth for eye exams to screen for diabetic retinopathy in remote California tribal reservations compared to patients seen in person at an urban University of California Davis medical clinic. Includes data and statistics for urban versus rural and optic conditions present.
Author(s): Eric K. Chin, Bruna V. Ventura, Kai-Yin See, Joann Seibles, Susanna S. Park
Citation: Telemedicine Journal and e-Health, 20(2),102-108
Date: 02/2014
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The Evidence for Community Paramedicine in Rural Areas: State and Local Findings and the Role of the State Flex Program
Examines the role of the Flex program in supporting state Emergency Medical Services (EMS) in rural communities. Analyses the evidence base for community paramedicine in rural communities, the role of community paramedics in rural healthcare delivery systems, and the challenges faced by states in implementing community paramedicine programs.
Author(s): Karen Pearson, John Gale, George Shaler
Date: 02/2014
Sponsoring organization: Flex Monitoring Team
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The Future of the Frontier Extended Stay Clinic
Describes the Centers for Medicaid and Medicare Services (CMS) Frontier Extended Stay Clinic (FESC) demonstration project. Identifies the successes and challenges, and discusses the financial sustainability of the FESC model. Includes policy recommendations and lessons learned.
Author(s): Susan Wilger, Saskia Van Hecke
Date: 02/2014
Sponsoring organization: National Rural Health Association
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A Qualitative Study of Rural Primary Care Clinician Views on Remote Monitoring Technologies
Examines conclusions of a cross-sectional qualitative study based on interviews with primary care clinicians belonging to the Oregon Rural Practice-based Research Network (ORPRN) about the challenges of implementing remote monitoring technologies (RMT) as a means of increasing access and providing a more comprehensive level of care for older and/or less mobile patients in rural areas. Also discusses clinicians ability to use RMTs in coordination with the electronic health record (EHR) system.
Author(s): Melinda M. Davis, Jillian M. Currey, Sonya Howk, et al.
Citation: Journal of Rural Health, 30(1), 69-78
Date: 01/2014
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The Relationship Between Perceived Burden of Chronic Conditions and Colorectal Cancer Screening Among Appalachian Residents
Describes the perceived burden of multiple morbidity among primarily rural Appalachian adults aged 50-75 and the likelihood these patients will undertake colorectal cancer screenings (CRCS). Discusses the prioritization of CRCS by patients with chronic disease and their physicians. Briefly compares reports from both urban and rural areas.
Author(s): Yelena N. Tarasenko, Steven T. Fleming, Nancy E. Schoenberg
Citation: Journal of Rural Health, 30(1), 40-49
Date: 01/2014
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A Pilot Project to Improve Access to Telepsychotherapy at Rural Clinics
Describes the challenges and motivators regarding the implementation of a telemental health pilot project in rural outpatient clinics to improve access to mental health services for rural veterans.
Author(s): Geri Adler, Lonique R. Pritchett, Michael R. Kauth, Danielle Nadorff
Citation: Telemedicine Journal and e-Health, 2D(1), 83-85
Date: 01/2014
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Assessing the Feasibility of a Virtual Tumor Board Program: A Case Study
Examines the feasibility of a Virtual Tumor Board (VTB) program connecting rural community clinicians to the University of North Carolina Lineberger Comprehensive Cancer Center (UNC LCCC) tumor board. Analyzes the individual clinical participants to explore their experiences with the VTB. Includes a summary of data collection methods, coding of interview data, and UNC tumor board participant survey results.
Author(s): Christopher M. Shea, Randall Teal, Lindsey Haynes-Maslow, et al.
Citation: Journal of Healthcare Management, 59(3), 177-193
Date: 2014
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Evaluation of the Medicare Frontier Extended Stay Clinic Demonstration: Report to Congress
Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Date: 2014
Sponsoring organization: U.S. Department of Health and Human Services
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