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Rural Health Information Hub

Rural Health
Resources by Topic: Service delivery models

Telehealth in Rural America
Discusses the use of telehealth in rural areas, related reimbursement challenges, and provides recommendations to the Secretary of Health and Human Services for improving healthcare access and quality through the use of telehealth services.
Date: 03/2015
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Evaluation of Hospital-Setting HCIA Awards: First Annual Report, Final
Evaluations of 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Covers projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Date: 03/2015
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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A Guidebook of Professional Practices for Behavioral Health and Primary Care Integration: Observations from Exemplary Sites
Assists primary care and behavioral health practices in identifying professional practices that have developed a successful workforce model of integrated care. Several primary care organizations with effective integrated behavioral health and primary care participated in the study including 3 in rural areas.
Author(s): Deborah J. Cohen, Melinda M. Davis, Jennifer D. Hall, Emma C. Gilchrist, Benjamin F. Miller
Date: 03/2015
Sponsoring organization: Agency for Healthcare Research and Quality
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Telemedicine for Children with Developmental Disabilities: A More Effective Clinical Process than Office-Based Care
Examines the Tele-Health-Kids, a school-based program using asynchronous telemedicine to connect children with developmental disabilities with their primary care physician for the treatment of minor illnesses in rural Ohio. Includes data on the chronic conditions of children with developmental disabilities enrolled in the program and survey responses from parents on the expectations, concerns, and post-visit outcomes for the Tele-Health-Kids program.
Author(s): Diane L. Langkamp, Mark D. McManus, Susan D. Blakemore
Citation: Telemedicine Journal and e-Health, 21(2), 110-114
Date: 02/2015
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National Rural HIT Coalition Meeting
Details the minutes of a February 5, 2015, National Rural Health Information Technology Coalition face-to-face meeting in Washington D.C. Discusses a number of national and federal updates, as well as telehealth expansion and population health integration.
Date: 02/2015
Sponsoring organization: National Rural Health Resource Center
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The Future of Rural Behavioral Health
Policy paper discussing the unique challenges of providing behavioral healthcare services in rural areas. Includes policy recommendations and interventions related to workforce development, reimbursement and financing, integration of care, and the use of technology in delivering behavioral healthcare.
Author(s): Will Wilson, Angela Bangs, Tammy Hatting
Date: 02/2015
Sponsoring organization: National Rural Health Association
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Comprehensive Quality Improvement in Rural Health Care
Policy paper addresses comprehensive quality improvement for rural healthcare by incorporating and tailoring strategies from the National Quality Strategy (NQS) aims of better care, healthy people/communities, and affordable care to better suit rural healthcare. Includes four broad steps to help guide rural facilities through the quality improvement process.
Author(s): Kevin Driesen, Gretchen Holmes, Mary Smith
Date: 02/2015
Sponsoring organization: National Rural Health Association
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Rural Health Clinic Readiness for Patient-Centered Medical Home Recognition: Preparing for the Evolving Healthcare Marketplace
Discusses the results from a survey of Rural Health Clinics (RHCs) that identified their capability to be eligible as a NCQA Patient-Centered Medical Home (PCMH) and examines the need for technical assistance and support of RHCs in the development of the PCMH model.
Additional links: Research & Policy Brief
Author(s): John Gale, Zach Croll, David Hartley, Andrew F. Coburn
Date: 01/2015
Sponsoring organization: Maine Rural Health Research Center
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Oral Health Strategic Framework 2014–2017
Presents a framework for improving oral healthcare. Highlights the federal government's oral healthcare priorities and outlines 5 different oral health policy goals, such as integration into primary care, improve oral health literacy, and the advancement of research, among others.
Date: 2015
Sponsoring organization: U.S. Department of Health and Human Services
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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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