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Rural Health
Resources by Topic: Service delivery models

Maternal and Infant Health: HHS Should Strengthen Processes for Measuring Program Performance
Provides an overview of the Healthy Start program, which aims to reduce rates of infant death, improve maternal health outcomes, and reduce racial and ethnic disparities. Describes Healthy Start grantees and participants served during the April 2019-March 2024 grant period, as well as services that grantees are expected to provide and changes to these expectations for the 2024-2029 grant period. Explores the U.S. Department of Health and Human Services's (HHS) efforts to measure program performance, the extent to which Healthy Start performance measures meet key attributes of effective measures, and HHS' efforts to align Healthy Start performance measures with those of related HHS programs. Includes information on Healthy Start programs and participants by organization type, race, and rurality. Offers recommendations regarding reviewing and coordinating Healthy Start performance measures across Healthy Start and related programs.
Additional links: Full Report
Date: 03/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Environmental Scan on Developing and Implementing Performance Measures for Population-Based Total Cost of Care (PB-TCOC) Models
Presents results of an environmental scan regarding the development and implementation of population-based total cost of care (PB-TCOC) payment models. Describes types of performance measures used in value-based payment models and pay-for-reporting programs, data sources used for constructing performance measures, features of PB-TCOC models, challenges in developing and implementing performance measures and opportunities for Alternative Payment Models (APMs) and PB-TCOC models to address these challenges, trends in existing performance measures across several Center for Medicare and Medicaid Innovation (CMMI) models and Medicare value-based care programs, and more. Includes rural references and considerations throughout.
Date: 03/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Rural and Urban Clinician Views on COVID-19's Impact on Substance Use Treatment for Individuals on Community Supervision in Kentucky
Examines the impacts of COVID-19 on the substance use disorder (SUD) treatment system. Provides information from 25 interviews with rural and urban community supervision clinicians within the Kentucky Department of Corrections (DOC). Discusses issues such as telehealth, technological challenges, inter/intra-agency collaboration, client information, and more.
Author(s): Carrie B. Oser, Maria Rockett, Sebastian Otero, et al.
Citation: Health & Justice, 12, 12
Date: 03/2024
Type: Document
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FH Healthcare Indicators and FH Medical Price Index 2024: An Annual View of Place of Service Trends and Medical Pricing
White paper exploring changes in healthcare utilization, demographic and geographic factors, diagnoses, costs, and procedures. Features statistics including usage of retail clinics and telehealth from 2017-2022; and urgent care, ambulatory surgery centers, and emergency rooms from 2013-2022. Includes comparisons of utilization of each service type by urban and rural location.
Date: 03/2024
Type: Document
Sponsoring organization: FAIR Health
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Office for the Advancement of Telehealth Grantee Directory, 2023-2024
Provides contact information and brief overviews for 71 initiatives across eight grant programs administered by the Office for the Advancement of Telehealth in the 2024 funding year.
Date: 03/2024
Type: Document
Sponsoring organization: Office for the Advancement of Telehealth
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Evidence-Based, Whole-Person Care for Pregnant People Who Have Opioid Use Disorder
Report presents care recommendations for treatment of opioid use disorder during pregnancy. Discusses the risks of opioid use during and after pregnancy and explores factors to consider when treating pregnant people. Highlights barriers for rural patients.
Date: 03/2024
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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The Health and Social Impacts of the Maui Wildfires: Post-Disaster Care from a Sociocultural Lens
Highlights the impact of a wildfire event on existing health and social service disparities in Maui, Hawaii. Discusses housing, employment, finances, mental health, suicide risk, culture, social isolation, rurality, and service limitations. Notes opportunities and challenges for addressing these impacts using telehealth and outside assistance.
Author(s): Ryan Holliday, Lauren S. Krishnamurti, Shiloh E. Jordan, et al.
Citation: Hawai'i Journal of Health & Social Welfare, 83(3), 85-87
Date: 03/2024
Type: Document
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Partnerships to Address Social Needs Across Metropolitan and Non-Metropolitan Prospective Payment System Hospitals and Critical Access Hospitals
Explores the extent to which hospitals partner with community organizations to address population and/or community health needs. Analyzes data from the 2021 American Hospital Association Social Determinants of Health (SDOH) Supplement to describe the number and types of hospital partnerships with community-based organizations. Compares results by hospital type - metropolitan prospective payment system (PPS), Critical Access Hospital (CAH), and non-metropolitan PPS - and by U.S. Census region, ownership status, and accountable care organization (ACO) participation.
Author(s): Whitney E. Zahnd, Khyathi Gadag, Kristin D. Wilson, Keith J. Mueller
Date: 03/2024
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Practice Facilitation and Peer Coaching for Uncontrolled Hypertension Among Black Individuals: A Randomized Clinical Trial
Evaluated efficacy of peer coaching and practice facilitation compared to enhanced usual care on blood pressure control for 1,209 rural Black patients in Alabama and North Carolina. Discusses impact of age on findings.
Author(s): Monika M. Safford, Doyle M. Cummings, Jacqueline R. Halladay, et al.
Citation: JAMA Internal Medicine, 2024
Date: 03/2024
Type: Document
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2025 Health and Human Services Evaluation Plan
Provides an overview of the 2025 evaluation activities for 49 Department of Health and Human Services (HHS) programs. Includes evaluation information on rural focused programs such as Rural Maternity and Obstetrics Management Strategies (RMOMS); the National Initiative to Address COVID-19 Health Disparities Among Populations at High-Risk and Underserved, Including Racial and Ethnic Minority Populations and Rural Communities; the Telehealth Technology Enabled Learning Program (TTELP); and more.
Author(s): Maura R. Reilly, Kristen Hudgins, Susan Jenkins
Date: 03/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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