Rural Health
Resources by Topic: Service delivery models
Barriers and Facilitators to Implementing a Technology-Enhanced Psychiatric Collaborative Care Model among Rural Primary Care Sites: A Mixed-Methods Implementation Case Study
Examines the process of implementing a telehealth psychiatric collaborative care management (CoCM) model in rural South Carolina clinics. Utilizes mixed-methods data to examine workflow development, telehealth platform configuration, provider teams, implementation assessment, and more.
Author(s): Ryan Kruis, Emily Johnson, Constance Guille, et al.
Citation: BMC Primary Care, 26, 177
Date: 05/2025
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Examines the process of implementing a telehealth psychiatric collaborative care management (CoCM) model in rural South Carolina clinics. Utilizes mixed-methods data to examine workflow development, telehealth platform configuration, provider teams, implementation assessment, and more.
Author(s): Ryan Kruis, Emily Johnson, Constance Guille, et al.
Citation: BMC Primary Care, 26, 177
Date: 05/2025
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Using the Practical, Robust Implementation and Sustainability Model to Identify Implementation Determinants of a Statewide Diabetes Learning Collaborative in Kentucky
Examines the impact of utilizing a learning collaborative to implement a diabetes self-management education and support (DSMES) intervention. Utilizes interview feedback with collaborative participants to discuss issues such as organizational perspectives of DSMES, organizational and patient perspectives, and implementation and sustainability infrastructure. Discusses issues of implementing DSMES in rural areas of Kentucky.
Author(s): Aaron J. Kruse-Diehr, Borsika A. Rabin, Jessica Elliott, et al.
Citation: BMC Health Services Research, 25, 735
Date: 05/2025
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Examines the impact of utilizing a learning collaborative to implement a diabetes self-management education and support (DSMES) intervention. Utilizes interview feedback with collaborative participants to discuss issues such as organizational perspectives of DSMES, organizational and patient perspectives, and implementation and sustainability infrastructure. Discusses issues of implementing DSMES in rural areas of Kentucky.
Author(s): Aaron J. Kruse-Diehr, Borsika A. Rabin, Jessica Elliott, et al.
Citation: BMC Health Services Research, 25, 735
Date: 05/2025
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Effectiveness of a Respiratory Therapist-Led, Community-Based Asthma Program in an Under Resourced Rural Border Town in California
Analyzes the impact of the Asthma Community Linkages Project (ACLP), a community-based asthma self-management program delivered through Rural Health Clinics, on asthma control and emergency department visit frequency among 233 asthma patients in Imperial County, California. Highlights the value of the ACLP model for other rural and underserved border settings.
Author(s): Torrie Staten, Ping-Hui Liu, Catalina Holt, Abdullah Alismail
Citation: Respiratory Medicine, 241, 108071
Date: 05/2025
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Analyzes the impact of the Asthma Community Linkages Project (ACLP), a community-based asthma self-management program delivered through Rural Health Clinics, on asthma control and emergency department visit frequency among 233 asthma patients in Imperial County, California. Highlights the value of the ACLP model for other rural and underserved border settings.
Author(s): Torrie Staten, Ping-Hui Liu, Catalina Holt, Abdullah Alismail
Citation: Respiratory Medicine, 241, 108071
Date: 05/2025
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Community Health Centers: Leading Innovation in Health Care
Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' historical growth and recent trends, financial health, healthcare screening and disease prevention, management of chronic diseases, maternal and child health, workforce and service utilization, health information technology, and more. Includes urban-rural comparisons and maps with data by state throughout.
Author(s): Sarah Hurlbert, Mahima Singeetham, Amy Flowers
Date: 05/2025
Sponsoring organization: National Association of Community Health Centers
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Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' historical growth and recent trends, financial health, healthcare screening and disease prevention, management of chronic diseases, maternal and child health, workforce and service utilization, health information technology, and more. Includes urban-rural comparisons and maps with data by state throughout.
Author(s): Sarah Hurlbert, Mahima Singeetham, Amy Flowers
Date: 05/2025
Sponsoring organization: National Association of Community Health Centers
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Bringing Virtual Behavioral Health Care Access to Rural Youth in West Virginia
Podcast episode that discusses a virtual collaborative behavioral healthcare model for children in rural West Virginia. Focuses on early behavioral health interventions, access, and improved health outcomes.
Author(s): Tom Haederle, Adrienne Coopey, Jordan Steiger
Date: 05/2025
Sponsoring organization: American Hospital Association
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Podcast episode that discusses a virtual collaborative behavioral healthcare model for children in rural West Virginia. Focuses on early behavioral health interventions, access, and improved health outcomes.
Author(s): Tom Haederle, Adrienne Coopey, Jordan Steiger
Date: 05/2025
Sponsoring organization: American Hospital Association
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Impact of Telemental Health on Suicide Prevention Care in U.S. Emergency Departments
Describes results of a survey of 977 hospital emergency departments regarding the use of telemental healthcare, and presents data by hospital characteristics, including rural location and Critical Access Hospital (CAH) status. Explores whether access to telemental healthcare affects use of six recommended suicide prevention practices. Compares the use of suicide prevention practices among patients with identified suicide risk by telemental healthcare status and CAH designation.
Author(s): Stephanie K. Doupnik, Cadence F. Bowden, Diana Worsley, et al.
Citation: Academic Emergency Medicine, 32(9), 956-965
Date: 05/2025
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Describes results of a survey of 977 hospital emergency departments regarding the use of telemental healthcare, and presents data by hospital characteristics, including rural location and Critical Access Hospital (CAH) status. Explores whether access to telemental healthcare affects use of six recommended suicide prevention practices. Compares the use of suicide prevention practices among patients with identified suicide risk by telemental healthcare status and CAH designation.
Author(s): Stephanie K. Doupnik, Cadence F. Bowden, Diana Worsley, et al.
Citation: Academic Emergency Medicine, 32(9), 956-965
Date: 05/2025
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Environmental Scan on Reducing Barriers to Participation in Population-Based Total Cost of Care (PB-TCOC) Models and Supporting Primary and Specialty Care Transformation
Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Presents results of an environmental scan on reducing barriers to participation in population-based total cost of care (PB-TCOC) models and supporting primary and specialty care transformation. Discusses identifying pathways for maximizing participation of different kinds of organizations in PB-TCOC models; an assessment of and approaches to reducing organization-level barriers; approaches to support primary and specialty care transformation; an assessment of factors that influence the ability of PB-TCOC models to be competitive; and a summary of relevant features in previously submitted Physician-Focused Payment Model Technical Advisory Committee (PTAC) proposals. Includes rural references throughout.
Date: 05/2025
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Montana AHEC Scholars - HRSA: Area Health Education Center (AHEC)
Highlights the Montana AHEC Scholars Program, which provides interdisciplinary training in behavioral health integration, telehealth, and social determinants of health, among other topics, to improve the quality and access to care in rural communities.
Date: 05/2025
Sponsoring organizations: Montana Area Health Education Center, Montana Office of Rural Health
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Highlights the Montana AHEC Scholars Program, which provides interdisciplinary training in behavioral health integration, telehealth, and social determinants of health, among other topics, to improve the quality and access to care in rural communities.
Date: 05/2025
Sponsoring organizations: Montana Area Health Education Center, Montana Office of Rural Health
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Stories of Impact: Lee County Health Department
Profiles the Lee County Health Department in Iowa and their work to support community health worker certification, continuing education for public health workers, mobile resource clinics, and health and human services referral processes.
Date: 05/2025
Sponsoring organization: Georgia Health Policy Center
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Profiles the Lee County Health Department in Iowa and their work to support community health worker certification, continuing education for public health workers, mobile resource clinics, and health and human services referral processes.
Date: 05/2025
Sponsoring organization: Georgia Health Policy Center
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Evaluation of the Primary Care First Model: Third Annual Report
Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the PCF model implementation experiences for Cohort 1 and Cohort 2 practices through 2023. Explores the characteristics of practices and payers that continued to participate in the PCF model compared to those who left. Examines the role that the PCF Model's incentives and supports played in the strategies and practices adopted to improve care delivery and how the trajectory of these strategies and activities practices have transformed over time. Estimates the impact of the PCF Model on Medicare fee-for-service (FFS) expenditures and service use, including acute hospitalizations. Estimates the impacts of the model on a set of seven leading indicators to provide an early assessment of whether care delivery changes are resulting in meaningful early outcome changes.
Additional links: Executive Summary, Findings at a Glance
Date: 05/2025
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica
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Provides an overview of the Primary Care First (PCF) model, which aims to enhance primary care and move primary care practitioners toward value-based payment. Describes the PCF model implementation experiences for Cohort 1 and Cohort 2 practices through 2023. Explores the characteristics of practices and payers that continued to participate in the PCF model compared to those who left. Examines the role that the PCF Model's incentives and supports played in the strategies and practices adopted to improve care delivery and how the trajectory of these strategies and activities practices have transformed over time. Estimates the impact of the PCF Model on Medicare fee-for-service (FFS) expenditures and service use, including acute hospitalizations. Estimates the impacts of the model on a set of seven leading indicators to provide an early assessment of whether care delivery changes are resulting in meaningful early outcome changes.
Additional links: Executive Summary, Findings at a Glance
Date: 05/2025
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica
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