Rural Health
Resources by Topic: Service delivery models
Veterans Health Care: VA's Video Telehealth Access Program Would Benefit from Performance Goals and Measures
Describes programs implemented by the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) to address veterans' barriers to accessing telehealth, with a focus on the Accessing Telehealth at Local Area Stations (ATLAS) Pilot Program. Examines telehealth performance and use data, veterans' satisfaction with VHA telehealth services, and VHA efforts to assess the quality of its telehealth services. Offers recommendations to the VHA regarding the development and use of performance goals and measures to assess the effectiveness and efficiency of the ATLAS program.
Additional links: Full Report
Date: 08/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Describes programs implemented by the U.S. Department of Veterans Affairs Veterans Health Administration (VHA) to address veterans' barriers to accessing telehealth, with a focus on the Accessing Telehealth at Local Area Stations (ATLAS) Pilot Program. Examines telehealth performance and use data, veterans' satisfaction with VHA telehealth services, and VHA efforts to assess the quality of its telehealth services. Offers recommendations to the VHA regarding the development and use of performance goals and measures to assess the effectiveness and efficiency of the ATLAS program.
Additional links: Full Report
Date: 08/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Medicare Telehealth Trends Report
Describes the trends of telehealth utilization among Medicare beneficiaries between January 1, 2020, and March 31, 2024. Presents data on the percentage of Medicare beneficiaries that used a telehealth service by calendar quarter and by race/ethnicity, Medicaid eligibility, type of Medicare eligibility, sex, age group, and rural/urban residence.
Date: 08/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Describes the trends of telehealth utilization among Medicare beneficiaries between January 1, 2020, and March 31, 2024. Presents data on the percentage of Medicare beneficiaries that used a telehealth service by calendar quarter and by race/ethnicity, Medicaid eligibility, type of Medicare eligibility, sex, age group, and rural/urban residence.
Date: 08/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Clinical Outcomes of Rural Patients with Diabetes Treated by ECHO-Trained Providers Versus an Academic Medical Center
Evaluates the effectiveness of Project ECHO trained rural primary care provider team treating diabetes compared to specialists at an academic medical center by measuring cardiorenal risk factor changes. Discusses implications of study findings for rural and other underserved populations with diabetes.
Author(s): Matthew F. Bouchonville, Larissa Myaskovsky, Yuridia L. Leyva, et al.
Citation: Journal of General Internal Medicine, 2024
Date: 07/2024
Type: Document
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Evaluates the effectiveness of Project ECHO trained rural primary care provider team treating diabetes compared to specialists at an academic medical center by measuring cardiorenal risk factor changes. Discusses implications of study findings for rural and other underserved populations with diabetes.
Author(s): Matthew F. Bouchonville, Larissa Myaskovsky, Yuridia L. Leyva, et al.
Citation: Journal of General Internal Medicine, 2024
Date: 07/2024
Type: Document
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National Cancer Institute-Funded Grants Focused on Synchronous Telehealth Cancer Care Delivery: A Portfolio Analysis
Analyzes trends in National Cancer Institute (NCI) funding for cancer-related telehealth research between fiscal years 2016 and 2022. Compares grants awarded during the period 2016-2019 versus 2020-2022, with data on study characteristics including telehealth delivery methods, services provided, cancer type, and more. Includes data on grants for rural populations and other groups experiencing health disparities.
Author(s): Roxanne E Jensen, Rachelle Brick, Joshua Medel, et al.
Citation: Journal of the National Cancer Institute Monographs, 2024(64), 55-61
Date: 07/2024
Type: Document
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Analyzes trends in National Cancer Institute (NCI) funding for cancer-related telehealth research between fiscal years 2016 and 2022. Compares grants awarded during the period 2016-2019 versus 2020-2022, with data on study characteristics including telehealth delivery methods, services provided, cancer type, and more. Includes data on grants for rural populations and other groups experiencing health disparities.
Author(s): Roxanne E Jensen, Rachelle Brick, Joshua Medel, et al.
Citation: Journal of the National Cancer Institute Monographs, 2024(64), 55-61
Date: 07/2024
Type: Document
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Community-Engaged Systems for Population Health Improvement: A Novel Approach to Improve Diabetes Outcomes in Rural Communities
Describes the design and implementation of a community-driven diabetes prevention and care management initiative focused on coalition-building and decentralized decision-making in two rural Nebraska communities. Discusses planning, capacity-building, community engagement, and sustainability.
Author(s): Kristin Pullyblank, Marisa Rosen, Christopher Wichman, et al.
Citation: Journal of Community Health, 49, 798-808
Date: 07/2024
Type: Document
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Describes the design and implementation of a community-driven diabetes prevention and care management initiative focused on coalition-building and decentralized decision-making in two rural Nebraska communities. Discusses planning, capacity-building, community engagement, and sustainability.
Author(s): Kristin Pullyblank, Marisa Rosen, Christopher Wichman, et al.
Citation: Journal of Community Health, 49, 798-808
Date: 07/2024
Type: Document
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The Future of Acute Hospital Care at Home
Describes the Acute Hospital Care at Home (AHCAH) model and explores barriers to participation including rural-specific concerns. Offers current and future policy reform recommendations related to rural hospital participation and flexibilities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 07/2024
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Describes the Acute Hospital Care at Home (AHCAH) model and explores barriers to participation including rural-specific concerns. Offers current and future policy reform recommendations related to rural hospital participation and flexibilities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 07/2024
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2023
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes changes in the quality of care during the first four years of the demonstration for states with available quality measures, as well as quality bonus payments states made to CCBHCs based on quality measure performance. Builds on findings on demonstration implementation, quality improvement, and costs outlined in previous evaluation reports, focusing on data collected since spring 2022.
Date: 07/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica, RAND Corporation
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2024 National Telehealth Conference Summary Report
Offers a summary of the 2024 Health Resources and Services Administration (HRSA) National Telehealth Conference by conference session. Covers increasing access to tele-behavioral healthcare through interstate licensure, expanding access to telehealth services for underserved and low-income communities, and federal efforts for telehealth policy and innovation. Appendices include conference materials and resources.
Additional links: 2024 National Telehealth Conference Session Recordings
Date: 07/2024
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Offers a summary of the 2024 Health Resources and Services Administration (HRSA) National Telehealth Conference by conference session. Covers increasing access to tele-behavioral healthcare through interstate licensure, expanding access to telehealth services for underserved and low-income communities, and federal efforts for telehealth policy and innovation. Appendices include conference materials and resources.
Additional links: 2024 National Telehealth Conference Session Recordings
Date: 07/2024
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Disability and Independence in Rural America: White Paper
Provides an overview of disability and independence in rural America. Describes disability prevalence in rural areas and U.S. Department of Health and Human Services (HHS) programs for people with disabilities. Outlines key considerations for rural disability services, including access, Medicaid and Medicare coverage, workforce, and telehealth and technology. Highlights themes that emerged during the September 2023 National Advisory Committee on Rural Health and Human Service (NACRHHS) meeting regarding areas for disability and independence policy improvement. Appendix A summarizes NACRHHS subcommittee site visits of two organizations serving rural Colorado residents.
Date: 07/2024
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of disability and independence in rural America. Describes disability prevalence in rural areas and U.S. Department of Health and Human Services (HHS) programs for people with disabilities. Outlines key considerations for rural disability services, including access, Medicaid and Medicare coverage, workforce, and telehealth and technology. Highlights themes that emerged during the September 2023 National Advisory Committee on Rural Health and Human Service (NACRHHS) meeting regarding areas for disability and independence policy improvement. Appendix A summarizes NACRHHS subcommittee site visits of two organizations serving rural Colorado residents.
Date: 07/2024
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Patterns of Digital Health Access and Use among US Adults: A Latent Class Analysis
Evaluates patterns of access and use of digital technology for health purposes via a latent class analysis of 2017-2020 Health Information National Trends Survey data. See Table 3 for data on people dwelling in metropolitan, non-metropolitan urban, and rural areas.
Author(s): Phillip C. Hegeman, Daniel T. Vader, Kristyn Kamke, Sherine El-Toukhy
Citation: BMC Digital Health, 2, 42
Date: 07/2024
Type: Document
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Evaluates patterns of access and use of digital technology for health purposes via a latent class analysis of 2017-2020 Health Information National Trends Survey data. See Table 3 for data on people dwelling in metropolitan, non-metropolitan urban, and rural areas.
Author(s): Phillip C. Hegeman, Daniel T. Vader, Kristyn Kamke, Sherine El-Toukhy
Citation: BMC Digital Health, 2, 42
Date: 07/2024
Type: Document
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