Rural Health
Resources by Topic: Service delivery models
Federal Telehealth Flexibilities in Private Health Insurance During the COVID-19 Public Health Emergency: In Brief
Provides an overview of how private health insurance plans cover telehealth services, as well as federal flexibilities that encouraged private health insurance plans to promote telehealth services during the COVID-19 pandemic. Summarizes the two main types of laws at the state level addressing telehealth coverage in private health insurance. Outlines considerations for telehealth coverage after the end of the COVID-19 public health emergency.
Date: 02/2023
Sponsoring organization: Congressional Research Service
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Provides an overview of how private health insurance plans cover telehealth services, as well as federal flexibilities that encouraged private health insurance plans to promote telehealth services during the COVID-19 pandemic. Summarizes the two main types of laws at the state level addressing telehealth coverage in private health insurance. Outlines considerations for telehealth coverage after the end of the COVID-19 public health emergency.
Date: 02/2023
Sponsoring organization: Congressional Research Service
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Patient Transfers to and from Critical Access Hospitals During the COVID-19 Pandemic
Examines inbound and outbound transfer patient volumes among Critical Access Hospitals (CAHs) during the COVID-19 pandemic. Discusses the barriers and facilitators to transferring patients that CAHs experienced. Compares transfer volume and facilitators for outbound transfers by CAH system ownership status.
Author(s): Abigail Wenninger, Madeleine Pick, Megan Lahr
Date: 02/2023
Sponsoring organization: Flex Monitoring Team
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Examines inbound and outbound transfer patient volumes among Critical Access Hospitals (CAHs) during the COVID-19 pandemic. Discusses the barriers and facilitators to transferring patients that CAHs experienced. Compares transfer volume and facilitators for outbound transfers by CAH system ownership status.
Author(s): Abigail Wenninger, Madeleine Pick, Megan Lahr
Date: 02/2023
Sponsoring organization: Flex Monitoring Team
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Impact of Tele-Emergency Consultations on Pediatric Interfacility Transfers: A Cluster-Randomized Crossover Trial
Results of a study examining the use of pediatric critical care telemedicine compared with telephone consultations associated with transfer rates of acutely ill children from community and rural emergency departments. Features statistics including baseline characteristics and disposition of patients in the telemedicine and telephone groups.
Author(s): James P. Marcin, Hadley S. Sauers-Ford, Jamie L. Mouzoon, et al.
Citation: JAMA Network Open, 6(2)
Date: 02/2023
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Results of a study examining the use of pediatric critical care telemedicine compared with telephone consultations associated with transfer rates of acutely ill children from community and rural emergency departments. Features statistics including baseline characteristics and disposition of patients in the telemedicine and telephone groups.
Author(s): James P. Marcin, Hadley S. Sauers-Ford, Jamie L. Mouzoon, et al.
Citation: JAMA Network Open, 6(2)
Date: 02/2023
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Evaluation of Post-Discharge Engagement for Emergency Department Patients with Opioid Use History Who Received Telehealth Recovery Coaching Services
Examines successful interventions for patients in emergency departments (EDs) who receive peer recovery coach (PRC) services via telehealth that support patients with opioid use disorder (OUD). Analyzes 13 EDs in Indiana who implemented telehealth PRC services starting in 2018, including 7 rural Critical Access Hospitals (CAHs). Includes rate of successful follow-ups proceeding PRC services broken down by patient age, sex, race, drug use method, referral types, and metro, small, or rural living location.
Author(s): Dennis P. Watson, Peter Phalen, Spencer Medcalf, Sarah Messmer, Alan McGuire
Citation: Substance Abuse Treatment, Prevention,18(9)
Date: 02/2023
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Examines successful interventions for patients in emergency departments (EDs) who receive peer recovery coach (PRC) services via telehealth that support patients with opioid use disorder (OUD). Analyzes 13 EDs in Indiana who implemented telehealth PRC services starting in 2018, including 7 rural Critical Access Hospitals (CAHs). Includes rate of successful follow-ups proceeding PRC services broken down by patient age, sex, race, drug use method, referral types, and metro, small, or rural living location.
Author(s): Dennis P. Watson, Peter Phalen, Spencer Medcalf, Sarah Messmer, Alan McGuire
Citation: Substance Abuse Treatment, Prevention,18(9)
Date: 02/2023
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Filling Behavioral Health Gaps in Rural Communities: A Unique Partnership in Washington State
Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Sponsoring organization: The Commonwealth Fund
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Discusses a collaboration between a Critical Access Hospital (CAH) in Washington and state hospitals to accept patient transfers by utilizing swing beds to care for patients with complex behavioral health and social needs, such as substance use disorder, mental health, homelessness, and more. Includes data on swing bed admissions and information on incorporating behavioral health services into primary care.
Author(s): Sarah Klein, Martha Hostetter
Date: 02/2023
Sponsoring organization: The Commonwealth Fund
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The Doorway at Cheshire Medical Center Leads to Healing
Profiles the Doorway at Cheshire Medical Center, a program at Cheshire Medical Center, a rural hospital in Keene, New Hampshire. Describes how the Doorway uses evidence-based assessment tools to refer clients to the appropriate services in the community and serves as a connection point between multiple substance use disorder (SUD) services.
Date: 02/2023
Sponsoring organization: American Hospital Association
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Profiles the Doorway at Cheshire Medical Center, a program at Cheshire Medical Center, a rural hospital in Keene, New Hampshire. Describes how the Doorway uses evidence-based assessment tools to refer clients to the appropriate services in the community and serves as a connection point between multiple substance use disorder (SUD) services.
Date: 02/2023
Sponsoring organization: American Hospital Association
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Perceived Benefits of Geriatric Specialty Telemedicine among Rural Patients and Caregivers
Explores the perceived benefits of a Veterans Health Administration (VHA) geriatric specialty telemedicine service (GRECC Connect), which connects geriatric interdisciplinary teams in urban areas with older veterans in rural areas through videoconferencing platforms. Summarizes results of interviews 30 rural older adults enrolled in the VHA and their caregivers about the content and quality of their GRECC Connect visits.
Author(s): Eileen M. Dryden, Meaghan A. Kennedy, Jennifer Conti, et al.
Citation: Health Services Research, 58(Suppl 1), 26-35
Date: 02/2023
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Explores the perceived benefits of a Veterans Health Administration (VHA) geriatric specialty telemedicine service (GRECC Connect), which connects geriatric interdisciplinary teams in urban areas with older veterans in rural areas through videoconferencing platforms. Summarizes results of interviews 30 rural older adults enrolled in the VHA and their caregivers about the content and quality of their GRECC Connect visits.
Author(s): Eileen M. Dryden, Meaghan A. Kennedy, Jennifer Conti, et al.
Citation: Health Services Research, 58(Suppl 1), 26-35
Date: 02/2023
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Strategies to Recruit Rural Primary Care Providers to Implement a Medication for Opioid Use Disorder (MOUD) Focused Integrated Care Model
Highlights a study on an intervention aimed at addressing systemic barriers to accessing medications for opioid used disorder (MOUD) for rural patients via an integrated care model. Breaks down the intervention structure and discusses project replication and sustainability.
Author(s): Renee M. Cloutier, Evan S. Cole, Brianna L. McDonough, et al.
Citation: Implementation Research and Practice, 4, 1-12
Date: 01/2023
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Highlights a study on an intervention aimed at addressing systemic barriers to accessing medications for opioid used disorder (MOUD) for rural patients via an integrated care model. Breaks down the intervention structure and discusses project replication and sustainability.
Author(s): Renee M. Cloutier, Evan S. Cole, Brianna L. McDonough, et al.
Citation: Implementation Research and Practice, 4, 1-12
Date: 01/2023
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Designing Home-Based Physical Activity Programs for Rural Cancer Survivors: A Survey of Technology Access and Preferences
Results of a survey of 298 adults with cancer on demographics, cancer characteristics, technology use and access, current physical activity, and preferred home-based physical activity program characteristics. Includes rural versus nonrural comparisons.
Author(s): Elizabeth A. Salerno, Rohana Gao, Jason Fanning, et al.
Citation: Frontiers in Oncology, 13, 1061641
Date: 01/2023
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Results of a survey of 298 adults with cancer on demographics, cancer characteristics, technology use and access, current physical activity, and preferred home-based physical activity program characteristics. Includes rural versus nonrural comparisons.
Author(s): Elizabeth A. Salerno, Rohana Gao, Jason Fanning, et al.
Citation: Frontiers in Oncology, 13, 1061641
Date: 01/2023
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Arkansas Health Workforce Projections: 2021-2035
Report outlining the current non-physician healthcare workforce shortages in Arkansas, projections through 2035, and recommendations to address supply and demand issues. Recommendations include discussion of the workforce pipeline, retention, exploring models of care, distribution of workforce, data collection, and policy. Discusses rural throughout.
Date: 01/2023
Sponsoring organization: Arkansas Hospital Association
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Report outlining the current non-physician healthcare workforce shortages in Arkansas, projections through 2035, and recommendations to address supply and demand issues. Recommendations include discussion of the workforce pipeline, retention, exploring models of care, distribution of workforce, data collection, and policy. Discusses rural throughout.
Date: 01/2023
Sponsoring organization: Arkansas Hospital Association
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