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Rural Health
Resources by Topic: Service delivery models

Rural Health Care Coordination Program Directory, 2023-2027
Provides an overview of the 10 initiatives funded under the Rural Health Care Coordination Program during the 2023-2027 project period. Each profile includes information on the focus areas to be addressed, project partners, and targeted populations.
Date: 12/2023
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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CMS Final Rules Overview - Impact for RHCs Beginning January 1, 2024
Recording of a December 11, 2023, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2024. Covers new billable providers for RHCs, changes to care management services and billing, telehealth regulations, intensive outpatient program (IOP) services, and more. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 12/2023
Type: Video/Multimedia
Sponsoring organization: National Association of Rural Health Clinics
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State Actions to Build the Behavioral Health Crisis Continuum
Toolkit features a continuum of behavioral health crisis services and supports and discusses the strategies for program planning and development for state officials and agencies. Highlights models and resources for core components such as regional call centers, mobile crisis teams, and stabilization facilities, among others. Also includes crisis care principles, such as peer supports, law enforcement partnerships, and rural and frontier delivery challenges.
Author(s): Rebekah Falkner, Laura Galbreath, Sandra Wilkniss
Date: 12/2023
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Advancing Value-Based Payment Policies Relevant to Rural Areas – Continued Challenges and New Opportunities
Discusses lessons from the recent public health emergency, rising health care costs, improved quality measurement, and innovative technologies on the transition from volume-based payment to value-based payment. Outlines potential policy opportunities for the Centers for Medicare & Medicaid Services (CMS) Innovation Center model design and CMS program inclusion to expand rural-appropriate opportunities to participate in the transition to value-based care. Builds on the 2020 publication How to Design Value‐based Care Models for Rural Participant Success: A Summit Findings Report.
Date: 12/2023
Type: Document
Sponsoring organization: Rural Health Value
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Community Health Partners in Unexpected Places
Examines how health systems partner with community services such as libraries, barber shops, dollar stores, and others to improve access and reduce health disparities in minority and rural populations. Discusses strategies to increase the use of community health partners, such as co-designing with input from the community, procuring funding, building awareness of available programs, and utilizing novel means to conduct day-to-day operations.
Author(s): Michael K. Hole, Sunjay Letchuman, Allister Chang, Leonard L. Berry
Citation: Mayo Clinic Proceedings, 98(12), 1883-1841
Date: 12/2023
Type: Document
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Geographic Variations in Driving Time to U.S. Mental Health Care, Digital Access to Technology, & Household Crowdedness
Evaluated distance to mental health services, household crowdedness, and access to technology and broadband alongside rurality to determine barriers to mental healthcare for both rural and urban residents in 31,924 ZIP Code Tabulation Areas (ZCTAs). Discusses implications for telehealth and policy measures addressing the digital divide.
Author(s): Sophia N. D. Negaro, Rachel M. Hantman, Janice C. Probst, et al.
Citation: Health Affairs Scholar
Date: 12/2023
Type: Document
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Texas Statewide Behavioral Health Strategic Plan: Progress Report
Report summarizing progress of the Texas Fiscal Years 2022-2026 Statewide Behavioral Health Strategic Plan. Discusses mental health workforce shortages, recruitment and retention of workforce, telehealth, loan repayment, community health workers, and incentivizing rural practice. Discusses rural throughout. Includes priority next steps and outlines strategies by various Texas state agencies.
Date: 12/2023
Type: Document
Sponsoring organization: Texas Statewide Health Coordinating Council
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The Value Chains Linking Together Rural Food Access
A recorded webinar that discusses innovative ways to improve food security in rural areas by linking services and organizations working toward a similar goal. Includes case studies from housing and healthcare collaborators who designed a mobile grocery store as well as an agricultural/environmental nonprofit who collaborated with local farmers and healthcare providers to create a produce prescription (PRx) program.
Additional links: Slide Deck
Date: 11/2023
Type: Video/Multimedia
Sponsoring organization: No Kid Hungry
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South Dakota's Regional Services Designation Ambulance System Study
Report offering analysis of stakeholder interviews and performance data of emergency medical service (EMS) in rural South Dakota. Discusses recruitment and retention of workforce, volunteerism, training, data analysis, telehealth, access, and more. Offers recommendations based on key findings and a timeline for implementation.
Date: 11/2023
Type: Document
Sponsoring organizations: Healthcare Strategists, South Dakota Department of Health
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An Examination of Geographic Access to Outpatient Stroke Rehabilitation Services in Tennessee, a Stroke Belt State
Presents data on travel time and distance to Tennessee stroke rehabilitation facilities, with comparisons of rural and urban counties as well as counties with low, medium, or high stroke prevalence. Describes care access challenges faced by rural stroke patients, including barriers related to transportation and telerehabilitation.
Author(s): Phoebe M. Tran, Cenjing Zhu, William T. Harris II, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 33(1), 107472
Date: 11/2023
Type: Document
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