Rural Health
Resources by Topic: Service delivery models
Delivery of Cancer Screening and Treatment in Critical Access Hospitals
Summarizes results of a survey of 135 Critical Access Hospitals (CAHs) regarding cancer screening and treatment provided by CAHs. Describes the role of visiting providers and the use of telemedicine in cancer screening and treatment.
Author(s): Megan Lahr, Xiomara Santana, Helen Parsons, Nathan Bean, Ira Moscovice
Date: 10/2022
Sponsoring organization: Flex Monitoring Team
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Summarizes results of a survey of 135 Critical Access Hospitals (CAHs) regarding cancer screening and treatment provided by CAHs. Describes the role of visiting providers and the use of telemedicine in cancer screening and treatment.
Author(s): Megan Lahr, Xiomara Santana, Helen Parsons, Nathan Bean, Ira Moscovice
Date: 10/2022
Sponsoring organization: Flex Monitoring Team
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Rural Health System Value-Based Care Innovators Roundtable: Strategies and Insights
Presents findings from interviews with five health systems that include a substantial proportion of rural hospitals and clinics and actively support the transition to value-based care. Covers organizational structure, governance and decision-making, operations, data and communication, contracts, and social determinants of health. Identifies common health system tensions and opportunities to implementing value-based care at rural facilities.
Date: 10/2022
Sponsoring organization: Rural Health Value
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Presents findings from interviews with five health systems that include a substantial proportion of rural hospitals and clinics and actively support the transition to value-based care. Covers organizational structure, governance and decision-making, operations, data and communication, contracts, and social determinants of health. Identifies common health system tensions and opportunities to implementing value-based care at rural facilities.
Date: 10/2022
Sponsoring organization: Rural Health Value
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Advancing Health Equity and Integrated Care for Rural Dual Eligibles
Discusses health disparities for rural individuals dually eligible for Medicare and Medicaid. Presents an overview of a toolkit to advance health equity for rural dual eligibles and findings from roundtables of 50 stakeholders across 3 states regarding solutions for the workforce and service needs of this population.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Citation: Health Affairs Forefront
Date: 10/2022
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Discusses health disparities for rural individuals dually eligible for Medicare and Medicaid. Presents an overview of a toolkit to advance health equity for rural dual eligibles and findings from roundtables of 50 stakeholders across 3 states regarding solutions for the workforce and service needs of this population.
Author(s): Ellen Breslin, Samantha Di Paola, Susan McGeehan, Rebecca Kellenberg, Andrea Maresca
Citation: Health Affairs Forefront
Date: 10/2022
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Maternal Health: Availability of Hospital-Based Obstetric Care in Rural Areas
Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Sponsoring organization: Government Accountability Office
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Explores the availability of hospital-based obstetric services in rural areas. Summarizes stakeholder perspectives on the factors affecting the availability of these services and on the efforts federal agencies, states, and others could take to increase the access to obstetric care. Highlights six programs identified by researchers and provider associations as effective at increasing obstetric care in rural areas.
Additional links: Full Report
Date: 10/2022
Sponsoring organization: Government Accountability Office
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Small Rural Hospitals with Low-Volume Emergency Departments that May Convert to a Rural Emergency Hospital (REH)
Explores a variety of characteristics of Critical Access Hospitals (CAHs) and rural hospitals eligible to convert to the Rural Emergency Hospital (REH) designation, including patient volume, services and technology, EMS, and clinical staffing characteristics. Compares eligible hospitals by emergency department volume in 2019. Summarizes observations made by emergency department physician advisers regarding this data and REH implementation concerns.
Author(s): Margaret Greenwood-Ericksen, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Explores a variety of characteristics of Critical Access Hospitals (CAHs) and rural hospitals eligible to convert to the Rural Emergency Hospital (REH) designation, including patient volume, services and technology, EMS, and clinical staffing characteristics. Compares eligible hospitals by emergency department volume in 2019. Summarizes observations made by emergency department physician advisers regarding this data and REH implementation concerns.
Author(s): Margaret Greenwood-Ericksen, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Home Health Agencies Used Multiple Strategies to Respond to the COVID-19 Pandemic, Although Some Challenges Persist
Presents results of a survey of home health agencies (HHAs) conducted between September through December 2021 to explore the challenges they faced during the COVID-19 pandemic. Discusses challenges related to staffing, infection control, the use of telehealth, and the adequacy of emergency preparedness plans, as well as challenges specific to rural HHAs. Provides recommendations for how the Centers for Medicare & Medicaid Services (CMS) can help HHAs prepare for and respond to current and future infectious disease outbreaks and changes to the home health care landscape.
Date: 10/2022
Sponsoring organization: Office of Inspector General (HHS)
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Presents results of a survey of home health agencies (HHAs) conducted between September through December 2021 to explore the challenges they faced during the COVID-19 pandemic. Discusses challenges related to staffing, infection control, the use of telehealth, and the adequacy of emergency preparedness plans, as well as challenges specific to rural HHAs. Provides recommendations for how the Centers for Medicare & Medicaid Services (CMS) can help HHAs prepare for and respond to current and future infectious disease outbreaks and changes to the home health care landscape.
Date: 10/2022
Sponsoring organization: Office of Inspector General (HHS)
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How Alaska Supports Rural and Frontier Behavioral Health Services
Describes Alaska's Behavioral Health Aide (BHA) program, a non-licensed provider type designed to promote behavioral health and wellness in Alaska Native individuals, families, and communities through culturally relevant training and education. Discusses qualifications for the BHA certification, payment, and next steps for other states seeking to develop similar programs.
Date: 10/2022
Sponsoring organization: National Academy for State Health Policy
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Describes Alaska's Behavioral Health Aide (BHA) program, a non-licensed provider type designed to promote behavioral health and wellness in Alaska Native individuals, families, and communities through culturally relevant training and education. Discusses qualifications for the BHA certification, payment, and next steps for other states seeking to develop similar programs.
Date: 10/2022
Sponsoring organization: National Academy for State Health Policy
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Telemedicine Use Among Adults: United States, 2021
Reports on the percent of adults who used telemedicine in the past 12 months. Includes data on telemedicine use for those living in metropolitan, micropolitan, and noncore areas.
Author(s): Jacqueline W. Lucas, Maria A. Villarroel
Date: 10/2022
Sponsoring organization: National Center for Health Statistics
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Reports on the percent of adults who used telemedicine in the past 12 months. Includes data on telemedicine use for those living in metropolitan, micropolitan, and noncore areas.
Author(s): Jacqueline W. Lucas, Maria A. Villarroel
Date: 10/2022
Sponsoring organization: National Center for Health Statistics
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MaineHealth ACO – Integrating and Using Data to Support Care Delivery
Profiles MaineHealth ACO, a network of 11 hospitals, 353 clinical practices, 18 Rural Health Clinics, and 2 Federally Qualified Health Centers. Describes how MaineHealth ACO integrates clinical and claims data to support care delivery, target patient needs, and reduce costs.
Date: 10/2022
Sponsoring organization: Rural Health Value
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Profiles MaineHealth ACO, a network of 11 hospitals, 353 clinical practices, 18 Rural Health Clinics, and 2 Federally Qualified Health Centers. Describes how MaineHealth ACO integrates clinical and claims data to support care delivery, target patient needs, and reduce costs.
Date: 10/2022
Sponsoring organization: Rural Health Value
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Improving Access to and Enrollment in Programs of All-Inclusive Care for the Elderly (PACE)
Provides an overview of Programs of All-Inclusive Care for the Elderly (PACE), including the history of the model and the recent policy landscape. Identifies challenges to the growth of PACE and offers federal policy recommendations that would address the challenges to the spread and scale of PACE. Discusses the results of the 2006 Rural PACE Provider Grant Program and policies to promote further access to PACE programs in areas with low penetration rates, including rural areas.
Date: 10/2022
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of Programs of All-Inclusive Care for the Elderly (PACE), including the history of the model and the recent policy landscape. Identifies challenges to the growth of PACE and offers federal policy recommendations that would address the challenges to the spread and scale of PACE. Discusses the results of the 2006 Rural PACE Provider Grant Program and policies to promote further access to PACE programs in areas with low penetration rates, including rural areas.
Date: 10/2022
Sponsoring organization: Bipartisan Policy Center
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