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Rural Health
Resources by Topic: Service delivery models

How Clarke County Hospital Is Expanding Its Telehealth Services into Home Monitoring COVID-19 Patients
Describes how Clarke County Hospital, a Critical Access Hospital in rural Osceola, Iowa, is using funding from the Federal Communications Commission's COVID-19 Telehealth Program to expand its telehealth and remote patient monitoring services. Offers lessons learned from applying for funding from the program.
Date: 07/2020
Type: Document
Sponsoring organization: American Hospital Association
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Medicare Beneficiary Use of Telehealth Visits: Early Data from the Start of the COVID-19 Pandemic
Examines changes in Medicare in-person primary care visits and the use of telehealth services at the start of the COVID-19 public health emergency. Discusses how Medicare telehealth flexibilities implemented in response to COVID-19 impacted access to these services. Compares the percentage of primary care telehealth visits between rural and urban providers. Includes a county-level map displaying the percentage of primary care visits conducted via telehealth services in April 2020.
Date: 07/2020
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Boosting Oral Health Care in Rural Communities
Details barriers to oral healthcare in rural areas and highlights some of the methods states are implementing to overcome those barriers. Discusses teledentistry, mobile dental programs, and loan repayment, as well as federal support for state programs.
Author(s): Erik Skinner
Date: 07/2020
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Rural Healthcare Surge Readiness
Up-to-date and critical resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 07/2020
Type: Website
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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Improving Substance Use Care: Addressing Barriers to Expanding Integrated Treatment Options for Post-9/11 Veterans
Report details the barriers to behavioral health treatment for veterans of the post-9/11 wars. Highlights challenges specific to rural veterans, such as stigma around mental health and substance use issues, as well as distance to care. Discusses methods for overcoming barriers to treatment.
Author(s): Eric R. Pedersen, Kathryn E. Bouskill, Stephanie Brooks Holliday, et al.
Date: 07/2020
Type: Document
Sponsoring organization: RAND Corporation
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The Growing Divide in the Composition of Public Health Delivery Systems in US Rural and Urban Communities, 2014–2018
Analyzes data from the National Longitudinal Survey of Public Health Systems to examine rural-urban differences in the scope of public health delivery system activities and organizational networks from 2014-2018. Provides geographic breakdowns on various characteristics, including poverty, unemployment, trends for public health activities, and more.
Author(s): Kelsey Owsley, Mika Hamer, Glen Mays
Citation: American Journal of Public Health, 110(Suppl 2), S204-S210
Date: 07/2020
Type: Document
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The Influence of Telehealth for Better Health Across Communities
Describes the use of Extension for Community Healthcare Outcomes (ECHO), a videoconferencing peer learning application used by healthcare providers in predominantly rural areas of Missouri for the treatment of COVID-19–positive patients with chronic diseases such as diabetes, COPD, and hypertension. Discusses implications for public health and ways to optimize health system performance.
Author(s): Jane A. McElroy, Tamara M. Day, Mirna Becevic
Citation: Preventing Chronic Disease, 17
Date: 07/2020
Type: Document
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Second Annual Report
Reports on the first two program years of the CPC+, a CMS primary care payment and delivery reform effort. Discusses CPC+ participating practices, payer partners, and health information technology (HIT) vendors supporting the program. Describes practices changes and outcomes for Medicare fee-for-service beneficiaries. Includes statistics with breakdowns by rural, suburban, or urban practice location.
Additional links: Appendices to the Supplemental Volume, CMS Perspective Report, Findings at a Glance, Supplemental Volume
Date: 07/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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HHS Telemedicine Hack
Offers weekly virtual peer-to-peer teleECHO sessions highlighting telemedicine best practices and case studies on key topics including workflow, documentation, and reimbursement. Virtual office hours provide discussion panels managed by experts responding to questions and learning is further facilitated by peer-to-peer discussion groups. CME/CEU credits are available for attending the sessions.
Date: 07/2020
Type: Tutorial/Training
Sponsoring organizations: Project ECHO, TRAIN Learning Network, U.S. Department of Health and Human Services, University of New Mexico School of Medicine
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2020
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures.
Date: 07/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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