Rural Health
Resources by Topic: Service delivery models
Health Care in Rural America: Focus on Internet and Telehealth Use
Presents results of a survey of rural adults age 40 and older conducted between November-December 2020, addressing access to specialty health services, infrastructure gaps in rural areas, and utilization of telehealth services. Provides data on internet use relative to overall health, internet access at home and with smartphones, cost issues, and highlights concerns and barriers to telehealth utilization.
Additional links: Annotated Questionnaire
Date: 10/2021
Type: Document
Sponsoring organization: AARP
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Presents results of a survey of rural adults age 40 and older conducted between November-December 2020, addressing access to specialty health services, infrastructure gaps in rural areas, and utilization of telehealth services. Provides data on internet use relative to overall health, internet access at home and with smartphones, cost issues, and highlights concerns and barriers to telehealth utilization.
Additional links: Annotated Questionnaire
Date: 10/2021
Type: Document
Sponsoring organization: AARP
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How North Dakota Uses 1915(i) to Provide Supportive Services to People with Behavioral Health Conditions in Rural Areas
Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Describes how the North Dakota Department of Human Services utilizes the Medicaid 1915(i) state plan authority to fill gaps in community-based services for beneficiaries with behavioral health conditions. Highlights how the program addresses challenges to delivering services in rural areas.
Author(s): Emily Brostek, Neva Kaye
Date: 10/2021
Type: Document
Sponsoring organization: National Academy for State Health Policy
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The Veterans Community Care Program: Background and Early Effects
Provides an overview of the Veterans Community Care Program (VCCP), and discusses the impact of the program on veterans' access to care and the Veterans Health Administration's (VHA) spending on community care. Explores other effects of VCCP, including care coordination, healthcare quality, and utilization of VHA facilities.
Date: 10/2021
Type: Document
Sponsoring organization: Congressional Budget Office
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Provides an overview of the Veterans Community Care Program (VCCP), and discusses the impact of the program on veterans' access to care and the Veterans Health Administration's (VHA) spending on community care. Explores other effects of VCCP, including care coordination, healthcare quality, and utilization of VHA facilities.
Date: 10/2021
Type: Document
Sponsoring organization: Congressional Budget Office
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U.S. Department of Health and Human Services Overdose Prevention Strategy
Examines trends in overdose deaths between 1999 and 2019. Describes the development and four priority areas of the new Overdose Prevention Strategy, as well as objectives for each priority area. Highlights examples of programs that address substance use disorder prevention and treatment in rural areas.
Date: 10/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines trends in overdose deaths between 1999 and 2019. Describes the development and four priority areas of the new Overdose Prevention Strategy, as well as objectives for each priority area. Highlights examples of programs that address substance use disorder prevention and treatment in rural areas.
Date: 10/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Health Workforce Strategic Plan
Provides a framework for health workforce improvements and addresses long-standing barriers to strengthening the health workforce. Focuses on recruiting and training health professionals from underserved communities to build a diverse, representative health workforce; ensuring equitable distribution of the workforce across geographic areas and health professions; strengthening the ability of the workforce to deliver high-quality care, including through strengthening cultural and linguistic competency of professionals; and using evidence and data to make better decisions about health workforce education and training investments. Mentions rural throughout.
Additional links: Comments from Federal National Advisory Committees
Date: 10/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Provides a framework for health workforce improvements and addresses long-standing barriers to strengthening the health workforce. Focuses on recruiting and training health professionals from underserved communities to build a diverse, representative health workforce; ensuring equitable distribution of the workforce across geographic areas and health professions; strengthening the ability of the workforce to deliver high-quality care, including through strengthening cultural and linguistic competency of professionals; and using evidence and data to make better decisions about health workforce education and training investments. Mentions rural throughout.
Additional links: Comments from Federal National Advisory Committees
Date: 10/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Fourth Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on implementation experiences and outcomes for 41 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2019 performance year. Evaluates findings of the model to date by NGACO cohort. Also presents information on model-wide, cohort-level, and NGACO-level impacts on Medicare spending, utilization, and quality of care. Includes information on the extent to which NGACOs served rural areas.
Additional links: Findings at a Glance, Technical Appendices
Date: 10/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports on implementation experiences and outcomes for 41 Next Generation Accountable Care Organizations (NGACOs) that participated in the model in the 2019 performance year. Evaluates findings of the model to date by NGACO cohort. Also presents information on model-wide, cohort-level, and NGACO-level impacts on Medicare spending, utilization, and quality of care. Includes information on the extent to which NGACOs served rural areas.
Additional links: Findings at a Glance, Technical Appendices
Date: 10/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Self-Management Education Class Attendance and Health Care Provider Counseling for Physical Activity Among Adults with Arthritis — United States, 2019
Examines self-reported self-management class attendance and healthcare provider physical activity counseling for adults with doctor-diagnosed arthritis. Includes data for metropolitan, micropolitan, and rural (non-core) areas, as well as overall state-by-state data.
Author(s): Lindsey M. Duca, Charles G. Helmick, Kamil E. Barbour, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(42), 1466-1471
Date: 10/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Examines self-reported self-management class attendance and healthcare provider physical activity counseling for adults with doctor-diagnosed arthritis. Includes data for metropolitan, micropolitan, and rural (non-core) areas, as well as overall state-by-state data.
Author(s): Lindsey M. Duca, Charles G. Helmick, Kamil E. Barbour, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(42), 1466-1471
Date: 10/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Out of the Shadows: Reducing the Rural Impact of Epilepsy
Provides an overview of epilepsy in rural areas, including the impact that driving restrictions can have on rural people with epilepsy. Discusses rural management approaches, including self-management programs, Seizure First Aid, and Seizure Safe Schools.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Provides an overview of epilepsy in rural areas, including the impact that driving restrictions can have on rural people with epilepsy. Discusses rural management approaches, including self-management programs, Seizure First Aid, and Seizure Safe Schools.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Preparing Health Professions Students to Serve Southern Rural Communities in the Time of COVID-19 and Beyond: A Model for Interprofessional Online Telehealth Education
Describes a model for online telehealth interprofessional education (IPE) designed to meet the needs of rural communities in the South. Offers an overview of the program's design and implementation and highlights lessons learned related to training fundamentals, staffing and planning, faculty involvement, technology concerns, and Heath Insurance Portability and Accountability Act (HIPAA) compliance, and more.
Author(s): Teri Browne, Selina H. McKinney, Lauren Duck, et al.
Citation: Southern Medical Journal, 114(10), 665-667
Date: 10/2021
Type: Document
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Describes a model for online telehealth interprofessional education (IPE) designed to meet the needs of rural communities in the South. Offers an overview of the program's design and implementation and highlights lessons learned related to training fundamentals, staffing and planning, faculty involvement, technology concerns, and Heath Insurance Portability and Accountability Act (HIPAA) compliance, and more.
Author(s): Teri Browne, Selina H. McKinney, Lauren Duck, et al.
Citation: Southern Medical Journal, 114(10), 665-667
Date: 10/2021
Type: Document
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COVID-19 and the Rural Health Workforce: Recommendations to Improve Health in Illinois
Provides an overview of the healthcare workforce in rural Illinois and describes the impact of the COVID-19 pandemic. Offers policy recommendations to strengthen the rural health workforce in the state, improve service delivery, and enhance access to specialty care via telehealth services.
Date: 10/2021
Type: Document
Sponsoring organization: Southern Illinois University (SIU) Medicine Department of Population Science and Policy
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Provides an overview of the healthcare workforce in rural Illinois and describes the impact of the COVID-19 pandemic. Offers policy recommendations to strengthen the rural health workforce in the state, improve service delivery, and enhance access to specialty care via telehealth services.
Date: 10/2021
Type: Document
Sponsoring organization: Southern Illinois University (SIU) Medicine Department of Population Science and Policy
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