Rural Health
Resources by Topic: Service delivery models
Indian Health Service Use of Critical Care Response Teams Has Helped to Meet Facility Needs During the COVID-19 Pandemic
Provides an overview of the Indian Health Service's (IHS) Critical Care Response Teams (CCRTs) program, which was developed to support IHS and Tribal facilities in caring for critically ill COVID-19 patients. Examines the first five CCRT deployments from June -September 2020. Offers recommendations to leverage CCRT program success to support other IHS care improvement efforts.
Date: 09/2021
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Provides an overview of the Indian Health Service's (IHS) Critical Care Response Teams (CCRTs) program, which was developed to support IHS and Tribal facilities in caring for critically ill COVID-19 patients. Examines the first five CCRT deployments from June -September 2020. Offers recommendations to leverage CCRT program success to support other IHS care improvement efforts.
Date: 09/2021
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Mental Health System Development in Rural and Remote Areas during COVID-19
Report highlights the barriers faced by rural, remote, and tribal communities to accessing mental healthcare during the COVID-19 pandemic. Details rates of mental health treatment over the past year and compares rural and urban communities. Discusses factors affecting access in rural areas such as workforce shortages, lack of telehealth services, and lack of culturally competent care for American Indian and Alaska Native populations, among others.
Date: 09/2021
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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Report highlights the barriers faced by rural, remote, and tribal communities to accessing mental healthcare during the COVID-19 pandemic. Details rates of mental health treatment over the past year and compares rural and urban communities. Discusses factors affecting access in rural areas such as workforce shortages, lack of telehealth services, and lack of culturally competent care for American Indian and Alaska Native populations, among others.
Date: 09/2021
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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Ready to Respond: Mental Health Beyond Crisis and COVID-19
Report highlights strategies for addressing the need for mental health services in the wake of the COVID-19 pandemic. Details seven recommendations for state mental health programs post-pandemic and discusses workforce challenges and how telehealth can be used to expand access to care to rural and underserved areas.
Date: 09/2021
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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Report highlights strategies for addressing the need for mental health services in the wake of the COVID-19 pandemic. Details seven recommendations for state mental health programs post-pandemic and discusses workforce challenges and how telehealth can be used to expand access to care to rural and underserved areas.
Date: 09/2021
Type: Document
Sponsoring organization: National Association of State Mental Health Program Directors
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MedPAC Comment on CMS's Proposed Rule on the Physician Fee Schedule and Other Revisions to Part B for CY 2022
Comment on a July 23, 2021, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of the expansion of telehealth service coverage after the COVID-19 public health emergency, as well as reimbursement rates to Rural Health Clinics and Federally Qualified Health Centers for telehealth mental health services.
Date: 09/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on a July 23, 2021, Federal Register proposed rule revising the physician fee schedule to improve payment systems for physicians and other Medicare Part B revisions. Includes a discussion of the expansion of telehealth service coverage after the COVID-19 public health emergency, as well as reimbursement rates to Rural Health Clinics and Federally Qualified Health Centers for telehealth mental health services.
Date: 09/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Implementation and Outcomes of the Balanced Living with Diabetes Program Conducted by Cooperative Extension in Rural Communities in Virginia
Shares the results of a study examining a lifestyle management program, Balanced Living with Diabetes (BLD), to address gaps in diabetes education that was implemented by Cooperative Extension System educators in rural Virginia. Includes an analysis of the BLD program outcomes in Table 2 and 3.
Author(s): Carlin Rafie, Kathy Hosig, Sophie G. Wenzel, Shelby Borowski, Kristina A. Jiles, Eleanor Schlenker
Citation: Rural and Remote Health, 21(1), 6620
Date: 08/2021
Type: Document
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Shares the results of a study examining a lifestyle management program, Balanced Living with Diabetes (BLD), to address gaps in diabetes education that was implemented by Cooperative Extension System educators in rural Virginia. Includes an analysis of the BLD program outcomes in Table 2 and 3.
Author(s): Carlin Rafie, Kathy Hosig, Sophie G. Wenzel, Shelby Borowski, Kristina A. Jiles, Eleanor Schlenker
Citation: Rural and Remote Health, 21(1), 6620
Date: 08/2021
Type: Document
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Whole-Person Care for People Experiencing Homelessness and Opioid Use Disorder: A Toolkit
Provides information on whole-person care for housing stability and opioid use disorder (OUD), offering an overview of factors impacting homelessness and OUD, recovery models, and best practices to reduce stigma and develop trauma-informed care.
Additional links: Webinar: Whole-Person Care for People Experiencing Homelessness and Opioid Use Disorder
Date: 08/2021
Type: Document
Sponsoring organizations: Homeless and Housing Resource Center, Substance Abuse and Mental Health Services Administration
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Provides information on whole-person care for housing stability and opioid use disorder (OUD), offering an overview of factors impacting homelessness and OUD, recovery models, and best practices to reduce stigma and develop trauma-informed care.
Additional links: Webinar: Whole-Person Care for People Experiencing Homelessness and Opioid Use Disorder
Date: 08/2021
Type: Document
Sponsoring organizations: Homeless and Housing Resource Center, Substance Abuse and Mental Health Services Administration
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Telehealth Visit Use Among U.S. Adults
Slide deck presenting survey data on telehealth use, breaking down results by rural/non-rural location, age, insurance coverage, and ethnicity. Addresses telehealth visit purposes, patient satisfaction, and barriers to telehealth access.
Author(s): Jazmyne Sutton
Date: 08/2021
Type: Presentation Slides
Sponsoring organizations: Bipartisan Policy Center, SSRS
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Slide deck presenting survey data on telehealth use, breaking down results by rural/non-rural location, age, insurance coverage, and ethnicity. Addresses telehealth visit purposes, patient satisfaction, and barriers to telehealth access.
Author(s): Jazmyne Sutton
Date: 08/2021
Type: Presentation Slides
Sponsoring organizations: Bipartisan Policy Center, SSRS
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Barriers for Implementing the Hub and Spoke Model to Expand Medication for Opioid Use Disorder: A Case Study of Montana
Highlights a study of the barriers to the implementation of hub and spoke programs to provide treatment for opioid use disorder in rural Montana. Features data based on interviews with 65 programs that provide medication for opioid use disorder in Montana and discusses the barriers to their efforts.
Author(s): Brandn Green, Danielle Christine Rhubart, Matthew R Filteau
Citation: Substance Abuse: Research and Treatment, 15
Date: 08/2021
Type: Document
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Highlights a study of the barriers to the implementation of hub and spoke programs to provide treatment for opioid use disorder in rural Montana. Features data based on interviews with 65 programs that provide medication for opioid use disorder in Montana and discusses the barriers to their efforts.
Author(s): Brandn Green, Danielle Christine Rhubart, Matthew R Filteau
Citation: Substance Abuse: Research and Treatment, 15
Date: 08/2021
Type: Document
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"We Got an Invite into the Fortress": VA-Community Partnerships for Meeting Veterans' Healthcare Needs
Evaluates the efficacy of the VA's Veteran's Community Partnership (VCP) initiative across the rural and urban continuum. Bases conclusions on focus group interviews with local representatives of organizations involved with VCP. Highlights program challenges, benefits, and achievements in rural and urban settings.
Author(s): Carol J. Ward, Curtis Child, Bret L. Hicken, et al.
Citation: International Journal of Environmental Research and Public Health, 18(16), 8334
Date: 08/2021
Type: Document
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Evaluates the efficacy of the VA's Veteran's Community Partnership (VCP) initiative across the rural and urban continuum. Bases conclusions on focus group interviews with local representatives of organizations involved with VCP. Highlights program challenges, benefits, and achievements in rural and urban settings.
Author(s): Carol J. Ward, Curtis Child, Bret L. Hicken, et al.
Citation: International Journal of Environmental Research and Public Health, 18(16), 8334
Date: 08/2021
Type: Document
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Evaluation of the Vermont All-Payer Accountable Care Organization Model: First Evaluation Report
Evaluates the first two performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes information on hospital and provider participation in rural counties and unique challenges for rural Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first two performance years of the Vermont All-Payer Accountable Care Organization Model (VTAPM), which aims to assess whether scaling an Accountable Care Organization (ACO) across all payers in the state can reduce program expenditures while preserving or improving care quality. Discusses the implementation of the model, provider engagement, efforts to address population health goals; characteristics of participating hospitals, practitioners, and beneficiaries; and the model's impacts on Medicare spending, utilization, and quality of care. Includes information on hospital and provider participation in rural counties and unique challenges for rural Critical Access Hospitals.
Additional links: Findings at a Glance, Technical Appendices
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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