Rural Health
Resources by Topic: Service delivery models
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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The Pennsylvania Rural Health Model (PARHM): First Annual Report
Evaluates the first year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall health care spending. Provides an overview of the model and describes the implementation experience of the first cohort of participating hospitals. Presents preliminary, descriptive data on the financial performance and utilization outcomes of Cohort 1 participants.
Additional links: Appendix, Findings at a Glance
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 year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall health care spending. Provides an overview of the model and describes the implementation experience of the first cohort of participating hospitals. Presents preliminary, descriptive data on the financial performance and utilization outcomes of Cohort 1 participants.
Additional links: Appendix, Findings at a Glance
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Paying for Telemedicine in Smaller Rural Hospitals: Extending the Technology to Those Who Benefit Most
Viewpoint article discussing the positive financial impacts of telemedicine in emergency departments (EDs) and barriers to using telemedicine in small rural hospitals related to patient volume, high upfront costs, and reimbursement issues. Outlines policy interventions to support rural telemedicine.
Author(s): Kori S. Zachrison, Jessica V. Richard, Ateev Mehrotra
Citation: JAMA Health Forum, 2(8), e211570
Date: 08/2021
Type: Document
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Viewpoint article discussing the positive financial impacts of telemedicine in emergency departments (EDs) and barriers to using telemedicine in small rural hospitals related to patient volume, high upfront costs, and reimbursement issues. Outlines policy interventions to support rural telemedicine.
Author(s): Kori S. Zachrison, Jessica V. Richard, Ateev Mehrotra
Citation: JAMA Health Forum, 2(8), e211570
Date: 08/2021
Type: Document
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Mobile Telemedicine for Buprenorphine Treatment in Rural Populations With Opioid Use Disorder
Results of a study conducted from June-October 2020 in Caroline County, Maryland, to evaluate the implementation of an initiative to extend access to telemedicine (TM) medications for opioid use disorder to rural communities, by bringing care via a TM mobile treatment unit (TM-MTU). Features demographics and statistics on opioid use during TM-MTU treatment.
Author(s): Eric Weintraub, Chamindi Seneviratne, Jessica Anane, et al.
Citation: JAMA Network Open, 4(8)
Date: 08/2021
Type: Document
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Results of a study conducted from June-October 2020 in Caroline County, Maryland, to evaluate the implementation of an initiative to extend access to telemedicine (TM) medications for opioid use disorder to rural communities, by bringing care via a TM mobile treatment unit (TM-MTU). Features demographics and statistics on opioid use during TM-MTU treatment.
Author(s): Eric Weintraub, Chamindi Seneviratne, Jessica Anane, et al.
Citation: JAMA Network Open, 4(8)
Date: 08/2021
Type: Document
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Nurse Perspectives Regarding Implementation of an Asthma Monitoring Mobile Health Application in the School Setting
Study exploring nurse experiences with school-based telehealth (SBTH) implementation, specifically SBTH asthma programs in South Carolina. Discusses barriers to asthma care for rural children and the potential for SBTH and mobile health to treat childhood asthma. Draws data from 26 survey respondents that addresses interests in specific mobile application features and issues related to caregiver and family participation.
Author(s): Emily E. Johnson, Claire MacGeorge, Annie Andrews, et al.
Citation: Telemedicine and e-Health, 27(8), 955-962
Date: 08/2021
Type: Document
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Study exploring nurse experiences with school-based telehealth (SBTH) implementation, specifically SBTH asthma programs in South Carolina. Discusses barriers to asthma care for rural children and the potential for SBTH and mobile health to treat childhood asthma. Draws data from 26 survey respondents that addresses interests in specific mobile application features and issues related to caregiver and family participation.
Author(s): Emily E. Johnson, Claire MacGeorge, Annie Andrews, et al.
Citation: Telemedicine and e-Health, 27(8), 955-962
Date: 08/2021
Type: Document
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The Association of Broadband Internet Access and Telemedicine Utilization in Rural Western Tennessee: An Observational Study
Results of a study to determine whether broadband internet availability was associated with telemedicine adoption among a rural patient population in western Tennessee. Features statistics including race, sex, insurance type, broadband access, and location with breakdowns by nonrural, partially rural, or rural areas.
Author(s): Jacob K. Quinton, Michael K. Ong, Sitaram Vangala, et al.
Citation: BMC Health Services Research, 21, 765
Date: 08/2021
Type: Document
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Results of a study to determine whether broadband internet availability was associated with telemedicine adoption among a rural patient population in western Tennessee. Features statistics including race, sex, insurance type, broadband access, and location with breakdowns by nonrural, partially rural, or rural areas.
Author(s): Jacob K. Quinton, Michael K. Ong, Sitaram Vangala, et al.
Citation: BMC Health Services Research, 21, 765
Date: 08/2021
Type: Document
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Not Your Mother's Healthcare: Surveying Consumer Experiences with Telehealth Services
Recording of an August 4, 2021, webinar on telehealth use during the COVID-19 pandemic. Presents results of a survey conducted between June 28-July 18, 2021, on telehealth utilization, patient satisfaction, and obstacles to accessing telehealth services. Includes data on rural and urban differences throughout. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Presentation Slides
Date: 08/2021
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Recording of an August 4, 2021, webinar on telehealth use during the COVID-19 pandemic. Presents results of a survey conducted between June 28-July 18, 2021, on telehealth utilization, patient satisfaction, and obstacles to accessing telehealth services. Includes data on rural and urban differences throughout. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Presentation Slides
Date: 08/2021
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Factors Associated With Use of and Satisfaction With Telehealth by Adults in Rural Virginia During the COVID-19 Pandemic
Examines the use of and satisfaction with telehealth services since March 2020 among 253 survey participants from rural Virginia, and explores the association between demographic and health characteristics, health literacy, internet access, and the odds of using telehealth. Features statistics with breakdowns including race or ethnicity, sex, rural or urban location, insurance status, and broadband access.
Author(s): Maria D. Thomson, Abigail C. Mariani, April R. Williams, Arnethea L. Sutton, Vanessa B. Sheppard
Citation: JAMA Network Open, 4(8)
Date: 08/2021
Type: Document
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Examines the use of and satisfaction with telehealth services since March 2020 among 253 survey participants from rural Virginia, and explores the association between demographic and health characteristics, health literacy, internet access, and the odds of using telehealth. Features statistics with breakdowns including race or ethnicity, sex, rural or urban location, insurance status, and broadband access.
Author(s): Maria D. Thomson, Abigail C. Mariani, April R. Williams, Arnethea L. Sutton, Vanessa B. Sheppard
Citation: JAMA Network Open, 4(8)
Date: 08/2021
Type: Document
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Telebehavioral Health During the COVID-19 Pandemic: A Qualitative Analysis of Provider Experiences and Perspectives
Examines behavioral health provider perspectives on use of telebehavioral health before and during the pandemic, based on interviews with 31 behavioral health providers in Michigan. Describes how policy changes affected access to and use of behavioral health services, especially among rural residents. Includes statistics on provider characteristics, with breakdowns by urban or rural primary practice location.
Author(s): Victoria Schoebel, Caitlyn Wayment, Maria Gaiser, et al.
Citation: Telemedicine and e-Health, 27(8), 947-954
Date: 08/2021
Type: Document
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Examines behavioral health provider perspectives on use of telebehavioral health before and during the pandemic, based on interviews with 31 behavioral health providers in Michigan. Describes how policy changes affected access to and use of behavioral health services, especially among rural residents. Includes statistics on provider characteristics, with breakdowns by urban or rural primary practice location.
Author(s): Victoria Schoebel, Caitlyn Wayment, Maria Gaiser, et al.
Citation: Telemedicine and e-Health, 27(8), 947-954
Date: 08/2021
Type: Document
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Innovations in Overdose Response: Strategies Implemented by Emergency Medical Services Providers
Reports on the findings of an environmental scan conducted in collaboration with the National Association of EMS Officials looking for new and promising overdose response strategies for state and local EMS providers to increase access to treatment and recovery services. Discusses sharing data for public health surveillance and response, building system-wide partnerships, administering buprenorphine, developing post-overdose response teams, utilizing mobile integrated health clinics, and implementation barriers to be considered.
Date: 07/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Reports on the findings of an environmental scan conducted in collaboration with the National Association of EMS Officials looking for new and promising overdose response strategies for state and local EMS providers to increase access to treatment and recovery services. Discusses sharing data for public health surveillance and response, building system-wide partnerships, administering buprenorphine, developing post-overdose response teams, utilizing mobile integrated health clinics, and implementation barriers to be considered.
Date: 07/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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