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Rural Health
Resources by Topic: Service delivery models

Assessing the Effectiveness of Cancer Screening Interventions Targeting Appalachian Populations: A Systematic Review
Presents a review of cancer screening interventions aimed at rural Appalachian communities and measures their efficacy. Explores the design and limitations of each study. Breaks down data by cancer type, intervention type, and recorded outcomes, among other factors.
Author(s): Nicole M. Robertson, Lauren Hudson, Suzanna Labib Attia, et al.
Citation: Journal of Rural Health, 37(3), 602–623
Date: 06/2021
Type: Document
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Adoption of Health System Innovations: Evidence of Urban-Rural Disparities from the Ohio Primary Care Marketplace
Examines the market penetration of Medicare Shared Savings Program (MSSP) Accountable Care Organizations (ACOs), patient-centered medical homes (PCMHs), and the meaningful use of electronic health records (EHRs) among primary care providers (PCPs) in Ohio between 2011 and 2015. Compares the percentage of PCPs who are affiliated with ACOs, PCMHs, and meaningful use by urban and rural county status.
Author(s): Joseph E. Tanenbaum, Mark Votruba, Douglas Einstadter, Thomas E. Love, Randall D. Cebul
Citation: Journal of General Internal Medicine, 36(6), 1584–1590
Date: 06/2021
Type: Document
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Strategies for Responding to the COVID-19 Pandemic in a Rural Health System in New York State
Describes the challenges of COVID-19 encountered by Bassett Healthcare Network (BHN), a network of 5 hospitals and 24 clinics located in rural upstate New York covering the healthcare needs of 5 counties. Presents four strategies in response to these challenges: expand the capacity of intensive-care; retrain and reposition employees into new roles; adopt a system providing rapid access to care and follow-up; and coordinate communication and decision-making with network administrators, employees, and other healthcare professionals.
Author(s): Jamie A. Aron, Alexander J.B. Bulteel, Kelsey A. Clayman, et al.
Citation: Healthcare, 9(2), 100508
Date: 06/2021
Type: Document
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Applied Rapid Qualitative Analysis to Develop a Contextually Appropriate Intervention and Increase the Likelihood of Uptake
Examines an intervention, Telehealth-based Coordination of Non-Veterans Health Administration Care (TECNO Care), designed to improve care coordination between the Veterans Health Administration (VHA) and community providers for veterans living in rural and underserved areas.
Author(s): Allison A. Lewinski, Matthew J. Crowley, Christopher Miller, et al.
Citation: Medical Care, 59(6 Suppl 3), S242-S251
Date: 06/2021
Type: Document
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Evaluation of the State Innovation Models (SIM) Initiative Round 2: Model Test Final Report
Final report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Discusses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Examines whether the implementation efforts and healthcare delivery system reforms impacted the quality of care, health outcomes, population health, and spending.
Additional links: Appendix, Findings at a Glance
Date: 06/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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47th Annual Arizona Rural Health Conference
Offers presentation slides and video recordings from the 2021 Annual Arizona Rural Health Conference. Covers a wide variety of topics including infrastructure needs in rural communities, telehealth and distance learning, prevention efforts to address social determinants of health, and more.
Date: 06/2021
Type: Video/Multimedia
Sponsoring organization: Arizona Center for Rural Health
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Community Health Centers Telehealth Promising Practices: Case Studies from the COVID-19 Pandemic
Offers a series of eight case studies on how community health centers developed or expanded telehealth programs in response to the COVID-19 pandemic. Discusses challenges faced, best practices, and lessons learned for each program.
Date: 06/2021
Type: Document
Sponsoring organization: National Association of Community Health Centers
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Basics of Value-based Care and Payment
Slides presented to the Rural Healthcare Provider Transition Project (RHPTP) providing an overview of value-based care and payment models. Includes examples of rural providers addressing patient social needs, tackling local health issues, and aligning services with community needs.
Author(s): Jennifer P. Lundblad
Date: 06/2021
Type: Presentation Slides
Sponsoring organization: Rural Health Value
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Implementing and Sustaining Rural Community Paramedicine
Incorporates proceedings from the February 21-22, 2021 Rural Community Paramedicine (CP) Summit, and key strategies for implementing and sustaining CP in rural communities. Contains resources, information on established CP programs, and information about how state Flex Programs can support rural CP efforts. Describes experiences of established CP providers so that rural ambulance providers and hospitals might be better prepared as they consider similar initiatives in their own communities.
Additional links: Webinar
Date: 06/2021
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Pulmonary Rehabilitation: Benefiting Rural Individuals, Benefiting Rural Population Health
Discusses the benefits of pulmonary rehabilitation (PR) as a treatment for chronic obstructive pulmonary disease (COPD). Highlights the potential of telehealth to deliver PR in rural areas and features the work of rural PR programs.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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