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Resources by Topic: Service delivery models

Behavioral Health Care System Capacity in Pennsylvania and Its Impact on Hospital Emergency Departments and Patient Health
An assessment of Pennsylvania's behavioral health needs and the impact that the behavioral healthcare system's capacity has on hospital emergency departments and patient health. Examines the effect of provider shortages, the role of first responders, emergency response models, and efforts to expand telehealth. Mentions rural throughout.
Author(s): Yvonne Llewellyn Hursh, Bryan W. DeWalt, Allison N. Kobzowicz, et al.
Date: 07/2020
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Strengthening Primary Care and Oral Health Education and Training of Future and Current Health Professionals for Rural and Underserved Populations: Sixteenth Annual Report to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress
Offers policy and program development recommendations to the Secretary of the U.S. Department of Health and Human Services to strengthen primary care at a time of great challenge. Recommendations cover residency training in primary care and dentistry that provide direct care to rural and undeserved communities and improvements that would help to address primary care workforce issues and fall outside of Title VII programs.
Date: 07/2020
Type: Document
Sponsoring organization: Advisory Committee on Training in Primary Care Medicine and Dentistry
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Integrating Responses to the Opioid Use Disorder and Infectious Disease Epidemics
Highlights the epidemic of infectious diseases co-occurring with opioid use disorder and the need for integrated treatment. Discusses barriers. such as workforce training, payment, and data sharing, among others. Includes suggestions for rural areas.
Author(s): Sandra A. Springer, Andrew P. Merluzzi, Carlos del Rio
Citation: JAMA, 324(1), 37-38
Date: 07/2020
Type: Document
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Experiences of Community Health Centers in Expanding Telemedicine
Presents an overview of the experiences of nine health centers in California that received funding to increase their telemedicine services. Describes barriers to implementing and sustaining expanded services, including reimbursement policies and other regulatory restrictions. Includes recommendations for health centers and policymakers to promote the use of telehealth services.
Author(s): Lori Uscher-Pines, Jessica Sousa, Alina I. Palimaru, et al.
Date: 07/2020
Type: Document
Sponsoring organization: RAND Corporation
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Evidence Briefing: Tackling the Digital Divide & Telehealth Access for Low-Income Californians
Recording of a July 28, 2020 briefing that features a panel of health care providers discussing strategies to improve access to broadband internet and telehealth services in California. Offers perspectives from a Federally Qualified Health Center and a VA health system that serve rural California residents. Transcript available by clicking the dots above the Subscribe tab, then selecting Open Transcript.
Date: 07/2020
Type: Video/Multimedia
Sponsoring organization: California Initiative for Health Equity and Action
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Pharmacist-Led Chronic Care Management for Medically Underserved Rural Populations in Florida During the COVID-19 Pandemic
Describes how ambulatory care pharmacists and student pharmacists are implementing telehealth during the COVID-19 pandemic to provide chronic care management to underserved, rural communities in Florida. Discusses implications for public health.
Author(s): Madison Como, Chenita White Carter, Margareth Larose-Pierre, et al.
Citation: Preventing Chronic Disease, 17:200265
Date: 07/2020
Type: Document
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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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Rural Healthcare Surge Readiness
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: Document
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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