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Rural Health
Resources by Topic: Social determinants of health

A Multisectoral Approach to Advance Health Equity in Rural Northern Arizona: County-Level Leaders' Perspectives on Health Equity
Discusses health inequity and the role of multisectoral leadership, including health and human services, public health, education, criminal justice, and policy, in addressing health inequity based on data for 5 rural Arizona counties from the Southwest Health Equity Research Collaborative's Regional Health Equity Survey. Discusses the perspectives of multisectoral representatives on distribution of resources and services, causes of health inequity, and social determinants of health.
Author(s): Dulce J. Jiménez, Samantha Sabo, Mark Remiker, et al.
Citation: BMC Public Health, 22, 960
Date: 05/2022
Type: Document
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DRCHSD Spotlight on Natchitoches Regional Medical Center
Profiles Natchitoches Regional Medical Center (NRMC) in Natchitoches, Louisiana. Discusses how NRMC implemented best practices from the Delta Region Community Health Systems Development Program to improve their emergency department redirect program and form community partnerships to address social determinants of health and improve the health of the population.
Date: 04/2022
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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The Role of Social Determinants of Health in Value-Based Payment Models During COVID-19: An Evolving Rural Perspective
Recording of an April 2022 webinar discussing how some rural health providers address social determinants of health in their communities and mitigate hardships associated with COVID-19. Highlights strategies using value-based payment models and collaboration with community partners. Transcript is available by clicking the dots above the Subscribe tab, then selecting Show Transcript.
Additional links: Presentation Slides
Author(s): Alana Knudson
Date: 04/2022
Type: Video/Multimedia
Sponsoring organizations: National Rural Health Resource Center, NORC Walsh Center for Rural Health Analysis
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Michigan 2022-2024 Social Determinants of Health Strategy
Provides an overview of the Michigan statewide social determinants of health (SDOH) strategy, a multi-year plan that addresses population health equity, housing, and food security. Includes information on the overall mission, strategy, and launch phase.
Additional links: Michigan's Roadmap to Healthy Communities (Full Strategy), Michigan's Roadmap to Healthy Communities (Strategy Overview)
Date: 04/2022
Type: Website
Sponsoring organization: Michigan Department of Health and Human Services
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April 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) April 2022 meeting. Covers high prices of drugs covered under Medicare Part B, initial findings from MedPAC's analysis of Part D data on drug rebates and discounts, segmentation in the stand-alone Part D prescription drug plan market, leveraging Medicare policies to address social determinants of health, an approach to streamline and harmonize Medicare's portfolio of alternative payment models, and aligning fee-for-service payment rates across ambulatory settings. Includes rural references throughout.
Date: 04/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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The Justice Gap: The Unmet Civil Legal Needs of Low-Income Americans
Reports on civil legal needs experienced by low-income Americans who do not seek professional legal help and the paths they take when facing civil legal problems. Includes information on legal needs related to healthcare access and other issues that impact health, such as housing and COVID-19. Provides details for specific groups, including rural residents, seniors, veterans, people with disabilities, parents of children under 18, and domestic violence survivors.
Additional links: Executive Summary, Full Report, Special Focus Rural
Date: 04/2022
Type: Document
Sponsoring organization: Legal Services Corporation
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The Codes of Care: How Words and Numbers Have Transformative Power for Rural Healthcare
Describes the process of translating clinical documentation into medical codes and the impact coding has on healthcare quality and population health. Highlights coding issues specific to rural settings. Also discusses graduate medical education efforts addressing clinical documentation and medical coding.
Author(s): Kay Miller Temple
Date: 04/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Utilization of Z Codes for Social Determinants of Health among a Sample of Medicare Advantage Enrollees, 2017 and 2019
Examines the use of Z codes for social determinants of health in a sample of Medicare Advantage (MA) enrollees from 2016 through 2019. Identifies the five most-used Z codes among MA enrollees, including the percent of enrollees and claims with these Z codes in 2017 and 2019. Presents data on the proportion of MA enrollees with Z code claims in 2017 and 2019 across demographic characteristics, including rurality, place of service, and provider type.
Date: 04/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Addressing Social Determinants of Health: Examples of Successful Evidence-Based Strategies and Current Federal Efforts
Provides an overview of efforts to address social determinants of health (SDOH) that impact people of color, LGBTQ+ persons, individuals living in rural areas, and people with disabilities. Discusses housing, food and nutrition, transportation, social and economic mobility, and social service connections in terms of community (upstream) and individual (downstream) SDOH impacts.
Author(s): Amelia Whitman, Nancy De Lew, Andre Chappel, et al.
Date: 04/2022
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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A Critical Review on the Complex Interplay between Social Determinants of Health and Maternal and Infant Mortality
Reports on a critical review of maternal and infant mortality literature to observe how social determinants of health relate to health disparities for mothers and babies of racial/ethnic minorities, less privileged socioeconomic statuses, and rural geographies. Includes discussion about rural versus urban differences in maternal and infant mortality.
Author(s): Rada K. Dagher, Deborah E. Linares
Citation: Children, 9(3), 394
Date: 03/2022
Type: Document
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