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Rural Health Information Hub

Rural Health
Resources by Topic: Social determinants of health

Community Care Hubs: A Promising Model for Health and Social Care Coordination
Examines the coordination of health and social needs by focusing on the community care hub model. Provides information on the types of organizations functioning as hubs as well as how the hubs operate, serve, and network within their communities. Includes case studies of hubs working within rural and underserved areas.
Author(s): Joshua Breslau, Petra W. Rasmussen, Nabeel Qureshi, Evan D. Peet
Date: 11/2023
Type: Document
Sponsoring organizations: Administration for Community Living, HHS Office of the Assistant Secretary for Planning and Evaluation
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The U.S. Playbook to Address Social Determinants of Health
Provides an overview of social determinants of health (SDOH) and the links between SDOH and health outcomes. Describes federal actions to date to address SDOH and outlines a set of framework actions that federal agencies are undertaking to support health by improving the social circumstances of individuals and communities. Highlights federal programs, toolkits, and guidance that front-line workers and organizations can use to improve the delivery of health and social services. Includes rural and tribal references throughout.
Date: 11/2023
Type: Document
Sponsoring organization: The White House
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Maintaining Momentum to Advance Health Equity in Adverse Environments
Discusses how to progress health equity and overcome institutional and legislative challenges. Focuses on building organizational processes, tailoring communications, committing to progress, prioritizing professional purpose and collective care, and engaging in community-level interventions, with examples from rural areas and organizations.
Author(s): Abena Ohene-Ntow, Jahira Sterling, Jamye Chapman, Shilpa Patel, Dana E. Crawford
Date: 11/2023
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Calendar Year (CY) 2024 Medicare Physician Fee Schedule Final Rule
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) final rule regarding updates and changes to the Medicare payments under the Physician Fee Schedule (PFS) and other Medicare Part B issues for calendar year 2024. Summarizes provisions related to paying separately for Community Health Integration, Social Determinants of Health (SDOH) Risk Assessment, and Principal Illness Navigation services; telehealth services; mental health visits furnished by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs); including marriage and family therapists and mental health counselors as eligible for payment at RHCs and FQHCs; and more.
Date: 11/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health is Primary: Charting a Path to Equity and Sustainability
Examines factors driving the downward trends in primary care, including fewer clinicians practicing primary care, fewer available appointments, lower spending on primary care, and fewer adults reporting that they have a usual source of primary care. Features a literature review, supply and demand analysis, and recommendations for potential solutions. Mentions rural throughout.
Additional links: Executive Summary, Slide Presentation
Author(s): Alison Huffstetler, Ann Greiner, Anam Siddiqi, et al.
Date: 11/2023
Type: Document
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Culture is Prevention: A Strength Based, Culturally Grounded Journey Toward Prevention, Intervention, and Healing
Provides an overview on the Administration for Children and Families' (ACF) plan to address the crisis of missing or murdered indigenous people (MMIP). Discusses historical context and the social determinants of health (SDOH) that impact Native American/Alaska Native (AI/AN) populations. Outlines culturally aware practices to support the public health pillars of prevention, intervention, healing, and delivery of ACF programs.
Date: 10/2023
Type: Document
Sponsoring organization: Administration for Children and Families
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RCORP - Neonatal Abstinence Syndrome II Grantee Directory: 2023 Cohort
Provides contact information and initial project information for 41 initiatives funded under the Rural Communities Opioid Response Program - Neonatal Abstinence Syndrome grant program for 2023. Projects focus on reducing the incidence and impact of Neonatal Abstinence Syndrome in rural communities by improving systems of care, family supports, and social determinants of health.
Date: 10/2023
Type: Document
Sponsoring organizations: Federal Office of Rural Health Policy, JBS International, Inc.
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A Place to Thrive: Creating Opportunities to Age Well in North Carolina
Reports on North Carolina's aging population, and provides recommendations and strategies for improved health and livability for an aging population. Key topics include social and economic factors affecting older adults, the culture of aging, services and programs that support aging in place, and workforce supporting older adults' needs. Mentions rural population throughout as a disproportionately affected group.
Date: 10/2023
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Partnering with Faith-Based Organizations to Improve Health and Equity
Provides a discussion among faith-based leaders in Wisconsin and Minnesota regarding their work collaborating with public health partners to promote social, economic, and racial justice. Includes strategies specific to rural areas and churches that assist in bridging cultural divides and creating impactful health policy for all citizens.
Additional links: Presentation Slides, Presenter Biographies, Resource Guide
Date: 10/2023
Type: Video/Multimedia
Sponsoring organization: County Health Rankings & Roadmaps
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North Carolina State Health Improvement Plan 2023
Describes North Carolina's 2023 plan for population health improvement. Provides data on selected health indicators, makes comparisons to 2030 targets, and identifies trends over time for selected demographics. Identifies factors contributing to health disparities and negative health outcomes, and sets priorities. Includes consideration of rural and underserved populations throughout.
Date: 10/2023
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
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