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Rural Health
Resources by Topic: Specialty care

Trends in Cancer Treatment Service Availability Across Critical Access Hospitals and Prospective Payment System Hospitals
Presents results of a study examining the availability of cancer services at Critical Access Hospitals (CAHs) and urban and rural Prospective Payment System (PPS) hospitals using 2008 to 2017 American Hospital Association Annual Survey data. Offers comparisons over time and by hospital characteristics, including rural and urban status, hospital ownership, region, shortage area, and more.
Author(s): Peiyin Hung, Kewei Shi, Janice C. Probst, et al.
Citation: Medical Care
Date: 08/2021
Type: Document
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MedPAC Comment on CMS's Proposed Rule on the ESRD PPS for CY 2022
Comments on a July 9, 2021, Federal Register proposed rule related to Medicare payment policies for end-stage renal disease (ESRD). Includes comments addressing the low-volume payment adjustment (LVPA) and the rural adjustment.
Date: 08/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Maternity and Obstetrics Management Strategies (RMOMS) Program
Describes a pilot grant program designed to improve maternal and neonatal health in rural communities by collecting data and supporting the development of financially sustainable and coordinated network models. Aims to make maternal and obstetrics care more accessible through increased use of telehealth and specialty care. Fact sheet provides information on the activities of 3 rural networks funded through the RMOMS program.
Additional links: Fact Sheet, October 2020
Date: 08/2021
Type: Website
Sponsoring organizations: Federal Office of Rural Health Policy, Maternal and Child Health Bureau
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Association of the Extension for Community Healthcare Outcomes Project With Use of Direct-Acting Antiviral Treatment Among US Adults With Hepatitis C
Results of a study of 267,908 patients to examine the association between Project ECHO and use of direct-acting antiviral (DAA) treatment in patients with hepatitis C virus (HCV) infection. Features statistics with breakdowns by urban or rural location.
Author(s): Linh Tran, Roger Feldman, Thomas Riley, Jeah Jung
Citation: JAMA Network Open, 4(7)
Date: 07/2021
Type: Document
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Mechanical Ventilation for COVID-19
Free online course designed to help licensed non-ICU hospital providers in supporting critical care respiratory therapists, physicians, and nurses in treating patients receiving mechanical ventilation. Topics include principles of mechanical ventilation, ventilator setting and adjustments, troubleshooting tips, and ventilating patients with conditions such as Acute Respiratory Distress Syndrome and Obstructive Lung Disease.
Author(s): Susan Wilcox, Thomas Piraino
Date: 07/2021
Type: Tutorial/Training
Sponsoring organization: Harvard University edX
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An Overview of the National Cancer Institute's Rural Cancer Control Initiatives
Webinar recording discusses research into rural cancer control. Explores how rural and tribal health disparities can effect cancer rates. Features presenters from the National Cancer Institute's Division of Cancer Control and Population Sciences.
Additional links: PowerPoint Handout
Date: 06/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Demographic Factors Associated With Non-Guideline-Based Treatment of Kidney Cancer in the United States
Results of a study of 158,455 kidney patients, based on data from the National Cancer Database for the years 2010-2017. Examines whether demographic factors are associated with deviation from guideline-based treatment of kidney cancer. Features statistics with breakdowns by metropolitan, urban, and rural location of patients.
Author(s): Jeffrey M. Howard, Karabi Nandy, Solomon L. Woldu, Vitaly Margulis
Citation: JAMA Network Open, 4(6)
Date: 06/2021
Type: Document
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Alaska ECHO Projects - Alaska COVID-19
Offers videoconferencing with a team of interdisciplinary experts to provide educators, service providers, case managers, administrators, and families access to expert advice throughout the state and the country in response to COVID-19.
Date: 04/2021
Type: Tutorial/Training
Sponsoring organization: University of Alaska - Anchorage, Center for Human Development
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Nevada - Project ECHO: Antibiotic Stewardship
Supports an interaction platform with an infectious disease physician and clinical pharmacologists specializing in infectious diseases to help clinicians manage infectious disease patients and to provide evidence-based antibiotic stewardship by optimizing antibiotic usage in order to reduce resistance. Offers an opportunity for clinicians to present a COVID-19 patient case for review.
Date: 04/2021
Type: Tutorial/Training
Sponsoring organization: University of Nevada, Reno School of Medicine
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Innovations and Workforce Challenges for CAHs during COVID-19
Presents results from a survey of Critical Access Hospitals (CAHs) on hospital operation and workforce adaptations in response to the COVID-19 pandemic. Discusses innovative practices adopted by CAHs related to hospital processes and clinical care. Describes how CAHs overcame workforce challenges during COVID-19.
Author(s): Madeleine Pick, Megan Lahr, Keelia Silvis, Ira Moscovice
Date: 03/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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