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Rural Health
Resources by Topic: Specialty care

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: 11/2021
Type: Tutorial/Training
Sponsoring organization: Harvard University edX
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Indian Health Service Use of Critical Care Response Teams Has Helped to Meet Facility Needs During the COVID-19 Pandemic
Provides an overview of the Indian Health Service's (IHS) Critical Care Response Teams (CCRTs) program, which was developed to support IHS and Tribal facilities in caring for critically ill COVID-19 patients. Examines the first five CCRT deployments from June -September 2020. Offers recommendations to leverage CCRT program success to support other IHS care improvement efforts.
Date: 09/2021
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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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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Did Access to Care Improve Since Passage of the Veterans Choice Act?: Differences Between Rural and Urban Veterans
Examines wait times among rural and urban veterans for physical therapy, cardiology, optometry, orthopedic, and dental services. Features demographic statistics for fiscal year (FY) 2015 with breakdowns by rural or urban patients, and average consult wait times during FY 2015 and FY 18 with breakdowns by urban or rural location, service types, and care settings.
Author(s): Deborah Gurewich, Michael Schwartz, Erin Beilstein-Wedel, Heather Davila, Amy K. Rosen
Citation: Medical Care, 59(6), S270-S278
Date: 06/2021
Type: Document
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Vermont Baseline Needs Assessment: Rural and Non-Rural Practitioners
Report details a needs assessment of Vermont's practitioners' capacity to treat substance use disorder (SUD) and compares rural and urban counties. Breaks down workforce distribution by county, by rural versus urban, and by the type of SUD treatment they are able to provide, as well as their MAT waiver status, among other measures.
Date: 06/2021
Type: Document
Sponsoring organization: University of Vermont Center on Rural Addiction
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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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