Rural Health
Resources by Topic: Specialty care
Inequities in Access and Delivery of Acute Stroke Care: A Brain Attack Coalition Symposium Report
Presents findings from the Brain Attack Coalition's Inequities in Access and Delivery of Acute Stroke Care symposium. Identifies barriers to access and disparities in healthcare delivery, and discusses underserved populations, including people in rural areas, throughout. Provides recommendations on policy, research, and service delivery approaches to address inequities and improve stroke care delivery in EMS, acute and hyperacute, and inpatient settings.
Date: 10/2022
Sponsoring organizations: Brain Attack Coalition (BAC), National Institute of Neurological Disorders and Stroke
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Presents findings from the Brain Attack Coalition's Inequities in Access and Delivery of Acute Stroke Care symposium. Identifies barriers to access and disparities in healthcare delivery, and discusses underserved populations, including people in rural areas, throughout. Provides recommendations on policy, research, and service delivery approaches to address inequities and improve stroke care delivery in EMS, acute and hyperacute, and inpatient settings.
Date: 10/2022
Sponsoring organizations: Brain Attack Coalition (BAC), National Institute of Neurological Disorders and Stroke
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The Future of Telehealth After COVID-19: New Opportunities and Challenges
Provides an overview of the current evidence regarding telehealth's impact on equitable access to care and on quality of care, patient outcomes, and cost. Describes the COVID-19 pandemic-related regulatory flexibilities for mental health and substance use disorder services. Discusses the importance of telehealth on primary and specialty care during the public health emergency (PHE). Offers recommendations for Medicare telehealth policies to promote better outcomes for Medicare beneficiaries and value for the Medicare program.
Additional links: Medicare Telehealth Utilization and Spending Impacts 2019-2021, Webinar Recording
Author(s): Julia Harris, Sabah Bhatnagar, Brady Newell, et al.
Date: 10/2022
Sponsoring organization: Bipartisan Policy Center
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Provides an overview of the current evidence regarding telehealth's impact on equitable access to care and on quality of care, patient outcomes, and cost. Describes the COVID-19 pandemic-related regulatory flexibilities for mental health and substance use disorder services. Discusses the importance of telehealth on primary and specialty care during the public health emergency (PHE). Offers recommendations for Medicare telehealth policies to promote better outcomes for Medicare beneficiaries and value for the Medicare program.
Additional links: Medicare Telehealth Utilization and Spending Impacts 2019-2021, Webinar Recording
Author(s): Julia Harris, Sabah Bhatnagar, Brady Newell, et al.
Date: 10/2022
Sponsoring organization: Bipartisan Policy Center
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Delivery of Cancer Screening and Treatment in Critical Access Hospitals
Summarizes results of a survey of 135 Critical Access Hospitals (CAHs) regarding cancer screening and treatment provided by CAHs. Describes the role of visiting providers and the use of telemedicine in cancer screening and treatment.
Author(s): Megan Lahr, Xiomara Santana, Helen Parsons, Nathan Bean, Ira Moscovice
Date: 10/2022
Sponsoring organization: Flex Monitoring Team
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Summarizes results of a survey of 135 Critical Access Hospitals (CAHs) regarding cancer screening and treatment provided by CAHs. Describes the role of visiting providers and the use of telemedicine in cancer screening and treatment.
Author(s): Megan Lahr, Xiomara Santana, Helen Parsons, Nathan Bean, Ira Moscovice
Date: 10/2022
Sponsoring organization: Flex Monitoring Team
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Implementation of an Intensive Telehealth Intervention for Rural Patients with Clinic-Refractory Diabetes
Analyzes the implementation of Advanced Comprehensive Diabetes Care (ACDC) to address type 2 diabetes (T2D) in rural patients. Examines 230 patients receiving ACDC through Veterans Health Administration (VHA) Home Telehealth (HT) infrastructure. Discusses the potential of telehealth to deliver specialty care to hard-to-reach populations.
Author(s): Elizabeth A. Kobe, Allison A. Lewinski, Amy S. Jeffreys, et al.
Citation: Journal of General Internal Medicine, 37(12), 3080-3088
Date: 09/2022
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Analyzes the implementation of Advanced Comprehensive Diabetes Care (ACDC) to address type 2 diabetes (T2D) in rural patients. Examines 230 patients receiving ACDC through Veterans Health Administration (VHA) Home Telehealth (HT) infrastructure. Discusses the potential of telehealth to deliver specialty care to hard-to-reach populations.
Author(s): Elizabeth A. Kobe, Allison A. Lewinski, Amy S. Jeffreys, et al.
Citation: Journal of General Internal Medicine, 37(12), 3080-3088
Date: 09/2022
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Arizona Health Workforce Profile: Physician Specialty
Examines the physician workforce in Arizona, with data on specialty, those who completed their undergraduate medical education (UME) in Arizona, and the distribution of specialties across Arizona, further broken down by rural versus urban.
Date: 09/2022
Sponsoring organization: Arizona Center for Rural Health
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Examines the physician workforce in Arizona, with data on specialty, those who completed their undergraduate medical education (UME) in Arizona, and the distribution of specialties across Arizona, further broken down by rural versus urban.
Date: 09/2022
Sponsoring organization: Arizona Center for Rural Health
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Audiology, Medicine, and Pharmacy Interprofessional Preliminary Interviews and Discussions: Improving Hearing Health Care in Rural Alabama
Results of a study to determine the feasibility of interprofessional collaboration among physicians and audiologists and pharmacists and audiologists, to improve access and affordability of hearing health care in rural communities. Based on information from online surveys and virtual discussion groups with 16 family physicians and medicine residents at the University of Alabama and 15 pharmacists who worked in independently owned community pharmacies in Alabama.
Author(s): Emma B. Brothers, Marcia J. Hay-McCutcheon, Peter J. Hughes, M. Louanne Friend
Citation: American Journal of Audiology, 31(3), 656-668
Date: 09/2022
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Results of a study to determine the feasibility of interprofessional collaboration among physicians and audiologists and pharmacists and audiologists, to improve access and affordability of hearing health care in rural communities. Based on information from online surveys and virtual discussion groups with 16 family physicians and medicine residents at the University of Alabama and 15 pharmacists who worked in independently owned community pharmacies in Alabama.
Author(s): Emma B. Brothers, Marcia J. Hay-McCutcheon, Peter J. Hughes, M. Louanne Friend
Citation: American Journal of Audiology, 31(3), 656-668
Date: 09/2022
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Measure Applications Partnership 2022 Considerations for Measure Set Review in Federal Programs: Clinician, Hospital, and Post-Acute Care/Long-Term Care
Reviews the 32 healthcare quality and efficiency measures used by the National Quality Forum's Measure Applications Partnership (MAP) during 2022. Discusses measures for clinician programs, hospital programs, and post-acute care/long-term care programs. Includes the MAP Rural Health Advisory Group's support or determination of the suitability of each measure for rural providers.
Date: 09/2022
Sponsoring organization: National Quality Forum
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Reviews the 32 healthcare quality and efficiency measures used by the National Quality Forum's Measure Applications Partnership (MAP) during 2022. Discusses measures for clinician programs, hospital programs, and post-acute care/long-term care programs. Includes the MAP Rural Health Advisory Group's support or determination of the suitability of each measure for rural providers.
Date: 09/2022
Sponsoring organization: National Quality Forum
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Adoption of Telemedicine in a Rural US Cancer Center Amid the COVID-19 Pandemic: Qualitative Study
Describes the implementation of telemedicine in outpatient oncology clinics affiliated with the Dartmouth Cancer Center that serve rural patients. Discusses findings from interviews with staff, specialty providers, and practice managers, noting challenges to implementation, the need for guidance, and concerns about communication quality.
Author(s): Matthew Mackwood, Rebecca Butcher, Danielle Vaclavik, et al.
Citation: JMIR Cancer, 8(3), e33768
Date: 08/2022
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Describes the implementation of telemedicine in outpatient oncology clinics affiliated with the Dartmouth Cancer Center that serve rural patients. Discusses findings from interviews with staff, specialty providers, and practice managers, noting challenges to implementation, the need for guidance, and concerns about communication quality.
Author(s): Matthew Mackwood, Rebecca Butcher, Danielle Vaclavik, et al.
Citation: JMIR Cancer, 8(3), e33768
Date: 08/2022
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MedPAC Comment on CMS's Proposed Rule on the ESRD PPS Update for CY 2023
Comments on a June 28, 2022, 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: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 28, 2022, 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: 08/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Speech Language Pathology and Audiology Workforce in Kentucky
Examines the distribution of speech language pathologists (SLPs) and audiologists (AUDs) across Kentucky. Explores unique challenges faced by rural communities in accessing hearing and speech specialists. Features statistics on numbers of SLPs and AUDs in Kentucky, with breakdowns by Appalachian, rural, urban, and Delta areas.
Author(s): Sydney P. Howard, Melissa Slone, Austin Huff, Frances Feltner
Date: 07/2022
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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Examines the distribution of speech language pathologists (SLPs) and audiologists (AUDs) across Kentucky. Explores unique challenges faced by rural communities in accessing hearing and speech specialists. Features statistics on numbers of SLPs and AUDs in Kentucky, with breakdowns by Appalachian, rural, urban, and Delta areas.
Author(s): Sydney P. Howard, Melissa Slone, Austin Huff, Frances Feltner
Date: 07/2022
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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