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Rural Health
Resources by Topic: Sustainability of programs

The DNA of Program Sustainability: Findings from a Study of Federal Office of Rural Health Policy Grantees
Reports on the factors that contribute to program sustainability after grant funding ends, based on a study of Rural Health Care Services Outreach Program grantees. Discusses leadership, collaboration, alignment between need and demand, data use, and policy expertise as contributors to sustainability for rural programs.
Date: 07/2020
Type: Document
Sponsoring organization: Georgia Health Policy Center
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Grantee Sourcebook: Rural Health Network Planning Development Program, 2019
Detailed descriptions of 25 Rural Health Network Development Planning Program grant projects funded in fiscal year 2019. Reports on each grantee's network infrastructure development, plans for sustaining the network after the grant, and program activities addressing topics such as integrated service delivery, behavioral health, telehealth, and care coordination. Grantee profiles identify the geographic areas served, network partners, and primary contact person.
Date: 06/2020
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Sustainable Community Care Coordination Guide
Provides a framework for organizations to actively plan for the sustainability of established care coordination programs. Discusses identifying community organization partners, finding potential gaps in care coordination, and developing partnerships for ongoing success.
Date: 05/2020
Type: Document
Sponsoring organization: National Rural Health Resource Center
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RCAP Survey Shows Impact of COVID-19 on Rural and Tribal Water and Wastewater Systems
Provides data and statistics on the financial impact of COVID-19 on water and wastewater systems in rural and tribal communities, with survey responses obtained from 49 states and Puerto Rico. Includes information on staffing issues, sustainability, estimated revenue loss, and more. Offers links to individual fact sheets on survey responses from states and the nation as a whole, as well as a webinar discussing survey methodology and results.
Date: 05/2020
Type: Website
Sponsoring organization: Rural Community Assistance Partnership
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2020 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
Report detailing the current state of the Medicare Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds. Discusses Medicare expenditures as a percentage of Gross Domestic Product (GDP), and makes short and long-range sustainability projections based on variable economic, demographic, and healthcare trends. Also explains the actuarial methods used to calculate the estimates. Includes information on Medicare amendments since the 2019 report, including some that impact rural providers and beneficiaries.
Additional links: Tables and figures
Date: 04/2020
Type: Document
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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Recognizing and Sustaining the Value of Community Health Workers and Promotores
Discusses the ways in which community health workers and promotores (CHW/Ps) contribute to the healthcare system, with a focus on California. Gives examples of the ways in which CHW/Ps in rural areas can alleviate workforce shortages, strengthen patient engagement with the healthcare system, and act as liaisons to social structures, including churches and Native American tribal organizations.
Author(s): Jim Lloyd, Kathy Moses, Rachel Davis
Date: 01/2020
Type: Document
Sponsoring organization: Center for Health Care Strategies
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CDFIs 'Make Dreams Come True' by Creating Opportunity in Rural Spaces
Describes the role that Community Development Financial Institutions (CDFIs) can play in helping rural areas gain access to flexible financing options to support rural health projects. Highlights how the Claude Worthington Benedum Foundation and Healthcare Georgia Foundation work with CDFIs to help address rural health concerns. Also features a CDFI recipient of Uplift America, the South Carolina Community Loan Fund, that has helped support a health professions high school.
Author(s): Jenn Lukens
Date: 12/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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FY 2016 Report to Congress on Outcome Evaluations of Administration for Native Americans Projects
An evaluation of the activities and outcomes of Administration for Native Americans (ANA) funding in native communities in accordance with the Native American Programs Act (NAPA), and the Government Performance and Results Act of 1993. Describes and measures the impact of the funding, the effectiveness of the planned goals, the methods used for economic and social development including sustainability efforts. Highlights projects related to community health, healthy living, behavioral health, environmental health, and food and nutrition. Includes data on Native American community-driven projects useful to leaders, planners, service providers, and tribal government agencies.
Date: 11/2019
Type: Document
Sponsoring organizations: Administration for Children and Families, Administration for Native Americans
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Family Medicine Rural Training Track Residencies: Risks and Resilience
Results of a study to understand threats to rural training track (RTT) program sustainability and resilience factors that help RTTs to thrive.
Author(s): Davis G. Patterson, David Schmitz, Randall L. Longenecker
Citation: Family Medicine, 51(8), 649-656
Date: 09/2019
Type: Document
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An Introduction to RHI's Network Sustainability Toolkit: History and Background
Provides an audio recording of a presentation on the history and background of the Network Sustainability Toolkit. Covers the goals for the toolkit, what it includes, and the research process behind the creation of the toolkit. Summarizes the characteristics of a sustainable rural health network.
Date: 07/2019
Type: Audio
Sponsoring organization: National Rural Health Resource Center
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