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Rural Health
Resources by Topic: Sustainability of programs

Community Paramedicine in Kansas: Policy Considerations for an Emerging Model of Care
Provides an overview of community paramedicine in Kansas, focusing on policies and practices that influence their sustainability. Includes examples of community paramedicine programs in other states and their impact on healthcare access in rural communities.
Author(s): Wyatt J. Beckman, Valentina Blanchard, Linda J. Sheppard
Date: 07/2024
Type: Document
Sponsoring organization: Kansas Health Institute
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Beyond Borders: Benefits and Challenges of Leading a Multi-County Health Department
Discusses the impact of consolidating small jurisdictions of local health departments to create multi-county health departments that serve at least 50,000 people, in effort to build economies of scale and better improve population health. Includes an interview with Becky Johnson, administrator of the SEK Multi-County Health Department (SEKMCHD) in southeast Kansas, that provides insight on the benefits of multi-county health departments and strategies to overcome obstacles and sustain services.
Author(s): Kevin Kovach
Date: 06/2024
Type: Document
Sponsoring organization: Kansas Health Institute
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New Frontiers for Funding: An Introduction to Grantmaking in Rural Aging
Offers guidance on offering grant funds for rural aging work, discussing scale of funding, rural assets, sustainability, and partnership building. Highlights rural aging issues including health, cultural sensitivities, transportation, broadband, housing and institutional care, and social isolation.
Date: 06/2024
Type: Document
Sponsoring organization: Grantmakers In Aging
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The Rural Interprofessional Health Initiative
Provides an overview of the UNC Rural Interprofessional Health Initiative (RIPHI), a workforce initiative focused on collaboration between healthcare professionals and students in rural North Carolina. Describes the RIPHI's growth, goals, achievements, and lessons learned since the initiative's start in 2017. Discusses the value of rural experience for health professions students.
Author(s): Meg Zomorodi, Lorraine Alexander, Philip T. Rodgers
Citation: North Carolina Medical Journal, 85(3), 188-190
Date: 05/2024
Type: Document
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2024 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 payment policy updates since the 2023 report.
Additional links: Tables and Figures
Date: 05/2024
Type: Document
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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Implementation Characteristics That May Promote Sustainability of a Rural Physical Activity Initiative: Examination of Play Streets Through the Lens of Community Implementers
Discusses implementation of Play Streets, a community-based initiative to create safe physical activity areas for children and families, from interviews with program team members in rural Maryland, North Carolina, Oklahoma, and Texas. Highlights factors influencing program effectiveness and sustainability, including community engagement, partnerships, and more.
Author(s): Marilyn E. Wende, M. Renée Umstattd Meyer, Cynthia Perry, et al.
Citation: Implementation Science Communications, 5, 48
Date: 05/2024
Type: Document
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CommHIT Shoots for the Moon
Features a Rural Public Health Workforce Training Network grantee, CommHIT, that is assisting Florida partners with workforce development initiatives. Describes its workforce development efforts focused on community health workers (CHWs) and community paramedics, as well as cybersecurity and other technology-related trainings.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 02/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Needs Assessment of the Obstetric Workforce in Maine's Rural Hospitals
Report assessing the workforce needs for 15 hospitals with obstetrics units in rural Maine. Offers a SWOT Analysis and discusses factors contributing to sustainability of the workforce, community characteristics impacting the workforce, recruitment and retention challenges, and training challenges. Offers recommendations at the state, regional, health system, hospital, and unit level.
Author(s): Brianna Keefe-Oates, Katherine Simmonds, Louisa H. Smith, Jeni Stolow
Date: 01/2024
Type: Document
Sponsoring organizations: MaineHealth, Roux Institute, The Maine Rural Maternity & Obstetrics Management Strategies Network
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El Dorado Community Health Centers: Addressing the Opioid Epidemic in Rural California through Community Partnerships
Case study describing how El Dorado Community Health Centers, a Federally Qualified Health Center (FQHC) in California, works with a community coalition to address the opioid epidemic and implement a medication for opioid use disorder (MOUD) program. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Produce Prescription Programs Offer 'A Holistic Approach' to Addressing Rural Food Insecurity and Diet-Related Disease
Features produce prescription programs serving rural Mississippi, New Mexico, and Vermont that are helping improve access to healthy foods for those with diet-related chronic conditions. Describes how produce Rx programs can support local food systems and discusses funding and sustainability considerations.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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