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Rural Health
Resources by Topic: Sustainability of programs

Evaluation of the Round Two Health Care Innovation Awards (HCIA R2): Third Annual Report
Summarizes the third year evaluation results of 38 Health Care Innovation Awards Round Two projects, one awardee of the original 39 having left the program in September 2016. Focuses on implementation effectiveness, developing payment models, planning for sustainability, and some preliminary work related to evaluating program impacts. Provides findings for the individual awardees, which include projects that serve rural areas.
Date: 06/2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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2018 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 2017 report, including some that impact rural providers and beneficiaries.
Additional links: 2018 Expanded and Supplementary Tables and Figures (ZIP file)
Author(s): Boards of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
Date: 06/2018
Type: Document
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To Spark or Sustain? Two Equally Important Rural Funder Choices
Blog about rural philanthropy and suggestions for determining the best ways for communities to support local groups, including health services systems.
Author(s): Allen Smart
Date: 04/2018
Type: Document
Sponsoring organization: Exponent Philanthropy
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Rural Health Care Services Outreach Program Supports Sustainable Change
Provides an overview of the Federal Office of Rural Health Policy's Rural Health Care Services Outreach Program and the impact several grantees have made in their communities. Discusses the how the grantees planned their projects with the goal of sustaining services after the grant funding ends.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Financial Distress and Closures of Rural Hospitals
Webinar recording presents an analysis of indicators of financial distress and the causes of closures of rural hospitals. Discusses realistic benchmarks rural hospitals should meet to maintain financial stability. Highlights data on rural hospitals currently at high risk of financial stress across the country.
Additional links: Presentation Slides, Transcript
Date: 09/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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Financing Project ECHO: Options for State Medicaid Programs
Outlines how four states - California, Colorado, New Mexico, and Oregon - are using Medicaid funds to support Project ECHO and enhance services for rural and other at-risk populations. Also shares design considerations for specific delivery system environments, and ways to ensure long-term program sustainability.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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The Road to Value-based Care: Where are We?
Presentation slides by Keith Mueller for the NRHA Annual Meeting in San Diego, CA. Discusses the Rural Health Value Project, initiated in 2013, and how it has progressed in the years since. Includes examples of innovative approaches, models and strategies, and resources to support continued innovation, with specific examples provided to demonstrate Critical Access Hospital (CAH) value.
Date: 05/2017
Type: Presentation Slides
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural Health Philanthropy Partnership: Leveraging Public-Private Funds to Improve Health
Highlights the work of two grantees funded through the Rural Health Care Coordination Network Partnership Program, a combined effort of the Federal Office of Rural Health Policy and philanthropy organizations. Discusses how the coordinated efforts of the grantees and their philanthropy partners benefit patients.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Standing the Test of Time: A Lesson in Sustainability Planning
Discusses good practices in planning for the continuation of grant-funded projects after the grant period has ended.
Author(s): Kate Menzies
Citation: Rural Monitor
Date: 09/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Hawaiian Weight Management Program Aims for Healthy, Happy Lives
Highlights KÅ«lana Hawaii, a weight management program that helps Native Hawaiians and the medically underserved population on the islands of Oahu and Molokai.
Author(s): Jami Schumacher
Citation: Rural Monitor, 2015(Winter)
Date: 02/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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