Rural Health
Resources by Topic: Sustainability of programs
Integrating Mental Health Support into Rural Libraries: Evaluation of the Libraries for Health (L4H) Initiative
Presents findings from an evaluation of the implementation of Libraries for Health (L4H), a pilot project embedding nonclinical adult mental health supports into ten libraries in rural Texas. Summarizes how libraries implemented L4H, barriers and facilitators of implementation, and efforts to to build and sustain the program and sustain their capacity to address patrons' mental health needs.
Additional links: Research Summary
Author(s): Lynsay Ayer, Karen Christianson, Ivy Todd, et al.
Date: 06/2025
Sponsoring organization: RAND Corporation
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Presents findings from an evaluation of the implementation of Libraries for Health (L4H), a pilot project embedding nonclinical adult mental health supports into ten libraries in rural Texas. Summarizes how libraries implemented L4H, barriers and facilitators of implementation, and efforts to to build and sustain the program and sustain their capacity to address patrons' mental health needs.
Additional links: Research Summary
Author(s): Lynsay Ayer, Karen Christianson, Ivy Todd, et al.
Date: 06/2025
Sponsoring organization: RAND Corporation
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Food Insecurity and Barriers to Supplemental Food Provision in the Mississippi Delta: A Qualitative Analysis
Examines the impact of supplemental food provisions (SFPs) in the predominately rural Mississippi Delta. Utilizes interview feedback from 29 SFP personnel to discuss SFP barriers, sustainability, and health initiatives.
Author(s): Sophie C. Hathaway
Citation: Journal of Agriculture, Food Systems, and Community Development, 14(3), 293-304
Date: 06/2025
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Examines the impact of supplemental food provisions (SFPs) in the predominately rural Mississippi Delta. Utilizes interview feedback from 29 SFP personnel to discuss SFP barriers, sustainability, and health initiatives.
Author(s): Sophie C. Hathaway
Citation: Journal of Agriculture, Food Systems, and Community Development, 14(3), 293-304
Date: 06/2025
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2025 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 2024 report.
Additional links: Tables and Figures
Date: 06/2025
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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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 2024 report.
Additional links: Tables and Figures
Date: 06/2025
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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Negotiated Prices for Care at Independent and System-Affiliated Rural Hospitals
Compares negotiated prices for procedural and imaging services at independent rural hospitals versus system-affiliated rural hospitals. Analyzes commercially negotiated price data with their associated hospital and evaluates number of negotiated prices for services. Discusses policies for rural hospital financial sustainability.
Author(s): Cody Lendon Mullens, Mitchell Mead, James D Lee, et al.
Citation: JAMA Network Open, 8(5)
Date: 05/2025
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Compares negotiated prices for procedural and imaging services at independent rural hospitals versus system-affiliated rural hospitals. Analyzes commercially negotiated price data with their associated hospital and evaluates number of negotiated prices for services. Discusses policies for rural hospital financial sustainability.
Author(s): Cody Lendon Mullens, Mitchell Mead, James D Lee, et al.
Citation: JAMA Network Open, 8(5)
Date: 05/2025
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Reestablishing and Reviving Great Lakes Intertribal Food Systems to Heal Tribal Communities
A video featuring tribal leaders of the Menominee Indian Tribe residing in Wisconsin and their efforts to reclaim traditional food sustenance practices. Discusses issues such as food insecurity in tribal communities and how traditional indigenous agriculture can improve health and sustainability. Transcript available below description.
Date: 05/2025
Sponsoring organization: Medical College of Wisconsin
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A video featuring tribal leaders of the Menominee Indian Tribe residing in Wisconsin and their efforts to reclaim traditional food sustenance practices. Discusses issues such as food insecurity in tribal communities and how traditional indigenous agriculture can improve health and sustainability. Transcript available below description.
Date: 05/2025
Sponsoring organization: Medical College of Wisconsin
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Using the Practical, Robust Implementation and Sustainability Model to Identify Implementation Determinants of a Statewide Diabetes Learning Collaborative in Kentucky
Examines the impact of utilizing a learning collaborative to implement a diabetes self-management education and support (DSMES) intervention. Utilizes interview feedback with collaborative participants to discuss issues such as organizational perspectives of DSMES, organizational and patient perspectives, and implementation and sustainability infrastructure. Discusses issues of implementing DSMES in rural areas of Kentucky.
Author(s): Aaron J. Kruse-Diehr, Borsika A. Rabin, Jessica Elliott, et al.
Citation: BMC Health Services Research, 25, 735
Date: 05/2025
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Examines the impact of utilizing a learning collaborative to implement a diabetes self-management education and support (DSMES) intervention. Utilizes interview feedback with collaborative participants to discuss issues such as organizational perspectives of DSMES, organizational and patient perspectives, and implementation and sustainability infrastructure. Discusses issues of implementing DSMES in rural areas of Kentucky.
Author(s): Aaron J. Kruse-Diehr, Borsika A. Rabin, Jessica Elliott, et al.
Citation: BMC Health Services Research, 25, 735
Date: 05/2025
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Rural Healthcare Provider Transition Project (RHPTP) Webinar: Quality Improvement (QI) Alignment Across the Hospital and Clinics is Key to Value-Based Payment (VBP) Success
A recorded webinar that discusses strategies to align quality improvement (QI) projects with value-based payment (VBP) across organizational settings. Discusses clinical quality measures and sustainability of QI. Transcript available below description.
Additional links: Slides
Author(s): Lisa Olson, Candy Hanson
Date: 05/2025
Sponsoring organizations: National Rural Health Resource Center, Stratis Health
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A recorded webinar that discusses strategies to align quality improvement (QI) projects with value-based payment (VBP) across organizational settings. Discusses clinical quality measures and sustainability of QI. Transcript available below description.
Additional links: Slides
Author(s): Lisa Olson, Candy Hanson
Date: 05/2025
Sponsoring organizations: National Rural Health Resource Center, Stratis Health
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Profile in Innovation: Rural Hospital Participation in Missouri HealthNet's Transformation of Rural Community Health (ToRCH) Program
Provides an overview of ToRCH, a Missouri Medicaid program designed to improve health outcomes and overall well-being in rural Missouri communities by addressing both medical and health-related social needs through a comprehensive, integrated care model. Discusses how hospitals, primary care teams, and community-based organizations implemented the model and funding strategy for the program.
Date: 04/2025
Sponsoring organization: Rural Health Value
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Provides an overview of ToRCH, a Missouri Medicaid program designed to improve health outcomes and overall well-being in rural Missouri communities by addressing both medical and health-related social needs through a comprehensive, integrated care model. Discusses how hospitals, primary care teams, and community-based organizations implemented the model and funding strategy for the program.
Date: 04/2025
Sponsoring organization: Rural Health Value
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Study Protocol of Sustaining Home Palliative Care for Patients with Heart Failure (Hf) and Their Family Caregivers in Rural Appalachia: A Mixed Methods Randomized Clinical Trial
Study protocol to examine an integrated nurse-led intervention bundle for patients with heart failure and their family caregivers regarding home supportive end-of-live palliative care in rural West Virginia. Discusses the assessment of the intervention's sustainability with rural stakeholders, visiting volunteers, and the West Virginia Faith Community Nurse Network.
Author(s): Ubolrat Piamjariyakul, Stephanie Young, Angel Smothers, et al.
Citation: BMC Palliative Care, 24(1)
Date: 03/2025
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Study protocol to examine an integrated nurse-led intervention bundle for patients with heart failure and their family caregivers regarding home supportive end-of-live palliative care in rural West Virginia. Discusses the assessment of the intervention's sustainability with rural stakeholders, visiting volunteers, and the West Virginia Faith Community Nurse Network.
Author(s): Ubolrat Piamjariyakul, Stephanie Young, Angel Smothers, et al.
Citation: BMC Palliative Care, 24(1)
Date: 03/2025
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The Importance of Contextually Specific Support Relationships in Implementing Programs to Link People to Medication for Opioid Use Disorder (MOUD) Treatment During Reentry from County Jails
A case study that examines an intervention that links people in county jails to medication for opioid use disorder (MOUD) programs. Analyzes 3 rural and 2 urban county jails in Kentucky and the related program implementation, reach, and sustainability.
Author(s): Margaret McGladrey, Marisa Booty, Susannah Stitzer, et al.
Citation: Health & Justice volume 13, 20
Date: 03/2025
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A case study that examines an intervention that links people in county jails to medication for opioid use disorder (MOUD) programs. Analyzes 3 rural and 2 urban county jails in Kentucky and the related program implementation, reach, and sustainability.
Author(s): Margaret McGladrey, Marisa Booty, Susannah Stitzer, et al.
Citation: Health & Justice volume 13, 20
Date: 03/2025
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