Rural Health
Resources by Topic: Sustainability of programs
Patient-Centered Care Through Nurse Practitioner–Led Integrated Behavioral Health: A Case Study
Examines the implementation of a nurse practitioner-led interprofessional team-based behavioral healthcare delivery model in 5 rural or medically underserved clinics in Texas from July 1, 2020, through December 31, 2021. Analyzes the first year of implementation of the delivery model utilizing multiple data sources, with a focus on barriers to implementation, challenges to sustainability, and successes.
Author(s): Cindy Weston, Elizabeth Wells-Beede, Alice Salazar, et al.
Citation: Public Health Reports, 138(1)
Date: 05/2023
Type: Document
view details
Examines the implementation of a nurse practitioner-led interprofessional team-based behavioral healthcare delivery model in 5 rural or medically underserved clinics in Texas from July 1, 2020, through December 31, 2021. Analyzes the first year of implementation of the delivery model utilizing multiple data sources, with a focus on barriers to implementation, challenges to sustainability, and successes.
Author(s): Cindy Weston, Elizabeth Wells-Beede, Alice Salazar, et al.
Citation: Public Health Reports, 138(1)
Date: 05/2023
Type: Document
view details
Making the Most of a Moment: Non-congregate Meal Service in Rural Areas
A recorded webinar that provides information on non-congregate meal service options in rural areas. Includes strategies from 3 food access stakeholders who discuss how to operate and sustain non-congregate meal programs.
Additional links: Program Overview
Author(s): Donna Martin, Kara Moore, Jamie Breidenbach
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: No Kid Hungry
view details
A recorded webinar that provides information on non-congregate meal service options in rural areas. Includes strategies from 3 food access stakeholders who discuss how to operate and sustain non-congregate meal programs.
Additional links: Program Overview
Author(s): Donna Martin, Kara Moore, Jamie Breidenbach
Date: 05/2023
Type: Video/Multimedia
Sponsoring organization: No Kid Hungry
view details
Teens Linked to Care Toolkit
A toolkit from the Centers for Disease Control and Prevention (CDC) for developing prevention programs addressing substance use and sexual risk for youth in rural communities. Includes information on program planning, implementation, evaluation, and sustainability as well as two case studies from the pilot program using either a school-based or community-based model.
Date: 03/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
view details
A toolkit from the Centers for Disease Control and Prevention (CDC) for developing prevention programs addressing substance use and sexual risk for youth in rural communities. Includes information on program planning, implementation, evaluation, and sustainability as well as two case studies from the pilot program using either a school-based or community-based model.
Date: 03/2023
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
view details
2023 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 2022 report, including some that impact rural providers and beneficiaries.
Additional links: Tables and Figures
Date: 03/2023
Type: Document
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
view details
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 2022 report, including some that impact rural providers and beneficiaries.
Additional links: Tables and Figures
Date: 03/2023
Type: Document
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
view details
Workforce Development and Driver Shortages in Small Urban and Rural Transit
Examines the workforce development, succession plans, and turnover mitigation practices of transit agency managers. Analyzes survey data focused on driver shortfall issues and strategies to recruit and retain new drivers in small urban and rural transit. Includes data on employment and driver characteristics as well as rural versus urban comparisons of workforce shortages.
Author(s): Del Peterson, Antonio Molina
Date: 03/2023
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
view details
Examines the workforce development, succession plans, and turnover mitigation practices of transit agency managers. Analyzes survey data focused on driver shortfall issues and strategies to recruit and retain new drivers in small urban and rural transit. Includes data on employment and driver characteristics as well as rural versus urban comparisons of workforce shortages.
Author(s): Del Peterson, Antonio Molina
Date: 03/2023
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
view details
A Comparison of Critical Access Hospitals and Other Rural Acute Care Hospitals in Pennsylvania
Examines finances of acute care hospitals in rural Pennsylvania between 2000 and 2020 to determine if the Critical Access Hospital (CAH) designation increases financial stability. Compares CAHs to rural Prospective Payment System hospitals to draw conclusions on the success of the Medicare Rural Hospital Flexibility Program's impact on CAHs. Includes information on financial measures, hospital characteristics, quality measures, payer mix, and more to suggest opportunities for strengthening CAH viability.
Author(s): Dinesh R. Pai, Chamila K. Dissanayake, Anna M. Anna
Citation: Journal of Rural Health, 39(4), 719-727
Date: 2023
Type: Document
view details
Examines finances of acute care hospitals in rural Pennsylvania between 2000 and 2020 to determine if the Critical Access Hospital (CAH) designation increases financial stability. Compares CAHs to rural Prospective Payment System hospitals to draw conclusions on the success of the Medicare Rural Hospital Flexibility Program's impact on CAHs. Includes information on financial measures, hospital characteristics, quality measures, payer mix, and more to suggest opportunities for strengthening CAH viability.
Author(s): Dinesh R. Pai, Chamila K. Dissanayake, Anna M. Anna
Citation: Journal of Rural Health, 39(4), 719-727
Date: 2023
Type: Document
view details
Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
view details
Presents the results of a comprehensive literature review to identify, summarize, and evaluate available research on the contributions of rural provider-to-provider telehealth communication and collaboration in addressing health disparities, and improving the health of rural populations. Topics cover the specific applications, effectiveness, implementation, sustainability, and barriers and facilitators of provider-to-provider telehealth in rural areas.
Additional links: Executive Summary, Full Report, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 1, Telehealth's Potential To Benefit Rural Healthcare Delivery: Infographic 2
Author(s): Annette Totten, Dana M. Womack, Marian S. McDonagh, et al.
Date: 12/2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
view details
National Institutes of Health Pathways to Prevention Workshop: Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication
Examines the effectiveness of rural provider-to-provider collaboration through the use of telehealth based on a systematic review of rural provider-to-provider telehealth (RPPT), and the results of a workshop of rural health experts. Discusses uptake of different types of telehealth, benefits of provider-to-provider telehealth for rural patients, barriers and facilitators to implementation and sustainability, and limitations of studies examining rural telehealth.
Author(s): Mary Wakefield, Jayashri Sankaranarayanan, Joanne Mather Conroy, et al.
Citation: Journal of Telemedicine and Telecare, 2022
Date: 12/2022
Type: Document
view details
Examines the effectiveness of rural provider-to-provider collaboration through the use of telehealth based on a systematic review of rural provider-to-provider telehealth (RPPT), and the results of a workshop of rural health experts. Discusses uptake of different types of telehealth, benefits of provider-to-provider telehealth for rural patients, barriers and facilitators to implementation and sustainability, and limitations of studies examining rural telehealth.
Author(s): Mary Wakefield, Jayashri Sankaranarayanan, Joanne Mather Conroy, et al.
Citation: Journal of Telemedicine and Telecare, 2022
Date: 12/2022
Type: Document
view details
Responding to One Rural Community's Primary Care Needs: Investing in Workforce and Broad Community Stakeholder Engagement
Commentary describing a model in which an academic health system in Rockingham County, North Carolina made targeted primary care investments to address rural health disparities while working to ensure sustainability within the health workforce. Examines challenges to improving rural health outcomes and offers suggestions for health systems seeking to replicate the Rockingham model.
Author(s): Sherry Hay, Emily M. Hawes, Alyssa Zamierowski, Stokes Ann Hunt, Cristen P. Page
Citation: North Carolina Medical Journal, 83(6), 435-439
Date: 11/2022
Type: Document
view details
Commentary describing a model in which an academic health system in Rockingham County, North Carolina made targeted primary care investments to address rural health disparities while working to ensure sustainability within the health workforce. Examines challenges to improving rural health outcomes and offers suggestions for health systems seeking to replicate the Rockingham model.
Author(s): Sherry Hay, Emily M. Hawes, Alyssa Zamierowski, Stokes Ann Hunt, Cristen P. Page
Citation: North Carolina Medical Journal, 83(6), 435-439
Date: 11/2022
Type: Document
view details
Minnesota Gaps Analysis of Rural Ambulance Resources
Presents the results of a survey to identify knowledge and resources to support rural emergency medical services (EMS) sustainability in Minnesota. Includes information on gaps in knowledge and resources broken down by topic areas such as recruitment and retention, education, leadership development, and more. Also provides recommendations on next steps to support data gathering and strategic planning efforts to improve rural EMS sustainability in the state.
Date: 10/2022
Type: Document
Sponsoring organization: Minnesota Ambulance Association
view details
Presents the results of a survey to identify knowledge and resources to support rural emergency medical services (EMS) sustainability in Minnesota. Includes information on gaps in knowledge and resources broken down by topic areas such as recruitment and retention, education, leadership development, and more. Also provides recommendations on next steps to support data gathering and strategic planning efforts to improve rural EMS sustainability in the state.
Date: 10/2022
Type: Document
Sponsoring organization: Minnesota Ambulance Association
view details