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Rural Health
Resources by Topic: Sustainability of programs

Sustainable Rural EMS: Navigating Change
Designed to help rural communities navigate a change from unsustainable volunteer emergency medical services (EMS) and ambulance service models to those that are sustainable. Intended to direct community leaders through change based on a stepped process that has been used in rural communities throughout the U.S. Includes information on how to assess whether a community has an EMS problem, ingredients needed to change, and a process to implement change to a more sustainable model of rural EMS.
Date: 09/2021
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Grantee Sourcebook: Rural HIV/AIDS Planning Program, 2020-2021
Detailed descriptions of 7 Rural HIV/AIDS Planning Program grant projects funded in fiscal year 2020. Reports on each grantee's key Ending the HIV Epidemic (EHE) strategies, secondary focus areas, target populations served, network development and planning activities, initial outcomes of their planning work, and sustainability strategies of the HIV/AIDS rural health networks and HIV-related programming beyond the planning year. Grantee profiles identify the geographic areas served, network partners, and primary contact person.
Date: 09/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Grantee Sourcebook: Rural Health Network Development Planning Program, 2020
Detailed descriptions of 20 Rural Health Network Development Planning Program grant projects funded in fiscal year 2020. 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, creating efficiencies, integrating health services, chronic disease management, and care coordination. Grantee profiles identify the geographic areas served, network partners, and primary contact person.
Date: 07/2021
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Implementing and Sustaining Rural Community Paramedicine
Incorporates proceedings from the February 21-22, 2021 Rural Community Paramedicine (CP) Summit, and key strategies for implementing and sustaining CP in rural communities. Contains resources, information on established CP programs, and information about how state Flex Programs can support rural CP efforts. Describes experiences of established CP providers so that rural ambulance providers and hospitals might be better prepared as they consider similar initiatives in their own communities.
Additional links: Webinar
Date: 06/2021
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Success among Rural Health Network Development Planning Grant Awardees: Barriers and Facilitators
Policy brief examining challenges and successes in meeting goals for the Rural Health Network Development Planning Grant, using survey data from 42 rural grantees from the years 2003-2018. Intended to inform policies and programs supporting healthcare and health in rural areas at the local level.
Author(s): Mariana Tuttle, Katie Rydberg, Carrie Henning-Smith
Date: 05/2021
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Child Hunger Summit 2021: Collaborative Planning and Community Engagement Strategies
A recorded webinar that discusses strategies to end child hunger in rural areas, utilizing community-focused strategies, such as collaborative planning, meal delivery, food access in healthcare settings, sustainable planning, the intersection of race/ethnicity and food insecurity, and more.
Additional links: Collaborative Planning and Community Engagement Strategies to Address Rural Child Hunger - Slide Deck, Emerging Strategies in Food Access in Health Care Settings - Slide Deck, Fresh Ideas for Sustainable Programming in Rural Communities - Slide Deck, Inequity in Food Systems: The Impacts of Whiteness and COVID-19 on Food Insecurity, Spotlight on Emergency Meals-to-You: Reimaging Summer Meals in Rural Areas - Slide Deck
Author(s): Mia Medina, Michelle Troup, Evette Tovar-Lugo, Kathy Holt
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: No Kid Hungry
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Sustainability Strategies for Community-based Palliative Care
Summarizes themes from two roundtable discussions conducted in late 2018 with 9 rural palliative care programs in Minnesota and surrounding states. Offers examples and resources for sustainability strategies to support community-based palliative care programs.
Date: 03/2021
Type: Document
Sponsoring organization: Stratis Health
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HRSA Rural Health Community-Based Division (CBD) Funding: Success Stories and Meaningful Impact
Policy brief providing an overview of the Federal Office of Rural Health Policy's (FORHP) Community-Based Division (CBD) grant programs and outcomes. Offers policy recommendations regarding future funding of the CBD grant program.
Author(s): Crystal Barter, Melinda A. Merrell, Bree Watzak
Date: 02/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Child Care in Rural Minnesota After 2020: A Unique Opportunity
Summarizes changes in child care in Minnesota from 2000-2020. Describes the COVID-19 pandemic's effect on child care and employment, and features discussion on how a lack of child care can affect parents' abilities to secure and maintain jobs. Includes data and statistics on changes in childcare provider licenses and capacity. Offers recommendations for recovering from the pandemic and keeping child care intact in rural Minnesota.
Additional links: Webinar Recording
Author(s): Marnie Werner
Date: 02/2021
Type: Document
Sponsoring organization: Center for Rural Policy and Development
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Alternatives to Hospital Closure: Findings from a National Survey of CAH Executives
Discusses factors leading to rural hospital closures and alternatives to closure to maintain access to healthcare in rural areas and/or Critical Access Hospital (CAH) viability. Presents data from a survey of 227 CAH CEOs and other management staff, discussing their responses to a list of alternatives to hospital closure, including Rural Health Clinic (RHC) certification, conversion to emergency or urgent care services, Federally Qualified Health Center (FQHC) certification, and other alternatives.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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