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Rural Health Information Hub

Rural Health
Resources by Topic: Sustainability of programs

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
Sponsoring organization: Minnesota Ambulance Association
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Rapid Antigen Screening of Students and Staff for SARS-CoV-2 in Rural School Districts, Pierce County, WA, 2020
Provides an overview of a program in rural Washington school districts to screen students and staff for COVID-19 with weekly rapid antigen tests. Discusses efficacy, impact on school policy decisions, and overall sustainability of the program.
Author(s): Daniel R. Stutman, Julie K. Tergliafera, Morgan E. Black, et al.
Citation: American Journal of Public Health, 112(8), 1134-1137
Date: 08/2022
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Planting TREES in Rural Places: Training and Rural Health Professions Education that is Community Engaged and Sustainable
Outlines a process for academic-community engagement and decision-making for residency education. Details benefits to hospitals and local communities, and contains tools and other resources to promote exploration and consideration of the perspectives of many people and interested parties.
Author(s): Randall Longenecker, David Schmitz
Date: 07/2022
Sponsoring organization: Rural Medical Training Collaborative (formerly the RTT Collaborative)
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Health Profession Opportunity Grants (HPOG 2.0) Program Operator and Partner Perspectives on Local Service Delivery Systems
Features 15 of the 32 Health Profession Opportunity Grants (HPOG) Program grantees who provide services to low-income adults and Temporary Assistance for Needy Families (TANF) recipients to promote their entrance into high demand healthcare occupations. Examines how these programs, including 9 serving rural areas, partnered with their local workforce systems. Includes discussion of rural-specific issues related to healthcare training and employment.
Date: 06/2022
Sponsoring organization: Administration for Children and Families
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Rural Produce Prescription Toolkit: Increasing Access to Healthy Food for Rural Communities
Provides a framework for how to implement a produce prescription program in a rural community to improve healthy food access. Discusses funding, partnerships, program design, and evaluation with considerations for scalability and sustainability.
Date: 04/2022
Sponsoring organizations: No Kid Hungry, UCSF Center for Vulnerable Populations
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Rural EMS: Taking the Next Step
Discusses funding, hiring, collaboration, and policy to support emergency medical services (EMS) in rural Minnesota. Utilizes Minnesota Department of Health (MDH) survey data and interview data to discuss issues related to EMS management and sustainability. Provides charts showing recruitment and training barriers in rural versus urban areas.
Additional links: Summary
Author(s): Kelly Asche
Date: 04/2022
Sponsoring organization: Center for Rural Policy and Development
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Partnering for Rural Transportation with Alisa Druzba and Steve Workman
An episode of the Exploring Rural Health podcast featuring Alisa Druzba and Steve Workman. Describes the development of the New Hampshire Mobility Management Network and how it provides options for rural residents. Focuses on the role of collaboration among local, state, and federal agencies in supporting long-term sustainability for transportation services.
Date: 04/2022
Sponsoring organization: Rural Health Information Hub
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Sustainment Stories: A Qualitative Analysis of Barriers to Sustainment of the National Rural Transitions of Care Nurse Program
Explores a study evaluating the VA's Transitions Nurse Program (TNP) and its efficacy in rural areas. Details some of the program's early outcomes, barriers, and perceptions.
Author(s): Mary Ava Nunnery, Heather Gilmartin, Michaela McCarthy, et al.
Citation: BMC Health Services Research, 22, 119
Date: 01/2022
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Accelerating the Use of Findings from Patient-Centered Outcomes Research in Clinical Practice to Improve Health and Health Care
Offers an overview of presentations and discussion from a workshop series on patient-centered outcomes research. Topics include research methods and implementation, collaboration, research sustainability, disseminating findings, and informing evidence-based policy making.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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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: 11/2021
Sponsoring organization: National Rural Health Resource Center
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