Rural Health
Resources by Topic: Technology for health and human services
Federal Funding for Broadband Deployment: Agencies and Considerations for Congress
Provides an overview of federal agencies that fund broadband deployment and describes each agency's key broadband programs. Discusses policy issues and considerations for Congress related to federal broadband deployment funding at these agencies, including creating a coordinated national broadband strategy, expanding oversight, and shifting to funding sustainability.
Date: 12/2023
Sponsoring organization: Congressional Research Service
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Provides an overview of federal agencies that fund broadband deployment and describes each agency's key broadband programs. Discusses policy issues and considerations for Congress related to federal broadband deployment funding at these agencies, including creating a coordinated national broadband strategy, expanding oversight, and shifting to funding sustainability.
Date: 12/2023
Sponsoring organization: Congressional Research Service
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Who is Served by USDA Rural Broadband Projects? Study Shows Smaller Share of Eligible American Indians and Alaska Natives Reached by ReConnect
Examines which populations were reached in fiscal years 2009-2021 by three USDA rural broadband programs: the Broadband Initiatives Program, the Community Connect grant program, and the ReConnect grant and loan program. Provides information about each program, its service area, and obligations. For the ReConnect program, looks at eligibility and project approval by race/ethnicity, educational attainment, poverty, and population 65 and older, with particular discussion of disparities in access for eligible American Indian and Alaska Native populations.
Author(s): John Pender
Citation: Amber Waves
Date: 12/2023
Sponsoring organization: USDA Economic Research Service
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Examines which populations were reached in fiscal years 2009-2021 by three USDA rural broadband programs: the Broadband Initiatives Program, the Community Connect grant program, and the ReConnect grant and loan program. Provides information about each program, its service area, and obligations. For the ReConnect program, looks at eligibility and project approval by race/ethnicity, educational attainment, poverty, and population 65 and older, with particular discussion of disparities in access for eligible American Indian and Alaska Native populations.
Author(s): John Pender
Citation: Amber Waves
Date: 12/2023
Sponsoring organization: USDA Economic Research Service
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Independent Evaluation of Comprehensive Primary Care Plus (CPC+): Final Annual Report
Reports on the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort that ran from 2017-2021. Outlines key findings from the model, including CPC+ supports to practices, care delivery changes made by practices, impacts on outcomes for Medicare fee-for-service beneficiaries, and implications for primary care models. Describes the experiences of payers, practices, health IT vendors, and patients. Includes rural references throughout.
Additional links: Appendices to the Final Report, Volume 1, Appendices to the Final Report, Volume 2, Findings at a Glance
Date: 12/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Reports on the Comprehensive Primary Care Plus (CPC+) model, a CMS primary care payment and delivery reform effort that ran from 2017-2021. Outlines key findings from the model, including CPC+ supports to practices, care delivery changes made by practices, impacts on outcomes for Medicare fee-for-service beneficiaries, and implications for primary care models. Describes the experiences of payers, practices, health IT vendors, and patients. Includes rural references throughout.
Additional links: Appendices to the Final Report, Volume 1, Appendices to the Final Report, Volume 2, Findings at a Glance
Date: 12/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Cybersecurity Lockdown
Recording of a December 6, 2023, webinar on cybersecurity threats and attacks. Discusses who is after healthcare data, why providers have a professional responsibility to address these threats proactively, and what providers can do today to limit their impact. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 12/2023
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a December 6, 2023, webinar on cybersecurity threats and attacks. Discusses who is after healthcare data, why providers have a professional responsibility to address these threats proactively, and what providers can do today to limit their impact. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Date: 12/2023
Sponsoring organization: National Association of Rural Health Clinics
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Hospitals' Electronic Access to Information Needed to Treat COVID-19
Explores acute care hospitals' ability to access electronic access to information necessary to treat COVID-19 patients in 2021. Examines differences in information availability by hospital characteristics, including rurality and Critical Access Hospital (CAH) status, and engagement in interoperable exchange.
Author(s): Chelsea Richwine, Jordan Everson, Vaishali Patel
Citation: JAMIA Open, 6(4)
Date: 12/2023
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Explores acute care hospitals' ability to access electronic access to information necessary to treat COVID-19 patients in 2021. Examines differences in information availability by hospital characteristics, including rurality and Critical Access Hospital (CAH) status, and engagement in interoperable exchange.
Author(s): Chelsea Richwine, Jordan Everson, Vaishali Patel
Citation: JAMIA Open, 6(4)
Date: 12/2023
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Geographic Variations in Driving Time to U.S. Mental Health Care, Digital Access to Technology, & Household Crowdedness
Evaluated distance to mental health services, household crowdedness, and access to technology and broadband alongside rurality to determine barriers to mental healthcare for both rural and urban residents in 31,924 ZIP Code Tabulation Areas (ZCTAs). Discusses implications for telehealth and policy measures addressing the digital divide.
Author(s): Sophia N. D. Negaro, Rachel M. Hantman, Janice C. Probst, et al.
Citation: Health Affairs Scholar, 1(6)
Date: 12/2023
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Evaluated distance to mental health services, household crowdedness, and access to technology and broadband alongside rurality to determine barriers to mental healthcare for both rural and urban residents in 31,924 ZIP Code Tabulation Areas (ZCTAs). Discusses implications for telehealth and policy measures addressing the digital divide.
Author(s): Sophia N. D. Negaro, Rachel M. Hantman, Janice C. Probst, et al.
Citation: Health Affairs Scholar, 1(6)
Date: 12/2023
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Management of Fall Risk Among Older Adults in Diverse Primary Care Settings
Discusses fall prevention resources integrated into sustainable computerized clinical decision support (CCDS) technology to support urban and rural primary care staff working with older adults. Provides feedback from 24 staff regarding fall risk factors, prevention strategies, patient-provider communication, available resources and training, and more.
Author(s): Kristen Shear, Hannah Rice, Pamela M. Garabedian, et al.
Citation: Journal of Applied Gerontology, 42(11), 2219-2232
Date: 11/2023
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Discusses fall prevention resources integrated into sustainable computerized clinical decision support (CCDS) technology to support urban and rural primary care staff working with older adults. Provides feedback from 24 staff regarding fall risk factors, prevention strategies, patient-provider communication, available resources and training, and more.
Author(s): Kristen Shear, Hannah Rice, Pamela M. Garabedian, et al.
Citation: Journal of Applied Gerontology, 42(11), 2219-2232
Date: 11/2023
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Disparities in Electronic Health Record Portal Access and Use among Patients with Cancer
Evaluates use of electronic health record (EHR) portal use among adult cancer patients who received treatment at 3 IMPACT cancer research centers, utilizing data extracted in February, 2022. Provides data on EHR portal use and frequency and identifies associations with rural dwelling, broadband access, and other demographic and clinical factors.
Author(s): Joan M Griffin, Barbara L Kroner, Sandra L Wong, et al.
Citation: Journal of the National Cancer Institute, 2023, djad225
Date: 11/2023
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Evaluates use of electronic health record (EHR) portal use among adult cancer patients who received treatment at 3 IMPACT cancer research centers, utilizing data extracted in February, 2022. Provides data on EHR portal use and frequency and identifies associations with rural dwelling, broadband access, and other demographic and clinical factors.
Author(s): Joan M Griffin, Barbara L Kroner, Sandra L Wong, et al.
Citation: Journal of the National Cancer Institute, 2023, djad225
Date: 11/2023
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Pre-Pandemic Assessment: A Decade of Progress in Electronic Health Record Adoption among U.S. Hospitals
Assessment of trends in electronic health record adoption between 2009 and 2020. Compares hospitals by rurality, size, ownership, and more. Discusses the impacts of COVID-19.
Author(s): John (Xuefeng) Jiang, Kangkang Qi, Ge Bai, Kevin Schulman
Citation: Health Affairs Scholar, 1(5)
Date: 11/2023
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Assessment of trends in electronic health record adoption between 2009 and 2020. Compares hospitals by rurality, size, ownership, and more. Discusses the impacts of COVID-19.
Author(s): John (Xuefeng) Jiang, Kangkang Qi, Ge Bai, Kevin Schulman
Citation: Health Affairs Scholar, 1(5)
Date: 11/2023
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Why Do Older, White, Rural Residents Have Slower Broadband Speeds?
Evaluates the role of age and rurality in slower broadband speeds for older, white, rural residents. Discusses the concept of a reverse digital divide.
Author(s): Robert Gallardo
Citation: The Daily Yonder
Date: 11/2023
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Evaluates the role of age and rurality in slower broadband speeds for older, white, rural residents. Discusses the concept of a reverse digital divide.
Author(s): Robert Gallardo
Citation: The Daily Yonder
Date: 11/2023
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