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Rural Health Information Hub

Rural Health
Resources by Topic: Technology for health and human services

Health Workforce Strategic Plan
Provides a framework for health workforce improvements and addresses long-standing barriers to strengthening the health workforce. Focuses on recruiting and training health professionals from underserved communities to build a diverse, representative health workforce; ensuring equitable distribution of the workforce across geographic areas and health professions; strengthening the ability of the workforce to deliver high-quality care, including through strengthening cultural and linguistic competency of professionals; and using evidence and data to make better decisions about health workforce education and training investments. Mentions rural throughout.
Additional links: Comments from Federal National Advisory Committees
Date: 10/2021
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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State of Telehealth: Removing Barriers to Access and Improving Patient Outcomes
Presents a recording of an October 7, 2021, hearing before the U.S. Senate Committee on Commerce, Science, and Transportation Subcommittee on Communications, Media, and Broadband. Examines the importance of access to telehealth services, telehealth utilization during the COVID-19 pandemic, the impact of the pandemic on telehealth regulations, and the role of broadband access in the public health response. Features testimony from the American Academy of Family Physicians, Project ECHO, Avel eCare, and the Federal Communications Commission.
Additional links: American Academy of Family Physicians Testimony, Avel eCare Testimony, Federal Communications Commission Testimony, Project ECHO Testimony
Date: 10/2021
Type: Document
Sponsoring organization: Senate Committee on Commerce, Science, and Transportation
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Affordability and Availability: Expanding Broadband in the Black Rural South
Report examining broadband access in African American communities in the rural South. Highlights economic, healthcare, and educational opportunities that accompany broadband access. Discusses financial and policy barriers to broadband access in the Black rural South and offers policy recommendations to increase access.
Author(s): Dominique Harrison
Date: 10/2021
Type: Document
Sponsoring organization: Joint Center for Political and Economic Studies
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Restoring Access to Maternity Care in Rural America
Examines regional partnerships to build rural access to maternity care through hub-and-spoke models of education and support from urban healthcare organizations to rural maternity providers, investments in telehealth, and remote monitoring systems. Discusses barriers to maternity care access in rural areas and highlights local examples of maternal health provider networks, investments in the rural maternity workforce, and policy implications of developing rural maternity care.
Date: 09/2021
Type: Document
Sponsoring organization: Commonwealth Fund
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Broadband: FCC Is Taking Steps to Accurately Map Locations that Lack Access
Describes efforts by the Federal Communications Commission (FCC) to develop a location fabric, a geographically specific, granular dataset, representing existing and necessary broadband deployment sites. Presents findings from an examination of potential geographic data sources, surveys of 44 states and territories, and interviews with state and federal agency stakeholders. Discusses limitations related to the accuracy, completeness, and consistency of location data.
Additional links: Full Report
Date: 09/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Housing Affordability, Adequacy, and Access to the Internet in Homes of Medicaid Enrollees
Examines the housing adequacy, affordability, and internet access among Medicaid enrollees in 2019. Describes the impact of housing conditions on health, with a focus on the COVID-19 pandemic. Discusses policy options for Medicaid programs to address housing challenges. Presents data by Medicaid enrollee demographic characteristics, including race/ethnicity, age, sex, and metro/non-metro status.
Author(s): Bradley Corallo
Date: 09/2021
Type: Document
Sponsoring organization: KFF
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States Reported Multiple Challenges with Using Telehealth to Provide Behavioral Health Services to Medicaid Enrollees
Summarizes results of a January-February 2020 survey of State Medicaid Directors in 37 states that provide behavioral health services via telehealth through managed care organizations. Describes challenges with using telehealth to serve Medicaid enrollees, including provider and enrollee training, internet connectivity, privacy, and technology costs. Offers recommendations for the Centers of Medicare and Medicaid Services (CMS) to help states address these challenges.
Date: 09/2021
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Challenges to Public Health Reporting Experienced by Non-Federal Acute Care Hospitals, 2019
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs). Outlines challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Compares challenges faced by hospitals by size, CAH status, rural/urban, and independent/system affiliated and offers state-level maps of percent of hospitals reporting specific challenges.
Author(s): Chelsea Richwine, Carmelita Marshall, Christian Johnson, Vaishali Patel
Date: 09/2021
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Use of Electronic Health Records to Manage Tobacco Screening and Treatment in Rural Primary Care
Study examining the benefits of using electronic health records (EHR) in addressing tobacco dependence by primary care providers, comparing rural and urban data from the 2012-2015 National Ambulatory Medical Care Survey. Discusses the utility of EHR and barriers to EHR adoption in rural practices, and offers data tables covering patient characteristics and statistics related to primary care visits and smoking cessation.
Author(s): Jean A. Talbot, Erika C. Ziller, Carly M. Milkowski
Citation: Journal of Rural Health
Date: 09/2021
Type: Document
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Higher Electronic Health Record (EHR) Functionality Lowers Urban Hospital Costs but Rural Impacts Are Minimal
Examines the relationship between electronic health record (EHR) functionality and hospital costs. Compares the effect of increasing EHR functionality in urban and rural hospitals and by inpatient and outpatient service categories.
Author(s): Claudia Alejandra Rhoades, Brian E. Whitacre, Alison F. Davis
Date: 09/2021
Type: Document
Sponsoring organization: Center for Economic Analysis of Rural Health
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