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Rural Health Information Hub

Rural Health
Resources by Topic: Telehealth

Care Transformation Toolkit
Provides an overview of common approaches and best practices Medicare Accountable Care Organizations (ACOs) utilize to improve healthcare quality, lower healthcare costs, and enhance patient experiences. Describes ACO programs designed to use telehealth to expand access to care and improve efficiency, support high-risk beneficiaries through home visits, and provide timely access to skilled nursing care through Medicare waivers. Discusses lessons learned, options available to ACOs, and possible implementation challenges.
Date: 01/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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One in Three Adults Used Telehealth during the First Six Months of the Pandemic, but Unmet Needs for Care Persisted
Examines the use of telehealth among nonelderly adults during the first 6 months of the COVID-19 pandemic. Explores overall telehealth utilization, patient satisfaction, wanting telehealth services but not receiving them, the share of patients who went without care, and reasons for not using telehealth. Includes data on sociodemographic factors, health status, and number of chronic conditions.
Author(s): Laura Barrie Smith, Fredric Blavin
Date: 01/2021
Sponsoring organization: Urban Institute
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Mental Health Systems Solutions Explorer
Interactive tool offering evidence-based solutions to increase mental healthcare utilization, increase access to care, and establish a continuum of care. Contains examples of each solution in practice. Solutions can be filtered to view those specifically of interest to rural communities.
Date: 01/2021
Sponsoring organization: RAND Corporation
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How to Transform the U.S. Mental Health System: Evidence-based Recommendations
Discusses evidence-based strategies to promote mental healthcare utilization, improve access to care, and establish a continuum of care. Offers 15 recommendations to improve mental healthcare, including policies regarding reimbursement, workforce growth, and digital and telehealth services, among other topics. Includes rural references throughout.
Additional links: Full Report, Research Brief: Transforming Mental Health Care in the United States
Author(s): Ryan K. McBain, Nicole K. Eberhart, Joshua Breslau, et al.
Date: 01/2021
Sponsoring organization: RAND Corporation
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Diagnosing and Managing Mild TBI in Rural Kids
Discusses the challenges of diagnosing and treating pediatric mild traumatic brain injury (mTBI) in rural areas. Covers recommendations and rules for computerized tomography (CT) scans and symptom assessment, recovery and support for patients, educational resources for patients and families, and telemedicine as an option that increases access to follow-up care for mTBI.
Author(s): Kelly Sarmiento
Date: 01/2021
Sponsoring organization: National Rural Health Association
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Tele‐ICUs for COVID‐19: A Look at National Prevalence and Characteristics of Hospitals Providing Teleintensive Care
Discusses a study on the prevalence of intensive care unit telemedicine (tele-ICUs) in hospitals across the U.S. during the COVID-19 pandemic, specifically in rural and Critical Access Hospitals. Compares hospitals by region, ICU beds, and emergency visits, among other measures.
Author(s): Dunc Williams Jr., John Lawrence, Young-Rock Hong, Aaron Winn
Citation: Journal of Rural Health, 37(1), 133-141
Date: 01/2021
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Lessons Learned: Pediatric Tele-Mental Health in a Rural Medical Center in the Age of SARS-CoV-2
Explores a study on the use of telemedicine to expand mental healthcare access to rural children during the COVID-19 pandemic. Discusses implementation concerns such as a need to protect patient privacy and expand internet-based infrastructure.
Author(s): Komal Satti, Olutosin Ojugbele
Citation: Journal of Rural Health, 37(1), 260-262
Date: 01/2021
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Telemedicine Services During COVID‐19: Considerations for Medically Underserved Populations
Discusses the use of telehealth during the COVID-19 pandemic and details some of the barriers to its use in underserved communities. Highlights the lack of broadband internet in rural areas and on tribal lands, as well the lack of technological capability among older people.
Author(s): Tasha Woodall, Melinda Ramage, John T. LaBruyere, et al.
Citation: Journal of Rural Health, 37(1), 231-234
Date: 01/2021
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The Importance of Video Visits in the Time of COVID-19
Highlights the importance of video-to-home telemedicine (VTH) for maintaining mental healthcare during the COVID-19 pandemic. Discusses the usefulness of VTH in expanding access to mental healthcare broadly, as well as some of the infrastructure-based limitations that currently exist.
Author(s): Jan A. Lindsay, Julianna B. Hogan, Anthony H. Ecker, et al.
Citation: Journal of Rural Health, 37(1), 242-245
Date: 01/2021
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Barriers to Telemedicine Implementation in Southwest Tribal Communities During COVID-19
Explores some of the barriers to expanding telemedicine to tribal communities in the Southwestern U.S. during the COVID-19 pandemic. Discusses some of the existing health and infrastructure disparities faced by the tribes and details both the need for telemedicine and the barriers to providing it.
Author(s): Janessa M. Graves, Jessica L. Mackelprang, Solmaz Amiri, et al.
Citation: Journal of Rural Health, 37(1), 239-241
Date: 01/2021
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