Rural Health
Resources by Topic: Telehealth
Rising from the Ashes: How Trauma-Informed Care Nurtures Healing in Rural America
Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Sponsoring organization: Rural Health Information Hub
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Provides an overview of trauma-informed care and how it is provided in rural communities. Highlights the provision of trauma-informed care in a rural California community after wildfires, in a Wyoming pediatrician's clinic, and by rural nurses providing assault exams with support from experts via telehealth.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 04/2019
Sponsoring organization: Rural Health Information Hub
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User Engagement Associated with Web-Intervention Features to Attain Clinically Meaningful Weight Loss and Weight Maintenance in Rural Women
Discusses messaging and tracking features within web-based weight loss interventions and their efficacy in achieving clinically meaningful short-term and longer-term weight loss in 201 women living in rural Nebraska. Explores the web-based intervention's potential as a telemedicine option in rural areas.
Author(s): Patricia A. Hageman, Joseph E. Mroz, Michael A. Yoerger, Carol H. Pullen
Citation: Journal of Obesity, 2019
Date: 03/2019
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Discusses messaging and tracking features within web-based weight loss interventions and their efficacy in achieving clinically meaningful short-term and longer-term weight loss in 201 women living in rural Nebraska. Explores the web-based intervention's potential as a telemedicine option in rural areas.
Author(s): Patricia A. Hageman, Joseph E. Mroz, Michael A. Yoerger, Carol H. Pullen
Citation: Journal of Obesity, 2019
Date: 03/2019
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Redesigning Care: A How-to Guide for Hospitals and Health Systems Seeking to Implement, Strengthen and Sustain Telebehavioral Health
Describes strategies and actions for hospitals and health systems that want to start, strengthen, and sustain telebehavioral health programs. Details six elements for successful telebehavioral health implementation: leadership commitment; organizational policies and clinical workflows; staff education and training; patient, family, and caregiver engagement; measurement; and community partnerships. Provides tools and resources for each element of success.
Date: 03/2019
Sponsoring organizations: American Hospital Association, National Quality Forum
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Describes strategies and actions for hospitals and health systems that want to start, strengthen, and sustain telebehavioral health programs. Details six elements for successful telebehavioral health implementation: leadership commitment; organizational policies and clinical workflows; staff education and training; patient, family, and caregiver engagement; measurement; and community partnerships. Provides tools and resources for each element of success.
Date: 03/2019
Sponsoring organizations: American Hospital Association, National Quality Forum
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Using Implementation Facilitation to Implement Primary Care Mental Health Integration via Clinical Video Telehealth in Rural Clinics: Protocol for a Hybrid Type 2 Cluster Randomized Stepped-wedge Design
Presents a study on the effectiveness of telehealth in mental health integration in rural Veterans Health Administration clinics. Outlines implementation timeline and discusses the results of the implementation.
Author(s): Richard R. Owen, Eva N. Woodward, Karen L. Drummond, et al.
Citation: Implementation Science, 14, 33
Date: 03/2019
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Presents a study on the effectiveness of telehealth in mental health integration in rural Veterans Health Administration clinics. Outlines implementation timeline and discusses the results of the implementation.
Author(s): Richard R. Owen, Eva N. Woodward, Karen L. Drummond, et al.
Citation: Implementation Science, 14, 33
Date: 03/2019
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Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report
Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Sponsoring organization: Flex Monitoring Team
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Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Sponsoring organization: Flex Monitoring Team
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5 Strategies Rural Hospitals Are Using to Bolster Their Workforce
Provides examples from rural hospitals and health systems of how they are addressing workforce development and planning. Highlights Rural Training Tracks (RTT), grow your own programs, telehealth, behavioral health integration, and care teams including nurse practitioners and physician assistants.
Date: 03/2019
Sponsoring organization: American Hospital Association
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Provides examples from rural hospitals and health systems of how they are addressing workforce development and planning. Highlights Rural Training Tracks (RTT), grow your own programs, telehealth, behavioral health integration, and care teams including nurse practitioners and physician assistants.
Date: 03/2019
Sponsoring organization: American Hospital Association
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Fact Sheet: Telehealth
Discusses the growth of telehealth use in hospitals from 2010 through 2017, and ongoing challenges to expanding and providing telehealth services. Covers rural considerations throughout the document.
Date: 02/2019
Sponsoring organization: American Hospital Association
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Discusses the growth of telehealth use in hospitals from 2010 through 2017, and ongoing challenges to expanding and providing telehealth services. Covers rural considerations throughout the document.
Date: 02/2019
Sponsoring organization: American Hospital Association
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2019 Telehealth Policy Barriers
Discusses existing policy barriers at the federal and state levels that inhibit the use of telehealth in rural and urban areas, including: reimbursement; malpractice; licensing; HIPAA, privacy, and security; prescribing; credentialing and privileging; and other influences on policy.
Date: 02/2019
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Discusses existing policy barriers at the federal and state levels that inhibit the use of telehealth in rural and urban areas, including: reimbursement; malpractice; licensing; HIPAA, privacy, and security; prescribing; credentialing and privileging; and other influences on policy.
Date: 02/2019
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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2019 Telehealth Reimbursement
Provides an overview of Medicare reimbursement for telehealth services and discusses factors, policies, and legislation affecting reimbursement including: geographic and originating site restrictions; provider restrictions; service restrictions; payment for remote communication technology; chronic care management and remote monitoring; Medicare Advantage; Accountable Care Organizations, bundled care, and telehealth. Covers Medicaid and private payer telehealth reimbursement policies.
Date: 02/2019
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Provides an overview of Medicare reimbursement for telehealth services and discusses factors, policies, and legislation affecting reimbursement including: geographic and originating site restrictions; provider restrictions; service restrictions; payment for remote communication technology; chronic care management and remote monitoring; Medicare Advantage; Accountable Care Organizations, bundled care, and telehealth. Covers Medicaid and private payer telehealth reimbursement policies.
Date: 02/2019
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Report to Congress: Current State of Technology-Enabled Collaborative Learning and Capacity Building Models
Reports on the impact of technology-enabled collaborative learning and capacity building models as required by the Expanding Capacity for Health Outcomes (ECHO) Act. Examines how such models are being used to improve healthcare quality and address health workforce capacity, particularly in rural areas, the evidence behind model effectiveness, and evidence gaps. Provides recommendations on expanding model adoption and its use in continuing medical education. Appendix includes an inventory of Project ECHO models and other similar models by state and in several other countries.
Additional links: Appendix F: Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models
Date: 02/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on the impact of technology-enabled collaborative learning and capacity building models as required by the Expanding Capacity for Health Outcomes (ECHO) Act. Examines how such models are being used to improve healthcare quality and address health workforce capacity, particularly in rural areas, the evidence behind model effectiveness, and evidence gaps. Provides recommendations on expanding model adoption and its use in continuing medical education. Appendix includes an inventory of Project ECHO models and other similar models by state and in several other countries.
Additional links: Appendix F: Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models
Date: 02/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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