Rural Health
Resources by Topic: Telehealth
Transforming Health Care from the Ground Up
Describes two examples of innovation driven by doctors, nurses, administrators, entrepreneurs, and patients involving a major transformation of healthcare delivery. One example was an initiative developed through the University of Mississippi Medical Center where a telehealth network was created to increase patient access to care in rural areas with a focus on Critical Access Hospitals (CAHs).
Author(s): Vijay Govindarajan, Ravi Ramamurti
Citation: Harvard Business Review
Date: 2018
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Describes two examples of innovation driven by doctors, nurses, administrators, entrepreneurs, and patients involving a major transformation of healthcare delivery. One example was an initiative developed through the University of Mississippi Medical Center where a telehealth network was created to increase patient access to care in rural areas with a focus on Critical Access Hospitals (CAHs).
Author(s): Vijay Govindarajan, Ravi Ramamurti
Citation: Harvard Business Review
Date: 2018
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Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain
A guide to help primary care providers, practices, and healthcare systems manage patients who are on long-term opioid therapy. Provides an evidence-based prescribing guideline, quality improvement measures, and practice-level care coordination strategies. Appendix F provides examples of comprehensive management approaches, including discussion of telehealth approaches that could be used in rural communities.
Date: 2018
Sponsoring organization: Centers for Disease Control and Prevention
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A guide to help primary care providers, practices, and healthcare systems manage patients who are on long-term opioid therapy. Provides an evidence-based prescribing guideline, quality improvement measures, and practice-level care coordination strategies. Appendix F provides examples of comprehensive management approaches, including discussion of telehealth approaches that could be used in rural communities.
Date: 2018
Sponsoring organization: Centers for Disease Control and Prevention
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CMS Rural Health Strategy
Identifies five objectives CMS focuses on to support high quality healthcare in rural communities: applying a rural lens to CMS programs and policies, improving access through provider engagement, telehealth, patient empowerment, and leveraging partnerships. Identifies key activities to address each of the objectives.
Additional links: Frequently Asked Questions (FAQs) about the Rural Strategy, Infographic
Date: 2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Identifies five objectives CMS focuses on to support high quality healthcare in rural communities: applying a rural lens to CMS programs and policies, improving access through provider engagement, telehealth, patient empowerment, and leveraging partnerships. Identifies key activities to address each of the objectives.
Additional links: Frequently Asked Questions (FAQs) about the Rural Strategy, Infographic
Date: 2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Impact of a Mobile Health Application on User Engagement and Pregnancy Outcomes among Wyoming Medicaid Members
Examines the effects of a mobile health application, Due Date Plus, on user engagement and birth outcomes among pregnant Medicaid members compared to pregnant Medicaid members not using the application in Wyoming. Compares data on four outcomes: 6-month or more prenatal visit, C-section, low birth weight, and neonatal intensive care unity (NICU) admission to evaluate the association between Due Date Plus with pregnancy and birth outcomes.
Author(s): James Bush, Dilek E. Barlow, Jennie Echols, Jasmine Wilkerson, Katherine Bellevin
Citation: Telemedicine Journal and e-Health, 23(11), 891-898
Date: 11/2017
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Examines the effects of a mobile health application, Due Date Plus, on user engagement and birth outcomes among pregnant Medicaid members compared to pregnant Medicaid members not using the application in Wyoming. Compares data on four outcomes: 6-month or more prenatal visit, C-section, low birth weight, and neonatal intensive care unity (NICU) admission to evaluate the association between Due Date Plus with pregnancy and birth outcomes.
Author(s): James Bush, Dilek E. Barlow, Jennie Echols, Jasmine Wilkerson, Katherine Bellevin
Citation: Telemedicine Journal and e-Health, 23(11), 891-898
Date: 11/2017
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Emerging Strategies to Ensure Access to Health Care Services: Virtual Care Strategies
Discusses opportunities to use telehealth to improve healthcare access and delivery to vulnerable rural and urban communities. Includes recommendations from the American Hospital Association Task Force on Ensuring Access in Vulnerable Communities and details the benefits of telehealth services and potential policy solutions such as reimbursement, interaction of state and federal laws, broadband access, and federal research.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Discusses opportunities to use telehealth to improve healthcare access and delivery to vulnerable rural and urban communities. Includes recommendations from the American Hospital Association Task Force on Ensuring Access in Vulnerable Communities and details the benefits of telehealth services and potential policy solutions such as reimbursement, interaction of state and federal laws, broadband access, and federal research.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Utilizing Patient Geographic Information System Data to Plan Telemedicine Service Locations
Describes a model for determining optimal locations for telemedicine service providers by using electronic health record (EHR) data in a geographic information system (GIS). Demonstrates the method for extracting GIS patient data from EHRs using an EHR sample of 4,027 visits to a neurodevelopmental pediatric service provider in 2011-2012. Discusses potential and limitations for using EHR data and GIS mapping to plan for specific telemedicine interventions.
Author(s): Neelkamal Soares, Joseph Dewalle, Ben Marsh
Citation: Journal of the American Medical Informatics Association, 24(5), 891-896
Date: 09/2017
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Describes a model for determining optimal locations for telemedicine service providers by using electronic health record (EHR) data in a geographic information system (GIS). Demonstrates the method for extracting GIS patient data from EHRs using an EHR sample of 4,027 visits to a neurodevelopmental pediatric service provider in 2011-2012. Discusses potential and limitations for using EHR data and GIS mapping to plan for specific telemedicine interventions.
Author(s): Neelkamal Soares, Joseph Dewalle, Ben Marsh
Citation: Journal of the American Medical Informatics Association, 24(5), 891-896
Date: 09/2017
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Using Telehealth to Identify and Manage Mental Health and Substance Use Disorder Conditions in Rural Areas
Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Financing Project ECHO: Options for State Medicaid Programs
Outlines how 4 states are using Medicaid funds to support Project ECHO and enhance services in California, Colorado, New Mexico, and Oregon. Shares design considerations for specific delivery system environments and ways to ensure long-term program sustainability. Project ECHO seeks to expand access to specialty healthcare services in rural and underserved areas.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Sponsoring organization: Center for Health Care Strategies
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Outlines how 4 states are using Medicaid funds to support Project ECHO and enhance services in California, Colorado, New Mexico, and Oregon. Shares design considerations for specific delivery system environments and ways to ensure long-term program sustainability. Project ECHO seeks to expand access to specialty healthcare services in rural and underserved areas.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Sponsoring organization: Center for Health Care Strategies
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Medicaid Financing Models for Project ECHO
Explains the different Medicaid financing mechanisms available for supporting current and potential Project ECHO strategies. Options are listed in table format and organized into three categories: managed care, care management programs, and value-based payment strategies and integrated care programs.
Date: 09/2017
Sponsoring organization: Center for Health Care Strategies
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Explains the different Medicaid financing mechanisms available for supporting current and potential Project ECHO strategies. Options are listed in table format and organized into three categories: managed care, care management programs, and value-based payment strategies and integrated care programs.
Date: 09/2017
Sponsoring organization: Center for Health Care Strategies
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Telehealth and Patient Satisfaction: A Systematic Review and Narrative Analysis
Provides a literature review on articles related to patient satisfaction of telehealth regarding its effectiveness and efficiency. Discusses factors such as cost, health outcomes, quality, ease of use, communication, drive time, access to healthcare, and more, with references to telehealth impacts specific to rural populations.
Author(s): Clemens Scott Kruse, Nicole Krowski, Blanca Rodriguez, et al.
Citation: BMJ Open, 7(8)
Date: 08/2017
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Provides a literature review on articles related to patient satisfaction of telehealth regarding its effectiveness and efficiency. Discusses factors such as cost, health outcomes, quality, ease of use, communication, drive time, access to healthcare, and more, with references to telehealth impacts specific to rural populations.
Author(s): Clemens Scott Kruse, Nicole Krowski, Blanca Rodriguez, et al.
Citation: BMJ Open, 7(8)
Date: 08/2017
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