Rural Health
Resources by Type: Document
Traffic Safety Facts, 2024: Truck Crash Facts
Provide statistics on crashes involving trucks in North Dakota from 2017 through 2024. Includes data on cause of crash, manner of collision, location of collision, injuries and fatalities, and if the crash happened on a rural versus urban road.
Date: 09/2025
Sponsoring organization: Upper Great Plains Transportation Institute
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Provide statistics on crashes involving trucks in North Dakota from 2017 through 2024. Includes data on cause of crash, manner of collision, location of collision, injuries and fatalities, and if the crash happened on a rural versus urban road.
Date: 09/2025
Sponsoring organization: Upper Great Plains Transportation Institute
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An Evaluation of State Flex Program Initiatives to Support Critical Access Hospital-Based Rural Health Clinics
Describes the 16 State Flex Program (SFP) Critical Access Hospital (CAH)-based Rural Health Clinic (RHC) initiatives for the 2023-2024 funding year. Explores the various strategies SFPs have employed to assist CAH-based RHCs by highlighting common activities, challenges, and successes observed across their programs. Summarizes interviews with seven SFPs identifying common themes and notable variations in how they engage with CAH-based RHCs.
Author(s): Bridget Harr, Rebecca Stearns, John Gale
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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Describes the 16 State Flex Program (SFP) Critical Access Hospital (CAH)-based Rural Health Clinic (RHC) initiatives for the 2023-2024 funding year. Explores the various strategies SFPs have employed to assist CAH-based RHCs by highlighting common activities, challenges, and successes observed across their programs. Summarizes interviews with seven SFPs identifying common themes and notable variations in how they engage with CAH-based RHCs.
Author(s): Bridget Harr, Rebecca Stearns, John Gale
Date: 09/2025
Sponsoring organization: Flex Monitoring Team
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Enhancing Primary Care Capacity for Cardiovascular Disease Management Through the ECHO+ Model: A Multistate Rural Collaboration Among West Virginia, Arkansas, and Oklahoma
Examines quality of care and clinician capacity impacts of the ECHO+ cardiovascular disease (CVD) tele-education course, which included asynchronous pre-recorded lectures and a quality improvement learning collaborative for 41 rural primary care providers in West Virginia, Arkansas, and Oklahoma. Provides data on ECHO+ impacts on CVD quality indicators, patient outcomes, and participant feedback.
Author(s): Dru Ricci, Hannah Schmitt, Heidi Ngov, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Examines quality of care and clinician capacity impacts of the ECHO+ cardiovascular disease (CVD) tele-education course, which included asynchronous pre-recorded lectures and a quality improvement learning collaborative for 41 rural primary care providers in West Virginia, Arkansas, and Oklahoma. Provides data on ECHO+ impacts on CVD quality indicators, patient outcomes, and participant feedback.
Author(s): Dru Ricci, Hannah Schmitt, Heidi Ngov, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Rural and Tribal Transit: The Federal Transit Administration Should Evaluate Its Efforts to Help Improve Accessibility and Service
Explores the primary federal funding sources for accessible transit for older adults and people with disabilities for rural and tribal communities. Describes the approaches these communities have used to provide accessible transit, and the challenges they have faced. Discusses how the Department of Transportation (DOT) and Federal Transit Administration (FTA) have helped communities use funds to improve these transit services.
Additional links: Full Report
Date: 09/2025
Sponsoring organization: Government Accountability Office
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Explores the primary federal funding sources for accessible transit for older adults and people with disabilities for rural and tribal communities. Describes the approaches these communities have used to provide accessible transit, and the challenges they have faced. Discusses how the Department of Transportation (DOT) and Federal Transit Administration (FTA) have helped communities use funds to improve these transit services.
Additional links: Full Report
Date: 09/2025
Sponsoring organization: Government Accountability Office
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Distribution of Block Grant Funding: Considerations for Rural Communities
Analyzes the allocation of federal block grant funding from states to local communities via case studies of public health, community development, and substance use treatment funding distribution in six states. Highlights barriers and facilitators of rural funding, including agency staffing, flexibility, and cooperation and state-by-state variation in approaches to rurality.
Author(s): Kate E. Beatty, Casey P. Balio, Margaret M. Francisco, Michael B. Meit, Stephanie M. Mathis
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Analyzes the allocation of federal block grant funding from states to local communities via case studies of public health, community development, and substance use treatment funding distribution in six states. Highlights barriers and facilitators of rural funding, including agency staffing, flexibility, and cooperation and state-by-state variation in approaches to rurality.
Author(s): Kate E. Beatty, Casey P. Balio, Margaret M. Francisco, Michael B. Meit, Stephanie M. Mathis
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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The National Dementia Workforce Study: The Plan for Organization Sample Frames and Data Collection
Details a plan for sampling and recruitment procedures of the dementia workforce, focusing on previously unsampled populations working in assisted living communities or home health agencies. Discusses sampling and recruitment strategies with considerations for Census region and rural areas.
Author(s): James Wagner, Laura M. Wagner, Sheryl Zimmerman, et al.
Citation: Journal of the American Geriatrics Society
Date: 09/2025
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Details a plan for sampling and recruitment procedures of the dementia workforce, focusing on previously unsampled populations working in assisted living communities or home health agencies. Discusses sampling and recruitment strategies with considerations for Census region and rural areas.
Author(s): James Wagner, Laura M. Wagner, Sheryl Zimmerman, et al.
Citation: Journal of the American Geriatrics Society
Date: 09/2025
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Reasons for Experiencing Delayed or Forgone Health Care among Rural American Indian/Alaska Native and Rural Non-Hispanic White Individuals, 2022
Policy brief offering reported reasons for experiencing delayed or forgone health care and how this differs between rural American Indian/Alaska Native (AI/AN) and rural non-Hispanic white people, as well as by Indian Health Service care access among rural AI/AN people. Uses data from the 2022 National Health Interview Survey.
Author(s): Ingrid Jacobson, Julia Interrante, Hailey A. Baker, Mariana Tuttle, Katy B. Kozhimannil
Date: 09/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief offering reported reasons for experiencing delayed or forgone health care and how this differs between rural American Indian/Alaska Native (AI/AN) and rural non-Hispanic white people, as well as by Indian Health Service care access among rural AI/AN people. Uses data from the 2022 National Health Interview Survey.
Author(s): Ingrid Jacobson, Julia Interrante, Hailey A. Baker, Mariana Tuttle, Katy B. Kozhimannil
Date: 09/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Comparing Utilization of Home Health Care Between Traditional Medicare and Medicare Advantage Beneficiaries by Rural-Urban Status
Policy report describing differences in utilization of home health care between beneficiaries enrolled in Traditional Medicare (TM) and Medicare Advantage (MA), and by rural or urban status. Examines differences in use of home health overall, provision of specific services, including physical and occupational therapy, and receipt of care from home health agencies by enrollment in TM and MA. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural areas.
Date: 09/2025
Sponsoring organization: WWAMI Rural Health Research Center
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Policy report describing differences in utilization of home health care between beneficiaries enrolled in Traditional Medicare (TM) and Medicare Advantage (MA), and by rural or urban status. Examines differences in use of home health overall, provision of specific services, including physical and occupational therapy, and receipt of care from home health agencies by enrollment in TM and MA. Features statistics with breakdowns by urban, large rural, small rural, and isolated rural areas.
Date: 09/2025
Sponsoring organization: WWAMI Rural Health Research Center
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A Rural Lens on Federal Block Grant Distribution
Provides an overview on federal block grants and how they are allocated in rural and underserved areas. Includes data on funding allocation, interview feedback from grant representatives, and an analysis of the application materials of 5 block grants: Preventive Health and Health Services (PHHS), Community Services Block Grant (CSBG), Child Care and Development Fund/Block Grant (CCDF, CCDBG), Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUBG), and the Community Mental Health Services Block Grant (MHBG). Discusses how federal block grants can move toward equitable distribution for rural communities.
Author(s): Casey P. Balio, Stephanie M. Mathis, Margaret M. Francisco, Michael B. Meit, Kate E. Beatty
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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Provides an overview on federal block grants and how they are allocated in rural and underserved areas. Includes data on funding allocation, interview feedback from grant representatives, and an analysis of the application materials of 5 block grants: Preventive Health and Health Services (PHHS), Community Services Block Grant (CSBG), Child Care and Development Fund/Block Grant (CCDF, CCDBG), Substance Use Prevention, Treatment, and Recovery Services Block Grant (SUBG), and the Community Mental Health Services Block Grant (MHBG). Discusses how federal block grants can move toward equitable distribution for rural communities.
Author(s): Casey P. Balio, Stephanie M. Mathis, Margaret M. Francisco, Michael B. Meit, Kate E. Beatty
Date: 09/2025
Sponsoring organization: ETSU/NORC Rural Health Research Center
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MBQIP 2025 Measure Core Set Information Guide
Provides an overview of the 2025 Core Measure Set adopted by the Federal Office of Rural Health Policy (FORHP) for use in the Medicare Beneficiary Quality Improvement Project (MBQIP). Offers descriptions, rationales, data elements, data availability, resources, and more for each new and continuing measure.
Date: 09/2025
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Provides an overview of the 2025 Core Measure Set adopted by the Federal Office of Rural Health Policy (FORHP) for use in the Medicare Beneficiary Quality Improvement Project (MBQIP). Offers descriptions, rationales, data elements, data availability, resources, and more for each new and continuing measure.
Date: 09/2025
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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