Rural Health
Resources by Type: Document
Evaluation of the Next Generation Accountable Care Organization (NGACO) Model: Final Report
Sixth and final evaluation report on the Next Generation Accountable Care Organization (NGACO) Model. Summarizes findings from across all six performance years (2016-2021) and explores how participating entities responded to the model and how they did or did not achieve model goals. Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care; variations in model outcomes by organization characteristics; spending patterns of beneficiaries served by NGACOs; population health strategies and pathways to reduced spending; lessons learned; and more. The appendices include data on community and beneficiary characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Sixth and final evaluation report on the Next Generation Accountable Care Organization (NGACO) Model. Summarizes findings from across all six performance years (2016-2021) and explores how participating entities responded to the model and how they did or did not achieve model goals. Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care; variations in model outcomes by organization characteristics; spending patterns of beneficiaries served by NGACOs; population health strategies and pathways to reduced spending; lessons learned; and more. The appendices include data on community and beneficiary characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Nursing Home Closures and Access to Post-Acute Care and Long-Term Care Services in Rural Areas
Examines distance to care for residents needing post-acute care (PAC) and long-term care (LTC) services. Analyzes nursing home closures from 2008 to 2018 and identifies closest PAC and LTC services in rural versus urban areas, with data broken down by population demographics, nursing home characteristics, and distance to providers.
Author(s): Hari Sharma, Redwan Bin Abdul Baten, Fred Ullrich, A. Clint MacKinney, Keith J. Mueller
Citation: Journal of Rural Health, 40(3), 557-564
Date: 01/2024
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Examines distance to care for residents needing post-acute care (PAC) and long-term care (LTC) services. Analyzes nursing home closures from 2008 to 2018 and identifies closest PAC and LTC services in rural versus urban areas, with data broken down by population demographics, nursing home characteristics, and distance to providers.
Author(s): Hari Sharma, Redwan Bin Abdul Baten, Fred Ullrich, A. Clint MacKinney, Keith J. Mueller
Citation: Journal of Rural Health, 40(3), 557-564
Date: 01/2024
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Self-Identified Rurality in a Nationally Representative Population in the US
Evaluates self-identified rurality and ZIP code-derived Rural-Urban Commuting Area (RUCA) classification among 774 U.S. adults. Provides data on level of agreement between perceived rurality and RUCA classification, identifies factors contributing to discrepancies, and proposes a reclassification of selected RUCA codes.
Author(s): Dustin C Krutsinger, Kuldeep N Yadav, Joanna L Hart
Citation: Rural and Remote Health, 24(1), 8483
Date: 01/2024
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Evaluates self-identified rurality and ZIP code-derived Rural-Urban Commuting Area (RUCA) classification among 774 U.S. adults. Provides data on level of agreement between perceived rurality and RUCA classification, identifies factors contributing to discrepancies, and proposes a reclassification of selected RUCA codes.
Author(s): Dustin C Krutsinger, Kuldeep N Yadav, Joanna L Hart
Citation: Rural and Remote Health, 24(1), 8483
Date: 01/2024
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Food Insecurity Increased to 1 in 10 Adults Ages 50 and Older in 2022
Fact sheet describing food insecurity among adults ages 50 and older. Identifies trends, presents data on demographic disparities, and provides state-by-state and age group comparisons. Figure 4 compares metropolitan and nonmetropolitan food insecurity prevalence.
Author(s): Olivia Dean, Carlos Figueiredo
Date: 01/2024
Sponsoring organization: AARP Public Policy Institute
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Fact sheet describing food insecurity among adults ages 50 and older. Identifies trends, presents data on demographic disparities, and provides state-by-state and age group comparisons. Figure 4 compares metropolitan and nonmetropolitan food insecurity prevalence.
Author(s): Olivia Dean, Carlos Figueiredo
Date: 01/2024
Sponsoring organization: AARP Public Policy Institute
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Discretionary Transportation Grants: DOT Should Improve Transparency in the Infrastructure for Rebuilding America Program
Examines the Department of Transportation (DOT)'s processes to solicit, evaluate, and select applications for Infrastructure for Rebuilding America (INFRA) grant awards in fiscal year (FY) 2022, and the extent to which DOT's evaluation and selection processes aligned with federal guidance. Includes information about the Rural Surface Transportation program, which receives INFRA funding, and statistics on number of INFRA grant awards in FYs 2016–2022, with breakdowns by urban and rural areas.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Examines the Department of Transportation (DOT)'s processes to solicit, evaluate, and select applications for Infrastructure for Rebuilding America (INFRA) grant awards in fiscal year (FY) 2022, and the extent to which DOT's evaluation and selection processes aligned with federal guidance. Includes information about the Rural Surface Transportation program, which receives INFRA funding, and statistics on number of INFRA grant awards in FYs 2016–2022, with breakdowns by urban and rural areas.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
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Frontline Presence, Building Trust, Emergency Preparedness, and Lessons Learned: Q&A with Dr. Tim Putnam
An interview with Tim Putnam sharing rural health leadership insights from his experiences as a rural hospital CEO, a member of a White House task force, and in an academic healthcare policy position.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2024
Sponsoring organization: Rural Health Information Hub
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An interview with Tim Putnam sharing rural health leadership insights from his experiences as a rural hospital CEO, a member of a White House task force, and in an academic healthcare policy position.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2024
Sponsoring organization: Rural Health Information Hub
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Opioid Overdose Surveillance Preliminary District Report: Georgia, 2022
Describes district-level fatal and nonfatal opioid-involved overdoses that occurred in Georgia 2020-2022. Covers prescription opioids and illicit opioids, including heroin, fentanyl, and fentanyl analogs. Features statistics on demographics, overdose deaths, and emergency department visits, with breakdowns by district, drug type, and year. The Preliminary County Report contains county-by-county data.
Additional links: County Report
Date: 01/2024
Sponsoring organization: Georgia Department of Public Health
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Describes district-level fatal and nonfatal opioid-involved overdoses that occurred in Georgia 2020-2022. Covers prescription opioids and illicit opioids, including heroin, fentanyl, and fentanyl analogs. Features statistics on demographics, overdose deaths, and emergency department visits, with breakdowns by district, drug type, and year. The Preliminary County Report contains county-by-county data.
Additional links: County Report
Date: 01/2024
Sponsoring organization: Georgia Department of Public Health
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Informing the Surgical Workforce Pathway: How Rural Community Characteristics Matter
Explores rural and urban surgeons' perspectives on community characteristics, utilizing interview data from 22 rural and 15 urban general surgeons in the Midwest. Identifies rural-urban differences in approach to physical environment, health resources, and professional/personal community roles. Discusses implications for surgeons' practice location choices and surgical workforce education and recruitment.
Author(s): Dorothy Hughes, Joshua Mammen, Tomas L Griebling, Joanna Veazey Brooks
Citation: Remote and Rural Health, 24(1), 8363
Date: 01/2024
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Explores rural and urban surgeons' perspectives on community characteristics, utilizing interview data from 22 rural and 15 urban general surgeons in the Midwest. Identifies rural-urban differences in approach to physical environment, health resources, and professional/personal community roles. Discusses implications for surgeons' practice location choices and surgical workforce education and recruitment.
Author(s): Dorothy Hughes, Joshua Mammen, Tomas L Griebling, Joanna Veazey Brooks
Citation: Remote and Rural Health, 24(1), 8363
Date: 01/2024
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Validation of Remote Anthropometric Measurements in a Rural Randomized Pediatric Clinical Trial in Primary Care Settings
Evaluates the effectiveness of remote assessment of height and weight for rural children, providing comparisons of remote and in-person measurements of 33 caregiver-child pairs. Provides measurement data, assesses measurement reliability, and identifies factors associated with measurement discrepancies. Describes the significance of findings in context of obesity treatment.
Author(s): E Zhang, Ann M. Davis, Elizabeth Yakes Jiminez, et al.
Citation: Scientific Reports, 14, 411
Date: 01/2024
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Evaluates the effectiveness of remote assessment of height and weight for rural children, providing comparisons of remote and in-person measurements of 33 caregiver-child pairs. Provides measurement data, assesses measurement reliability, and identifies factors associated with measurement discrepancies. Describes the significance of findings in context of obesity treatment.
Author(s): E Zhang, Ann M. Davis, Elizabeth Yakes Jiminez, et al.
Citation: Scientific Reports, 14, 411
Date: 01/2024
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End-Stage Renal Disease Treatment Choices (ETC) Model: Second Annual Evaluation Report
Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
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Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
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