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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
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
view details
Graduate Medical Education Funding
Explores graduate medical education (GME), focusing on types of locations where it is offered and sources of funding available, including Medicare and Medicaid. Describes ways in which states are rethinking GME to better meet the needs of states and communities most impacted by physician workforce shortages, including rural areas. Includes a map with shadings showing levels of Medicare GME-funded residents by state.
Date: 01/2024
Sponsoring organization: National Conference of State Legislatures
view details
Explores graduate medical education (GME), focusing on types of locations where it is offered and sources of funding available, including Medicare and Medicaid. Describes ways in which states are rethinking GME to better meet the needs of states and communities most impacted by physician workforce shortages, including rural areas. Includes a map with shadings showing levels of Medicare GME-funded residents by state.
Date: 01/2024
Sponsoring organization: National Conference of State Legislatures
view details
VA Health Care: Office of Rural Health Efforts and Recommendations for Improvement
Presents an evaluation of the Veterans Health Administration's Office of Rural Health (ORH). Discusses the methods the ORH uses to improve healthcare quality and access for rural veterans, such as initiatives to expand VHA services to rural veterans and funding research to improve the healthcare quality in rural areas. Evaluates the ORH's efforts and makes recommendations for improvement.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
view details
Presents an evaluation of the Veterans Health Administration's Office of Rural Health (ORH). Discusses the methods the ORH uses to improve healthcare quality and access for rural veterans, such as initiatives to expand VHA services to rural veterans and funding research to improve the healthcare quality in rural areas. Evaluates the ORH's efforts and makes recommendations for improvement.
Additional links: Full Report
Date: 01/2024
Sponsoring organization: Government Accountability Office
view details