Rural Health
Resources by Type: Document
Human Papillomavirus Vaccine Beliefs and Practice Characteristics in Rural and Urban Adolescent Care Providers
Study examining human papillomavirus (HPV) vaccine resources, practices, and attitudes in rural and urban populations based on data from 437 survey respondents in Minnesota and Wisconsin. Discusses rural disparities in HPV vaccine coverage and noted differences in evening and weekend appointment availability, experience with adolescent vaccine quality improvement projects, and adolescent vaccination orders.
Author(s): Cody L. Goessl, Ben Christianson, Kayla E. Hanson, et al.
Citation: BMC Public Health, 22, 1322
Date: 07/2022
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Study examining human papillomavirus (HPV) vaccine resources, practices, and attitudes in rural and urban populations based on data from 437 survey respondents in Minnesota and Wisconsin. Discusses rural disparities in HPV vaccine coverage and noted differences in evening and weekend appointment availability, experience with adolescent vaccine quality improvement projects, and adolescent vaccination orders.
Author(s): Cody L. Goessl, Ben Christianson, Kayla E. Hanson, et al.
Citation: BMC Public Health, 22, 1322
Date: 07/2022
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Community Partnerships: Advancing Behavioral Health Access in Rural Communities
Profiles Eagle Valley Behavioral Health (EVBH), a nonprofit and community mental health center (CMHC) developed to lead community collaboration working to ensure access to high-quality behavioral healthcare in Eagle County, Colorado. Discusses EVBH's collaboration with Building Hope Summit County, a community-wide initiative in a neighboring county focused on suicide prevention efforts. Describes how these initiatives were able to shape local policy, expand the local behavioral health workforce, fund their efforts, and identify and fill gaps in care.
Date: 07/2022
Sponsoring organization: American Hospital Association
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Profiles Eagle Valley Behavioral Health (EVBH), a nonprofit and community mental health center (CMHC) developed to lead community collaboration working to ensure access to high-quality behavioral healthcare in Eagle County, Colorado. Discusses EVBH's collaboration with Building Hope Summit County, a community-wide initiative in a neighboring county focused on suicide prevention efforts. Describes how these initiatives were able to shape local policy, expand the local behavioral health workforce, fund their efforts, and identify and fill gaps in care.
Date: 07/2022
Sponsoring organization: American Hospital Association
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Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care
Presents a prototype for a Unified Post-acute Care (PAC) prospective payment system (PPS) that would set payment for PAC services on the basis of the clinical characteristics of the patient rather than the type of provider. Details the structure of the prototype and the data used in the analyses to design and calibrate the PPS. Explores key considerations for unifying PAC payment, such as cost-sharing and value-based payment. Includes data on PAC provider characteristics, including facility size and rural status, as well as rural payment adjustments.
Additional links: Appendices
Author(s): Benjamin Silver, Anne Deutsch, Nicole Coomer, et al.
Date: 07/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Presents a prototype for a Unified Post-acute Care (PAC) prospective payment system (PPS) that would set payment for PAC services on the basis of the clinical characteristics of the patient rather than the type of provider. Details the structure of the prototype and the data used in the analyses to design and calibrate the PPS. Explores key considerations for unifying PAC payment, such as cost-sharing and value-based payment. Includes data on PAC provider characteristics, including facility size and rural status, as well as rural payment adjustments.
Additional links: Appendices
Author(s): Benjamin Silver, Anne Deutsch, Nicole Coomer, et al.
Date: 07/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Inequities in Physical Activity Environments and Leisure-Time Physical Activity in Rural Communities
Examines access to physical activity (PA) environments in 3 rural counties in Georgia. Analyzes 2019 survey data from 728 participants in relation to leisure-time PA, walking and biking for transport, and perceived PA environments with data broken down by race, household income, and neighborhood rurality.
Author(s): Michelle C. Kegler, Nicole Gauthreaux, April Hermstad, et al.
Citation: Preventing Chronic Disease, 19
Date: 07/2022
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Examines access to physical activity (PA) environments in 3 rural counties in Georgia. Analyzes 2019 survey data from 728 participants in relation to leisure-time PA, walking and biking for transport, and perceived PA environments with data broken down by race, household income, and neighborhood rurality.
Author(s): Michelle C. Kegler, Nicole Gauthreaux, April Hermstad, et al.
Citation: Preventing Chronic Disease, 19
Date: 07/2022
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Managing Innovation: A Qualitative Study on the Implementation of Telehealth Services in Rural Emergency Departments
Study examining adoption and utilization of telehealth through interviews with 18 key informants from 6 healthcare systems that provide telehealth support to 65 rural emergency departments through a hub-and-spoke model. Discusses stages of implementation and factors that facilitate or impede implementation.
Author(s): Mochamad Muska Nataliansyah, Kimberly A.S. Merchant, James A. Croker, et al.
Citation: BMC Health Services Research, 22, 852
Date: 07/2022
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Study examining adoption and utilization of telehealth through interviews with 18 key informants from 6 healthcare systems that provide telehealth support to 65 rural emergency departments through a hub-and-spoke model. Discusses stages of implementation and factors that facilitate or impede implementation.
Author(s): Mochamad Muska Nataliansyah, Kimberly A.S. Merchant, James A. Croker, et al.
Citation: BMC Health Services Research, 22, 852
Date: 07/2022
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Nursing Homes in Rural America: A Chartbook
Explores county-level nursing home availability and evaluates the supply of nursing home beds per 1,000 population aged 65 and older. Identifies nursing home availability for counties with and without hospitals with swing beds, and describes the resident and nursing home characteristics including occupancy levels, payer mix, demographics, and healthcare needs. Features statistics with breakdowns by noncore, micropolitan, and metropolitan counties.
Author(s): Hari Sharma, Lili Xu, Fred Ullrich, Clint MacKinney, Keith J. Mueller
Date: 07/2022
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Explores county-level nursing home availability and evaluates the supply of nursing home beds per 1,000 population aged 65 and older. Identifies nursing home availability for counties with and without hospitals with swing beds, and describes the resident and nursing home characteristics including occupancy levels, payer mix, demographics, and healthcare needs. Features statistics with breakdowns by noncore, micropolitan, and metropolitan counties.
Author(s): Hari Sharma, Lili Xu, Fred Ullrich, Clint MacKinney, Keith J. Mueller
Date: 07/2022
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Texas State Office of Rural Health: Supporting CAHs and RHCs to Create Tangible Change in Rural Texas Communities
Provides an overview of a conversation between Rural Healthcare Provider and Transition Project (RHPTP) and Texas State Office of Rural Health (SORH) staff about value-based care (VBC) to support rural hospitals and clinics. Highlights the process of Sudan Medical Clinic moving toward VBC and collaborating with the RHPTP, as well as the opportunities for communication between SORHs and rural healthcare facilities around the state.
Date: 07/2022
Sponsoring organization: National Rural Health Resource Center
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Provides an overview of a conversation between Rural Healthcare Provider and Transition Project (RHPTP) and Texas State Office of Rural Health (SORH) staff about value-based care (VBC) to support rural hospitals and clinics. Highlights the process of Sudan Medical Clinic moving toward VBC and collaborating with the RHPTP, as well as the opportunities for communication between SORHs and rural healthcare facilities around the state.
Date: 07/2022
Sponsoring organization: National Rural Health Resource Center
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Self-Employed Workers Are Less Likely To Have Health Insurance Than Those Employed by Private Firms, Governments
Examines nonmetropolitan health insurance coverage in 2018 among working age adults (26-64 years old) who are self-employed, otherwise employed, unemployed, and those not in the labor force. Includes a bar chart showing metro compared to nonmetro coverage by employment status for the following types of health insurance: none, employer-based, direct-purchase, and public.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Citation: Amber Waves
Date: 07/2022
Sponsoring organization: USDA Economic Research Service
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Examines nonmetropolitan health insurance coverage in 2018 among working age adults (26-64 years old) who are self-employed, otherwise employed, unemployed, and those not in the labor force. Includes a bar chart showing metro compared to nonmetro coverage by employment status for the following types of health insurance: none, employer-based, direct-purchase, and public.
Author(s): Elizabeth A. Dobis, Jessica E. Todd
Citation: Amber Waves
Date: 07/2022
Sponsoring organization: USDA Economic Research Service
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Risk of Closure Among Independent and Multihospital-Affiliated Rural Hospitals
Study examining the risk of rural hospital closure for independent hospitals and hospitals affiliated with other facilities or a health system. Analyzes 2007-2019 data from the American Hospital Association, Irving Levin Associates, and the University of North Carolina Sheps Center representing a national cohort of rural hospitals. Notes financial stability for affiliated and independent hospitals as well as policy interventions to support hospitals at risk of closure.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel Mosher Henke
Citation: JAMA Health Forum, 3(7), e221835
Date: 07/2022
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Study examining the risk of rural hospital closure for independent hospitals and hospitals affiliated with other facilities or a health system. Analyzes 2007-2019 data from the American Hospital Association, Irving Levin Associates, and the University of North Carolina Sheps Center representing a national cohort of rural hospitals. Notes financial stability for affiliated and independent hospitals as well as policy interventions to support hospitals at risk of closure.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel Mosher Henke
Citation: JAMA Health Forum, 3(7), e221835
Date: 07/2022
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Co-located Critical Access & Behavioral Health Hospital: Charles A. Cannon Jr. Memorial Hospital and Appalachian Regional Behavioral Hospital
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Sponsoring organization: American Hospital Association
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Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Sponsoring organization: American Hospital Association
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