Rural Health
Resources by Type: Document
Accountable Health Communities (AHC) Model Evaluation: Third Evaluation Report
Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores which bridge organization and community characteristics were associated with better implementation outcomes, and the beneficiary-level characteristics were associated with a greater probability of accepting navigation, having at least one HRSN resolved, or having all HRSNs resolved. Examines the extent to which bridge organizations met model requirements. Includes information on the availability and quality of community resources to address HRSNs in rural communities.
Additional links: Appendices, Findings at a Glance
Date: 11/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Provides an overview of the Accountable Health Communities (ACH) Model, which tests whether identifying and addressing core health-related social needs (HRSNs) of community-dwelling beneficiaries improves health outcomes, reduces healthcare costs, and reduces unnecessary healthcare utilization. Explores which bridge organization and community characteristics were associated with better implementation outcomes, and the beneficiary-level characteristics were associated with a greater probability of accepting navigation, having at least one HRSN resolved, or having all HRSNs resolved. Examines the extent to which bridge organizations met model requirements. Includes information on the availability and quality of community resources to address HRSNs in rural communities.
Additional links: Appendices, Findings at a Glance
Date: 11/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Re-Imagining Rural Health: Themes, Concepts, and Next Steps from the CMS Innovation Center "Hackathon" Series
Summarizes themes that emerged from Centers for Medicare & Medicaid Services (CMS) Innovation Center's August 2024 Rural Health Hackathons, which aimed to inform potential payment and service delivery model development and to identify innovative solutions to address the access, care delivery, and workforce needs of rural, Tribal, frontier, and geographically isolated areas communities. Describes lessons learned from previous Innovation Center models focused on rural health and how these lessons were applied during the development of new models. Outlines potential areas for the Innovation Center to explore to advance health in rural, Tribal, frontier, and geographically isolated areas.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Summarizes themes that emerged from Centers for Medicare & Medicaid Services (CMS) Innovation Center's August 2024 Rural Health Hackathons, which aimed to inform potential payment and service delivery model development and to identify innovative solutions to address the access, care delivery, and workforce needs of rural, Tribal, frontier, and geographically isolated areas communities. Describes lessons learned from previous Innovation Center models focused on rural health and how these lessons were applied during the development of new models. Outlines potential areas for the Innovation Center to explore to advance health in rural, Tribal, frontier, and geographically isolated areas.
Date: 11/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
The Declining Capacity of Nursing Facility Care in Rural Minnesota
Discusses the increasing demand for professional long-term care in Minnesota alongside the decreasing capacity of nursing facility availability. Provides information and statistics on projected demand through 2045, number of available nursing facilities and beds, changes in demand trends, workforce needs, and more, with breakdowns according to county and urbanicity.
Additional links: Summary
Author(s): Kelly Asche
Date: 11/2024
Sponsoring organization: Center for Rural Policy and Development
view details
Discusses the increasing demand for professional long-term care in Minnesota alongside the decreasing capacity of nursing facility availability. Provides information and statistics on projected demand through 2045, number of available nursing facilities and beds, changes in demand trends, workforce needs, and more, with breakdowns according to county and urbanicity.
Additional links: Summary
Author(s): Kelly Asche
Date: 11/2024
Sponsoring organization: Center for Rural Policy and Development
view details
A Cross-Sectional Study of Stigma Towards Opioid Users among Rural Law Enforcement and Community Members in Tennessee
Examines stigma toward people who use opioids among 48 law enforcement officers (LEOs) and 393 community members in rural Tennessee. Compares perceptions of opioid use and opioid user demographics among LEOs and community members, including data on attitudes related to dangerousness, blame, social distance, and fatalism. Discusses the effects of stigma on access to harm reduction and treatment for opioid use disorder.
Author(s): Kahler W. Stone, Gabrielle M. Chesak, Angela S. Bowman, Michael Ayalon, Cynthia Chafin
Citation: Harm Reduction Journal, 21, 195
Date: 11/2024
view details
Examines stigma toward people who use opioids among 48 law enforcement officers (LEOs) and 393 community members in rural Tennessee. Compares perceptions of opioid use and opioid user demographics among LEOs and community members, including data on attitudes related to dangerousness, blame, social distance, and fatalism. Discusses the effects of stigma on access to harm reduction and treatment for opioid use disorder.
Author(s): Kahler W. Stone, Gabrielle M. Chesak, Angela S. Bowman, Michael Ayalon, Cynthia Chafin
Citation: Harm Reduction Journal, 21, 195
Date: 11/2024
view details
Rural Value-Based Care – The Payer Perspective
Summarizes discussions on rural value-based care (VBC) contracting during a July 2024 summit of leaders from national and regional healthcare payer organizations. Describes challenges facing payer organizations that serve rural beneficiaries, including engaging rural healthcare organizations in VBC; solutions to rural-specific challenges; and recommendations for rural healthcare organizations.
Date: 11/2024
Sponsoring organization: Rural Health Value
view details
Summarizes discussions on rural value-based care (VBC) contracting during a July 2024 summit of leaders from national and regional healthcare payer organizations. Describes challenges facing payer organizations that serve rural beneficiaries, including engaging rural healthcare organizations in VBC; solutions to rural-specific challenges; and recommendations for rural healthcare organizations.
Date: 11/2024
Sponsoring organization: Rural Health Value
view details
The Realities of Behavioral Health in Rural Communities
An infographic that provides information and data on behavioral health issues in rural communities, including mental health practitioner shortages, substance use, supportive strategies for hospitals and health systems, and more.
Date: 11/2024
Sponsoring organization: American Hospital Association
view details
An infographic that provides information and data on behavioral health issues in rural communities, including mental health practitioner shortages, substance use, supportive strategies for hospitals and health systems, and more.
Date: 11/2024
Sponsoring organization: American Hospital Association
view details
Improving Screening, Brief Intervention and Referral to Treatment for Unhealthy Alcohol Use in Diverse, Low-Resourced Primary Care Clinics
Examines primary care clinics participating in a practice-facilitator led implementation study aimed at improving screening brief intervention and referral to treatment (SBIRT) as well as medication-assisted treatment for alcohol use disorder (MAUD). Analyzes 66 clinics located in the northwestern U.S. from 2019-2022 and the supportive activities they used to improve SBIRT and MAUD. Includes commentary on rural and low-resourced primary care clinics.
Author(s): Melinda M. Davis, Jennifer Coury, Victoria Sanchez, et al.
Citation: BMC Health Services Research, 24, 1384
Date: 11/2024
view details
Examines primary care clinics participating in a practice-facilitator led implementation study aimed at improving screening brief intervention and referral to treatment (SBIRT) as well as medication-assisted treatment for alcohol use disorder (MAUD). Analyzes 66 clinics located in the northwestern U.S. from 2019-2022 and the supportive activities they used to improve SBIRT and MAUD. Includes commentary on rural and low-resourced primary care clinics.
Author(s): Melinda M. Davis, Jennifer Coury, Victoria Sanchez, et al.
Citation: BMC Health Services Research, 24, 1384
Date: 11/2024
view details
"American Indian 101": Understanding the History And Contemporary Experiences of Native People in a United States Health Policy Context
Provides information about the history of American Indian/Alaska Natives (AI/ANs) in the U.S. healthcare system, AI/AN data collection, and healthcare delivery in the Indian Health Service (IHS). Provides data on insured versus uninsured AI/ANs, insurance type, insurance via Medicaid expansion, and more.
Author(s): Quin Mudry Nelson
Date: 11/2024
Sponsoring organization: State Health Access Data Assistance Center
view details
Provides information about the history of American Indian/Alaska Natives (AI/ANs) in the U.S. healthcare system, AI/AN data collection, and healthcare delivery in the Indian Health Service (IHS). Provides data on insured versus uninsured AI/ANs, insurance type, insurance via Medicaid expansion, and more.
Author(s): Quin Mudry Nelson
Date: 11/2024
Sponsoring organization: State Health Access Data Assistance Center
view details
Serologic Evidence of Recent Infection with Highly Pathogenic Avian Influenza A(H5) Virus Among Dairy Workers — Michigan and Colorado, June–August 2024
Reports on recent highly pathogenic avian influenza (HPAI) A(H5) infection among dairy workers in Michigan and Colorado. Includes information on illness symptoms among those who had been infected, as well as job tasks with ill cows, personal protective equipment (PPE) use, and other animal exposures.
Author(s): Alexandra M. Mellis, Joseph Coyle, Kristen E. Marshall, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(44), 1004-1009
Date: 11/2024
Sponsoring organization: Centers for Disease Control and Prevention
view details
Reports on recent highly pathogenic avian influenza (HPAI) A(H5) infection among dairy workers in Michigan and Colorado. Includes information on illness symptoms among those who had been infected, as well as job tasks with ill cows, personal protective equipment (PPE) use, and other animal exposures.
Author(s): Alexandra M. Mellis, Joseph Coyle, Kristen E. Marshall, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(44), 1004-1009
Date: 11/2024
Sponsoring organization: Centers for Disease Control and Prevention
view details
Personal Protective Equipment Use by Dairy Farmworkers Exposed to Cows Infected with Highly Pathogenic Avian Influenza A(H5N1) Viruses — Colorado, 2024
Reports on Colorado dairy farmworkers' use of different types of personal protective equipment (PPE) and use of PPE for different job duties. Provides data on PPE use for those working with non-ill cows compared to those working with influenza A(H5N1)-infected cows in the week prior to and week after the infection was identified.
Author(s): Kristen E. Marshall, Cara C. Drehoff, Nisha Alden, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(44), 999-1003
Date: 11/2024
Sponsoring organization: Centers for Disease Control and Prevention
view details
Reports on Colorado dairy farmworkers' use of different types of personal protective equipment (PPE) and use of PPE for different job duties. Provides data on PPE use for those working with non-ill cows compared to those working with influenza A(H5N1)-infected cows in the week prior to and week after the infection was identified.
Author(s): Kristen E. Marshall, Cara C. Drehoff, Nisha Alden, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(44), 999-1003
Date: 11/2024
Sponsoring organization: Centers for Disease Control and Prevention
view details