Rural Health
Resources by Type: Document
Telehealth Practice Among Health Centers During the COVID-19 Pandemic — United States, July 11–17, 2020
Reports health center telehealth services based on a July 11–17, 2020 survey of Health Resources and Services Administration–funded health centers. Includes data for urban and rural locations. Discusses barriers that rural health centers face in expanding telehealth, including broadband access, lack of partners, and logistics.
Author(s): Hanna B. Demeke, Leah Zilversmit Pao, Hollie Clark, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(50), 1902-1905
Date: 12/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Reports health center telehealth services based on a July 11–17, 2020 survey of Health Resources and Services Administration–funded health centers. Includes data for urban and rural locations. Discusses barriers that rural health centers face in expanding telehealth, including broadband access, lack of partners, and logistics.
Author(s): Hanna B. Demeke, Leah Zilversmit Pao, Hollie Clark, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(50), 1902-1905
Date: 12/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Examining Rural Hospital Bypass for Inpatient Services
Explores the drivers of rural hospital bypass for inpatient services. Examines demographic characteristics, why patients bypassed their nearest rural hospital, how the local supply of healthcare services affects rural hospital bypass, and if health insurance networks or cost affect the decision to bypass rural hospitals.
Date: 12/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Explores the drivers of rural hospital bypass for inpatient services. Examines demographic characteristics, why patients bypassed their nearest rural hospital, how the local supply of healthcare services affects rural hospital bypass, and if health insurance networks or cost affect the decision to bypass rural hospitals.
Date: 12/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Opioids in Medicaid: Concerns About Opioid Use Among Beneficiaries in Six Appalachian States in 2018
Examines the rates of opioid use of Medicaid beneficiaries in 6 Appalachian states in 2018. Discusses the amount of the prescriptions issued, the amounts of opioids received, and the amount of providers with questionable prescribing practices, among other opioid-related measures.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Examines the rates of opioid use of Medicaid beneficiaries in 6 Appalachian states in 2018. Discusses the amount of the prescriptions issued, the amounts of opioids received, and the amount of providers with questionable prescribing practices, among other opioid-related measures.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Modernizing Demand-Responsive Transportation for the Age of New Mobility
Provides an overview of demand-responsive transportation (DRT) and its role in supporting people with disabilities, older adults, people with lower incomes, and rural residents. Explores how a new data specification, the transactional data specification (TDS), can be used to modernize DRT services. Presents case studies of systems adopting TDS, including ITNAmerica, a national transportation network serving older adults in rural communities, and a pilot program in rural Oregon. Offers recommendations to policymakers and stakeholders to promote wide-scale adoption of TDS by DRT providers.
Author(s): Jana Lynott
Date: 12/2020
Sponsoring organization: AARP Public Policy Institute
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Provides an overview of demand-responsive transportation (DRT) and its role in supporting people with disabilities, older adults, people with lower incomes, and rural residents. Explores how a new data specification, the transactional data specification (TDS), can be used to modernize DRT services. Presents case studies of systems adopting TDS, including ITNAmerica, a national transportation network serving older adults in rural communities, and a pilot program in rural Oregon. Offers recommendations to policymakers and stakeholders to promote wide-scale adoption of TDS by DRT providers.
Author(s): Jana Lynott
Date: 12/2020
Sponsoring organization: AARP Public Policy Institute
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How Might Internet Connectivity Affect Health Care Access?
Describes how a lack of internet access may negatively impact access to healthcare. Features data and statistics on internet access, with information broken down by race/ethnicity, age, poverty level, insurance status and type, and metropolitan/nonmetropolitan location. Discusses COVID-19 and how social distancing measures have led to increased implementation of telehealth, resulting in additional challenges accessing healthcare among people with little to no internet connectivity.
Author(s): Krutika Amin, Matthew Rae, Giorlando Ramirez, Cynthia Cox
Date: 12/2020
Sponsoring organization: KFF
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Describes how a lack of internet access may negatively impact access to healthcare. Features data and statistics on internet access, with information broken down by race/ethnicity, age, poverty level, insurance status and type, and metropolitan/nonmetropolitan location. Discusses COVID-19 and how social distancing measures have led to increased implementation of telehealth, resulting in additional challenges accessing healthcare among people with little to no internet connectivity.
Author(s): Krutika Amin, Matthew Rae, Giorlando Ramirez, Cynthia Cox
Date: 12/2020
Sponsoring organization: KFF
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Few Patients Received High Amounts of Opioids from IHS-Run Pharmacies
Presents an evaluation of the opioid prescribing practices of the Indian Health Service (IHS). Bases analysis on IHS opioid prescribing data, discusses the role of electronic health records (EHRs) in monitoring opioid prescriptions, and makes recommendations to improve monitoring.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Presents an evaluation of the opioid prescribing practices of the Indian Health Service (IHS). Bases analysis on IHS opioid prescribing data, discusses the role of electronic health records (EHRs) in monitoring opioid prescriptions, and makes recommendations to improve monitoring.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Incidence of Adverse Events in Indian Health Service Hospitals
Explores the occurrence of harm events in Indian Health Service (IHS) hospitals. Discusses the rates of adverse harm events, or those leading to prolonged or permanent patient harm, and temporary harm events. Breaks down data by hospital size and patient age and reason for admission. Makes recommendations regarding quality control and oversight.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Explores the occurrence of harm events in Indian Health Service (IHS) hospitals. Discusses the rates of adverse harm events, or those leading to prolonged or permanent patient harm, and temporary harm events. Breaks down data by hospital size and patient age and reason for admission. Makes recommendations regarding quality control and oversight.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Instances of IHS Labor and Delivery Care Not Following National Clinical Guidelines or Best Practices
Evaluates the labor and delivery practices of Indian Health Service (IHS) hospitals and highlights instances when they deviate from national clinical guidelines. Discusses the negative patient outcomes from deviating from national guidelines and makes recommendations regarding site visits and training.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Evaluates the labor and delivery practices of Indian Health Service (IHS) hospitals and highlights instances when they deviate from national clinical guidelines. Discusses the negative patient outcomes from deviating from national guidelines and makes recommendations regarding site visits and training.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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An Evidence-Based Walking Program in Oregon Communities: Step It Up! Survivors
Describes the implementation and effectiveness of Step It Up! Survivors (SIUS), an evidence-based program designed to help promote social connections and increase physical activity among cancer survivors and their family and friends. Discusses the acceptability, feasibility, cost, sustainability, and other factors associated with implementing SIUS in Oregon, including responses from 6 rural organizations.
Author(s): Cynthia K. Perry, Laura P. Campbell, Jessica Currier, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
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Describes the implementation and effectiveness of Step It Up! Survivors (SIUS), an evidence-based program designed to help promote social connections and increase physical activity among cancer survivors and their family and friends. Discusses the acceptability, feasibility, cost, sustainability, and other factors associated with implementing SIUS in Oregon, including responses from 6 rural organizations.
Author(s): Cynthia K. Perry, Laura P. Campbell, Jessica Currier, et al.
Citation: Preventing Chronic Disease, 17
Date: 12/2020
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Emergency Department Visits Involving Influenza and Influenza-Like Illnesses, 2016–2018
Presents statistics on influenza-like illness (ILI)-related emergency department (ED) visits in 34 states and the District of Columbia from 2016 through 2018. Includes data by location of patient's residence for metropolitan, rural metropolitan-adjacent, and rural remote areas, as well as a state-by-state map indicating the patient residence location where the rate of ED visits was highest.
Author(s): Lawrence D. Reid, Kathryn R. Fingar
Date: 12/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents statistics on influenza-like illness (ILI)-related emergency department (ED) visits in 34 states and the District of Columbia from 2016 through 2018. Includes data by location of patient's residence for metropolitan, rural metropolitan-adjacent, and rural remote areas, as well as a state-by-state map indicating the patient residence location where the rate of ED visits was highest.
Author(s): Lawrence D. Reid, Kathryn R. Fingar
Date: 12/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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