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Rural Health
Resources by Type: Document

Best Practices from 14 CAH Executives Operating in Challenging Environments
Summarizes findings from interviews with Critical Access Hospital (CAH) chief executive officers about daily operations, forecasting, and community health outcomes. Identifies best practices of leaders of CAHs with low financial risk despite operating in challenging environments.
Author(s): Shartia R. Thomas, Kristin Reiter, George H. Pink
Date: 04/2020
Sponsoring organization: Flex Monitoring Team
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Rates of Living Alone by Rurality and Age
Identifies the percentage rates of adults living alone and within specific age groups using two classifications of rurality: the U.S. Census Bureau definition for rural and urban, and the Office of Management and Budget (OMB) definition for metropolitan/non-metropolitan county.
Author(s): Carrie Henning-Smith, Jonathan Schroeder, Mariana S Tuttle
Date: 04/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Four Stages of Planning and Implementation During COVID-19: One Rural Hospital's Preparations
Highlights a rural California hospital's four stage plan in preparing for a potential patient surge related to the COVID-19 pandemic and addresses actions achieved to ensure quality in the current care and treatment of patients. Discusses the steps taken to provide care through community outreach and to maintain financial support.
Date: 04/2020
Sponsoring organization: American Hospital Association
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Confronting Rural America's Health Care Crisis
Offers policy recommendations to stabilize the rural healthcare infrastructure and ensuring local access to care. Discusses strategies to provide financial relief to rural providers, preserve obstetric services, expand telehealth services, and address workforce shortages. Includes brief references to policy actions taken in response to the COVID-19 pandemic.
Additional links: Rural Hospital Transformation Models, Summary, The Case for Expanding Telehealth Services, July 2020
Date: 04/2020
Sponsoring organization: Bipartisan Policy Center Rural Health Task Force
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Tackling the Trifecta: State Approaches to Addressing Co-Occurring Substance Use Disorders, HIV, and Hepatitis C
Highlights the approaches to addressing co-occurring substance use disorder, HIV, and HCV in New York, West Virginia, and Louisiana. Breaks down data in each state by gender and details considerations for rural areas.
Author(s): Eliza Mette, Jodi Manz, Kristina Long
Date: 04/2020
Sponsoring organization: National Academy for State Health Policy
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Health Care Provisions in the Families First Coronavirus Response Act, P.L. 116-127
Provides an overview of the healthcare-related provisions of the Families First Coronavirus Response Act, passed in response to the COVID-19 pandemic. Focuses on coverage of COVID-19 testing and related items for individuals covered by Medicare, Medicare Advantage, Medicaid, CHIP, TRICARE, Veterans healthcare, the IHS, and most private plans. Includes a discussion of changes to Medicare coverage of telehealth services.
Date: 04/2020
Sponsoring organization: Congressional Research Service
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Community Health Centers in a Time of Change: Results from an Annual Survey
Summarizes results from the Kaiser Family Foundation/Geiger Gibson 2019 Community Health Center Survey. Explores trends in patient health coverage, healthcare affordability, and health center revenue; social determinants of health; potential implications of Medicaid work requirements; participation in the Title X program; and other challenges facing health centers. Includes rural references throughout. Presents survey response data by urban and rural status in Appendix A.
Author(s): Jessica Sharac, Anne Markus, Jennifer Tolbert, Sara Rosenbaum
Date: 04/2020
Sponsoring organization: KFF
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Human Papillomavirus Vaccination Estimates Among Adolescents in the Mississippi Delta Region: National Immunization Survey‑Teen, 2015–2017
Examines HPV vaccination data for adolescents aged 13 to 17 years from the National Immunization Survey-Teen, 2015-2017. Compares HPV vaccination coverage estimates in rural and urban areas of the Delta Regional Authority (DRA) region with estimates in areas of the Delta states outside the DRA region and non-Delta states. Discusses reasons why parents do not intend to vaccinate adolescents.
Author(s): David Yankey, Laurie D. Elam-Evans, Connie L. Bish, Shannon K. Stokley
Citation: Preventing Chronic Disease, 17
Date: 04/2020
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Rural Hospital Participation in Medicare Accountable Care Organizations
Report explores the rates of rural hospital participation in Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs). Details some of the factors that correspond to participation and compares rates by region and by rural status.
Date: 04/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Impact of CAH Participation in Flex Financial and Operations Improvement Activities on Hospital Financial Indicators
Explores the association between Critical Access Hospitals' (CAH) participation in financial and operational improvement activities between 2015 and 2018 with improved financial indicators. Compares CAH financial indicators and other variables including Rural Health Clinic operation, ownership type, and census region, by the number of years of participation in CAH improvement activities.
Author(s): Kathleen Knocke, Kristin Reiter, George H. Pink
Date: 04/2020
Sponsoring organization: Flex Monitoring Team
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