Rural Health
Resources by Type: Document
Updating the Costs of Compliance for California's Hospital Seismic Safety Standards
Updates progress made on California's implementation of a bill intended to improve hospital building standards to prepare for earthquakes. Analyzes the legislation's affordability for hospitals, particularly Critical Access Hospitals; future costs of compliance; factors influencing prioritization of compliance strategies; and policy alternatives.
Author(s): Benjamin L. Preston, Tom LaTourrette, James R. Broyles, et al.
Date: 2019
Sponsoring organizations: California Hospital Association, RAND Corporation
view details
Updates progress made on California's implementation of a bill intended to improve hospital building standards to prepare for earthquakes. Analyzes the legislation's affordability for hospitals, particularly Critical Access Hospitals; future costs of compliance; factors influencing prioritization of compliance strategies; and policy alternatives.
Author(s): Benjamin L. Preston, Tom LaTourrette, James R. Broyles, et al.
Date: 2019
Sponsoring organizations: California Hospital Association, RAND Corporation
view details
State Innovation Models (SIM) Round 2: Model Test Annual Report Three
Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Third annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Addresses the adoption of delivery models and payment reforms related to value-based payment (VBP) and alternative payment models (APMs). Offers an update and lessons learned on strategies to support healthcare delivery transformation related to behavioral health integration, data for improving health care quality and performance, health information technology, care coordination, and workforce development. Describes states' population health activities. Includes discussion of rural issues throughout the report.
Additional links: Findings at a Glance
Date: 2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
The Ecology of Neonatal Abstinence Syndrome
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
view details
Summarizes results from an 8-state study of neonatal abstinence syndrome (NAS), a drug withdrawal condition that may occur in newborns exposed to opioids during pregnancy. Discusses correlations to rurality, unemployment rates, poverty, and the supply of healthcare providers, and identifies potential policy interventions that could help. For interactive, county-level data, see the Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool based on study findings.
Additional links: Simulation of County Neonatal Abstinence Syndrome (NAS) Rates Tool
Date: 2019
Sponsoring organization: RAND Corporation
view details
Hearing Norton Sound: A Community Randomised Trial Protocol to Address Childhood Hearing Loss in Rural Alaska
Profiles a study evaluating a school hearing screening and referral process to determine if it helped to improve the treatment of childhood hearing loss in rural Alaska.
Author(s): Susan D. Emmett, Samantha Kleindienst Robler, Nae-Yuh Wang, et al.
Citation: BMJ Open, 9(1), e023078
Date: 2019
view details
Profiles a study evaluating a school hearing screening and referral process to determine if it helped to improve the treatment of childhood hearing loss in rural Alaska.
Author(s): Susan D. Emmett, Samantha Kleindienst Robler, Nae-Yuh Wang, et al.
Citation: BMJ Open, 9(1), e023078
Date: 2019
view details
Experiences of Medicaid Programs and Health Centers in Implementing Telehealth
Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
view details
Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Author(s): Lori Uscher-Pines, Kathryn Bouskill, Jessica Sousa, Mimi Shen, Shira H. Fischer
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
view details
Achieving Behavioral Health Equity for Children, Families, and Communities: Proceedings of a Workshop
Summarizes findings from a November 2017 workshop focused on exploring health equity in children and families. Chapter 4 includes discussion on healthcare quality and access for behavioral health services in rural communities. Offers suggestions for initiatives, policies, and programs to support behavioral health promotion, access behavioral health services, and improve the social determinants of health.
Additional links: Read Online
Author(s): Sarah Tracey, Erin Kellogg, Clarissa Sanchez, Wendy Keenan
Date: 2019
Sponsoring organizations: Board on Children, Youth, and Families, Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
view details
Summarizes findings from a November 2017 workshop focused on exploring health equity in children and families. Chapter 4 includes discussion on healthcare quality and access for behavioral health services in rural communities. Offers suggestions for initiatives, policies, and programs to support behavioral health promotion, access behavioral health services, and improve the social determinants of health.
Additional links: Read Online
Author(s): Sarah Tracey, Erin Kellogg, Clarissa Sanchez, Wendy Keenan
Date: 2019
Sponsoring organizations: Board on Children, Youth, and Families, Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
view details
Perspectives of Physicians in Small Rural Practices on the Medicare Quality Payment Program
Provides feedback from small, rural practices on the implementation of Medicare's Quality Payment Program (QPP), which includes the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Identifies challenges rural physicians face and offers recommendations to help more small practices participate in the program.
Author(s): Peter Mendel, Christine Buttorff, Peggy G. Chen, et al.
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
view details
Provides feedback from small, rural practices on the implementation of Medicare's Quality Payment Program (QPP), which includes the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Identifies challenges rural physicians face and offers recommendations to help more small practices participate in the program.
Author(s): Peter Mendel, Christine Buttorff, Peggy G. Chen, et al.
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
view details
Rural Depopulation in a Rapidly Urbanizing America
Examines demographic trends in rural America. Compares rural counties based on peak population over time, with "depopulation" counties having reached peak population by 1950 and lost at least 25% of that peak population by 2010, "gain" counties having a larger population in 2010 than at any point in the past, and "other loss" counties with mixed histories of population gain and loss. Identifies policy options for addressing rural depopulation.
Author(s): Kenneth M. Johnson, Daniel T. Lichter
Date: 2019
Sponsoring organization: Carsey School of Public Policy
view details
Examines demographic trends in rural America. Compares rural counties based on peak population over time, with "depopulation" counties having reached peak population by 1950 and lost at least 25% of that peak population by 2010, "gain" counties having a larger population in 2010 than at any point in the past, and "other loss" counties with mixed histories of population gain and loss. Identifies policy options for addressing rural depopulation.
Author(s): Kenneth M. Johnson, Daniel T. Lichter
Date: 2019
Sponsoring organization: Carsey School of Public Policy
view details
Proposed Rural-Specific Objectives for Healthy People 2030
Supports adding a category for rural health to Healthy People 2030 along with specific objectives related to mortality, obesity, healthcare access, and more. Identifies rural/urban disparities for each objective, rationales for including them, possible measures for them, and data sources.
Date: 2019
Sponsoring organization: National Organization of State Offices of Rural Health
view details
Supports adding a category for rural health to Healthy People 2030 along with specific objectives related to mortality, obesity, healthcare access, and more. Identifies rural/urban disparities for each objective, rationales for including them, possible measures for them, and data sources.
Date: 2019
Sponsoring organization: National Organization of State Offices of Rural Health
view details
Examining the Availability of SAFE Kits at Hospitals in the United States
Congressional hearing analyzing the availability of sexual assault forensic examiners. Discusses the impact of training, service volume, and workforce retention on access. Notes rural-specific rates of sexual assault and challenges with access to care. Includes testimony from the U.S. Government Accountability Office, International Association of Forensic Nurses, and Futures Without Violence.
Additional links: A. Nicole Clowers Testimony, Kiersten Stewart Testimony, Sara Jennings Testimony
Date: 12/2018
Sponsoring organizations: House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations
view details
Congressional hearing analyzing the availability of sexual assault forensic examiners. Discusses the impact of training, service volume, and workforce retention on access. Notes rural-specific rates of sexual assault and challenges with access to care. Includes testimony from the U.S. Government Accountability Office, International Association of Forensic Nurses, and Futures Without Violence.
Additional links: A. Nicole Clowers Testimony, Kiersten Stewart Testimony, Sara Jennings Testimony
Date: 12/2018
Sponsoring organizations: House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations
view details