Author Archives: Kay Miller Temple

About Kay Miller Temple

With a perspective gained from many years as a physician practicing in rural and urban locations, Dr. Kay Miller Temple writes on a variety of rural health topics and programs for RHIhub's Rural Monitor and Models and Innovations. She has a master's degree in Journalism and Mass Communication. Full Biography

Perspectives on the Long of COVID: From Doomscrolling to Rural Management Strategies

set of dominoes labeled with Long COVID


In the wake of acute COVID-19 comes another public health concern: Millions of rural Americans are experiencing Long COVID. With a federal agency representative weighing in on rural research efforts, a Tennessee rural health researcher shares his Long COVID story alongside a New York rural healthcare system who shares their story about the condition’s management options.

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March 8, 2023

Rural Health Clinic Program at 45 Years: Created for Access and Still Delivering Care

front entrance of a Rural Health Clinic


After a 1965 public law created the Medicare and Medicaid programs, many rural residents insured by these government health programs were unable to access care. This challenge was remedied by another public law: the Rural Health Clinic Services Act of 1977. Using a historical framework, rural health policy experts, researchers, and clinicians reviewed the Act’s impact on outpatient healthcare delivery in rural America.

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October 26, 2022

A Career of Influencing Rural Healthcare Delivery: Bill Finerfrock and the NARHC Origin Story

Bill Finerfrock.


Over 5,200 rural organizations participate in the Rural Health Clinics program, a reimbursement model dedicated to rural low-volume healthcare delivery and now in its 45th year. The National Association of Rural Health Clinics — in its 30th year — is a membership organization that emerged as the program increased its participants. Bill Finerfrock, association cofounder and its recently retired executive director, shared the group’s origin story as well as touchpoints from his own career.

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October 26, 2022

Philanthropy, Cross-Collaboration, and the Ecosystem That Is Rural Healthcare Delivery: Q&A with Dr. Shao-Chee Sim

Shao-Chee Sim


As vice president for research, innovation, and evaluation at Texas-based Episcopal Health Foundation, Shao-Chee Sim, PhD, discusses how philanthropic organizations can make small rural research investments — and, in particular, leverage cross-funder collaboration — that impact not only funders themselves, but also healthcare delivery systems and the rural Americans they serve.

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September 21, 2022

Training Rural to Serve Rural: Baccalaureate-MD Programs and Their Rural Results

Marshall University’s BS/MD program’s first medical school graduates, 2022.


Rural healthcare delivery experts continue to emphasize the critical need for rural workforce. Using uniquely designed combined baccalaureate/medical degree programs, two university-based medical education teams shared not only the successes in training and placing physicians in rural areas — but the unique impact their service-oriented students and programs have on their academic environment.

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August 3, 2022

Staving Off One’s Mortality: Rural Kidney Health and Its Disparities

patient at dialysis center


For the 240,000 rural Americans with complete kidney failure, it’s likely that very few knew they even had kidney disease. According to the Centers for Disease Control and Prevention, kidney disease is usually silent; 90% of people with kidney disease don’t know they have it. With research pointing to the high costs of kidney disease for pediatric and adult patients alike — mostly covered by Medicare — experts and researchers discuss rural disparities around access to disease-stabilizing treatment and to renal replacement therapies.

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June 15, 2022

The Codes of Care: How Words and Numbers Have Transformative Power for Rural Healthcare

graphic depicting aspects of healthcare related to ICD-10 medical codes


The greatest opportunity to tell the rural healthcare delivery story is an opportunity often missed — and that opportunity involves translating clinical documentation into medical codes. In addition to describing how the story and quality of clinical care gets translated from words into alphanumeric numbers, medical coding experts also pointed to aligned efforts to familiarize those in graduate medical education settings with the impact of their clinical documentation.

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April 13, 2022

From Idea to Reality: Federal Funding Supports Quapaw Nation’s Community Paramedicine Program

Quapaw Nation community paramedicine unit


By leveraging federal COVID-related funding, the Quapaw Nation now serves its local residents with a new community paramedicine program. Current program data indicates that it’s bringing significant cost savings, along with valuable information for future local healthcare delivery decision-making. Most importantly, the program is also proving to be widely acceptable to community members.

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February 16, 2022