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

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

A New Era of Health Literacy? Expanded Definitions, Digital Influences, and Rural Inequities

person using a phone to access information


The priority for rural population health is access, including access to health information needed to make personal health decisions. Two of the nation’s health literacy experts join a federal agency official to review current rural challenges of accessing health information that is clear and usable. Along with an exploration of digital health literacy, recently expanded definitions of health literacy are discussed.

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February 2, 2022

Understanding the “Tool-ish-ness” of Telehealth: Q&A with Dr. Jonathan Neufeld

Dr. Jonathan Neufeld


Clinical psychologist and program director for the Great Plains Telehealth Resource & Assistance Center, Dr. Jonathan Neufeld, clarifies telehealth as an “enabler” of healthcare delivery. Emphasizing that telehealth is only a set of telecommunication tools, he details how the unique use and flexibility of these tools by skilled providers can bring quality care and impact rural health equity.

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December 8, 2021

Out of the Shadows: Reducing the Rural Impact of Epilepsy

Brain and encephalography in epilepsy patient during seizure attack


A common health condition, epilepsy impacts rural populations in many ways, including the ability to drive. Medical and public health experts join an advocacy organization to review the condition’s impact and outline rural management approaches — including seizure first aid.

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October 20, 2021

Keeping the Doors Open: Vulnerable Rural Hospitals Benefit from Federally Funded Technical Assistance


It’s a crisis: rural hospital closures. Helping at-risk hospitals thrive in order to continue to serve their communities, Texas A&M’s Center for Optimizing Rural Health (CORH) offers technical assistance through a federally funded program for vulnerable hospitals. The CORH team and an Oklahoma program participant share specifics on just how the program’s assistance can help keep doors open.

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September 1, 2021

Understanding the Rural Swing Bed: More than Just a Reimbursement Policy

patient getting blood pressure checked


“Swing bed” is that oft-heard phrase describing not a physical hospital bed, but post-acute care for the rural patient who is well enough to leave the acute care hospital but not well enough to be safe at home. In this 2-part story, experts and hospital administrators review the swing bed program’s historical implementation and provide stories and examples of the value this over 40-year-old healthcare delivery and reimbursement model brings to patients, to the hospitals providing their care, and ultimately to rural communities.

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August 11, 2021

History of the Swing Bed: A Look Through the Rural Rearview Mirror


The healthcare delivery model known as the swing bed program has allowed rural and Critical Access Hospitals to serve patients by keeping them in their rural communities for post-acute care. Reviewing the history of this program, experts describe early implementation and key program elements that have sustained its success for over 40 years.

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August 11, 2021

Pulmonary Rehabilitation: Benefiting Rural Individuals, Benefiting Rural Population Health

McKenzie Health System pulmonary rehabilitation staff.


On the list of leading causes of death, chronic obstructive pulmonary disease, or COPD, impacts millions of rural Americans and their quality of life. Though limited treatments are available for COPD, research indicates that pulmonary rehabilitation (PR) provides major benefits, yet is currently under-prescribed and facing challenges from COVID-19 and from reimbursement policies. Researchers discuss the potential that tele-PR might bring to rural areas, and rural healthcare leaders highlight the benefits of their PR programs for service areas.

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June 30, 2021