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

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

Still Stealing Rural America’s Breath: An Update on Chronic Obstructive Pulmonary Disease

image of trees shaped as lungs with text COPD: Still Stealing Rural America's Breath


Chronic obstructive pulmonary disease, or COPD, is a condition that continues to steal rural America’s breath. Researchers, philanthropists, and healthcare professionals talk about new rural research efforts and the impact of COVID-19 on COPD. Also discussed is the importance of pulmonary rehabilitation, an impactful treatment long known to improve quality of life and now backed by new research proving it decreases death rates in select patients.

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June 16, 2021

Looking at the Rural Homelessness Experience: Definitions, Data, and Solutions


Though often considered an urban problem, homelessness also affects rural individuals and families, impacting their health and well-being. A Vermont nonprofit leader shares her organization’s work using the evidence-based solution Housing First and reminds us that for many, homelessness is just “one catastrophic event away.”

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April 7, 2021