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The Rural Monitor
Articles by Topic: Healthcare needs and services

RESEP Clinics Help Rural Residents Access Care and Compensation After Radiation Exposure

June 1, 2022
Nuclear weapons testing from 1945 to 1962 and uranium mining from 1943 to 1971 exposed workers and community members living near the mines or testing sites to harmful levels of radiation that can lead to cancer and other illnesses. Radiation Exposure Screening and Education Program (RESEP) grants help healthcare organizations provide screenings, referrals for medical treatment, and other services to this population. Two grantees, the Navajo Area RESEP and the Southwestern Utah RESEP, share their stories.

Parent Partners Provide Mentoring and Support in Rural Iowa

March 23, 2022
Parent Partners is a statewide program in Iowa that pairs families whose children have been removed from the home with mentors with shared experience who have successfully navigated the state's Department of Human Services (DHS) system. These mentors coach, advocate, and connect their clients with community resources.

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

December 8, 2021
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.

Technical Assistance Helps Community #SilencetheShameTN

November 24, 2021
When Henry County Medical Center (HCMC) and the community of Paris, Tennessee, wanted to combat behavioral and mental health challenges in their community, they used the technical assistance and resources provided by the Delta Region Community Health Systems Development (DRCHSD) program to address their needs.

Doulas Provide Support for Maternal and Infant Health in Rural Communities

October 6, 2021
Three programs across rural America demonstrate how doulas improve birth outcomes by providing prenatal, labor, and postpartum support. A New Mexico program reaches American Indian, Hispanic, and other populations who lack nearby labor/delivery units; a Minnesota program works with moms experiencing incarceration; and a North Dakota program is training postpartum doulas who will care for families impacted by opioid use disorder and other substance use.

Creating New Rural Residency Programs: Three Grantees Share Their Stories

September 22, 2021
HRSA's Rural Residency Planning and Development (RRPD) Program supports organizations developing new rural residency programs. Three grantees – St. Luke's University Health Network in Pennsylvania, Baptist Memorial Hospital in Mississippi, and Sutter Health in California – share what the RRPD grant has allowed them to accomplish so far.

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

September 1, 2021
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.

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

August 11, 2021
"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.

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

August 11, 2021
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.