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California Resources

Healthcare Workforce Clearinghouse: Annual Report to the Legislature, September 2018
Reports on the California Office of Statewide Health Planning and Development's progress in meeting its legislative demands, including identifying healthcare profession education and employment trends, reporting on the supply and demand of California's health workforce, and recommending state policy options for addressing workforce distribution issues and shortages. Appendices include two research papers, one focused on physician shortages and parallels with AP science courses, the other recommends using a unified provider ratio to determine primary care shortage areas.
Date: 09/2018
Type: Document
Sponsoring organization: California Office of Statewide Health Planning and Development
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California's Physician Assistants: How Scope of Practice Laws Impact Care
Describes regulations on scope of practice for physician assistants (PAs) in California and other states and discusses research on the legislation's effect on healthcare. Examines importance of PAs providing primary care in rural, low-income, and underserved areas. Features statistics including number of PAs per 100,000 population by state as of 2017 and by California region as of 2016, California PA demographics, and PA scope of practice elements by state as of 2018.
Author(s): Timothy Bates, Joanne Spetz, Miranda Werts
Date: 09/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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California's Nurse Practitioners: How Scope of Practice Laws Impact Care
Describes regulations on scope of practice for nurse practitioners (NPs) in California and other states, and discusses research on the legislation's effect on healthcare. Examines importance of NPs providing primary care in rural and underserved areas. Features statistics including field of educational specialization for California NPs, demographics, and distribution of NPs per 100,000 population.
Author(s): Joanne Spetz
Date: 09/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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California’s Physician Assistants: How Scope of Practice Laws Impact Care
Provides an overview of physician assistants (PAs), focusing on scope of practice regulations in California and evidence for expanding their scope of practice. Discusses how PAs increase access to care, particularly in rural areas, and summarizes studies on the quality and cost-effectiveness of the care they provide. Appendix A includes data on California's PAs, such as their distribution, demographics, and practice setting. Appendix B identifies physician assistant scope of practice elements for each state.
Author(s): Timothy Bates, Joanne Spetz, Miranda Werts
Date: 09/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Calaveras County, Calif.: Connecting Justice-Involved People to Treatment and Services
Describes best practice strategies used by a rural northern California county as part of the national "Stepping Up" initiative, for the purpose of reducing the number of adults with mental illness in jails and connecting them to community-based treatment.
Author(s): Nastassia Walsh
Date: 09/2018
Type: Document
Sponsoring organization: National Association of Counties
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Preventing Suicide, One Conversation at a Time
Describes how suicide is affecting Amador County, California. Discusses the underlying factors contributing to those numbers, such as poverty, stigma surrounding suicide, and a lack of mental health providers. Provides access to a Conversation Kit, a resource that was created to bring community members together to discuss suicide in rural areas. Kit covers multiple topics and provides instructions for individuals to be able to use this resource in their community.
Author(s): Vanessa S. Nelson
Date: 09/2018
Type: Website
Sponsoring organization: Capital Public Radio
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California’s Nurse Practitioners: How Scope of Practice Laws Impact Care
Provides an overview of nurse practitioner (NP) scope of practice regulations in California and other states. Discusses how NPs increase access to care, particularly in rural areas, and reviews studies on the quality and cost-effectiveness of the care they provide. Appendix A includes data on California's NPs, such as their distribution, demographics, practice setting, and specialty.
Author(s): Joanne Spetz
Date: 09/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Neonatal Abstinence Syndrome and Maternal Access to Treatment for Opioid Use Disorder in California Counties
Presents a study on maternal access to opioid use disorder (OUD) treatment in California. Discusses the role of Medication-Assisted Treatment (MAT) in treating neonatal abstinence syndrome (NAS) and highlights some of the barriers rural pregnant women with OUD must overcome to receive treatment.
Author(s): Anuj Gangopadhyaya, Lisa Clemans-Cope, Marni Epstein
Date: 09/2018
Type: Document
Sponsoring organization: Urban Institute
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Prevention of Underage Drinking on California Indian Reservations Using Individual- and Community-Level Approaches
Reports on a study evaluating the long term effects of combined individual-level and community-level interventions to reduce the consumption of alcohol by tribal youth living in 9 rural California reservations. The overall impact of combining interventions was assessed using anonymous data from the California Healthy Kids Survey (CHKS). Comparisons of consumption were made between tribal youth in the intervention area and tribal youth outside the intervention area.
Author(s): Roland S. Moore, David A. Gilder, Joel W. Grube, Juliet P. Lee, Jennifer A. Geisler, et al.
Citation: American Journal of Public Health, 108(8), 1035-1041
Date: 08/2018
Type: Document
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Geographic Differences in Obesity Prevalence and Its Risk Factors Among Asian Americans: Findings from the 2013–2014 California Health Interview Survey
Analyzes the geographic disparities in obesity prevalence and the differences in its risk factors among Asian Americans, including Filipinos, Koreans, Japanese, Vietnamese, and Chinese, who live in rural and urban California.
Author(s): Shaoqing Gong, Kesheng Wang, Ying Li, Arsham Alamian
Citation: Science Reports, 8, 12510
Date: 08/2018
Type: Document
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California's Fourth Climate Change Assessment
Addresses how climate change may impact public and environmental health in California to guide decision-making. Discusses the implications for tribal and rural communities throughout. Includes statewide and regional reports, as well as technical reports and tools.
Date: 08/2018
Type: Website
Sponsoring organizations: California Natural Resources Agency, State of California Energy Commission, State of California Governor's Office of Planning and Research
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Medicaid Real-Time Eligibility Determinations and Automated Renewals: Lessons for Medi-Cal from Colorado and Washington
Explores strategies used in Colorado and Washington to increase administrative efficiencies and reduce barriers for consumers renewing enrollment in or applying for state Medicaid programs. Includes special considerations for rural populations enrolling in Medicaid. Designed to inform the thinking of California policymakers and stakeholders as they implement changes to the state's Medicaid program.
Author(s): Jane Wishner, Ian Hill, Jeremy Marks, Sarah Thornburgh
Date: 08/2018
Type: Document
Sponsoring organization: Urban Institute
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Trends in the Utilisation of Emergency Departments in California, 2005–2015: A Retrospective Analysis
Examines the characteristics of patients utilizing California's emergency departments (EDs) regarding age, sex, race/ethnicity, payer, and urban/rural residence, using data from the California Office of Statewide Health Planning and Development.
Author(s): Renee Y Hsia, Sarah H Sabbagh, Joanna Guo,Thomas J Nuckton, Matthew J Niedzwiecki
Citation: BMJ Open, 8(7)
Date: 07/2018
Type: Document
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Selected Rural Healthcare Facilities in California
Shows the state’s Critical Access Hospitals (CAHs) and Rural Health Clinics (RHCs), as well as Federally Qualified Health Centers (FQHCs) located outside of urbanized areas.
Date: 07/2018
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Palliative Care in California: Narrowing the Gap
Reports on a survey of palliative care programs in California. Includes interactive maps with county-level data on the need for and capacity of palliative care services.
Author(s): Kathleen Kerr
Date: 06/2018
Type: Website
Sponsoring organization: California Health Care Foundation
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Strategies for Expanding Primary Care Capacity in California
Addresses the need to improve the diversity, geographic distribution, and supply of primary care providers in California. Focuses on the education pipeline, recruitment and retention, nurse practitioners and physician assistants, and using data to inform workforce strategies.
Author(s): Janet Coffman, Kris Himmerick
Date: 06/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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California Physician Supply and Distribution: Headed for a Drought?
Describes the physicians in California as of 2015, including number, practice activities, demographics, and geographical distribution. Uses data from the Medical Board of California's survey for relicensure and a voluntary supplemental survey. Includes recommendations for maximizing physician resources in rural and underserved areas.
Author(s): Janet M. Coffman, Margaret Fix, Michelle Ko
Date: 06/2018
Type: Document
Sponsoring organization: California Health Care Foundation
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Opportunities and Challenges to Utilizing Telehealth Technologies in the Provision of Medication Assisted Therapies in the Medi-Cal Program
Describes advantages and barriers to using telehealth for delivery of medication-assisted treatment (MAT) to California's Medicaid enrollees, especially those in rural and underserved areas. Includes recommendations for changes to California state laws in order to alleviate the challenges. Appendix C lists states allowing telehealth prescribing.
Date: 06/2018
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Using Storytelling to Address Oral Health Knowledge in American Indian and Alaska Native Communities
Results of a study conducted in 3 northern California tribal locations to evaluate an intervention using storytelling to promote prevention of early childhood tooth decay. Participants were 53 women who were pregnant or who had children ages 6 or younger.
Author(s): Brenda Heaton, Christina Gebel, Andrew Crawford, et al.
Citation: Preventing Chronic Disease, 15
Date: 05/2018
Type: Document
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Is Bigger Better? Exploring the Impact of System Membership on Rural Hospitals
Describes how system membership affects financial performance and transfer patterns of rural hospitals in California. Shows what financial benefits are involved and examines whether membership increases or decreases likelihood of closure. Includes appendices with lists of system and nonsystem hospitals by county, and rural hospital intercompany transfer statistics from 2011-2015.
Author(s): Glenn Melnick, Katya Fonkych
Date: 05/2018
Type: Document
Sponsoring organization: California Health Care Foundation
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The Rural Inpatient Mortality Study: Does Urban-Rural County Classification Predict Hospital Mortality in California?
Highlights a study on the correlation between rural hospitals and higher rates of hospital mortality in California. Breaks down data by age, gender, Critical Access Hospital (CAH) classification, and NCHS rurality-based class.
Author(s): Daniel T Linnen, John Kornak, Caroline Stephens
Citation: The Permanente Journal, 22, 17-078
Date: 03/2018
Type: Document
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A Healthy Smile Never Gets Old: A California Report on the Oral Health of Older Adults
Highlights oral health status and key issues among older adults living in California. Compares rates of untreated tooth decay and complete tooth loss in urban and rural areas of the state.
Author(s): Sahiti Bhaskara, Conrado E. Barzaga
Date: 03/2018
Type: Document
Sponsoring organization: Center for Oral Health
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California County Fact Sheets: Treatment Gaps in Opioid-Agonist Medication Assisted Therapy (OA-MAT) and Estimates of How Many Additional Prescribers Are Needed
Presents county-level estimates of opioid use disorder rates and treatment needs in California. Features statistics from 2016 including opioid overdose deaths, buprenorphine prescriptions, numbers of methadone patients, and February 2018 estimates of buprenorphine-waivered prescribers.
Author(s): Lisa Clemans-Cope, Douglas A. Wissoker, Marni Epstein
Date: 03/2018
Type: Website
Sponsoring organization: Urban Institute
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California's Current and Future Behavioral Health Workforce
Compiles and synthesizes data on California's licensed behavioral health workforce and pipeline of trainees. Features county-level behavioral health-related maps showing ratios of various types of providers to population and geographic distribution of training programs, graphs showing projected supply and demand for various types of providers, and demographic statistics on California's behavioral health workforce.
Author(s): Janet Coffman, Timothy Bates, Igor Geyn, Joanne Spetz
Date: 02/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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County Health Status Profiles 2018
Reports on health status indicators recommended by the U.S. Department of Health and Human Services for monitoring state and local progress toward achieving Healthy People 2020 goals for the state of California. Includes county specific information for cancer deaths, diabetes, sexually transmitted diseases, teenage pregnancy, and other health conditions.
Author(s): Ryan Jeske, Robert Edwards, John Rudzinskas, et al.
Date: 2018
Type: Document
Sponsoring organization: California Department of Public Health
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Rural Suicide: One California County's Fight to Save Lives
Series of articles exploring the causes for high rates of suicide in rural areas of Northern California, including Amador, Calaveras, and Mariposa counties. Topics include shortages of mental health professionals and the higher risk of suicide among veterans and Native Americans.
Author(s): Sammy Caiola
Date: 2018
Type: Website
Sponsoring organization: Capital Public Radio
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Medi-Cal Specialty Mental Health External Quality Review: FY16-17 Statewide Report
Reports on an external review of all 56 county Mental Health Plans (MHPs) that are contracted to provide specialty mental health services to Medi-Cal beneficiaries, including breakdowns for rural areas. Discusses challenges meeting demand and recruiting and retaining healthcare providers. Highlights coordination of mental health and substance abuse treatment, use of telemedicine for remote areas, cross-training with child welfare staff, and co-location of services in facilities such as Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 12/2017
Type: Document
Sponsoring organization: California Department of Health Care Services
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Financing Project ECHO: Options for State Medicaid Programs
Outlines how four states are using Medicaid funds to support Project ECHO and enhance services for rural and other at-risk populations in California, Colorado, New Mexico, and Oregon. Shares design considerations for specific delivery system environments and ways to ensure long-term program sustainability. Project ECHO seeks to expand access to specialty healthcare services in rural and underserved areas.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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California Maps: How Many Primary Care and Specialist Physicians Are in Your County?
Maps showing the number of primary care and specialty care physicians providing 20 or more hours of patient care weekly in all 58 counties of California as of 2015. Includes the number of physicians per 100,000 people and total population.
Author(s): Robbin Gaines
Date: 08/2017
Type: Map/Mapping System
Sponsoring organization: California Health Care Foundation
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Regulating Network Adequacy for Rural Populations: Perspectives of Five States
Policy brief describing a study exploring how California, Kentucky, Montana, Texas, and Wisconsin define insurance network adequacy and how much consideration is given to rural issues in regulating their networks. Features statistics including these states' rural population, rural percent of total population, rural area in square miles, number of marketplace networks, and percent that are narrow networks.
Author(s): Michelle Casey, Carrie Henning-Smith, Jean Abraham, Ira Moscovice
Date: 08/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Advancing Payment Innovation within Federally Qualified Health Centers: Lessons from California
Provides an overview of the California Department of Health Care Services' proposed Federally Qualified Health Center (FQHC) alternative payment methodology (APM), details the APM's development process, and shares key lessons learned to date. The pilot project involves several rural health centers and aims to give FQHCs more effective incentives to achieve the healthcare Triple Aim - better care, better health, and lower costs.
Author(s): Greg Howe, Kathy Moses, Tricia McGinnis
Date: 05/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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California’s Primary Care Workforce: Current Supply, Characteristics, and Pipeline of Trainees
Describes the supply, distribution, and characteristics of California's primary care clinicians with rural-relevant information included throughout. Addresses primary care residency program distribution and training.
Additional links: Executive Summary
Author(s): Janet Coffman, Igor Geyn, Kristine Himmerick
Date: 02/2017
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Network Spotlight: North Coast Clinics Network
Highlights the Eureka, California based North Coast Clinics Network (NCCN), which works to improve efficiency and quality of care across its Federally Qualified Health Center (FQHC) members. Covers NCCN's characteristics, lessons learned, accomplishments, and challenges faced through an interview with Director of Education and Innovation, Trisha Cooke, and Executive Director, Tim Rine.
Date: 10/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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After Rural Suicide: A Guide for Coordinated Community Postvention Response
Provides information and resources to help California rural counties, including local behavioral and public health agencies, law enforcement and other suicide prevention organizations develop a formal, locally controlled and coordinated response to a community after a suicide has occurred. Although the focus is on California rural counties the guidance is applicable to other rural counties planning a suicide postvention response.
Author(s): Sandra Black, Anara Guard
Date: 08/2016
Type: Document
Sponsoring organization: California Mental Health Services Authority (CalMHSA)
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Adolescent Births in California 2000-2014
A slide presentation providing statistics ranging from 2000 – 2014 on teenage births in California. Includes the number and age of females giving birth in California by race, ethnicity, and county.
Date: 08/2016
Type: Document
Sponsoring organization: California Department of Public Health
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Remedy for the Rural Opioid Epidemic: Leaders Discuss Medication-Assisted Addiction Treatment in Primary Care
Summarizes a meeting focused on understanding the opioid challenges in rural Northern California and identifying potential solutions. Provides maps highlighting opioid overdose death rates by county and the availability of licensed narcotic treatment programs.
Date: 07/2016
Type: Document
Sponsoring organization: California Health Care Foundation
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Characteristics of Medicaid Beneficiaries Who Use Rural Health Clinics
Describes the population of Rural Health Clinic (RHC) users from North Carolina, Georgia, California, and Texas to assist in policy making and in research using CMS Medicaid claim data from RHCs or healthcare providers practicing under the RHC program.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, et al.
Date: 05/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Border Health Status Report to the Legislature 2016
Reports on demographics and health indicators for the California border region. Covers obesity, diabetes, mental health, tuberculosis, HIV/AIDS, and more.
Author(s): Maggie Santibanez, Stephanie Yoon, Jennifer Britton, April Fernandez
Date: 2016
Type: Document
Sponsoring organization: California Office of Binational Border Health
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Colorectal Cancer Burden and Access to Federally Qualified Health Centers in California
Examines the geographic variation in late-stage diagnosis of colorectal cancer in California compared to distance to a Federally Qualified Health Center (FQHC), the poverty level of the patient population, rural residence, and their access to a private vehicle.
Author(s): Brendan Darsie, Jennifer Rico, Madhurima Gadgil, Joshua Tootoo
Citation: Preventing Chronic Disease, 12
Date: 10/2015
Type: Document
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Using Community Participation to Assess Acceptability of "Contra Caries", A Theory-Based, Promotora-led Oral Health Education Program for Rural Latino Parents: A Mixed Methods Study
Reports on a qualitative study of a promotora-led oral health education program for low-income, Spanish-speaking parents of children aged 1–5 years, conducted in a rural agricultural city in California.
Author(s): Kristin S. Hoeft, Sarah M. Rios, Estela Pantoja Guzman, Judith C. Barker
Citation: BMC Oral Health, 15(103)
Date: 09/2015
Type: Document
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Lessons on Climate Change and Poverty From the California Drought
Examines the impact of California's droughts on vulnerable populations, including low-income, agricultural communities and Native American populations. Discusses drought-related health conditions and the drought's impact on food security, especially for agricultural workers. Offers recommendations to address the uneven impact of climate change, including emergency money for small and rural communities affected by the drought.
Author(s): Wendy Ortiz
Date: 08/2015
Type: Document
Sponsoring organization: Center for American Progress
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Do Rural and Urban Women Experience Differing Rates of Maternal Rehospitalizations?
Compares rural and urban differences in maternal hospital readmission rates for women who delivered with minor assistance and for women who delivered by cesarean section, using data from the 2011 California Healthcare Cost and Utilization Project.
Author(s): Wei-Chen Lee, Charles Phillips, Robert Ohsfeldt
Citation: Rural and Remote Health, 15, 3335
Date: 08/2015
Type: Document
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Realizing the Promise of Telehealth for Children with Special Health Care Needs
Describes how telehealth can improve access for children with special healthcare needs in California, particularly those living in rural areas. Provides an overview of California's telehealth policies, and describes how telehealth is being used in the state to meet the needs of this population.
Author(s): Jacob Vigil, Jenny Kattlove, Rebecca Litman, et al.
Date: 08/2015
Type: Document
Sponsoring organization: The Children's Partnership
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The California Health Care Landscape
Fact sheet providing an overview of demographics, population health, health coverage, healthcare safety net, and Medi-Cal (Medicaid) managed care in urban and rural areas in California.
Date: 08/2015
Type: Document
Sponsoring organization: Kaiser Program on Medicaid and the Uninsured
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Community Health Centers and Telehealth: A Cost Analysis Report & Recommendations
Summarizes the findings from a study undertaken by 3 Federally Qualified Health Centers (FQHCs) and 2 Rural Health Clinics (RHCs) in California to understand the costs and revenue sources for telehealth services. Includes a series of policy recommendations and suggestions for advancing the use of telehealth programs among community health centers (CHCs).
Date: 07/2015
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Healthy Border 2020: A Prevention & Health Promotion Initiative
Reports on the prevailing public health issues occurring in U.S.-Mexico border populations. Identifies an agenda focused on health promotion and disease prevention and develops a strategy for implementing a coordinated public health response at the binational, state and local levels.
Date: 06/2015
Type: Document
Sponsoring organization: United States-México Border Health Commission
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Border Health Epidemiology Report 2015
An overview of the health status of the population living along the California border region that includes healthcare access, obesity, diabetes, mental health, tuberculosis, sexually transmissible infections, HIV/AIDS, immunizations, and vaccine preventable diseases.
Author(s): Maggie Santibáñez, Stephanie Yoon, Jennifer Britton, et al.
Date: 05/2015
Type: Document
Sponsoring organizations: California Office of Binational Border Health, Maggie Santibáñez, Stephanie Yoon, et al.
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The Impact of Hospital Obstetric Volume on Maternal Outcomes in Term, Non-Low-Birthweight Pregnancies
Analyzes the impact of hospital obstetric volumes on maternal outcomes in low-risk women delivering non-low-birthweight infants at term. Includes hospital obstetric outcome data by rural and non-rural and hospital volume category. Covers a comparison of maternal outcomes by rural and non-rural hospitals and provides maternal characteristics by rural and non-rural.
Author(s): Jonathan M. Snowden, Yvonne W. Cheng, Cathy L. Emeis, CNM, Aaron B. Caughey
Citation: American Journal of Obstetrics and Gynecology, 212(3), 380.e1-380.e9
Date: 03/2015
Type: Document
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Accountable Care Communities in Rural: Laying the Groundwork in Humboldt County, California
Describes how Accountable Care Communities (ACCs) employ a unified approach to improving the health of a population and reducing costs, by emphasizing preventive health and wellness efforts, as well as promoting collaboration among community-based organizations, social services, and the local health care system. Examines the ways in which the ACC model may help rural communities face challenges associated with poorer health outcomes, transportation difficulties, and shortages of healthcare providers.
Author(s): Paula Weigel, Chance Finegan, Jocelyn Richgels, et al.
Date: 03/2015
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Reach for More: Healthier Beverage Vending for Government Agencies in Rural Settings
Provides an overview of obesity rates in rural California counties and discusses how ensuring access to affordable, healthy beverages is an obesity prevention strategy. Discusses the steps and relationships to help establish policies to decrease sugary beverages sold in vending machines in public places.
Author(s): Quang “Q” Dang, Karla Hampton
Date: 08/2014
Type: Document
Sponsoring organization: ChangeLab Solutions
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Medicare Rural Hospital Flexibility Program, Critical Access Hospital Designation Resource Guide 2014
Provides information and resources for rural hospitals participating in Medicare to convert to Critical Access Hospital (CAH) status.
Date: 06/2014
Type: Document
Sponsoring organization: California State Office of Rural Health
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Concentrations of the Urinary Pyrethroid Metabolite 3-Phenoxybenzoic Acid in Farm Worker Families in the MICASA Study
Reports on a study of mothers and children within the Mexican immigrant population of California farm working families who are exposed to pyrethroid pesticides.
Author(s): Kelly J. Trunnelle, Deborah H. Bennett, Ki Chang Ahn, et al.
Citation: Environmental Research, 131, 153-159
Date: 05/2014
Type: Document
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California State Health Care Innovation Plan
Describes California's plan to reform their healthcare system to meet the Triple Aim of better health, better healthcare, and lower costs. Discusses the proposed payment and delivery system initiatives supporting team-based care with a focus on maternity care, health homes, palliative care, and accountable care communities. Addresses the needed building blocks to support health, healthcare transformation, and payment reform including workforce training, health information technology technical assistance and research, development of cost and quality reporting systems, and payment reform.
Date: 03/2014
Type: Document
Sponsoring organization: California Health and Human Services Agency
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Nonmydriatic Fundus Photography for Teleophthalmology Diabetic Retinopathy Screening in Rural and Urban Clinics
Examines the diagnostic value of telehealth for eye exams to screen for diabetic retinopathy in remote California Native American Indian Reservations compared to patients seen in person at an urban University of California Davis medical clinic. Includes data and statistics for urban versus rural, ethnicity, and optic conditions present.
Author(s): Eric K. Chin, Bruna V. Ventura, Kai-Yin See, Joann Seibles, Susanna S. Park
Citation: Telemedicine Journal and e-Health, 20(2),102-108
Date: 02/2014
Type: Document
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Taking Innovation to Scale: Community Health Workers, Promotores and the Triple Aim: A Statewide Assessment of the Roles and Contributions of California’s Community Health Workers
An assessment of rural and urban California health centers that use CHWs in their practice identifying the common barriers, including a lack of reimbursement methods, restricted diagnostic ability and access to data linked to CHW services, and limited information of evidence-based practices.
Author(s): Kevin Barnett
Date: 12/2013
Type: Document
Sponsoring organization: Public Health Institute
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Causes and Consequences of Rural Pharmacy Closures: A Multi-Case Study
Identifies factors that contributed to the closing of six rural pharmacies in different states. Describes how the affected communities adapted to losing locally based services.
Author(s): Kelli Todd, Katie Westfall, Bill Doucette, Fred Ullrich, Keith Mueller
Date: 08/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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California Rural Health Report 2012
Provides a variety of data that includes a rural/urban comparison on population trends, socio-economics, birth and death rates, health insurance, health status, preventive measures, and hospitals and clinics.
Date: 11/2012
Type: Document
Sponsoring organization: California State Office of Rural Health
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Humboldt County, California: A Promising Model for Rural Human Services Integration for Transformation
Summarizes an assessment of Humboldt County, California's integrated health and human services delivery model. Analyzes operational structure and model elements that resulted in demonstrated effectiveness in serving a rural community.
Author(s): Mario Gutierrez, Kathleen Belanger, Jane Forrest Redfern, Larry Goolsby, Jocelyn Richgels
Date: 02/2012
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Human Services Panel
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California’s Health Care Workforce: Readiness for the ACA Era
Examines the current and future capacity of California’s healthcare workforce to meet the increase in demand in rural and urban areas resulting from expanded insurance coverage under the Affordable Care Act (ACA). Includes licensing and workforce data on numerous health care professions in California as well as policy recommendations for addressing workforce challenges.
Author(s): Tim Bates, Lisel Blash, Susan Chapman, Catherine Dower, Edward O’Neil
Date: 11/2011
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Accountable Care Organizations in California: Programmatic and Legal Considerations
Summarizes discussion on policy and regulatory issues likely to arise in connection with the Medicare Shared Savings Program (MSSP), Pioneer Program, and commercial Accountable Care Organizations (ACOs) in California.
Author(s): William S. Bernstein, Jonah P. B. Frohlich, Francis J. LaPallo, Arun R. Patel, Martin J. Thompson
Date: 07/2011
Type: Document
Sponsoring organization: California Health Care Foundation
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The Health Status and Unique Health Challenges of Rural Older Adults in California
Examines the health of rural elders and their urban counterparts compared to suburban older adults. Covers geographical isolation, environmental and other risk factors to to be considered by policymakers working towards solutions.
Author(s): Eva M. Durazo, Melissa R. Jones, Steven P. Wallace, et al.
Date: 06/2011
Type: Document
Sponsoring organization: UCLA Center for Health Policy Research
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Designing Safety-Net Clinics for Innovative Care Delivery Models
Identifies key characteristics of physical, environment design for new care delivery models and provides new design recommendations. Includes discussion related to improving telehealth and mobile healthcare delivery models. Information developed from literature reviews, and site visits and phone interviews with clinics in California and Colorado.
Author(s): Xiaobo Quan, Anjali Joseph, Ellen Taylor, Amy Keller
Date: 03/2011
Type: Document
Sponsoring organization: California Health Care Foundation
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Advancing California’s Leadership in Telehealth Policy: A Telehealth Model Statute and Other Policy Recommendations
Describes model statute, a platform for the ideal California telehealth policy environment, developed by the Center for Connected Health Policy (CCHP). Includes discussion on the importance of telehealth delivery in rural settings.
Author(s): Bonnie Preston, Patricia E. Powers, Mei Wa Kwong
Date: 02/2011
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Telehealth in Community Clinics: Three Case Studies in Implementation
Discusses experiences and lessons learned from the three community health organizations, in rural and urban settings, who planned and implemented telehealth programs. Includes facilitators and barriers to telehealth program implementation and operation and discusses patient and provider satisfaction.
Author(s): Christine Duclos, Julie M. Hook, Michael P. Rodriguez
Date: 11/2010
Type: Document
Sponsoring organization: California Health Care Foundation
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Outside the Box: Case Studies in Creative Clinic Design
Examines the need for and role of well-conceived facilities within the safety net system. Highlights two rural California clinics that used outside-the-box thinking to create buildings that support new models of care.
Author(s): Dana Dubbs
Date: 06/2010
Type: Document
Sponsoring organization: California Health Care Foundation
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The Financial Health of California's Critical Access Hospitals
Examines the financial health of California's Critical Access Hospitals (CAHs) by looking at their performance over the past six years and comparing it with all of the state's acute care hospitals on a number of measures. Also examines the before-and-after financial experience of hospitals that converted to CAH status in 2005.
Additional links: Snapshot
Author(s): Shelley Oberlin, Brian Thygesen, Scott Walters
Date: 02/2010
Type: Document
Sponsoring organization: California Health Care Foundation
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Improving Access to Care for Medically Underserved Californians: Securing Health Professional Shortage Area (HPSA) Designations
Describes an initiative to increase healthcare provider capacity in medically underserved areas throughout the service areas of the North Coast Clinics Network (NCCN) made up of four Federally Qualified Health Centers (FQHCs) and one community clinic. Discusses issues recruiting healthcare providers to rural areas.
Author(s): Annette L. Gardner, Tina Tvedt
Date: 01/2010
Type: Document
Sponsoring organization: California Endowment
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School-Based Telehealth: An Innovative Approach to Meet the Health Care Needs of California's Children
Describes telehealth in schools as a way to complement and expand the capacity of schools to meet the healthcare needs of children, specifically targeting children from low-income families and living in medically underserved areas including rural.
Date: 10/2009
Type: Document
Sponsoring organization: The Children's Partnership
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California Community Health Centers: CHC Data
Provides statewide and county-level data on community health centers in California. Covers the number of health centers, patient demographics, provider full-time equivalents (FTEs) by discipline, services provided, and payment sources, including insurance type.
Type: Website
Sponsoring organization: California Primary Care Association
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Critical Access Hospital Profiles
Profiles California's Critical Access Hospitals, including the number of beds and information on the services they provide.
Type: Website
Sponsoring organization: California Critical Access Hospital Network
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California Health and Human Services Open Data Portal
Provides over 150 downloadable spreadsheets with county-level data on the healthcare workforce, mortality rates and causes, demographics, facilities and services, diseases and conditions, and more for California.
Type: Database
Sponsoring organization: California Department of Health Care Services
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Cancer-Rates.info
Contains cancer incidence and mortality data for a number of states, with the option to view data by county, cancer type, gender, race and ethnicity, and in most cases, rural/urban geography.
Type: Database
Sponsoring organization: University of Kentucky
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Rural Border Health Topic Guide
Information and resources about U.S.-Mexico border health issues.
Type: Website
Sponsoring organization: Rural Health Information Hub
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California Health Centers: Data and Maps
Provides maps of Federally Qualified Health Center (FQHC) locations and communities experiencing shortages of primary care physicians. Also includes information on the populations served by health centers, services provided, staff, and patient visits.
Type: Website
Sponsoring organization: National Association of Community Health Centers
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ERS State Fact Sheet: California
State-level data on population, poverty, food security, educational attainment, employment, and income. Includes data for rural areas, urban areas, and the state as a whole.
Type: Website
Sponsoring organization: USDA Economic Research Service
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California KIDS COUNT Data Center (KCDC)
Provides data on child well-being for the state. Covers demographics, economic well-being, education, family and community, health, and safety and risky behaviors. Some data available by county.
Type: Website
Sponsoring organization: Annie E. Casey Foundation
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California QuickFacts
State-level data on demographics, housing, income, and other social determinants of health, with the option to add data for counties and cities and towns with a population of 5,000 or more. Includes information from multiple U.S. Census Bureau censuses, surveys, and programs.
Type: Website
Sponsoring organization: U.S. Census Bureau
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California State Health Facts
State-level data on demographics, health status, healthcare costs and access, healthcare providers, and more.
Type: Database
Sponsoring organization: Kaiser Family Foundation
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Rural Migration News
Summarizes and analyzes the most important migration-related issues affecting immigrant farm workers in California and the United States. Published quarterly.
Type: Journal/Newsletter
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Additional resources are available. See a full list of California Resources.


Last Updated: 12/6/2018