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Colorado Resources

Healthy Clinic Assessments (HCAs)
Describes promising practices and the benefits of healthy clinic assessments (HCAs). Lists the goals of HCAs, and identifies emerging trends and needs based on the 98 HCAs completed at rural, frontier, and underserved urban clinics in Colorado since 2009. Covers a Critical Access Hospital case study example.
Date: 10/2018
Type: Document
Sponsoring organization: Colorado Rural Health Center
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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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Navigating Towards Health
Examines how health navigators can be incorporated into workplaces and healthcare teams. Health navigators are professionals who help people find care despite barriers, such as insurance, transportation, or finding a doctor. Discusses three critical points for integrating health navigators into the workforce and offers guidance for employers to determine the appropriate ratio of navigators to patients.
Author(s): Karam Ahmad, Alex Caldwell, Brian Clark, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Colorado Health Institute
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Supporting Rural Health Care in Colorado
Provides information on investments in rural healthcare from the Colorado Department of Health Care Policy and Financing during the 2018-19 fiscal year. Includes statistics on the the percent of the population enrolled in Medicaid at the county-level and broadly describes Medicaid spending by urban, rural, and frontier. Covers initiatives to support providers, rural hospitals, and access to care in rural Colorado.
Date: 05/2018
Type: Document
Sponsoring organization: Colorado Department of Health Care Policy and Financing
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2017 Colorado Opioid Safety Pilot Results Report
Describes an opioid safety pilot study that implemented the ALTO, or alternative to opioid, approach for pain treatment in 7 urban and 3 rural hospital emergency departments in Colorado. Discusses ALTO's multifaceted treatment approach for pain management, data collection and analysis, and lessons learned.
Additional links: Pre-Launch Checklist: Using Alternatives to Opioids (ALTOs) in Hospital Emergency Departments
Date: 05/2018
Type: Document
Sponsoring organization: Colorado Hospital Association
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Death by Drugs: Colorado Reaches a Record High for Overdose Fatalities. Again.
Describes county-level estimates for drug overdose death rates in Colorado from 2001 through 2016 using data from the Colorado Department of Public health and Environment (CDPHE). Includes discussion on small counties experiencing high overdose rates, the rise of opioid overdoses and deaths, and covers policy implications.
Additional links: Full Report
Author(s): Jaclyn Zubrzycki
Date: 04/2018
Type: Document
Sponsoring organization: Colorado Health Institute
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An Unmet Challenge: Colorado Struggles to Address Mental Health and Substance Use: A Colorado Health Access Survey Issue Brief
Provides a snapshot of Colorado residents who reported poor mental health status, including county-level data for the percent reporting poor mental health and not receiving needed mental healthcare in the past year. Discusses barriers that prevent Colorado residents from receiving needed mental healthcare and other factors influencing access to care.
Additional links: Full Report
Author(s): Teresa Manocchio
Date: 04/2018
Type: Document
Sponsoring organization: Colorado Health Institute
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Colorado Access to Care Index, 2017
Provides information on healthcare access and other factors to determine if the health needs of Colorado residents are being met. Measures improvement in healthcare access based on three components of access: potential access, barriers to care, and realized access.
Additional links: Full Report
Author(s): Emily Johnson
Date: 04/2018
Type: Website
Sponsoring organization: Colorado Health Institute
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Views from the Heartland: Prospects for Bipartisanship in Health Reform
Reports on the views and opinions of 27 state legislators serving on health, budget, or appropriations committees in Colorado and Kansas. Discusses Medicaid expansion in rural areas and highlights the importance of promoting quality healthcare and removing barriers to access in rural communities.
Author(s): David K. Jones
Date: 04/2018
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Selected Rural Healthcare Facilities in Colorado
Shows the state’s Critical Access Hospitals and Rural Health Clinics, as well as Federally Qualified Health Centers located outside of urbanized areas.
Date: 04/2018
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Rural Child Welfare Practice
Issue brief emphasizing the importance of understanding needs and concerns of rural children and families, including healthcare and social services. Examines factors linked to child maltreatment, such as poverty, violence, and substance use, and features descriptions of successful programs designed to promote child welfare in rural areas of Montana, South Dakota, Kansas, and Colorado, and Appalachian Ohio and Kentucky.
Date: 02/2018
Type: Document
Sponsoring organization: Administration for Children and Families
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Family Matters in Oral Health: Connecting Children’s and Caregivers’ Dental Health Habits
Compares data for Colorado children, aged 1 to 14, by parents or caregivers who did and did not see an oral health provider. Examines rural and urban oral health disparities in children, including looking at preventive dental visits, oral health status. Discusses strategies to improve oral health in children.
Author(s): Sara Schmitt
Date: 02/2018
Type: Document
Sponsoring organizations: Colorado Department of Public Health and Environment, Colorado Health Institute
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Snapshot of Rural Health in Colorado, 2018
Provides an overview of rural health in Colorado. Includes data and statistics on a variety of indicators, such as education, poverty, rural economy, healthcare coverage and access, rural health information technology, mental health, oral health, and workforce shortages.
Date: 02/2018
Type: Document
Sponsoring organization: Colorado Rural Health Center
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The Health Care Perceptions of Low-income Coloradans
Discusses the results from a 2016 survey regarding perceptions of healthcare available to low-income residents in Colorado. Includes issues briefs analyzing data for rural Coloradans and low-income Coloradans of color.
Date: 01/2018
Type: Website
Sponsoring organization: Colorado Health Foundation
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Colorado: Rural Health Facilities within County Designations, 2018
Identifies Colorado counties by rural, urban, and frontier designations and the location of Critical Access Hospitals and Rural Health Clinics.
Date: 01/2018
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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The Financial Health of Colorado Hospitals: Trends 2011-2015
Provides economic, pricing, and quality information on Colorado's hospitals. Shares data from public sources in order to improve healthcare transparency, affordability, and quality. Tracks trends among Colorado's hospitals, including Critical Access and small/rural hospitals, and provides individualized, facility-level statistics on employment, utilization, and finance.
Date: 10/2017
Type: Document
Sponsoring organization: Colorado Hospital Association
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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, 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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Improving Rural Oral Health: Six States’ Response to the United States Department of Health and Human Services Oral Health Strategic Framework
Findings brief describing how Colorado, Iowa, New Mexico, North Carolina, Pennsylvania, and South Carolina have responded to the Department of Health and Human Services' 2014-2017 goals for advancing oral health in America, with emphasis on programs available to children. Features statistics including number of dental insurance companies, number of public health dental clinics or Federally Qualified Health Centers providing oral health services, and number of full-time and part-time dentists and dental hygienists at these facilities in each of the six states.
Author(s): Amy B. Martin, Janice C. Probst, Karen M. Jones
Date: 08/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center
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State Innovation Model Testing Awards From the Center for Medicare & Medicaid Innovation: Highlighting Rural Focus
Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in six states: Arkansas, Colorado, Idaho, Oregon, Minnesota, and Vermont. The SIM initiative was started in 2012 to support states that are committed to designing and testing strategies for payment model and delivery system reform.
Date: 07/2017
Type: Document
Sponsoring organization: Rural Health Value
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SLV N.E.E.D. (Naloxone - Education - Empowerment - Distribution)
Video featuring the San Luis Valley N.E.E.D. (Naloxone - Education - Empowerment - Distribution) program, which provides opioid-related education to healthcare providers and the community, as well as a naloxone distribution program and naloxone training for first responders in six rural Colorado counties.
Date: 07/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Mountains, Plains, Cities, Schools: An Analysis of Colorado's Rural and Urban School-Based Health Centers
Examines important aspects of Colorado's school-based health centers (SBHCs), including program growth, funding sources, populations served, and service offerings. Uses statewide statistics to compare urban versus rural SBHCs and illustrate how SBHCs help fill critical healthcare gaps within the state.
Date: 05/2017
Type: Document
Sponsoring organization: Colorado Health Institute
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Colorado Health Foundation Makes Rural Communities a Priority: Q&A with Karen McNeil-Miller
Karen McNeil-Miller, president and CEO of the Colorado Health Foundation, discusses how the foundation is working with rural communities in the state. Topics covered include a recent statewide Listening Tour, the use of data to focus on rural health issues, and participation in the national Rural Health Philanthropy Partnership.
Author(s): Beth Blevins
Citation: Rural Monitor
Date: 02/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Colorado Behavioral Health Data
An Excel file containing behavioral health data by region for the state of Colorado. Includes mental health status and suicide data for adults and high school students, and mental health status data for children ages 4-14.
Date: 01/2017
Type: Database
Sponsoring organization: Colorado Health Institute
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Network Spotlight: Community Care Alliance
Describes key aspects of the Grand Junction, Colorado based Community Care Alliance (CCA) through an interview with CCA's Director of Operations and Vice President of Outreach and Communications for CCA's parent organization, the Western Healthcare Alliance (WHA). CCA's primary function is to help member organizations prepare for healthcare transformation, particularly in the areas of Medicare Shared Savings Program Accountable Care Organizations (ACOs) and the Merit-Based Incentive Payment System (MIPS).
Date: 12/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Mapping Rural Colorado: A Statistical Comparison of Colorado’s Rural Regions
Outlines four distinct rural regions of Colorado: Northwest, Southwest/San Luis Valley, Eastern Plains, and Central. Provides a quick health fact for each region, and also includes median income levels, adult poverty rates, obesity rates, and more.
Date: 12/2016
Type: Map/Mapping System
Sponsoring organization: Colorado Health Foundation
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Child Care Deserts
Analyzes child care centers by zip code in eight states, with a specific focus on how limited or complete lack of access disproportionately affects rural areas. Includes a discussion of what constitutes a child care desert and what may prevent families from finding needed care, such as prohibitive cost based on income ratio.
Date: 10/2016
Type: Document
Sponsoring organization: Center for American Progress
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Findings from the Field: Medicaid Delivery Systems and Access to Care in Four States in Year Three of the ACA
Explores the experiences of four states that participated in Medicaid expansion as part of the Patient Protection and Affordable Care Act (ACA): Colorado, Connecticut, Kentucky, and Washington. Examines what each state is doing to transition from outreach and enrollment activities to improving delivery systems and access to care. Contains rural-specific content and information on how the states are dealing with the expanded Medicaid population.
Date: 09/2016
Type: Document
Sponsoring organization: Kaiser Family Foundation
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Colorado State Rural Health Plan 2016
Addresses rural healthcare issues and how to measure improvement in rural healthcare in the state of Colorado as requested by the Federal Office of Rural Health Policy from Medicare Rural Hospital Flexibility Program grantees.
Date: 06/2016
Type: Document
Sponsoring organization: Colorado Rural Health Center
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Colorado: Medicaid Enrollment by County
Shows the percentage of each county's population enrolled in Medicaid for the state of Colorado.
Date: 05/2016
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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State Variations in the Rural Obstetric Workforce
Illustrates the challenges affecting the obstetric workforce in Critical Access Hospitals and other rural hospitals having at least 10 births in 2010 using data derived from a telephone survey conducted in 9 states. Includes data for each state on hospital and provider characteristics and services provided for labor and delivery.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Carrie Henning-Smith, Shailendra Prasad
Date: 05/2016
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Colorado: Medicare Enrollment by County
Depicts the percentage of Medicare enrollment by county in Colorado.
Date: 03/2016
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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Colorado: Federally Certified Rural Health Clinics within County Designations, 2016
Identifies the rural, urban, and frontier-designated areas by county of Colorado and the location of free-standing and provider-based Rural Health Clinics (RHCs).
Date: 03/2016
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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Colorado: Critical Access Hospitals, 2016
Depicts location by county of Colorado's federally designated Critical Access Hospitals (CAHs).
Date: 03/2016
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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Rural Colorado: Access to Healthcare, 2016
Identifies the location of rural clinics and rural hospitals by county. Identifies counties that are rural with no hospital or clinic.
Date: 02/2016
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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Colorado: County Designations, 2018
Identifies counties in Colorado based on urban, rural, or frontier designation.
Date: 01/2016
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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Colorado Rural Health Center: 2016 Annual Report
Provides a summary of the Colorado Rural Health Center's 2016 accomplishments.
Date: 2016
Type: Document
Sponsoring organization: Colorado Rural Health Center
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The 2016 Colorado Health Report Card: Celebrating a Decade of Data
Examines the barriers to pursuing a healthy lifestyle in rural Colorado communities. Provides examples of innovative programs and uses rural-relevant statistics and illustrations to highlight three main areas of interest: poverty, limited healthy options, and limited access to care. Includes county-level health and population-related statistics for all 64 counties in Colorado.
Date: 2016
Type: Website
Sponsoring organization: Colorado Health Foundation
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Granting Hope
Overview of Rural Philanthropy Days, a Colorado event for rural communities that brings together regional funders, local governments, business leaders, and local nonprofit organizations.
Author(s): Kate Menzies
Citation: Rural Monitor
Date: 07/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Colorado: Access to a Mental Health Provider, 2014
Shows the number of patients per mental health provider at the county level in Colorado.
Date: 03/2015
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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Colorado: Supplemental Nutrition Assistance Program (SNAP), 2014
Displays county-level data showing the percentage of households that received SNAP benefits in the past 12 months in Colorado.
Date: 03/2015
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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Colorado: Sexually Transmitted Infections (STIs), 2014
Identifies the number of newly diagnosed chlamydia cases per 100,000 for each county in Colorado.
Date: 03/2015
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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Colorado Critical Access Hospitals and Clinics: Improving Communication and Readmission (iCARE) White Paper
Details how the Colorado Rural Health Center's Improving Communication and Readmission (iCARE) program is improving the patient experience at Critical Access Hospitals and Rural Health Clinics in Colorado by enhancing care coordination and lowering readmission rates.
Date: 03/2015
Type: Document
Sponsoring organization: Colorado Rural Health Center
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Healthy Clinic Program Helps Colorado Rural Clinics Build Stronger Foundations
Profiles the Healthy Clinic Assessment (HCA) program in Colorado, which assists rural clinics in strengthening their foundations, and improving operations and quality.
Author(s): Jami Schumacher
Citation: Rural Monitor, 2015(Winter)
Date: 02/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Colorado Provider Recruitment: Placements, 2005-2015
Shows a map of Colorado identifying the total number of provider recruitment placements by county between 2005 and 2015.
Date: 01/2015
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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Healthy Clinic Assessments (HCAs): Promising Practices: How Healthy Clinic Assessments Are Improving Business Operations and Internal Processes
Assesses the essential business operations of health clinics in rural, frontier, and urban-underserved areas in Colorado. Identifies which areas of improvement should be undertaken, and provides an action plan for change focusing on quality of care, clinic efficiency, and increased revenue.
Date: 2015
Type: Document
Sponsoring organization: Colorado Rural Health Center
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Health Care for a High-Tech World: The Potential for Telehealth in Colorado
Describes the importance of telehealth in meeting the changing healthcare needs of Colorado residents in rural and urban areas of the state.
Date: 10/2014
Type: Document
Sponsoring organization: Colorado Health Institute
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Overcoming Patient Engagement Barriers: Urban And Rural Success Stories
Highlights a video showcasing successful patient engagement programs. Features the High Plains Research Network, which serves eastern rural Colorado, and describes how the network tailors its outreach to the community through the insights of the community members involved in the network. The section on the High Plains Research Network begins at 5:35 in the recording.
Date: 09/2014
Type: Video/Multimedia
Sponsoring organization: Health Affairs
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Health Awareness for Rural Communities: Creating Data Driven Solutions
Describes the work of the Colorado Rural Health Center’s (CRHC) Health Awareness for Rural Communities (HARC) data bank. Discusses how the data bank contains over 100 population health indicators and how the information will be used to support the work of CRHC and its members.
Author(s): Melissa Bosworth, Bridgette Olson
Date: 05/2014
Type: Document
Sponsoring organization: Colorado Rural Health Center
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Colorado's Primary Care Workforce: A Study of Regional Disparities
Analyzes the primary care workforce across Colorado, including rural and underserved urban areas. Covers solutions to address the health care workforce capacity. Provides statistics for 21 health regions in Colorado on practicing primary care physicians, population, average weekly patient care hours per physician, and more.
Author(s): Amy Downs, Rebecca Alderfer, Brian Clark, Rebecca Crepin, Deborah Goeken
Date: 02/2014
Type: Document
Sponsoring organization: Colorado Health Institute
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Local Wellness Policy 5 Years Later: Is It Making a Difference for Students in Low-Income, Rural Colorado Elementary Schools?
Assesses 45 schools' environmental and policy changes resulting from implementation of a federally mandated program designed to increase physical activity and healthy eating, as a response to the childhood obesity epidemic. Looked at factors including number of minutes of recess per week, minutes of physical education, playground features, total number of fruit and vegetable offerings at meals, presence of a school health team, and familiarity with their district’s policy and related state or federal mandates.
Author(s): Elaine S. Belansky, Nick Cutforth, Lynn Gilbert, et al.
Citation: Preventing Chronic Disease, 10
Date: 11/2013
Type: Document
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Population-Based Versus Practice-Based Recall for Childhood Immunizations: A Randomized Controlled Comparative Effectiveness Trial
Compares the effectiveness of automatic and provider initiated immunization reminders in 14 Colorado counties, 8 of which are rural. Includes statistics with breakdowns by location, race, ethnicity, and income.
Author(s): Allison Kempe, Alison Saville, L. Miriam Dickinson, et al.
Citation: American Journal for Public Health, 103(6), 1116-1123
Date: 06/2013
Type: Document
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The Colorado Beacon Consortium: Strengthening the Capacity for Health Care Delivery Transformation in Rural Communities
Describes how physicians, hospitals, and other healthcare providers in seven predominantly rural Colorado counties managed to build the capacity needed to exchange health data and transform clinical care.
Author(s): Douglas McCarthy, Alexander Cohen
Date: 04/2013
Type: Document
Sponsoring organization: Commonwealth Fund
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Effectiveness of a Community Health Worker Cardiovascular Risk Reduction Program in Public Health and Health Care Settings
Evaluates the effectiveness of a Community Health Worker system of care to help decrease coronary heart disease in primarily rural and frontier Colorado counties. Includes data and statistics broken down by age, race, risk factors, and geographic location.
Author(s): Mori J. Krantz, Stephanie M. Coronel, Elizabeth M. Whitley, et al.
Citation: American Journal of Public Health, 103(1), 19-27
Date: 01/2013
Type: Document
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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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Community Paramedics Widen Medical Services in Rural Areas
Highlights how rural communities in Colorado and Minnesota are training paramedics to also provide home care, immunizations, and other health services.
Author(s): Candi Helseth
Citation: Rural Monitor, 2010(Fall)
Date: 11/2010
Type: Document
Sponsoring organization: Rural Health Information Hub
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Small Towns, Big Change
A series of articles that address the development and challenges of building a robust economy focused on the health and well-being of individuals living in the rural communities of Colorado and New Mexico.
Citation: High Country News
Type: Website
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Colorado County Health Profiles
Illustrates health data by county, region, and the state of Colorado for demographics, population, employment, income, health insurance, healthcare workforce, healthcare utilization, health status, oral health, food security, and more.
Type: Website
Sponsoring organization: Colorado Health Institute
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Colorado Rural Health Center - Map Resources
Hosts thematic maps on topics relevant to rural healthcare, including healthcare facilities, health workforce, and enrollment in Medicare, Medicaid, and other programs.
Type: Map/Mapping System
Sponsoring organization: Colorado Rural Health Center
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Colorado 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: Colorado
Provides 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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Colorado 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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Colorado QuickFacts
Provides 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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Colorado State Health Facts
Provides 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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Additional resources are available. See a full list of Colorado Resources.


Last Updated: 10/15/2018