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Iowa Resources

Network Spotlight: Wright Health Partners
Describes the network characteristics, key learnings, challenges, and accomplishments of Clarion, Iowa-based Wright Health Partners, a rural healthcare consortium that works to address health issues in the area. Originally started as an agreement between two Critical Access Hospitals, Wright Health Partners has grown to include schools, an ambulance service, an orthopedic practice, and other partners. Members of Wright Health Partners share an electronic medical record (EMR) system, technical assistance resources, and program funding.
Date: 12/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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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: South Carolina Rural Health Research Center
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Medicaid Expansion: Behavioral Health Treatment Use in Selected States in 2014
Report to Congress describing the population of Medicaid expansion enrollees with behavioral health diagnoses in 2014, and the use of behavioral health treatment among the enrolled population. Results are based on the experience of four states: Iowa, New York, Washington, and West Virginia. Includes a discussion on urban/rural geographic distribution of enrollees and the barriers to accessing treatment for enrollees living in rural areas.
Date: 06/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Determinants of the 5-Year Retention and Rural Location of Family Physicians: Results from the Iowa Family Medicine Training Network
Analysis of data from 8 residency programs associated with the Carver College of Medicine. Includes statistics with breakdowns by decade of graduation, place of residency, 5-year retention rate, and rural location.
Author(s): Gregory Nelson, Thomas S. Gruca
Location: Family Medicine, 49(6), 473-476
Date: 06/2017
Type: Document
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Evaluation of Provider Network in the Iowa Dental Wellness Plan, 2014-2016
Reports on Iowa’s Dental Wellness Plan (DWP) provider network established due to the poor oral health status of low income residents and the need for dental care within the state. Compares the first and second year of the DWP using outcomes measures that include dentist supply and distance to the nearest dentist in metropolitan and non-metropolitan areas.
Author(s): Susan McKernan, Mark Pooley, Aparna Ingleshwar, Elizabeth Momany, Peter Damiano
Date: 03/2017
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Iowa State Innovation Model (SIM): Baseline Process/Implementation Report
Reports on the progress, challenges, and future concerns during the pre-implementation (2015) and the first year implementation (2016) of the Iowa State Innovation Model (SIM) test grant to improve population health, transform healthcare, and promote sustainability in rural and urban counties of Iowa. Discusses 5 main SIM activities: Plan for Population Health (PPH), Community Care Coalitions (C3) including rural counties, Statewide Alert Network (SWAN), Community-Based Performance Improvement (CBPI), and Value-Based Purchasing (VBP).
Author(s): Suzanne Bentler, Tessa Heeren, Rochelle Schultz Spinarski, Elizabeth Momany, Peter Damiano
Date: 12/2016
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Iowa Department of Public Health Workforce Report to the Iowa Legislature
A report developed to ensure state funding aligns with the priorities and goals of the public health department’s healthcare workforce programs. Provides recommendations, describes strategies, and identifies appropriated allocations in support of rural and urban healthcare workforce initiatives within the state.
Date: 12/2016
Type: Document
Sponsoring organization: Iowa Department of Public Health
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Selected Rural Healthcare Facilities in Iowa
Shows the state’s Critical Access Hospitals and Rural Health Clinics, as well as rural Federally Qualified Health Centers and Skilled Nursing Facilities.
Date: 12/2016
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Population Health Strategies of Critical Access Hospitals
Provides examples of population health strategies developed by Critical Access Hospitals (CAHs) from 8 different rural communities that have significantly contributed to the improvement of population health and the health of their community.
Author(s): John Gale, Andrew Coburn, Karen Pearson, Zachariah Croll, George Shaler
Date: 08/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Providing Cardiology Care in Rural Areas Through Visiting Consultant Clinics
Examines impact of cardiology outreach clinics in 96 predominantly rural Iowa cities in 2014. Includes map showing clinic sites and a table of mean one-way travel times with breakdowns by urban area, large rural city, small rural town, isolated rural town, and all rural census tracts.
Author(s): Thomas S. Gruca, Tae-Hyung Pyo, Gregory C. Nelson
Location: Journal of the American Heart Association, 5(7)
Date: 06/2016
Type: Document
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Changes in Dentist Retirement, Relocation, and Net Inflow of Dentist Supply in Iowa, 1997-2014: Fifth Brief in a Series
Analyzes the population of dentists in and out of Iowa’s dental workforce from 1997 to 2014 with a focus on voluntary retirement and relocation out of Iowa. Provides data describing several characteristics of the dental workforce, including their retirement age, where they received training, type of practice, and if they practiced in a rural location.
Author(s): Julie C. Reynolds, Susan C McKernan, Raymond A Kuthy, Nyla Balakrishnan
Date: 06/2016
Type: Document
Sponsoring organization: University of Iowa Public Policy 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.
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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Assessment of Pharmacists’ Delivery of Public Health Services in Rural and Urban Areas in Iowa and North Dakota
Assesses Iowa and North Dakota pharmacists' involvement in providing essential public health services, and discusses opportunities for pharmacists to alleviate rural workforce shortages. Compares pharmacists' involvement with public health service delivery based on rural/urban practice setting.
Author(s): David M. Scott, Mark Strand, Teri Undem, et al.
Location: Pharmacy Practice, 14(4)
Date: 2016
Type: Document
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Iowa: Federal Dental Health Care Shortage Designations
Color-coded map which shows the Iowa counties that are fully or partially designated as a Dental Health Professional Shortage Area (HPSA).
Date: 2016
Type: Map/Mapping System
Sponsoring organization: Iowa Department of Public Health
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Iowa: Federal Primary Health Care Shortage Designations
Color-coded map shows the Iowa counties that are fully or partially designated as a primary care health professional shortage area (HPSA).
Date: 2016
Type: Map/Mapping System
Sponsoring organization: Iowa Department of Public Health
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Changes in Urbanicity of Iowa Dentists' Practice Locations, 1997-2013: Second Brief In A Series
Analyzes the trends in Iowa's dental practice locations by reviewing demographic data collected using the USDA 2013 Rural-Urban Continuum Code (RUCC) system to classify rural and urban counties.
Author(s): Julie C. Reynolds, Susan C McKernan, Raymond A Kuthy
Date: 07/2015
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Implementation of the Affordable Care Act and Rural Health Clinic Capacity in Iowa
Examines the results from an online survey of 142 rural health clinics (RHCs) in Iowa to determine their potential to respond to the opportunities and challenges of the Affordable Care Act (ACA). Discusses the limited capacity of RHCs in providing dental care, mental health services, recruitment of primary care providers, and readiness to participate in value-based healthcare delivery.
Author(s): Brad Wright, Peter C. Damiano, Suzanne E. Bentler
Location: Journal of Primary Care & Community Health, 6(1), 61–65
Date: 2015
Type: Document
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I-CASH 2015 Annual Report
An overview of Iowa’s Center for Agricultural Safety and Health (I-CASH) statewide prevention and education programs addressing agricultural safety and health during 2015.
Date: 2015
Type: Document
Sponsoring organization: Iowa's Center for Agricultural Safety and Health
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From Volume to Value: Toward the Second Curve
Profiles the Grinnell, Iowa-based Grinnell Regional Medical Center (GRMC), which operates three Rural Health Clinics and serves about 40,000 people across three counties. Details GRMC's process of transitioning from volume to value, including information about network affiliation, clinical integration, data usage, and more, while also striving to maintain local control.
Additional links: Network Overview Poster
Date: 2015
Type: Document
Sponsoring organization: American Hospital Association Section for Small or Rural Hospitals
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Iowa: Find a (Rural Health Clinic) Location Near You
An interactive map identifying the location and address for Rural Health Clinics in Iowa.
Date: 2015
Type: Map/Mapping System
Sponsoring organization: Iowa Association of Rural Health Clinics
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Understanding Connections Between Rural Communities and Family Well-Being: A Study of Hampton, Iowa
Discusses how geographic location can affect the health and welfare of rural residents, particularly low-income residents. Study was developed from interviews with residents in Hampton, Iowa.
Author(s): Cynthia Fletcher
Date: 12/2014
Type: Document
Sponsoring organization: Carsey School of Public Policy
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Ready or Not? The Affordable Care Act and Safety-Net Primary Care Clinic Capacity in Iowa
Assesses the primary care capacity of Rural Health Clinics (RHCs) and Community Health Centers (CHCs) in Iowa, and discusses their ability to meet the increased demand that is likely to result from the Affordable Care Act's (ACA) coverage gains. Examines RHC and CHC readiness in terms of workforce, delivery system changes, and service provision.
Author(s): Brad Wright, Peter C. Damiano, Suzanne E. Bentler
Date: 11/2014
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Non-Hodgkin Lymphoma Risk and Insecticide, Fungicide and Fumigant Use in the Agricultural Health Study
Reports on a study to determine any linkage between the agricultural use of specific pesticides and the occurrence of non-Hodgkin lymphoma (NHL), chronic lymphocytic leukemia (CLL) and multiple myeloma (MM) on agricultural workers in Iowa and North Carolina.
Author(s): Michael C. R. Alavanja, Jonathan N. Hofmann, Charles F. Lynch, et al.
Location: PLOS ONE, 9(10)
Date: 10/2014
Type: Document
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2013 Iowa Governor's Designation for Rural Health Clinics
Explains the Governor's shortage designation process, used to identify counties for eligibility for certification as RHCs. Iowa is one of 13 states that utilize this type of designation.
Additional links: 2013 Iowa Governor's Designated Counties for Rural Health Clinics Map
Date: 08/2014
Type: Document
Sponsoring organization: Iowa State Office of Rural Health
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Affordable Care Act Plans and Premiums in Rural America
Discusses insurance premium pricing for rural populations following the implementation of the Affordable Care Act. Offers recommendations to maximize the number of rural Americans who receive accessible, affordable health insurance.
Date: 04/2014
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Supporting Iowa Rural Provider Capacity Through Community Care Coordination Teams
Provides an overview of a collaborative effort between Medicaid and safety net providers in establishing a community care coordination team pilot in Iowa to demonstrate success for implementation in other states. Care-coordination teams are growing in popularity to build provider capacity and improve quality of care in small and rural communities.
Author(s): Mary Takach
Date: 02/2014
Type: Document
Sponsoring organization: National Academy for State Health Policy
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Where Do Patients with Cancer in Iowa Receive Radiation Therapy?
Describes the concerns affecting access to cancer treatment in rural and urban areas in Iowa.
Author(s): Marcia M. Ward, Fred Ullrich, Kevin Matthews, et al.
Location: Journal of Oncology Practice, 10(1), 20-25
Date: 01/2014
Type: Document
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Access to Chemotherapy Services by Availability of Local and Visiting Oncologists
Identifies the significant factors associated with choice of provider, cancer treatment and the travel time affecting access for rural residents in Iowa.
Author(s): Marcia M. Ward, Fred Ullrich, Kevin Matthews, et al.
Location: Journal of Oncology Practice, 10(1), 26-31
Date: 01/2014
Type: Document
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Iowa Rural Health Program Update 2014
An overview of programs and funding that support rural health in Iowa via the Iowa Department of Public Health.
Date: 2014
Type: Document
Sponsoring organization: Iowa State Office of Rural Health
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Iowa: Federal Mental Health Care Shortage Designations
Color-coded map shows the Iowa counties that are fully or partially designated as a mental health professional shortage area (HPSA).
Date: 2014
Type: Map/Mapping System
Sponsoring organization: Iowa Department of Public Health
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Iowa Rural Health Clinics
Shows the number of rural health clinics by county in Iowa.
Date: 2014
Type: Map/Mapping System
Sponsoring organization: Iowa State Office of Rural Health
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The Influence of Visiting Consultant Clinics on Measures of Access to Cancer Care: Evidence from the State of Iowa
Reports on a study measuring the impact of visiting consultant clinics (VCC) and geographic access to specialized healthcare for cancer patients in rural areas.
Author(s): Roger Tracy, Inwoo Nam, Thomas S Gruca
Location: Health Services Research, 48(5), 1719-1729
Date: 10/2013
Type: Document
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Effects of PROSPER on the Influence Potential of Prosocial Versus Antisocial Youth in Adolescent Friendship Networks
Examines whether PROSPER, an evidence-based intervention, affects adolescent friendship networks with the goal of reducing potential peer influence toward antisocial behavior in 14 rural and small town school districts in Iowa and Pennsylvania. Discusses using social networks to address problem behaviors and potential implications to reduce potential peer influence encouraging problem behaviors, such as substance use and delinquency.
Author(s): D. Wayne Osgood, Mark E. Feinberg, Scott D. Gest, et al
Location: Journal of Adolescent Health, 53(2), 174-179
Date: 08/2013
Type: Document
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Iowa Population Density Map - Peer Groups 2012
A map of the state of Iowa with counties delineated and further depicted by rural, dense rural, semi-urban, and urban peer group, total population, and population density data per square mile. Includes a table listing population density data organized by rural, dense rural, semi-urban, and urban for the state of Iowa and for each county.
Date: 2012
Type: Chart/Graph, Map/Mapping System
Sponsoring organization: Iowa State Office of Rural Health
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Iowa Federal Medically Underserved Areas & Populations (MUA/Ps)
Shows the medically underserved areas and the medically underserved populations throughout Iowa, by county.
Date: 2012
Type: Map/Mapping System
Sponsoring organization: Iowa Department of Public Health
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Health Care Public Transit: A Spotlight on Transportation & Access to Care
Assists public health professionals, community leaders and other healthcare providers in understanding the link that transportation plays in enabling Iowans to access healthcare services. Discusses issues regarding service in rural settings.
Date: 2012
Type: Document
Sponsoring organizations: Iowa Department of Public Health, Iowa Department of Transportation
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Understanding Community Health Needs in Iowa: An Important Step in Making Iowa the Healthiest State in the Nation
Presents the results of a community-wide discussion with stakeholders and residents about their community's health needs and issues. Discusses classification of counties based on RUCA codes. Discusses needs and challenges in rural communities.
Author(s): Meghan O’Brien
Date: 05/2011
Type: Document
Sponsoring organization: Iowa Department of Public Health
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The Economic and Cultural Impacts of Veterans on Rural America: The Case of Iowa
Maps the geographical concentration of veterans in rural communities in Iowa and maps the economic impacts of veterans on these rural communities.
Author(s): Dan Krier, C. Richard Stockner, Paul Lasley
Location: Journal of Rural Social Sciences, 26(3), 57-82
Date: 2011
Type: Document
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Iowa Rural and Agricultural Health and Safety Resource Plan, 2011
Presents the Iowa DPH strategic plan, including a rural health care resource plan. Discusses rural facts, access to health services, agricultural health and safety, and rural health workforce and information technology implications.
Additional links: Executive Summary
Date: 2011
Type: Document
Sponsoring organization: Iowa Department of Public Health
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The IHA Hospital Economic Impact Report
An interactive tool providing the economic impact for all hospitals and healthcare facilities by county in Iowa. Includes data on employment, income, retail sales and sales tax revenues.
Type: Website
Sponsoring organization: Iowa Hospital Association
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Iowa Health Fact Book
Presents state-wide data regarding health outcomes, social determinants of health, and health behaviors throughout Iowa. Discusses rural demographics, adult and youth injury mortalities in rural counties, healthcare facilities including rural health clinics, and distribution of physicians.
Type: Document
Sponsoring organization: Iowa Department of Public Health
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Iowa - Public Health Matters
Quarterly publication of the Iowa Public Health Association that features local public health, various programs, events, and calls for abstracts.
Type: Journal/Newsletter
Sponsoring organization: Iowa Public Health Association
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Iowa Health Centers Research & Data
Provides maps of FQHC locations and communities experiencing shortages of primary care physicians. Also includes information on the populations served by health centers, services provided, staff, patient visits, costs of care, and use of electronic health information.
Type: Website
Sponsoring organization: National Association of Community Health Centers
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ERS State Fact Sheet: Iowa
Lists statistics on population, educational attainment, employment, income, farm characteristics, and farm financial indicators for the state.
Type: Website
Sponsoring organization: USDA Economic Research Service
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Iowa KIDS COUNT Data Center (KCDC)
Provides data on child well-being for the state.
Type: Website
Sponsoring organization: Annie E. Casey Foundation
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Iowa QuickFacts
Basic demographic and economic statistics for the state, with links to county-level data.
Type: Website
Sponsoring organization: U.S. Census Bureau
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Iowa State Health Facts
Provides state-level data on demographics, health, and health policy, including health coverage, access, financing, and state legislation. Includes individual state profiles and 50-state comparisons.
Type: Database
Sponsoring organization: Kaiser Family Foundation
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Iowa - Swatches
Quarterly newsletter of the Iowa Rural Health Association. Offers timely articles for those working in the areas of rural health in Iowa.
Type: Journal/Newsletter
Sponsoring organization: Iowa Rural Health Association
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Additional resources are available. See a full list of Iowa Resources.


Last Updated: 12/14/2017