State Innovation Model (SIM) Summative Evaluation Report: Activities and Goal Evaluation Award Year 2-4 (AY2-4)
Summarizes the process and implementation activities of the State Innovation Model (SIM) test grant program in Iowa during award years 2 through 4, which spanned November 2016 through April 2019. SIM test awards are administered by the Centers of Medicare and Medicaid Services (CMS) Innovation Center and allow states to implement and test strategies for health system transformation that meet the specific needs of residents of each state. Describes the process evaluation of SIM implementation activities and results of the 2016 and 2018 statewide evaluation surveys. Presents data on outcome measures regarding access and cost of care, diabetes, obesity, and tobacco use.
Author(s): Tessa Heeren, Rochelle Schultz Spinarski, Elizabeth Momany, et al.
Date: 08/2020
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Providing Maternity Care in a Rural Northern Iowa Community
Describes how a rural Critical Access Hospital in Iowa has sustained its maternity care practice and offers suggestions for other rural hospitals and communities seeking to retain local access to pregnancy and childbirth services.
Author(s): Alexandria Kristensen-Cabrera, Julia D. Interrante, Carrie Henning-Smith, Katy Kozhimannil
Date: 08/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Exploring Opportunities to Leverage Pharmacists in Rural Areas to Promote Administration of Human Papillomavirus Vaccine
Describes the role of rural pharmacists in promoting and administering the human papillomavirus (HPV) vaccine using information gathered from interviews of 11 pharmacists at independently owned pharmacies in Iowa. Identifies factors facilitating the administration and accessibility of the vaccine and reports on personal barriers regarding safety, lack of information, and staff capacity.
Author(s): Grace Ryan, Eliza Daly, Natoshia Askelson, et al.
Citation: Preventing Chronic Disease, 17
Date: 03/2020
Type: Document
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Association of Neighborhood Measures of Social Determinants of Health With Breast, Cervical, and Colorectal Cancer Screening Rates in the US Midwest
Results of a study examining how area-level social determinants of health and rurality were associated with cancer screening practices in 75 Mayo Clinic and Mayo Clinic Health System practices in Minnesota, Iowa, and Wisconsin in 2016-2017. Features statistics on factors associated with 3 types of cancer screenings, with breakdowns by urban, rural, and highly rural areas.
Author(s): Shaheen S. Kurani, Rozalina G. McCoy, Michelle A. Lampman, et al.
Citation: JAMA Network Open, 3(3)
Date: 03/2020
Type: Document
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Visualizing Immunization Registry Data to Identify Places With Low Rates of HPV Vaccination Initiation in a Rural State
Results of a 2016 study of human papillomavirus (HPV) vaccination among Iowa adolescents aged 13-15. Includes a county-level map showing urban and rural areas and their vaccination rates.
Author(s): Natoshia M. Askelson, Seungwon Kim, Youn Soo Jung, et al.
Citation: Preventing Chronic Disease, 17
Date: 03/2020
Type: Document
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Bringing it All Together for EMS in Wright County, Iowa
Video details how Wright County, Iowa, used supplemental Flex funding to solidify their emergency medical services (EMS). Highlights the way the county used the supplement funding to initiate a project to design a sustainable EMS program that provides coverage to the whole county.
Date: 01/2020
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Assessing Health and Safety Concerns and Psychological Stressors among Agricultural Workers in the U.S. Midwest
Results of a 2018 study of 540 farmers in Iowa, Ohio, Missouri, Minnesota, and Nebraska, identifying agricultural work stressors including chemical and equipment safety, finances, and health concerns such as hearing loss, respiratory problems, depression, and acute illnesses. Examines differences between mail and in-person survey modes, and compares their effectiveness in promoting farm workers' willingness to participate in the surveys. Features demographics and statistics on the types of stress experienced.
Author(s): Kanika Arora, Marsha Cheyney, Fredric Gerr, et al.
Citation: Journal of Agricultural Safety and Health, 26(1), 45-58
Date: 01/2020
Type: Document
Sponsoring organization: American Society of Agricultural and Biological Engineers
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Improving Behavioral Health Screening & Access to Treatment for Veterans in Community Care
Describes a partnership between Veterans Rural Health Resource Center in Iowa City, Iowa; the Iowa Primary Care Association; and the Community Health Centers of Southeastern Iowa. Provides an overview of Phase I of the collaboration, which focused on implementing a new screening process at 4 rural FQHCs to properly identify all veterans seeking care. Discusses the broader impact of this initiative and next steps.
Date: 2020
Type: Document
Sponsoring organizations: Community Health Centers of Southeastern Iowa, Iowa Primary Care Association, Veterans Health Administration's Office of Rural Health
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Self-Identified Barriers to Rural Mental Health Services in Iowa by Older Adults with Multiple Comorbidities: Qualitative Interview Study
Highlights a study on the perceived barriers to mental healthcare for chronically ill elders in rural Iowa. Bases finding on phone interviews with participants where they detailed their experiences accessing mental healthcare. Breaks down data by age, gender, and mental health diagnosis, among other factors.
Author(s): Lauren Elizabeth Pass, Korey Kennelty, Barry L Carter
Citation: BMJ Open, 9(11), e029976
Date: 11/2019
Type: Document
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Iowa TelePrEP: A Public-Health-Partnered Telehealth Model for Human Immunodeficiency Virus Preexposure Prophylaxis Delivery in a Rural State
Describes a regional telehealth program developed through a partnership of the Iowa Department of public health, disease specialists, and human immunodeficiency virus (HIV) testing programs addressing the barriers in accessing HIV preexposure prophylaxis (PrEP) in rural areas due to stigma and the long distances to providers.
Author(s): Angela B. Hoth, Cody Shafer, Dena Behm Dillon, et al.
Citation: Sexually Transmitted Diseases, 46(8), 507-512
Date: 08/2019
Type: Document
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