North Dakota Resources
Eighth Biennial Report 2025: Health Issues for the State of North Dakota
Updates the previous seven editions of this report with a comprehensive examination of healthcare workforce licensure data related to number of licensed professionals, locations, specialties, and demographics in rural and urban North Dakota. Includes three new chapters on indigenous health, women's and children's health, and the community impacts of the School of Medicine and Health Sciences.
Additional links: Executive Summary
Date: 01/2025
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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Updates the previous seven editions of this report with a comprehensive examination of healthcare workforce licensure data related to number of licensed professionals, locations, specialties, and demographics in rural and urban North Dakota. Includes three new chapters on indigenous health, women's and children's health, and the community impacts of the School of Medicine and Health Sciences.
Additional links: Executive Summary
Date: 01/2025
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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North Dakota Qualified Service Provider Hub Survey Report
Report features findings of a survey of qualified service providers (QSPs) in the state of North Dakota. Discusses findings from individual QSPs and agency QSPs and details information about clients served, services provided, and pay and benefits, including the rural differential rate, among other topics.
Author(s): Karen Bernhardt
Date: 11/2024
Sponsoring organization: North Dakota Qualified Service Provider Hub
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Report features findings of a survey of qualified service providers (QSPs) in the state of North Dakota. Discusses findings from individual QSPs and agency QSPs and details information about clients served, services provided, and pay and benefits, including the rural differential rate, among other topics.
Author(s): Karen Bernhardt
Date: 11/2024
Sponsoring organization: North Dakota Qualified Service Provider Hub
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North Dakota Critical Access Hospital Conditions of Participation (CoP) Checklist
Provides a checklist for establishing a Critical Access Hospital (CAH) in North Dakota. Details the required documentation, policies, and information needed by the state survey team to meet the CAH certification standards.
Date: 11/2024
Sponsoring organization: University of North Dakota Center for Rural Health
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Provides a checklist for establishing a Critical Access Hospital (CAH) in North Dakota. Details the required documentation, policies, and information needed by the state survey team to meet the CAH certification standards.
Date: 11/2024
Sponsoring organization: University of North Dakota Center for Rural Health
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Intakes of Lean Proteins and Processed Meats and Differences in Mental Health between Rural and Metro Adults 50 Years and Older
Presents a study on the relationship between diet and mental health status of adults over 50 in rural and urban counties in North Dakota. Focuses specifically on lean versus processed protein intake and their correlation with reported rates of depression and anxiety. Breaks down data by demographic characteristics, including rural and urban location, and discusses food access issues in rural communities.
Author(s): Nathaniel R. Johnson, Sherri N. Stastny, Julie Garden-Robinson
Citation: Nutrients, 16(18), 3056
Date: 09/2024
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Presents a study on the relationship between diet and mental health status of adults over 50 in rural and urban counties in North Dakota. Focuses specifically on lean versus processed protein intake and their correlation with reported rates of depression and anxiety. Breaks down data by demographic characteristics, including rural and urban location, and discusses food access issues in rural communities.
Author(s): Nathaniel R. Johnson, Sherri N. Stastny, Julie Garden-Robinson
Citation: Nutrients, 16(18), 3056
Date: 09/2024
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Health Wanted: Finding Care in Rural America
Series of videos highlighting challenges with access to quality healthcare for rural Americans. Discusses healthcare access in remote locations, food insecurity and farming practices, transportation, wellness initiatives, and chronic health conditions in 5 states. Transcript available in video description.
Date: 05/2024
Sponsoring organization: American Heart Association
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Series of videos highlighting challenges with access to quality healthcare for rural Americans. Discusses healthcare access in remote locations, food insecurity and farming practices, transportation, wellness initiatives, and chronic health conditions in 5 states. Transcript available in video description.
Date: 05/2024
Sponsoring organization: American Heart Association
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Health Care Coalitions: A Resource to Support Critical Access Hospital Emergency Preparedness Planning
Describes unique challenges Critical Access Hospitals (CAHs) face regarding emergency preparedness planning. Presents findings from interviews with leaders from 8 statewide or regional healthcare coalitions (HCCs) regarding strategies and resources HCCs provide to support the CAH emergency preparedness planning process. Outlines the functions and roles of HCCs by the 4 Administration for Strategic Preparedness and Response (ASPR) capability goals.
Author(s): John Gale, Karen Pearson, Rebecca Stearns
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
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Describes unique challenges Critical Access Hospitals (CAHs) face regarding emergency preparedness planning. Presents findings from interviews with leaders from 8 statewide or regional healthcare coalitions (HCCs) regarding strategies and resources HCCs provide to support the CAH emergency preparedness planning process. Outlines the functions and roles of HCCs by the 4 Administration for Strategic Preparedness and Response (ASPR) capability goals.
Author(s): John Gale, Karen Pearson, Rebecca Stearns
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
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Utilizing Public Transportation to End Food Insecurity in Rural and Small Urban Areas by Providing Better Access: A Case Study of Rural Counties in North Dakota
Analyzes the impact of public transportation in addressing food insecurity in rural and urban areas of North Dakota. Provides county and ZIP code level sociodemographic data on population changes, food insecurity, poverty, and more. Includes discussion about causes of food insecurity in rural areas.
Author(s): Dilip Mistry, Jill Hough
Date: 03/2024
Sponsoring organization: Upper Great Plains Transportation Institute
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Analyzes the impact of public transportation in addressing food insecurity in rural and urban areas of North Dakota. Provides county and ZIP code level sociodemographic data on population changes, food insecurity, poverty, and more. Includes discussion about causes of food insecurity in rural areas.
Author(s): Dilip Mistry, Jill Hough
Date: 03/2024
Sponsoring organization: Upper Great Plains Transportation Institute
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Value-Based Care and North Dakota
Slides presented to the North Dakota legislature on January 30, 2024, providing an overview of an initiative assisting rural North Dakota Critical Access Hospitals (CAHs) in preparing for value-based care and payment. Discusses principles of the transition from volume-based to value-based payment. Outlines the technical assistance the initiative provides to five core CAHs in the state and a summary of a high-level financial analysis.
Author(s): Clint MacKinney
Date: 01/2024
Sponsoring organization: Rural Health Value
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Slides presented to the North Dakota legislature on January 30, 2024, providing an overview of an initiative assisting rural North Dakota Critical Access Hospitals (CAHs) in preparing for value-based care and payment. Discusses principles of the transition from volume-based to value-based payment. Outlines the technical assistance the initiative provides to five core CAHs in the state and a summary of a high-level financial analysis.
Author(s): Clint MacKinney
Date: 01/2024
Sponsoring organization: Rural Health Value
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2024 EMS Index: North Dakota Rural EMS Counts
Presents data on rural-relevant EMS quality measures for North Dakota, focusing on cardiac, stroke, pain, vitals, and safety using 2023 data from the North Dakota State EMS Repository. Compares metrics in each focal area to national rates.
Date: 2024
Sponsoring organizations: ESO, North Dakota Department of Health and Human Services, North Dakota EMS Association, University of North Dakota Center for Rural Health
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Presents data on rural-relevant EMS quality measures for North Dakota, focusing on cardiac, stroke, pain, vitals, and safety using 2023 data from the North Dakota State EMS Repository. Compares metrics in each focal area to national rates.
Date: 2024
Sponsoring organizations: ESO, North Dakota Department of Health and Human Services, North Dakota EMS Association, University of North Dakota Center for Rural Health
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The Association Between Tribal Transit And Food Insecurity Status among Native Americans in North Dakota
Examines the relationship between food insecurity in rural tribal areas and transportation access. Analyzes 2022 survey data from Native American respondents in North Dakota and reports on respondent demographics, traditional indigenous food pathways, factors leading to food insecurity, disability and health status, availability of transportation, and more. Provides information on Native American reservations and populations as well as strategies to reduce food insecurity.
Author(s): J. Hough, J. Mattson, H. Al Qublan, B. Rahman
Date: 12/2023
Sponsoring organization: Upper Great Plains Transportation Institute
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Examines the relationship between food insecurity in rural tribal areas and transportation access. Analyzes 2022 survey data from Native American respondents in North Dakota and reports on respondent demographics, traditional indigenous food pathways, factors leading to food insecurity, disability and health status, availability of transportation, and more. Provides information on Native American reservations and populations as well as strategies to reduce food insecurity.
Author(s): J. Hough, J. Mattson, H. Al Qublan, B. Rahman
Date: 12/2023
Sponsoring organization: Upper Great Plains Transportation Institute
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Additional resources are available. See a full list of North Dakota Resources.
Last Updated: 10/7/2025

