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Rural Health Information Hub

North Dakota Resources

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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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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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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2023 Needs Assessment Study of Low-Income North Dakota Individuals and Families
Report depicts the needs of low-income individuals and families in North Dakota. Highlights the need for access to affordable housing/rental assistance, food, dental insurance, and behavioral healthcare, among others. Discusses the needs of low-income people in rural communities, particularly primary and mental healthcare access.
Additional links: 2020 VS. 2023 Comparison, Executive Summary, Regional Results
Date: 09/2023
Sponsoring organizations: Community Action Partnership of North Dakota, North Dakota State University
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North Dakota's Significant Rural Health Needs as Identified by Critical Access Hospital Community Health Needs Assessments: 2020-2022 Aggregate Results for Rural North Dakota Hospitals
Report highlights the results of community health needs assessments of North Dakota's Critical Access Hospitals (CAHs) from 2020 to 2022. Identifies the most pressing healthcare needs in ND's rural communities.
Author(s): Kylie Nissen, Holly Long
Date: 07/2023
Sponsoring organization: University of North Dakota Center for Rural Health
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Promoting Health Literacy through Culturally and Linguistically Appropriate Services (CLAS)
Recording of a June 8, 2023, conference session on health literacy and culturally and linguistically appropriate services (CLAS) as part of the 2023 Centers for Medicare & Medicaid Services (CMS) Health Equity Conference. Features a presentation from the University of North Dakota School of Medicine and Health Sciences on the Targeted Rural Health Education Project, in which health sciences students write newspaper articles on medical topics of importance to the rural communities they serve. Transcript available in the video description.
Additional links: Kay Miller Temple and David Schmitz, University of North Dakota School of Medicine and Health Sciences - Presentation Slides
Date: 06/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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North Dakota Dental Health HPSAs
Map of North Dakota identifying the counties and facilities designated as Dental Health Professional Shortage Areas (HPSAs).
Date: 2023
Sponsoring organization: North Dakota Department of Health and Human Services
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North Dakota Mental Health HPSAs
Map of North Dakota identifying the counties and facilities designated as Mental Health Professional Shortage Areas (HPSAs).
Date: 2023
Sponsoring organization: North Dakota Department of Health and Human Services
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North Dakota Primary Care HPSAs
Map of North Dakota identifying the counties and facilities designated as Primary Care Health Professional Shortage Areas (HPSAs).
Date: 2023
Sponsoring organization: North Dakota Department of Health and Human Services
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Exploring Health Insurance Coverage in the North Central Region at the Intersection of Location, Employment, Gender, Race, and Ethnicity
Provides data on health insurance coverage in North Central Region states. Includes rural versus urban coverage comparisons, further broken down by employment type and demographic variables.
Date: 12/2022
Sponsoring organization: North Central Regional Center for Rural Development
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Additional resources are available. See a full list of North Dakota Resources.


Last Updated: 1/13/2026