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Rural Health Information Hub

Pennsylvania Resources

The Pennsylvania Rural Health Model (PARHM): Third Annual Evaluation Report
Evaluates the third performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2021. Includes three case studies discussing three themes: the recruitment and retention of system-affiliated hospitals, engagement and coordination with community organizations and providers, and exploring service line changes.
Additional links: Appendix, Findings at a Glance
Date: 09/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Delivery of High-Speed Broadband Services in Unserved and Underserved Areas of the Commonwealth (Pennsylvania): Fourth Annual Report
Provides an update on the role of broadband in education, telehealth, agriculture, and community and economic development; barriers to development; funding resources; developments in Pennsylvania state and local initiatives; and efforts to identify unserved and underserved Pennsylvania communities. Includes a discussion of the Pennsylvania Broadband Development Authority and new federal funding for expansion and development in Pennsylvania.
Additional links: Summary
Author(s): Yvonne Llewellyn Hursh, Lydia Hack, Allison N. Kobzowicz, Bryan W. DeWalt, Wendy L. Baker
Date: 07/2023
Type: Document
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Pennsylvania Summer Food Service Program Sites, by Rural and Urban County
County-level map showing locations of USDA Summer Food Service Program meal sites, with shadings indicating rural or urban counties.
Date: 06/2023
Type: Map/Mapping System
Sponsoring organization: Center for Rural Pennsylvania
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Reversing Population Decline in Rural Pennsylvania
Explores the factors that attract or discourage people from relocating to and staying in rural areas, and how those factors align with existing population shrinkage strategies in rural communities. Discusses the importance of access to healthcare when people make decisions about living in rural or urban areas.
Author(s): Bing Ran, Joseph Hafer
Date: 06/2023
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Health Centers and PCAs Working Toward Workforce Success
Podcast episode highlighting the challenges with recruiting and retaining healthcare workers in rural Pennsylvania areas. Discusses recruiting people to small towns and training nurses to work in rural and underserved areas.
Date: 06/2023
Type: Audio
Sponsoring organization: STAR² Center
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The Appalachian Region: A Data Overview from the 2017-2021 American Community Survey Chartbook
State- and county-level information on population, age, race and ethnicity, housing occupancy, education, labor force, employment, income, health insurance coverage, disability, and veteran status, for the 13 Appalachian states. Features statistics with breakdowns by 5 levels of population density. Includes data explorer options for Appalachian categories such as population and age, education, income and poverty, computer and broadband access, rural Appalachia versus rural America, and employment and commuting.
Additional links: Full Report
Author(s): Kelvin Pollard, Sara Srygley, Linda A. Jacobsen
Date: 06/2023
Type: Website
Sponsoring organizations: Appalachian Regional Commission, Population Reference Bureau
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Impact of the COVID-19 Pandemic on Cancer Patients in Western Pennsylvania: Rural–Urban Disparities
Examines the impact of COVID-19 and related concerns on cancer patients in rural and urban areas of Pennsylvania. Analyzes a sample of 1,980 patient surveys from August-December 2020 and March 2021 by patient perception of pandemic-related distress, cancer care, COVID-19 impact on personal health, and more. Includes rural versus urban data on COVID-19 concerns related to cancer care as well as demographic breakdowns.
Author(s): Kathryn Demanelis, Margaret Rosenzweig, Linda B. Robertson, et al.
Citation: Cancer Causes Control, 34(7), 595-609
Date: 05/2023
Type: Document
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Barriers to Rural Health Care From the Provider Perspective
Results of a study using data from interviews with 20 healthcare providers in rural areas of western Pennsylvania. Explores barriers to care, including cost and insurance, geographic dispersion, and provider shortage and burnout. Offers strategies for improvement, including use of telehealth, mobile clinics, and increased use of advanced practice providers.
Author(s): Avinash Maganty, Mary E. Byrnes, Megan Hamm, et al.
Citation: Rural and Remote Health, 23(2), 7769
Date: 05/2023
Type: Document
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2021 Pennsylvania Childhood Lead Surveillance Annual Report
Examines results of blood lead level testing of Pennsylvania children during calendar year 2021. Provides information about methods of testing and reporting, and statistics for county of residence, municipality, race and ethnicity, and residence in a rural or urban county.
Date: 04/2023
Type: Document
Sponsoring organization: Pennsylvania Department of Health
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Drug Overdoses in Rural and Urban Pennsylvania: A Progress Report
Assesses the change in the number of reported overdoses in rural and urban Pennsylvania from 2018 to 2022, using data from the Pennsylvania State Police's Overdose Information Network. Features a county-level map showing reported overdoses per 100,000 residents in 2022, and includes statistics on ages of rural overdose victims and overdose survival rates, percentages of overdose victims receiving naloxone, and post-naloxone actions, with breakdowns by urban or rural area.
Date: 03/2023
Type: Document
Sponsoring organization: Center for Rural Pennsylvania
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Additional resources are available. See a full list of Pennsylvania Resources.


Last Updated: 6/21/2024