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Texas Resources

Regulating Network Adequacy for Rural Populations: Perspectives of Five States
Policy brief describing a study to explore how California, Kentucky, Montana, Texas, and Wisconsin define insurance network adequacy and how much consideration is given to rural issues in regulating their networks. Features statistics including these states' rural population, rural percent of total population, rural area in square miles, number of marketplace networks, and percent that are narrow networks.
Author(s): Michelle Casey, Carrie Henning-Smith, Jean Abraham, Ira Moscovice
Date: 08/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Network Spotlight: Southeast Texas Health System
Provides an overview of the Southeast Texas Health System (SETHS) through an interview with its executive director, Tara Dilley. Based in Weimar, Texas, SETHS is a nonprofit health collaborative network that specializes in managed care contracting for rural providers. The interview covers SETHS' network characteristics, key learnings, accomplishments, and ongoing challenges.
Date: 07/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Rural Hospital Environmental Impact Study
Examines the rapidly changing healthcare landscape, particularly as it relates to rural Texas, by focusing on four key areas: the state of healthcare, rural hospital closures and vulnerabilities, the impact of the Affordable Care Act, and recommendations. Presents information about the current and future state of healthcare in rural Texas as a way to promote understanding and sound rural health policy.
Date: 03/2017
Type: Document
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Community Health Workers Get Trained to Reduce Oral Health Disparities
Highlights programs serving the Navajo Nation, Texas colonias, and Appalachian Maryland that use community health workers to provide oral health education and improve access dental care.
Author(s): Jenn Lukens
Location: Rural Monitor
Date: 03/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Hurricane Response: CMS Waivers and Exceptions for Facilities
Outlines the Centers for Medicare and Medicaid Services' response to Hurricanes Nate, Maria, Irma, and Harvey. The actions are focused on maintaining access to care for affected Medicare and Medicaid beneficiaries. Includes information about administrative actions and waivers for Critical Access Hospitals, Medicare-dependent small rural hospitals, low-volume providers, and other participating facilities.
Date: 2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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What's Next? Practical Suggestions for Rural Communities Facing a Hospital Closure
Presents alternative healthcare solutions for rural Texas communities that are facing a rural hospital closure. Also examines the current state of healthcare delivery, and outlines the regulatory and legislative obstacles to maintaining rural hospital services. Appendices provide additional information including maps of rural Texas hospital closures, a list of useful resources, reflections from rural hospital leaders, and more.
Date: 2017
Type: Document
Sponsoring organizations: Episcopal Health Foundation, Rural and Community Health Institute
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Texas Hunger Map
An interactive map of Texas identifying the percent of the population within each census block living in poverty and with food insecurity.
Date: 2017
Type: Map/Mapping System
Sponsoring organization: Feeding Texas
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Selected Rural Healthcare Facilities in Texas
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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Madison Outreach and Services through Telehealth (MOST) Network
Video featuring the Madison Outreach Services through Telehealth (MOST) Network, which serves the Hispanic/Latino population of Brazos Valley, Texas. Highlights their partnership with Texas A&M’s Telehealth Counseling Clinic, where doctoral-level students and promotoras connect with patients in remote clinics to offer mental health and substance abuse counseling.
Date: 07/2016
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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The Graduate Medical Education System and Physician Supply in Texas
Reports on the current population of primary care to specialty physicians in Texas. Identifies the medical specialties at critical shortage levels and the rural and urban locations of physician specialists. Looks at the overall supply of physicians in the state, the relevancy of the graduate medical education (GME) system, and the ability of the GME system to meet the current and future healthcare needs in Texas.
Additional links: Addendum to the Graduate Medical Education System and Physician Supply in Texas
Date: 07/2016
Type: Document
Sponsoring organization: Texas Department of State Health Services
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Characteristics of Medicaid Beneficiaries Who Use Rural Health Clinics
Describes the population of Rural Health Clinic (RHC) users from North Carolina, Georgia, California, and Texas to assist in policy making and in research, using CMS Medicaid claim data from RHCs, or from healthcare providers practicing under the RHC program.
Author(s): Marisa Domino, Seth Tyree, Regina Rutledge, et al.
Date: 05/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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The Health Status of Northeast Texas
Describes health status of residents of a largely rural 35-county area, including mortality rates, prevalence of cigarette smoking, healthcare access, and percentage of people with health insurance. Features county-level statistics with breakdowns by population size, level of rurality, median income, and age-adjusted mortality rate.
Author(s): Eileen Nehme
Date: 2016
Type: Document
Sponsoring organization: Texas Department of State Health Services
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Effect of Acculturation and Access to Care on Colorectal Cancer Screening in Low-Income Latinos
Examines the associations between acculturation, access to and utilization of healthcare services, and colorectal cancer (CRC) in low-income Latino men and women living in colonias of the Texas-Mexico border area.
Author(s): Lara S. Savas, Sally W. Vernon, John S. Atkinson, Maria E. Fernández
Location: Journal of Immigrant and Minority Health, 17(3) 696-703
Date: 06/2015
Type: Document
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Healthy Border 2020: A Prevention & Health Promotion Initiative
Reports on the prevailing public health issues occurring in U.S.-Mexico border populations. Identifies an agenda focused on health promotion and disease prevention and develops a strategy for implementing a coordinated public health response at the binational, state and local levels.
Date: 06/2015
Type: Document
Sponsoring organization: United States-México Border Health Commission
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Las Colonias in the 21st Century: Progress Along the Texas-Mexico Border
Provides information on demographics, infrastructure, housing, economic opportunity, education, and health in the six Texas counties with the highest concentration of colonias: El Paso, Maverick, Webb, Starr, Hidalgo and Cameron. Offers examples of programs underway that are addressing these issues. Includes data for the colonias compared to Texas and the U.S. as a whole.
Date: 04/2015
Type: Document
Sponsoring organization: Federal Reserve Bank of Dallas
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Marriage and Family Therapists, 2014: Trends, Distribution, and Demographics
Fact sheet identifying growth trends, population to provider data by county and geographic designation, and age distribution by gender for marriage and family therapists in Texas.
Date: 03/2015
Type: Document
Sponsoring organization: Texas Department of State Health Services
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Dentists (General), 2014: Trends, Distribution, and Demographics
Fact sheet identifying growth trends, population data by county and geographic designation, population and age distribution by gender, and training and employment characteristics of general dentists in Texas.
Date: 03/2015
Type: Document
Sponsoring organization: Texas Department of State Health Services
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Dentists (All), 2014: Trends, Distribution, and Demographics
Fact sheet identifying growth trends, population data by county and geographic designation, age distribution of dentists by gender, and training and employment characteristics of all dentists including specialty care in Texas.
Date: 03/2015
Type: Document
Sponsoring organization: Texas Department of State Health Services
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Licensed Chemical Dependency Counselors, 2014: Trends, Distribution, and Demographics
Fact sheet providing population to provider data by geographic designation and county, age distribution by gender, and growth patterns of licensed chemical dependency counselors in Texas.
Date: 03/2015
Type: Document
Sponsoring organization: Texas Department of State Health Services
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Licensed Professional Counselors, 2014: Trends, Distribution, and Demographics
Fact sheet identifying growth trends, population to provider data by county and geographic designation, and age distribution of licensed professional counselors in Texas.
Date: 03/2015
Type: Document
Sponsoring organization: Texas Department of State Health Services
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Texas Community Health Workers, 2014: Trends, Distribution, and Demographics
Fact sheet providing population data by county, race/ethnicity data, and growth patterns of community health workers (CHWs) in Texas.
Date: 03/2015
Type: Document
Sponsoring organization: Texas Department of State Health Services
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2015-16 Update to the State Health Plan: A Vision for Primary Care in the State of Texas & Transforming Texas’ Mental Health Care System
Proposes strategies to improve the efficiency of the healthcare delivery system in Texas with a particular emphasis on primary care and mental health. Also, addresses the limitations with the current payment system, and the need for healthcare providers.
Date: 01/2015
Type: Document
Sponsoring organization: Texas Statewide Health Coordinating Council
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The Mental Health Workforce Shortage in Texas
Provides policy recommendations for addressing Texas’ mental health workforce shortage with a focus on rural and includes an assessment of the feasibility and cost of these recommendations.
Date: 09/2014
Type: Document
Sponsoring organization: Texas Department of State Health Services
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Socioeconomic Context and the Food Landscape in Texas: Results from Hotspot Analysis and Border/Non-Border Comparison of Unhealthy Food Environments
Describes the food landscape of rural and urban Texas using the CDC’s Modified Retail Food Environment (mRFEI) and makes comparisons by border/non-border. Census tracts where food healthy options were limited or non-existent were in highly rural areas.
Author(s): Jennifer J. Salinas, Bassent Abdelbary, Kelly Klaas, Beatriz Tapia, Ken Sexton
Location: International Journal of Environmental Research and Public Health, 11(6), 5640-5650
Date: 06/2014
Type: Document
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2013 Annual Report Promotor(a) or Community Health Worker (CHW) Training and Certification Advisory Committee
Provides information on the implementation of standards, guidelines, and requirements related to the training and regulation of persons working as promotores or community health workers in Texas.
Date: 03/2014
Type: Document
Sponsoring organization: Texas Department of State Health Services
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Nuestra Voz, Nuestra Salud, Nuestro Texas: The Fight for Women's Reproductive Health in the Rio Grande Valley
Examines reproductive health the rural Rio Grande Valley region. Provides clear recommendations to improve reproductive health. Data collected from interviews and focus groups conducted in four counties of the Rio Grande Valley. Discusses the impact and results of Texas’s policy decisions on Latinas, their families, and their communities as they search for affordable reproductive health care.
Date: 11/2013
Type: Document
Sponsoring organization: National Latina Institute for Reproductive Health
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Supplemental Nutrition Assistance Program (SNAP) Access at the State and County Levels: Evidence from Texas and the American Community Survey
Access an entire report or its summary, both of which describe estimations of SNAP access rates for rural and urban areas of Texas and by race, Hispanic origin, age, educational level and SNAP unit size. Select data is also available at the county level.
Additional links: Report Summary
Author(s): Constance Newman, Erik Scherpf
Date: 09/2013
Type: Document
Sponsoring organization: USDA Economic Research Service
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The South Texas Health Status Review: A Health Disparities Roadmap
A study looking at 35 health conditions and behavioral risk factors and how they affect rural and urban South Texans compared to Texans in other parts of the state as well as the U.S.
Author(s): Amelie G. Ramirez, Ian M. Thompson, Leonel Vela
Date: 08/2013
Type: Document
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Causes and Consequences of Rural Pharmacy Closures: A Multi-Case Study
Policy brief identifies factors that contributed to the closing of six rural pharmacies in different states and describes how the affected communities adapted to losing locally based services.
Author(s): Kelli Todd, Katie Westfall, Bill Doucette, Fred Ullrich, Keith Mueller
Date: 08/2013
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The Utility of Rural and Underserved Designations in Geospatial Assessments of Distance Traveled to Healthcare Services: Implications for Public Health Research and Practice
Reviews the different definitions of rurality and their purposes and examine common resident profile characteristics associated with each designation using an eight-county sample from Central Texas. Discusses the impact that the selection of rural definitions can have on research findings and resulting health policy.
Author(s): Matthew Lee Smith, Justin B. Dickerson, Monica L. Wendel, et al.
Location: Journal of Environmental and Public Health, 2013, 1-11
Date: 06/2013
Type: Document
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Cost Estimates for Operating a Primary Care Practice Facilitation Program
Reports on a study that provided practice facilitation to 19 small primary practices in South Texas, with the focus of improving patient self-management support and activation.
Author(s): Steven D. Culler, Michael L. Parchman, Raquel Lozano-Romero, et al.
Location: Annals of Family Medicine, 11(3), 207-211
Date: 05/2013
Type: Document
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Perceptions of Disaster Risk and Vulnerability in Rural Texas
Describes how rural communities are vulnerable to natural hazards such as drought, wildfires and floods. Provides a demographic overview of rural Texas and discusses vulnerability, risk and disaster planning. Discusses how rural places are home to people with characteristics that increase vulnerability to impacts of disaster, such as lower incomes and lower levels of education.
Author(s): Andrew J. Prelog, Lee M. Miller
Location: Journal of Rural Social Sciences, 28(3), 1-31
Date: 2013
Type: Document
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Local Programs Help Patients Navigate Medical Care
A look at patient navigator programs in four states: a statewide program in Georgia; a program in Kentucky for cervical cancer patients; a promotores program in Texas for chronic conditions; and a coordinated care program for cancer patients in Vermont.
Author(s): Candi Helseth
Location: Rural Monitor, 2012(Spring)
Date: 05/2012
Type: Document
Sponsoring organization: Rural Health Information Hub
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Texas County Designations
Identifies rural and metropolitan counties in Texas.
Date: 2012
Type: Map/Mapping System
Sponsoring organization: Texas State Office of Rural Health
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The Texas Health Care Landscape
Overview of the demographics, population health, the uninsured and Medicaid in the State of Texas. Provides rural specific statistics on population health.
Date: 12/2011
Type: Document
Sponsoring organization: Kaiser Commission on Medicaid and the Uninsured
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2011-2016 Texas State Health Plan: A Roadmap to a Healthy Texas
A guide to aid policy makers in the development of appropriate health policies and programs to improve access and quality of health care for all Texans in rural and urban areas, including the border region and underserved populations.
Date: 2011
Type: Document
Sponsoring organization: Texas Statewide Health Coordinating Council
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Pueblo of Pojoaque Energizes Local Food Economy
Describes a project begun in 2009 to improve Rio Grand Valley tribal members’ nutrition and expand the local food economy by developing a pueblo farm.
Type: Document
Sponsoring organization: Administration for Native Americans
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Texas Rural Hospitals
A table identifying rural hospitals in the state of Texas, their contact information, and if they are designated a Critical Access Hospital (CAH).
Type: Document
Sponsoring organization: Texas State Office of Rural Health
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Rural Border Health Topic Guide
Information and resources about U.S.-Mexico border health issues.
Type: Website
Sponsoring organization: Rural Health Information Hub
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Texas 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: Texas
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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Texas 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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Texas 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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Texas State Health Facts
The latest state-level data on demographics, health, and health policy, including health coverage, access, financing, and state legislation. Individual state profiles and 50-state comparisons.
Type: Database
Sponsoring organization: Kaiser Family Foundation
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Additional resources are available. See a full list of Texas Resources.


Last Updated: 12/6/2017