Skip to main content

Telehealth Use in Rural Healthcare – Resources

Selected recent or important resources focusing on Telehealth Use in Rural Healthcare.

Emergency Department Telemedicine Consults Decrease Time to Interpret Computed Tomography of the Head in a Multi-Network Cohort
Examines the impact of telemedicine on emergency department (ED) treatment for stroke care and the variation of impact across hospitals and by network. Discusses the benefits in treatment and process outcomes utilizing telemedicine for stroke care in rural and urban EDs.
Author(s): Morgan B. Swanson, Aspen C. Miller, Marcia M. Ward, et al.
Citation: Journal of Telemedicine and Telecare, 2019
Date: 11/2019
Type: Document
view details
State Telehealth Laws & Reimbursement Policies
Summary of telehealth-related policies, laws, and regulations for the 50 states and the District of Columbia. Focuses on Medicaid fee-for-service policies and includes the most recent policy language in each state as of September 2019.
Additional links: Infographic, Interactive Map - Current State Laws & Reimbursement Policies, Interactive Map - Legislation and Regulation Tracking
Date: 10/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
Expanding HIV Care Through Telehealth
Discusses how telehealth programs benefit Health Resources and Services Administration (HRSA) Ryan White HIV/AIDS Program (RWHAP) recipients. Discusses the benefits for rural patients of provider-specialist programs like Project ECHO that offer telementoring to primary care providers and of programs that provide care directly to rural patients via telemedicine.
Citation: CAREAction Newsletter
Date: 10/2019
Type: Document
Sponsoring organization: Health Resources and Services Administration
view details
The Use of Telehealth in School-Based Health Centers
Describes the growth in number and location of the telehealth model of care in traditional school-based health centers (SBHCs), and highlights how telehealth complements the care given by onsite providers. Examines the characteristics of SBHCs' use of the telehealth model including SBHCs who exclusively use telehealth, and the characteristics of provider types, medical sponsorship, and schools and students with access to SBHCs. Discusses the implications of the exclusive use of telehealth services, and how traditional health services are expanding due to the use of telehealth.
Author(s): Hayley Love, Nirmita Panchal, John Schlitt, et al.
Citation: Global Pediatric Health, 6
Date: 09/2019
Type: Document
view details
Looking Through a Different Lens: Patient Satisfaction With Telemedicine in Delivering Pediatric Fracture Care
Looks at patient satisfaction with telemedicine for pediatric fracture care based on a study conducted in rural central Pennsylvania. Compares satisfaction levels for real-time video consultation with a pediatric orthopedic surgeon facilitated by a physician's assistant to conventional outpatient clinic visits.
Author(s): Neha Sinha, Max Cornell, Benjamin Wheatley, et al.
Citation: JAAOS Global Research & Reviews, 3(9), e100
Date: 09/2019
Type: Document
view details
A Framework for Evaluating the Return on Investment of Telehealth
Proposes a framework for calculating the return on investment (ROI) of a telehealth program. Identifies principles and considerations related to evaluating telehealth ROI. Includes a case study focused on a rural community hospital implementing a telecardiology program. Another case study features a hospital system with a tertiary hospital and smaller community hospitals adding pre-transfer video consults.
Author(s): Jacqueline Marks, Jared Augenstein, Anthony Brown, Sol Lee
Date: 09/2019
Type: Document
Sponsoring organization: Manatt Health Strategies
view details
Making Connections: Nationwide Implementation of Video Telehealth Tablets to Address Access Barriers in Veterans
Results of a survey of 68 facility telehealth coordinators to evaluate implementation of a Department of Veterans Affairs initiative to provide tablets to high-need veterans with chronic conditions. Features statistics including demographics of tablet recipients and tablet users, with breakdowns by urban, rural, and highly rural location.
Author(s): Donna M. Zulman, Emily P. Wong, Cindie Slightam, et al.
Citation: JAMIA Open, 0(0), 1-7
Date: 08/2019
Type: Document
view details
The Evolving Policy Landscape of Telehealth Services Delivered in the Home and Other Nonclinical Settings
Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
view details
FCC Promoting Telehealth in Rural America: Report and Order
Provides a report and order regarding plans to reform the Rural Health Care Program and promote telehealth, including targeting funding to rural areas. Discusses plans to improve the Telecom Program's efficiency, transparency, and predictability; criteria for prioritizing rural areas for funding; how to increase rural participation in Healthcare Connect Fund Program Consortia and the effectiveness of competitive billing; and how to improve RHC Program administration, the application process, and program oversight. Includes the final rules governing the program and maps showing the rural area tiers for the program.
Date: 08/2019
Type: Document
Sponsoring organization: Federal Communications Commission
view details
Advancing Health Equity and Access Using Telemedicine: A Geospatial Assessment
Highlights a study on the effectiveness of a virtual urgent care (VUC) program in expanding healthcare access and addressing health equity in rural populations in North Carolina. Compares rural versus urban areas and breaks down data by rates of poverty, Medicare and Medicaid enrollment, and broadband access, among other measures.
Author(s): Saif Khairat, Timothy Haithcoat, Songzi Liu, et al.
Citation: Journal of the American Medical Informatics Association, 26(8-9), 796–805,
Date: 08/2019
Type: Document
view details
Hospital Utilization Among Rural Children Served by Pediatric Neurology Telemedicine Clinics
Compares rates of emergency department visits and hospital admissions at a California academic children's hospital with similar groups of patients who received outpatient pediatric neurology care at remote telemedicine clinics or in-person clinics. Features statistics including baseline characteristics among telemedicine and in-person cohorts, and hospital encounter frequencies and rates.
Author(s): Parul Dayal, Celia H. Chang, William S. Benko
Citation: JAMA Network Open, 2(8)
Date: 08/2019
Type: Document
view details
A Multilayered Analysis of Telehealth: How This Emerging Venue of Care is Affecting the Healthcare Landscape
White paper exploring ways in which telehealth is affecting the healthcare landscape. Features statistics including non-hospital-based, discharge-related, and provider-to-provider telehealth claim lines as a percentage of all medical claim lines from 2014-2018, with breakdowns by rural or urban location.
Date: 07/2019
Type: Document
Sponsoring organization: FAIR Health
view details
Telehealth in Rural America
Policy position paper focused on telehealth in the rural U.S. Addresses state and national policies related to insurance coverage of telehealth, infrastructure challenges such as broadband access, licensure issues, reimbursement, and other barriers to telehealth access.
Author(s): Windy Alonso, Elizabeth Crouch, Nicole Thorell
Date: 07/2019
Type: Document
Sponsoring organization: National Rural Health Association
view details
Factors Determining Patients' Choice Between Mobile Health and Telemedicine: Predictive Analytics Assessment
Results of a study to examine factors influencing the choice of communication medium for receiving healthcare, through analysis of mobile health versus telemedicine visits with a virtual urgent clinic. Features statistics including demographics of virtual urgent clinic users, with breakdowns by urban and rural settings.
Author(s): Saif Khairat, Songzi Liu, Tanzila Zaman, Barbara Edson, Robert Gianforcaro
Citation: JMIR Mhealth Uhealth, 7(6)
Date: 06/2019
Type: Document
view details
Introducing the Rural Telehealth Toolkit
Webinar recording discusses the Rural Telehealth Toolkit, which was designed to help rural communities implement telehealth programs and was developed by NORC Walsh Center for Rural Health Analysis for the Federal Office of Rural Health Policy (FORHP). Features representatives from NORC, the Rural Veterans Health Access Program, the NDSU College of Health Professions, and the Northeast Telehealth Resource Center (NETRC).
Additional links: Audio Recording, PowerPoint Handout, Webinar Transcript
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
view details
Infectious Diseases Society of America Position Statement on Telehealth and Telemedicine as Applied to the Practice of Infectious Diseases
Position statement to educate members of the Infectious Diseases Society of America on telehealth and to promote use of this technology in clinical care, research, and education. Explores the potential to increase access to subspecialist care in rural areas, and describes reimbursement policies of private insurers, Medicare, and Medicaid, for telehealth services provided to patients in rural areas. Also describes HIPAA requirements for telehealth interactions and protected health information.
Author(s): Jeremy D. Young, Rima Abdel-Massih, Thomas Herchline, et al.
Citation: Clinical Infectious Diseases, 68(9), 1437-1443
Date: 05/2019
Type: Document
view details
Impact of Availability of Telehealth Programs on Documented HIV Viral Suppression: A Cluster-Randomized Program Evaluation in Veterans Health Administration
Explores the efficacy of the Veterans Administration (VA) telehealth programs in providing HIV specialty care to rural veterans. Looks at telehealth availability and evaluates the outcomes for participants.
Author(s): Michael E. Ohl, Kelly Richardson, Maria C. Rodriguez-Barradas, et al.
Citation: Open Forum Infectious Diseases, 206
Date: 05/2019
Type: Document
view details
Virtual Telehealth Librarians: A Closer Look at a Regional Telehealth Resource Center's Technical Assistance
Highlights the technical assistance provided by the federally-funded regional and national telehealth resource centers, with a focus on the work of the Upper Midwest Telehealth Resource Center.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
The Power of Three: Rural Schools, Healthcare Providers, and a Rural Health Association Collaborate to Expand Primary Care Access Using School-Based Telehealth
Features the Indiana Rural Schools Clinic Network, a federally-funded telehealth program linking 18 rural schools in Indiana with 10 local provider organizations.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Fact Sheet: Telehealth
Discusses the growth of telehealth use in hospitals from 2010 through 2017, and ongoing challenges to expanding and providing telehealth services. Covers rural considerations throughout.
Date: 02/2019
Type: Document
Sponsoring organization: American Hospital Association
view details
2019 Telehealth Policy Barriers
Discusses existing policy barriers at the federal and state levels that inhibit the use of telehealth in rural and urban areas, including: reimbursement; malpractice; licensing; HIPAA, privacy, and security; prescribing; credentialing and privileging; and other influences on policy.
Date: 02/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
2019 Telehealth Reimbursement
Provides an overview of Medicare reimbursement for telehealth services and discusses factors, policies, and legislation affecting reimbursement including: geographic and originating site restrictions; provider restrictions; service restrictions; payment for remote communication technology; chronic care management and remote monitoring; Medicare Advantage; Accountable Care Organizations, bundled care, and telehealth. Covers Medicaid and private payer telehealth reimbursement policies
Date: 02/2019
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
Report to Congress: Current State of Technology-Enabled Collaborative Learning and Capacity Building Models
Reports on the impact of technology-enabled collaborative learning and capacity building models as required by the Expanding Capacity for Health Outcomes (ECHO) Act. Examines how such models are being used to improve healthcare quality and address health workforce capacity, particularly in rural areas, the evidence behind model effectiveness, and evidence gaps. Provides recommendations on expanding model adoption and its use in continuing medical education. Appendix includes an inventory of Project ECHO models and other similar models by state and in several other countries.
Additional links: Appendix
Date: 02/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Project ECHO: Policy Pathways for Sustainability
Examines policy and funding options to provide for the long-term sustainability of Project ECHO, a telehealth mentoring program supporting the health workforce in rural and underserved areas. Offers state and federal policy recommendations, discussing how each would work, action steps, and feasibility.
Author(s): Greg Howe, Allison Hamblin
Date: 01/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Teleophthalmology: Ophthalmologists Talk Remote Eye Care Solutions
Discusses the role of remote eye care technology in meeting rural eye care needs. Highlights the use of teleophthalmology in rural Oregon. Features a collaboration of the Joslin Diabetes Center and the Indian Health Service to address diabetic retinopathy using remote surveillance.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Experiences of Medicaid Programs and Health Centers in Implementing Telehealth
Examines the experiences of 19 rural and urban Federally Qualified Health Centers (FQHCs) and 7 state Medicaid programs with supporting and delivering telehealth. Addresses state Medicaid policies, telehealth models and types, barriers and facilitators for telehealth, and future plans. Identifies considerations for payers, policymakers, and FQHCs interested in telehealth implementation.
Date: 2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
view details
Impact of Participation in Technology-Enabled Collaborative Learning and Capacity Building (ECHO) Models on Provider Retention
Examines whether participation in technology-enabled collaborative learning and capacity building (ECHO) models improves retention of providers at the provider-level and the site-level, and whether results differ for Health Professional Shortage Area (HPSA) vs. non-HPSA sites.
Author(s): Sebastian Negrusa, Paul Hogan, Matt Zhou
Date: 12/2018
Type: Document
Sponsoring organization: The Lewin Group
view details
Roundup of 2018 Approved State Telehealth Legislation
Summarizes telehealth legislation enacted in 2018, including some rural specific initiatives. Covers a variety of legislative topics, such as cross-state licensing, Medicaid reimbursement, network adequacy, demonstration project, online prescribing, and more.
Date: 12/2018
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
The Special Registration for Telemedicine: In Brief
Describes changes to the Controlled Substance Act (CSA) authorizing special registration for telemedicine to increase access to healthcare providers that can prescribe controlled substances using telemedicine, with the goal of helping address the opioid crisis and shortage of mental health providers. Outlines the seven categories for the practice of telemedicine under the authority of the CSA. The Drug Enforcement Administration plans to publish the related proposed rule to finalize the registration process and procedures.
Date: 12/2018
Type: Document
Sponsoring organization: Congressional Research Service
view details
Feasibility of Synchronous Online Focus Groups of Rural Breast Cancer Survivors on Web-based Distress Self-Management
Details a study on a web-based post-diagnosis focus group for women with breast cancer. Bases findings on the perceptions of cancer survivors on the effectiveness of the focus group. Features the perceptions 23 cancer survivors living in rural Nebraska.
Author(s): Robin M. Lally, Christine Eisenhauer, Sydney Buckland, Kevin Kupzyk
Citation: Oncology Nursing Forum, 45(6), E111-E124
Date: 11/2018
Type: Document
view details
Information on Medicare Telehealth
Report to Congress, mandated by the 21st Century Cures Act, examines how Medicare patients are using telehealth, particularly in rural areas, with breakdowns by race/ethnicity, age group, and primary diagnoses including mental health issues. Includes an analysis of Medicare claims data regarding high volume services that could be delivered through telehealth, an overview of telehealth models funded by the Center for Medicare and Medicaid Innovation, and state-level breakdowns of Medicare telehealth data. Discusses who may benefit from telehealth expansion and barriers to expansion.
Date: 11/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Finalized CY 2019 Physician Fee Schedule
Fact sheet describing calendar year 2019 changes to Medicare's telehealth reimbursement policy as a part of the Physician Fee Schedule (PFS) final rule, a new interpretation of the Centers for Medicare and Medicaid Services (CMS) requirements for reimbursement of remote communication technology as distinct from telehealth, and new services eligible for reimbursement. Includes a section on changes specific to Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs).
Date: 11/2018
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
Rural Individuals' Telehealth Practices: An Overview
Compares rural and urban use of online health monitoring, online health research, and online health maintenance, which includes communication with healthcare providers. Provides breakdowns by level of education, age, race/ethnicity, income, and other factors. Briefly addresses access to technology, including internet availability.
Additional links: Report Summary
Author(s): Peter L. Stenberg
Date: 11/2018
Type: Document
Sponsoring organization: USDA Economic Research Service
view details
Developing Telemental Health Partnerships Between State Medical Schools and Federally Qualified Health Centers: Navigating the Regulatory Landscape and Policy Recommendations
Provides recommendations for overcoming barriers to promoting telemental health services partnerships between medical schools and health centers. Discusses rural-urban disparities in provision of mental health services, credentialing, remote electronic health records access, insurance issues, and billing.
Author(s): John C. Fortney, Richard C. Veith, Amy M. Bauer, et al.
Citation: The Journal of Rural Health
Date: 10/2018
Type: Document
view details
Telestroke Adoption among Community Hospitals in North Carolina: A Cross-sectional Study
Discusses the advantages of implementing telestroke in rural acute care hospitals, including Critical Access Hospitals (CAHs), where stroke mortality is higher than in urban settings. Identifies the community and hospital characteristics associated with the adoption of the telestroke approach in acute care hospitals in North Carolina.
Author(s): Christopher M. Shea, Amir Alishahi Tabriz, Kea Turner, Steve North, Kristin L. Reiter
Citation: Journal of Stroke and Cerebrovascular Diseases, 27(9), 2411-2417
Date: 09/2018
Type: Document
view details
The MAVEN Project: Increasing Access for the Underserved
Provides a webcast recording about the Medical Alumni Volunteer Expert Network (MAVEN), which partners volunteer physicians with rural and underserved community health clinics using telehealth for specialty consults and mentoring.
Date: 09/2018
Type: Video/Multimedia
Sponsoring organization: California Primary Care Association
view details
Roadmap for Action: Advancing the Adoption of Telehealth in Child Care Centers and Schools to Promote Children's Health and Well-Being
Discusses strategies and benefits to adopting a telehealth program in a child care center or school. Describes successful rural specific program examples. Outlines a guide for program adoption that covers identifying and building relationships with stakeholders, needs assessment, finding equipment, privacy, payment, sustainability, and implementation challenges.
Date: 08/2018
Type: Document
Sponsoring organization: The Children's Partnership
view details
Telemental Health Research Catalogue
Presents telemental health literature measuring the use of telehealth in achieving one or more of the Triple Aim goals to: improve the patient healthcare experience, improve population health, and reduce the per capita cost of healthcare.
Date: 08/2018
Type: Literature Search
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
Telepsychiatry Program: Children's Hospital and Medical Center
Describes the development, impact, lessons learned, and future goals of a telepsychiatry program designed to provide behavioral healthcare services to children in rural Nebraska.
Date: 07/2018
Type: Document
Sponsoring organization: American Hospital Association
view details
Spurring Innovation: The Role of Child Health Policy
Identifies four target areas to improve child health: Medicaid and the Children's Health Insurance Program (CHIP) delivery and payment reforms; consumer digital health; precision medicine in pediatrics; and addiction and neonatal abstinence syndrome (NAS). Provides recommendations to further develop child health research and policy. Discusses removing barriers and expanding access to telehealth services to deliver care to child living in rural areas, and the rural incidence of NAS.
Date: 06/2018
Type: Document
Sponsoring organization: AcademyHealth
view details
The History and Future of Rural Health Research: Celebrating 30 Years
Recording and slides from a June 4, 2018 webinar with Tom Morris of the Federal Office of Rural Health Policy, Eric Larsen of the WWAMI Rural Health Research Center, and Marcia M. Ward of the Center for Health Policy and Research. They explore how rural health research has changed over time and discuss recent work on telemedicine and emergency and trauma care.
Additional links: Presentation Slides, Transcript, Webinar Recording
Date: 06/2018
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
view details
Opportunities and Challenges to Utilizing Telehealth Technologies in the Provision of Medication Assisted Therapies in the Medi-Cal Program
Describes advantages and barriers to using telehealth for delivery of medication-assisted treatment (MAT) to California's Medicaid enrollees, especially those in rural and underserved areas. Includes recommendations for changes to California state laws in order to alleviate the challenges. Appendix C lists states allowing telehealth prescribing.
Date: 06/2018
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
Using Telemedicine to Improve Rural Women's Health and Save Babies' Lives
Discusses a telehealth program, Solutions to Obstetrics in Rural Communities (STORC), that works to decrease infant mortality rates by support access to prenatal care and improve obstetric care quality in rural Tennessee.
Additional links: Audio Recording
Date: 05/2018
Type: Audio
Sponsoring organization: Blue Cross Blue Shield
view details
2017 Telehealth Policy for the National Rural Health Association
Policy brief showing how telemedicine can help safety net providers care for people who live and work in rural and underserved areas. Lists types of programs, explores reimbursement issues, gives examples of innovative programs with telemedicine components, and offers recommendations for increasing access and improving outcomes.
Author(s): Becky Sanders, Zach Allen, Greg Maurer
Date: 05/2018
Type: Document
Sponsoring organization: National Rural Health Association
view details
Using Telehealth to Improve Home-Based Care for Older Adults and Family Caregivers
Describes consumer perspectives and policy concerns with telehealth. Includes examples of home telehealth strategies, potential benefits and challenges, and discussion of home telehealth coverage in federal and state programs, including the Veterans Health Administration, Medicaid, and Medicare.
Author(s): Winifred V. Quinn, Ellen O'Brien, Gregg Springan
Date: 05/2018
Type: Document
Sponsoring organization: AARP Public Policy Institute
view details
Intent-to-Treat Analysis of a Simultaneous Multisite Telehealth Diabetes Prevention Program
Demonstrates the effectiveness of a 16-week diabetes prevention program (DPP) administered to 15 rural Montana communities using telehealth technology from a single urban medical site. Compares the findings with a concurrent study of a single urban face-to-face DPP intervention.
Author(s): Elizabeth L Ciemins, Patricia J Coon, Nicholas C Coombs, Barbara L Holloway, Elizabeth J Mullette, et al.
Citation: BMJ Open Diabetes Research & Care, 6(1)
Date: 04/2018
Type: Document
view details
Telehomecare Monitoring Services: Eastern Maine Healthcare Systems VNA Home Health Hospice
Discusses the development, impact, lessons learned, and future goals of a telehealth home monitoring program for a healthcare system in rural Maine.
Date: 04/2018
Type: Document
Sponsoring organization: American Hospital Association
view details
Expanding Care for Rural Patients
Discusses the telehealth psychology program at Texas A&M and the effect the program has had on mental health access across the state. Details the program's implementation and the ways it is overcoming barriers for rural people.
Author(s): Amy Novotney
Citation: APA Monitor on Psychology, 49(3), 64
Date: 03/2018
Type: Document
Sponsoring organization: American Psychological Association
view details
Virtual Urgent Care - Bryan Health, Lincoln, NE
Case study of Bryan Health ezVisit, an online diagnosis and treatment option being used by a nonprofit health system in Lincoln, Nebraska to provide healthcare services for minor conditions to surrounding rural communities.
Date: 02/2018
Type: Document
Sponsoring organization: American Hospital Association
view details
New Mexico Mobile Screening Program for Miners Brings Care to the Patients
Highlights a New Mexico program that uses screenings, specialty care via telehealth, and collaboration to meet the healthcare needs of miners with occupational lung disease. Services are provided via a mobile screening clinic housed in a semi that goes to 12 locations in the state.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Case Studies of Telehealth Programs in New York
Synthesizes information from 7 case studies of healthcare providers who regularly use telehealth applications in service delivery, including those who serve patients in rural communities. Identifies common themes and findings related to the impact of these services on provider organizations and patient populations. Featured programs include those emphasizing oral health, home care, and psychiatric care.
Author(s): Robert Martiniano, Carol Rodat, Bridget Baker, Lauren Boyd, Rachel Carter, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
view details
Office for the Advancement of Telehealth Grantee Profiles 2017
Provides contact information and a brief overview of 55 telehealth projects funded by the Office for the Advancement of Telehealth (OAT) within the Federal Office of Rural Health Policy for the 2017 funding year. 2017 OAT grantees received funds through 9 programs including the Telehealth Network Grant Program, Telehealth Resource Center Grant Program, Evidence-Based Tele-Emergency Network Grant Program, Rural Veterans Health Access Program, Licensure Portability Grant Program, Rural Child Poverty Telehealth Network Program, Rural Telehealth Research Center, Substance Abuse Treatment Telehealth Network Grant Program, or Telehealth Center of Excellence.
Date: 2018
Type: Document
Sponsoring organization: Office for the Advancement of Telehealth
view details
Emerging Strategies to Ensure Access to Health Care Services: Virtual Care Strategies
Discusses opportunities to use telehealth to improve healthcare access and delivery to vulnerable rural and urban communities. Includes recommendations from the American Hospital Association Task Force on Ensuring Access in Vulnerable Communities and details the benefits of telehealth services and potential policy solutions such as reimbursement, interaction of state and federal laws, broadband access, and federal research.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
view details
Using Telehealth to Identify and Manage Health and Substance Use Disorder Conditions in Rural Areas
Reports on an environmental scan, discussions with providers and stakeholders, and site visits regarding how telehealth supports behavioral health and substance use disorder treatment. Addresses how telehealth is used, implementation, services offered, financing and sustainability. Focuses on the implications for treating opioid use disorders in rural areas, in particular, using medication-assisted treatment (MAT) with support from telehealth. Appendix B includes site briefs from the 9 states included in the study.
Date: 09/2017
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
view details
Financing Project ECHO: Options for State Medicaid Programs
Outlines how 4 states are using Medicaid funds to support Project ECHO and enhance services for rural and other at-risk populations in California, Colorado, New Mexico, and Oregon. Shares design considerations for specific delivery system environments and ways to ensure long-term program sustainability. Project ECHO seeks to expand access to specialty healthcare services in rural and underserved areas.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Medicaid Financing Models for Project ECHO
Explains the different Medicaid financing mechanisms available for supporting current and potential Project ECHO strategies. Options are listed in table format and organized into three categories: managed care, care management programs, and value-based payment strategies and integrated care programs.
Date: 09/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
view details
Federally Qualified Health Center Remote Patient Monitoring Toolkit
Toolkit developed for Federally Qualified Health Centers (FQHCs) implementing a remote patient monitoring program. Provides guidance for FQHCs and offers program considerations regarding administration, program sustainability, electronic health records (EHR) integration, communications, equipment, training, and examples of measurable outcomes for patients and providers.
Additional links: PowerPoint, Remote Patient Monitoring Toolkit Website, Webinar
Date: 08/2017
Type: Document
Sponsoring organization: National Consortium of Telehealth Resource Centers
view details
Creating a Framework to Support Measure Development for Telehealth
Reports on efforts intended to advance telehealth quality measurement by developers, researchers, analysts, and other members of the healthcare community. Includes case studies of several programs geared toward patients in rural areas.
Date: 08/2017
Type: Document
Sponsoring organization: National Quality Forum
view details
Telehealth Private Payer Laws: Impact and Issues
Analyzes the body of state-level telehealth reimbursement policies, which has grown rapidly in both size and scope since 2010. Seeks to understand how these policies impact telehealth utilization, and the effect private payer laws have on selected commercial payers. Includes information on payment parity laws, modalities, site restrictions, Medicaid policies, and more.
Additional links: Executive Summary
Date: 08/2017
Type: Document
Sponsoring organizations: Center for Connected Health Policy: The National Telehealth Policy Resource Center, Milbank Memorial Fund
view details
Southwest Telehealth Resource Center Helps Rural Providers Connect
Highlights the work of the Southwest Telehealth Resource Center, which supports the region's healthcare providers through telehealth training and technical assistance.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Telehealth: Delivering the Right Care, at the Right Place, at the Right Time
Highlights case examples of telehealth use in hospitals and health systems. Provides an overview and information on impacts, lessons learned, and future goals segments. Includes rural specific programs such as Intermountain Healthcare in Utah and Avera ePharmacy in South Dakota.
Date: 07/2017
Type: Document
Sponsoring organization: American Hospital Association
view details
Achieving Telehealth's Promise for Rural Health: Insights from Telehealth Leaders
Features five rural leaders discussing barriers to the use of telehealth in rural areas and the changes needed to fully implement telehealth in rural healthcare delivery.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 07/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Telehealth: Use in Medicare and Medicaid
Discusses the extent to which telehealth is used by Medicare and Medicaid, the factors affecting the use of telehealth in Medicare, and how emerging payment and delivery models could affect future telehealth use. Includes rural-specific information throughout with particular attention paid to the role of rural healthcare facilities as originating sites.
Additional links: Full Report
Date: 07/2017
Type: Document
Sponsoring organization: Government Accountability Office
view details
Evidence Roadmap: Telehealth and Health Care Access for Rural Populations
Lists systematic reviews, research studies, grey literature, and ongoing research related to telehealth and rural healthcare access.
Date: 05/2017
Type: Literature Search
Sponsoring organization: AcademyHealth
view details
Rural Promising Practice Issue Brief: Interdisciplinary Clinical Video - Telehealth for Geriatrics and Dementia
Highlights the development, implementation, and evaluation of an interdisciplinary telehealth program designed to help caregivers provide coordinated care for aging rural veterans suffering from dementia. Discusses the interdisciplinary team model comprised of social workers, geriatricians, primary care providers, and rural caregivers coordinating to maintain a uniform level of care. Includes outcomes regarding the increase of access to education and caregiver support, as well as the ability of providers to prescribe medication to rural patients.
Additional links: Overview
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
view details
Telehealth Use in Rural Medicaid: A Baseline Inventory
Presentation slides on the utilization of telehealth in rural areas. Breaks down data by urban, rural adjacent, and rural non-adjacent. Original presentation was given at the 2017 National Rural Health Association (NRHA) Annual Conference.
Date: 05/2017
Type: Presentation Slides
Sponsoring organization: Maine Rural Health Research Center
view details
Telepharmacy Rules and Statutes: A 50-State Survey
Policy brief identifying state-enacted regulations and legislation authorizing use of community telepharmacy initiatives, and describing implications for patients in underserved rural communities. Includes a table listing states with telepharmacy permitted in some capacity, pilot programs that enable telepharmacy initiatives, waivers enabling telepharmacy initiatives, or no rules or legislation authorizing telepharmacy use.
Additional links: Table Supplement
Author(s): George Tzanetakos, Fred Ullrich, Keith Mueller
Date: 04/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Telehealth and Remote Patient Monitoring Use in Medicare and Selected Federal Programs
Examines factors affecting the provision of telehealth and remote patient monitoring (RPM) in Medicare and emerging payment and delivery models that could affect its future use. Analyzes data collected through review of agency documents and regulations, and interviews with officials representing 9 general and medical specialty associations familiar with telehealth. Includes state Medicaid reimbursement examples. Rural-specific implications are discussed throughout.
Additional links: Full Report
Date: 04/2017
Type: Document
Sponsoring organization: Government Accountability Office
view details
Practice Guidelines for Telestroke
Details guidelines for telestroke services to assist providers with the assessment, diagnosis, management, and/or remote consultative support with patients showing signs and symptoms of a stroke using real time videoconferencing technology.
Author(s): Bart M. Demaerschalk, Jill Berg, Opeolu Adeoye, et al.
Date: 03/2017
Type: Document
Sponsoring organization: American Telemedicine Association
view details
Practice Guidelines for Telemental Health with Children and Adolescents
Details guidelines for telemental health services for providers delivering mental and behavioral health services through real time videoconferencing to children and adolescents. Includes the top ten modifications of telemental health practice when working with children and adolescents.
Author(s): Kathleen M. Myers, Eve-Lynn Nelson, Donald M. Hilty, et al.
Date: 03/2017
Type: Document
Sponsoring organization: American Telemedicine Association
view details
Project ECHO: Expanding the Capacity of Primary Care Providers to Address Complex Conditions
Provides an overview of the history, development, and expansion of Project ECHO in rural and underserved areas of the U.S., including at Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Project Extension for Community Healthcare Outcomes (ECHO) uses videoconferencing to teach primary care providers in rural areas to provide more complex care and uses a hub-and-spoke model to support collaborative learning.
Author(s): Amy Madore, Julie Rosenberg, Rebecca Weintraub
Date: 03/2017
Type: Document
Sponsoring organizations: Brigham and Women's Hospital, Harvard Medical School
view details
Using Telemedicine to Increase Access, Improve Care in Rural Communities
Examines Avera Health, an integrated delivery system based in Sioux Falls, South Dakota, to highlight how telehealth can be used to improve access in rural areas. Avera offers "eEmergency" telehealth services to more than 130 rural hospitals and "ePharmacy" services to roughly 75 rural hospitals, and other telehealth services. Discusses Avera's expansion into other areas where provider recruitment may be difficult, including prisons, schools, and long-term care facilities.
Author(s): Sarah Klein, Martha Hostetter
Citation: Transforming Care: Reporting on Health System Improvement
Date: 03/2017
Type: Document
Sponsoring organization: Commonwealth Fund
view details
Anticipating Economic Returns of Rural Telehealth
Discusses the quantifiable and nonquantifiable benefits of utilizing telehealth services in rural areas across the U.S. Provides tables showing estimated savings on travel expenses, lost wages, and hospital costs by state. Outlines some of the challenges facing telehealth and makes recommendations for future improvements. Links to a video showing the author presenting portions of the paper at a Foundation for Rural Service event.
Additional links: Video Presentation
Author(s): Rick Schadelbauer
Date: 03/2017
Type: Document
Sponsoring organization: NTCA: The Rural Broadband Association
view details
Project Extension for Community Healthcare Outcomes (ECHO) in Multiple Sclerosis: Increasing Clinician Capacity
Reports on a pilot program conducted by the National Multiple Sclerosis Society and faculty from the University of Washington School of Medicine using the Project Extension for Community Healthcare Outcomes (Project ECHO) model. Determines if the Project Echo model was a viable option to support the capacity of clinicians in rural areas to effectively treat patients with Multiple Sclerosis (MS) in underserved areas.
Author(s): Kurt L. Johnson, Deborah Hertz, Gary Stobbe, et al.
Citation: International Journal of MS Care, 9(6), 283–289
Date: 2017
Type: Document
view details
Family Physicians Report Considerable Interest in, but Limited Use of, Telehealth Services
Describes a study exploring whether and how 1,557 family physicians had used telehealth services in primary care situations in 2014. Features statistics with breakdowns by urban and rural practice locations.
Author(s): Miranda A. Moore, Megan Coffman, Anuradha Jetty, et al.
Citation: Journal of the American Board of Family Medicine, 30(3), 320-330
Date: 2017
Type: Document
view details
Case Studies of 6 Teledentistry Programs: Strategies to Increase Access to General and Specialty Dental Services
Describes the delivery of teledentistry services by six provider organizations with different organizational structures. Discusses teledentistry as a method for improving rural access to oral health services. Identifies common themes, including the benefits of and barriers to teledentistry.
Additional links: Policy Brief
Author(s): Margaret Langelier, Carol Rodat, Jean Moore
Date: 12/2016
Type: Document
Sponsoring organization: Center for Health Workforce Studies
view details
Emergency Department Telemedicine Is Used for More Severely Injured Rural Trauma Patients, but Does Not Decrease Transfer: A Cohort Study
Examines the use of telemedicine consultation in Critical Access Hospital (CAH) emergency departments in North Dakota. Focuses on whether telemedicine was used more frequently based on severity of injury or illness and whether telemedicine use decreased hospital transfers.
Author(s): Nicholas M. Mohr, Karisa K. Harland, Elizabeth A. Chrischilles, et al.
Citation: Academic Emergency Medicine, 24(2), 177-185
Date: 10/2016
Type: Document
view details
Telemedicine Penetration and Consultation Among Rural Trauma Patients in Critical Access Hospital Emergency Departments in North Dakota
Discusses the use of telemedicine in rural Critical Access Hospital (CAH) emergency departments in North Dakota and how the availability of those services changed outcomes for trauma patients. Includes data and statistics regarding use.
Author(s): Nicholas M. Mohr, Karisa K. Harland, Elizabeth Chrischilles, et al.
Date: 09/2016
Type: Document
Sponsoring organization: Rural Telehealth Research Center
view details
2016 Update: Improving Rural Health: State Policy Options
Discusses strategies states use to improve healthcare in rural communities. Addresses the health workforce, access to care, long-term care services, behavioral health capacity, and prevention and wellness.
Author(s): Kristine Goodwin, Laura Tobler
Date: 08/2016
Type: Document
Sponsoring organization: National Conference of State Legislatures
view details
Broadband Planning Primer and Toolkit
Provides information, tools, and resources on broadband technology and planning for the development of internet services in the Appalachian region. Focuses on identifying the unversed demand for broadband, developing partnerships, and reducing barriers for broadband providers to develop technology in undeserved areas. Identifies priorities as reducing isolation, supporting economic development, increasing educational opportunities, improving healthcare including telehealth, and enhancing community capacity within the region.
Author(s): Jane Smith Patterson, Deborah T. Watts, Brian Rathbone, Stephanie Jane Edwards
Date: 08/2016
Type: Document
Sponsoring organization: Appalachian Regional Commission
view details
Report to Congress: E-health and Telemedicine
Reports the current state of e-health and telemedicine after the implementation of the Affordable Care Act (ACA). Includes current policy challenges, discussion of federal level telehealth activity, and a legislative proposal for FY17.
Date: 08/2016
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
view details
Telehealth Parity Laws
Policy brief discussing federal and state activities related to telehealth, as well as Medicaid and private insurer reimbursement for telehealth services. Identifies the arguments in favor of and against paying for telehealth at parity with in-person care. Discusses the role telehealth can play in rural access to healthcare.
Citation: Health Affairs
Date: 08/2016
Type: Document
view details
Project ECHO's Complex Care Initiative: Building Capacity to Help "Superutilizers" in Underserved Communities
Describes a case study from the University of New Mexico's Project ECHO (Extension for Community Health Outcomes) program, which uses telehealth to support primary care clinicians in underserved areas. Focuses on a project targeting Medicaid beneficiaries with substance abuse and mental health issues, with details on two primary care teams being supported, including one in a rural New Mexico community.
Author(s): Martha Hostetter, Sarah Klein, Douglas McCarthy
Date: 08/2016
Type: Document
Sponsoring organization: Commonwealth Fund
view details
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
view details
Improving Access to Care through Telehealth
Provides descriptions of research studies funded to expand access to care for veterans through improved telehealth services.
Date: 07/2016
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
view details
Breaking the Barriers to Specialty Care: Practical Ideas to Improve Health Equity and Reduce Cost
Collection of briefs focused on how to improve access to specialty care for rural and low-income patients. Discusses telehealth, developing primary care capacity to provide appropriate specialty care, and coordinated specialist networks as approaches to improve specialty care access. Free, but registration required to download.
Date: 06/2016
Type: Document
Sponsoring organizations: Bristol-Myers Squibb Foundation, FSG
view details
Telehealth: Mapping the Evidence for Patient Outcomes From Systematic Reviews
Offers a literature review and resulting evidence map for telehealth impacts on clinical outcomes for use by policymakers and other healthcare leaders. Identifies key areas that lack evidence-based research and suggests future studies needed to aid systematic review.
Author(s): Annette M. Totten, Dana M. Womack, Karen B. Eden, et al.
Date: 06/2016
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
view details
A Pilot Videoconference Group Stress Management Program in Cancer Survivors: Lessons Learned
Discusses the advantages and barriers of developing and implementing a group-based videoconference program that provides interventions to improve the psychosocial outcomes of rural cancer patients following treatment.
Author(s): Eric Zhou, Ann H. Partridge, Jaime E. Blackmon, Evan Morgan, Christopher J. Recklitis
Citation: Rural and Remote Health, 16(2), 3863
Date: 06/2016
Type: Document
view details
Utilization of Telemedicine Among Rural Medicare Beneficiaries
Demonstrates the trends in the use of telemedicine utilization by rural Medicare beneficiaries between 2004 and 2013. Data is derived from Current Procedural Terminology (CPT) codes or telemedicine-specific codes, using Medicare's definition for rural. Includes a table comparing patient characteristics for Medicare beneficiaries with and without a telemedicine visit in 2013.
Author(s): Ateev Mehrotra, Anupam B. Jena, Alisa B. Busch, et al.
Citation: JAMA: Journal of the American Medical Association, 315(18), 2015–2016
Date: 05/2016
Type: Document
view details
15 Million Kids in Health Care Deserts: Can Telehealth Make a Difference?
Highlights healthcare access problems for children of vulnerable populations living in rural and poverty stricken areas. Discusses how telehealth can be implemented to overcome these barriers. Describes several case studies focused on improving access to healthcare services for children, including a rural school-based telehealth program.
Author(s): Dale Alverson, Julie Hall-Barrow, Denise M. Dion, et al.
Date: 04/2016
Type: Document
Sponsoring organization: Children's Health Fund
view details
Telehealth and Telemedicine: Description and Issues
Discusses the potential impacts of telehealth and telemedicine on healthcare access, cost, and quality with rural-specific information throughout. Details the telehealth activities of multiple federal agencies, including the Department of Veterans Affairs (VA), the Indian Health Service (IHS), and the Department of Defense. Explains Medicare and Medicaid reimbursement policies associated with telehealth.
Date: 03/2016
Type: Document
Sponsoring organization: Congressional Research Service
view details
Lessons Learned from the MAVEN Project Pilot: Using Physician Volunteers to Increase Access to Care via Telehealth
Describes the evaluation of pilot program of the Medical Alumni Volunteer Expert Network (MAVEN) Project, which used experienced volunteer physicians to provide consults via telehealth to rural and inner-city providers. Pilot program offered telehealth visits at 3 community health centers in Massachusetts and California.
Author(s): Lori Uscher-Pines, Robert S. Rudin
Date: 2016
Type: Document
Sponsoring organization: RAND Corporation
view details
Rural Behavioral Health: Telehealth Challenges and Opportunities
Reviews the barriers to mental and substance use disorder treatment and services in rural communities. Presents ways telehealth can address these barriers and discusses the challenges in implementing telehealth services in rural areas. Addresses differences in state policies for telemedicine coverage through private insurance.
Citation: SAMHSA In Brief, 9(2)
Date: 2016
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
view details
Patient Engagement Playbook
Serves as an online guidebook for healthcare providers on using Health Information Technology (HIT) to its best advantage. Includes discussions on choosing, implementing, and upgrading electronic health records (EHRs), using Health Information Exchanges (HIEs) and Certified Health IT products, implementing patient engagement via telehealth/telemedicine, quality and security with HIT, and looking at how HIT can connect providers and patients in public health settings. Includes a section on HIT in rural settings.
Date: 2016
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
view details
An Exploratory Study of the Use of Telehealth Services by Federally Qualified Health Centers and Hospitals in New York State
Results of a study on use of telehealth services by New York healthcare providers, including limitations, barriers, and plans for expanding availability. Features statistics on frequency and type of use, financing and reimbursement by provider type, and reasons for future use, with breakdowns by region of state and urban or rural location.
Author(s): Robert Martiniano, Jean Moore
Date: 11/2015
Type: Document
Sponsoring organization: Center for Health Workforce Studies
view details
Improving Behavioral Health Access & Integration Using Telehealth & Teleconsultation: A Health Care System for the 21st Century
Highlights the benefits of using telehealth and teleconsultation in rural and urban areas. Identifies strategies to develop and expand telehealth services and addresses the regulatory barriers with the distribution of telehealth services.
Author(s): Charles Townley, Rachel Yalowich
Date: 11/2015
Type: Document
Sponsoring organization: National Academy for State Health Policy
view details
Family Physicians and Telehealth: Findings from a National Survey
Discusses the potential for telemedicine to facilitate expanded access to healthcare, particularly in rural and medically underserved areas. Includes statistics with breakdowns by percentage of use, type of medical care, type of facility ownership, practice characteristics, attitudes and beliefs about telehealth, and perceived barriers.
Author(s): Kathleen Klink, Megan Coffman, Miranda Moore, et al.
Date: 10/2015
Type: Document
Sponsoring organization: Robert Graham Center
view details
State Trends that Impact the Use of Telehealth at Health Centers: Store-and-Forward and Remote Patient Monitoring
Discusses several state policies and legislative activity regarding telehealth services involving asynchronous encounters. Includes information on store-an-forward methods where data is transferred between a patient and provider, or provider to provider, and remote patient monitoring (RPM) that uses two-way video, remote measurements, and phone-based systems to manage patient care.
Author(s): Heidi Emerson
Date: 09/2015
Type: Document
Sponsoring organization: National Association of Community Health Centers
view details
Technology Stemming from Tragedy
Describes how Finger Lakes Community Health (FLCH), a rural Federally Qualified Health Center (FQHC), developed an open access telehealth network in response to two separate traffic accidents involving FLCH providers.
Author(s): Kate Menzies
Citation: Rural Monitor
Date: 08/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Community Health Centers and Telehealth: A Cost Analysis Report & Recommendations
Summarizes the findings from a study undertaken by 3 Federally Qualified Health Centers (FQHCs) and 2 Rural Health Clinics (RHCs) in California to understand the costs and revenue sources for telehealth services. Includes a series of policy recommendations and suggestions for advancing the use of telehealth programs among community health centers.
Date: 07/2015
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
view details
The Use of Telemedicine to Address Access and Physician Workforce Shortages
Policy statement discussing opportunities to use telemedicine technologies to address pediatric workforce shortages in rural and urban settings. Offers information on improving access to care, physician capacity, quality of care, and costs of care.
Author(s): James P. Marcin, Mary E. Rimsza, William B. Moskowitz
Citation: Pediatrics, 136(1), 202-209
Date: 07/2015
Type: Document
Sponsoring organization: American Academy of Pediatrics
view details
Telemedicine: The Promise and Challenges
Provides an overview of telemedicine including a definition, current applications, policy issues surrounding it, evidence for its use, and a look forward to the future of the service delivery model. Includes examples of the application of telehealth services in rural areas. Lists resources with additional information.
Author(s): Deanna Okrent
Date: 06/2015
Type: Document
Sponsoring organization: Alliance for Health Policy
view details
Cost Effectiveness of On-site versus Off-site Depression Collaborative Care in Rural Federally Qualified Health Centers
Highlights a study on the cost-effectiveness of on-site versus a telehealth-based collaborative care when treating depression in a rural Federally Qualified Health Center (FQHC). Considers variable, fixed, inpatient, and outpatient costs, among others.
Author(s): Jeffrey M. Pyne, John C. Fortney, Sip Mouden, et al.
Citation: Psychiatric Services, 66(5), 491-499
Date: 05/2015
Type: Document
view details
Realizing the Promise of Telehealth: Understanding the Legal and Regulatory Challenges
Describes federal and state compliance issues and regulatory challenges specific to the implementation of telehealth technologies in hospitals, healthcare systems, and with providers, and how they will affect telehealth services particularly in rural healthcare facilities. Includes discussion on coverage and payment including Medicare and Medicaid, health professional licensure and credentialing, online prescribing, patient privacy, fraud, and medical malpractice and professional liability insurance.
Date: 05/2015
Type: Document
Sponsoring organization: American Hospital Association
view details
Mobile Health and Patient Engagement in the Safety Net: A Survey of Community Health Centers and Clinics
Discusses the results of a survey of rural and urban community health clinics and other clinics to evaluate the use of cell phones to engage patients in their healthcare. Highlights areas where the use of cell phones has shown to be successful in chronic disease management.
Author(s): Andrew Broderick, Farshid Haque
Date: 05/2015
Type: Document
Sponsoring organization: Commonwealth Fund
view details
Testimony by Kristi Henderson, University of Mississippi Medical Center, before the U.S. Senate Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies
Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Discusses how telehealth is improving healthcare in rural communities. Includes examples of telehealth across the nation, with more in-depth information about the telehealth services available to rural Mississippi through the University of Mississippi Medical Center's Center for Telehealth.
Author(s): Kristi Henderson
Date: 05/2015
Type: Document
Sponsoring organization: Senate Committee on Appropriations
view details
The Persistent Health Care Gap for Children Living in Poverty: Will the Health Technology Revolution Level the Playing Field?
Discusses the need for and challenges to expanding healthcare technology for medically underserved children living in poverty stricken areas and rural areas. Highlights the potential to improve access to healthcare and health outcomes through the use of electronic health records (EHRs), telehealth, mobile medical clinics and diagnostic tools, and mobile communication devices. Offers recommendations for accelerating the use of technology in rural and underserved areas.
Date: 04/2015
Type: Document
Sponsoring organization: Children's Health Fund
view details
Hospital Views of Factors Affecting Telemedicine Use
Discusses the observations of rural and urban hospital representatives, from both hub and spoke locations, regarding the obstacles and the driving forces in the development and expansion of telemedicine services.
Author(s): Kimberly A. S. Merchant, Marcia M. Ward, Keith J. Mueller,
Date: 04/2015
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Telehealth in Rural America
Discusses the use of telehealth in rural areas, related reimbursement challenges, and provides recommendations to the Secretary of Health and Human Services for improving healthcare access and quality through the use of telehealth services.
Date: 03/2015
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
view details
The Promise of Telehealth For Hospitals, Health Systems and Their Communities
Highlights how hospitals are using telehealth technologies. Discusses benefits including virtual consultations with distant specialists for people in rural areas, the ability to perform high-tech monitoring without requiring patients to leave their homes, and providing patients with less expensive and more convenient care options. Features several telehealth projects in rural communities.
Date: 01/2015
Type: Document
Sponsoring organization: American Hospital Association
view details
Telehealth Policy Trends and Considerations
Provides an overview of the field of telehealth and the potential policy considerations. Focuses on three areas of interest for state policy makers: coverage and reimbursement, licensure, and safety and security. Includes a policy checklist and strategies being tested in several states.
Date: 2015
Type: Document
Sponsoring organization: National Conference of State Legislatures
view details
Rural Kentucky Gains More Access
Discusses comprehensive telehealth services available to medically underserved and economically disadvantaged residents in rural Appalachian provided by KentuckyOne Health. Addresses home telemonitoring and telepsychiatry, and their value to health care professionals and patients.
Author(s): Deborah Burton, F. Rose Rexroat
Citation: Health Progress, 96(1)
Date: 2015
Type: Document
view details
Forging Rural Health Care Links
Discusses Avera eCARE, a South Dakota-based telehealth system providing comprehensive, round-the-clock, "virtual hospital" care in specialties such as infectious disease, behavioral health, oncology, pulmonology, cardiology, and pediatrics. Serves primarily Medicare-age patients in rural areas of 8 Midwestern states.
Author(s): Donna Farris
Citation: Health Progress, 96(1)
Date: 2015
Type: Document
view details
Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.
Offers a geospatial analysis using TRICARE and other data to determine access to and utilization of mental and behavioral healthcare services for veterans who reside in remote locations. Recommends two pathways for improving access to care: telehealth service and collaborative care between primary care and specialty behavioral care.
Author(s): Ryan Andrew Brown, Grant N. Marshall, Joshua Breslau, et al.
Date: 2015
Type: Document
Sponsoring organization: RAND Corporation
view details
Telehealth Start-Up and Resource Guide
Provides an overview and framework for implementing telehealth in Critical Access Hospitals (CAHs) and other healthcare organizations and systems in rural areas. Includes resources about telehealth and an annotated list of organizations that support telehealth activities.
Date: 10/2014
Type: Document
Sponsoring organizations: Great Plains Telehealth Resource and Assistance Center, Telligen Health Information Technology Regional Extension Center
view details
The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management
Examines the impact telemedicine has on cost, quality, and rural access to healthcare, focusing on three chronic diseases: congestive heart failure, stroke, and Chronic Obstructive Pulmonary Disease (COPD).
Author(s): Rashid L. Bashshur, Gary W. Shannon, Brian R. Smith, et al.
Citation: Telemedicine Journal and e-Health, 20(9), 769-800
Date: 09/2014
Type: Document
view details
Effect of Tele-Emergency Services on Recruitment and Retention of US Rural Physicians
Analyzes the effects of telemedicine services on recruitment and retention of physicians to rural healthcare facilities.
Author(s): Andrew Potter, Keith Mueller, Clint MacKinney, Marcia Ward
Citation: Rural and Remote Health, 14(3), 2787
Date: 08/2014
Type: Document
view details
Telecommunications: Projects and Policies Related to Deploying Broadband in Unserved and Underserved Areas
Shares options for broadband deployment in unserved and underserved areas. Identifies alternative approaches to expanding rural broadband and factors to consider when planning a broadband project. Identifies economic, legal, and policy issues. Describes FCC efforts to foster broadband deployment in unserved areas. Appendix includes brief case studies.
Additional links: Full Report
Date: 04/2014
Type: Document
Sponsoring organization: Government Accountability Office
view details
Telehealth Resources: An Introduction
Introduces the Telehealth Resource Centers (TRCs) and provides an overview of their work. Discusses how TRCs provide support and assistance to healthcare organizations, networks, and providers with telehealth implementation or ongoing telehealth programs that serve rural and underserved communities.
Date: 02/2014
Type: Document
Sponsoring organization: Rural Health Value
view details
A Pilot Project to Improve Access to Telepsychotherapy at Rural Clinics
Describes the challenges and motivators regarding the implementation of a telemental health pilot project in rural outpatient clinics to improve access to mental health services for rural veterans.
Author(s): Geri Adler, Lonique R. Pritchett, Michael R. Kauth, Danielle Nadorff
Citation: Telemedicine Journal and e-Health, 2D(1), 83-85
Date: 01/2014
Type: Document
view details
New Opportunities and Challenges for Teleaudiology Within Department of Veterans Affairs
Provides an overview of teleaudiology and the delivery of audiological services through telemedicine practice for rural and inner urban areas. Includes discussion on how the Veterans Administration (VA) is researching and incorporating teleaudiology within its healthcare program.
Author(s): Peter G. Jacobs, Gabrielle H. Saunders
Citation: Journal of Rehabilitation Research & Development, 51(5), vii-xii
Date: 2014
Type: Document
view details
Extent of Telehealth Use in Rural and Urban Hospitals
Discusses the use of telehealth in rural and urban hospitals, and provides statistics hospital characteristics and common departments and programs with telehealth services. Describes opportunities for telehealth to support healthcare in rural communities.
Author(s): Marcia M. Ward, Fred Ullrich, Keith Mueller
Date: 2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Telemental Health in Today's Rural Health System
Describes the organizational setting, services provided, and staff used in rural telemental health programs based on a study of 53 telemental health providers. Outlines the opportunities and challenges for telemental health in the rural health system.
Author(s): David Lambert, John A. Gale, Anush Y. Hansen, Zach T. Croll, David Hartley
Date: 12/2013
Type: Document
Sponsoring organization: Maine Rural Health Research Center
view details
Rural Telehealth Capabilities and Outreach Continue to Grow
Highlights how telehealth is being used in rural areas, improving patient care for schoolchildren, seniors, and every age group in-between.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 08/2013
Type: Document
Sponsoring organization: Rural Health Information Hub
view details
Practice Based Versus Telemedicine Based Collaborative Care for Depression in Rural Federally Qualified Health Centers: A Pragmatic Randomized Comparative Effectiveness Trial
Reports on a research trial comparing patient outcomes between a practice-based and telemedicine based collaborative primary care models to address depression in rural Federally Qualified Health Centers (FQHCs). Includes data on both collaborative care models by patient characteristics, for example age, race/ethnicity, income, insurance, marital status, and more.
Author(s): John C. Fortney, Jeffrey M. Pyne, Sip B. Mouden, et al.
Citation: American Journal of Psychiatry, 170(4), 414-425
Date: 04/2013
Type: Document
view details
Increasing Access to Behavioral Health Care Through Technology
Presents insights on establishing a telebehavioral health program shared at a meeting convened by the U.S. Department of Health and Human Services (HHS) and the Health Resources and Services Administration's (HRSA) Office of Special Health Affairs with participants from HRSA-funded health centers in urban and rural areas.
Date: 02/2013
Type: Document
Sponsoring organization: Health Resources and Services Administration
view details
Streamlining Telemedicine Licensure to Improve Rural America
Provides information and statistics to support advocacy for and efforts to implement telemedicine cross-state licensure to improve healthcare access in rural America. Includes policy recommendations.
Author(s): Jarod Giger, Mary DeVany
Date: 02/2013
Type: Document
Sponsoring organization: National Rural Health Association
view details
Mixed-Methods Evaluation of a Telehealth Collaborative Care Program for Persons with HIV Infection in Rural Settings
Discusses the findings of the Iowa City Veterans Affairs Healthcare System's implementation of a telehealth collaborative care program for veterans with HIV living in rural parts of Iowa and Illinois.
Author(s): Michael Ohl, Dena Dillon, Jane Moeckli, et al.
Date: 2013
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
view details
Compendium of Rural Best Practices/Models: Innovations to Strengthen Rural Health Care: Technology, Quality Improvement, Collaboration, and Training
Summarizes innovative programs occurring in rural areas, featuring a medical home model, a Lean/Six Sigma hospital program, a community health center telehealth program, and a statewide behavioral health network.
Date: 2013
Type: Document
Sponsoring organization: National Rural Health Association
view details
Characteristics of Telemental Health Service Use by American Indian Veterans
Details a study on the use of telemedicine to treat post-traumatic stress disorder among American Indian and Alaska Native veterans. Discusses the use of video conferencing to provide access to care for rural Native veterans seeking mental health services.
Author(s): Dr. Jay H. Shore, Dr. Elizabeth Brooks, Dr. Heather Anderson, et al.
Citation: Psychiatric Services, 63(2), 179-181
Date: 02/2012
Type: Document
view details
Building Blocks for Cultural Integration in the Development and Establishment of Rural VA Telemental Health Clinics for Native Veterans
Offers an overview, suggestions, and tips for setting up, operating, and maintaining telemental health clinics for rural Native veterans.
Date: 08/2011
Type: Document
Sponsoring organization: Veterans Rural Health Resource Centers
view details
Emergency Medical Treatment and Active Labor Act (EMTALA) and Telehealth in Critical Access Hospitals
Policy paper examining the difficulties Critical Access Hospitals (CAHs) experience when delivering required emergency services and care due to Emergency Medical Treatment and Active Labor Act (EMTALA). Offers policies recommendations that could reduce the impact of EMTALA regulations.
Author(s): Mandy Bell, Deanna Larson, Jay Weems, et al.
Date: 05/2011
Type: Document
Sponsoring organization: National Rural Health Association
view details
Rural Telehealth Toolkit
Resources and best practices to help rural communities develop telehealth programs to improve healthcare access. Identifies program models and examples, and discusses implementation, evaluation, sustainability, and dissemination of program results.
Type: Website
Sponsoring organization: Rural Health Information Hub
view details
Supporting Rural Programs Through Telehealth: Training, Supervision, and Collaborative Mental Health Care
Features a professional development webinar discussing the use of telehealth in rural mental healthcare, collaborative care, training, and supervision. Discusses different models and services for rural programs.
Type: Video/Multimedia
Sponsoring organization: Rural PREP
view details
Case Study: Partnership Enables Hospital to Provide Local Access to 24-Hour Health Care Through Telemedicine
Shares the approach of Seward, Nebraska-based Memorial Health Care Systems' "convenience campaign," which focuses on using technology to meet the needs of a younger-than-average patient base. Discusses building partnerships and utilizing new technologies to improve healthcare accessibility through same-day clinics, online communications, and 24/7 virtual care.
Type: Document
Sponsoring organization: Bryan Health
view details
NACRHHS Policy Briefs on Telehealth and Intimate Partner Violence
A November 2015 webinar discussing two policy briefs from the National Advisory Committee on Rural Health and Human Services, the first on the use of telehealth in rural areas and the second on the impact of Intimate Partner Violence (IPV) on rural communities. Presented by Committee Chair Ronnie Musgrove; Eugenia (Geni) Cowan, Professor of Educational Leadership and Policy Studies at California State University, Sacramento; and Karen Madden, Director of the Charles D. Cook Office of Rural Health in New York. 35 minutes.
Additional links: Audio Recording, PowerPoint Handout, Transcript
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
view details
USAC Rural Health Care Eligible Rural Areas Search
Determines if an organization is located in an eligible rural area for Universal Service Administrative Company's (USACs) Rural Health Care Program. Identifies a county by urban, rural or partly rural status as defined by the program rules.
Type: Tool
Sponsoring organization: Universal Service Administrative Company
view details
Medicare Learning Network: Telehealth Services
Contains information on originating sites, distant site practitioners, telehealth services, billing and payment for professional services furnished via telehealth as well as for the originating site facility fee, and a list of helpful websites.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Medicare Telehealth Payment Eligibility Analyzer
Determines geographic eligibility for Medicare telehealth services. Identifies Health Professional Shortage Areas (HPSAs) located in rural census tracts, consistent with the federal Office of Rural Health Policy's definition of rural.
Type: Tool
Sponsoring organization: Health Resources and Services Administration
view details
PubMed Search: Telemedicine and Rural Health Services
Searches PubMed's collection of journal article citations on the topic of rural telemedicine in the U.S.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
view details
National Consortium of Telehealth Resource Centers
Provides assistance, education, and information to those providing or interested in providing healthcare at a distance. Works to expand the availability of healthcare to underserved populations through the use of telehealth.
Type: Website
Sponsoring organization: Health Resources and Services Administration
view details
AHRQ Health Information Technology Portfolio
Provides information on AHRQ's health information technology (HIT) portfolio, which focuses on how health information technology can improve healthcare quality. Includes information on AHRQ-funded projects, including rural HIT and telehealth projects. Provides access to resources and funding opportunities.
Type: Website
Sponsoring organization: Agency for Healthcare Research and Quality
view details

Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 11/11/2019