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Telehealth Use in Rural Healthcare Resources

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

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
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State Telehealth Laws and Reimbursement Policies
Provides a summary of telehealth-related laws and reimbursement policies for all 50 states and the District of Columbia, using policy language available in each state as of October 2017. The primary focus of the report is on Medicaid coverage for telehealth services but also includes references to state policies that require private insurer payment for the service. Interactive map allows results to be narrowed by state.
Additional links: 50 State Scan of Telehealth Reimbursement Laws and Medicaid Policies Factsheet, Interactive Map, State Telehealth Laws and Medicaid Program Policies Infographic
Date: 11/2017
Type: Document
Sponsoring organization: Center for Connected Health Policy (National Telehealth Policy Resource Center)
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Financing Project ECHO: Options for State Medicaid Programs
Outlines how four states - California, Colorado, New Mexico, and Oregon - are using Medicaid funds to support Project ECHO and enhance services for rural and other at-risk populations. Also shares design considerations for specific delivery system environments, and ways to ensure long-term program sustainability.
Author(s): Greg Howe, Allison Hamblin, Lauren Moran
Date: 09/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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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
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Creating a Framework to Support Measure Development for Telehealth
Report 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
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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 (National Telehealth Policy Resource Center), Milbank Memorial Fund
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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
Location: Rural Monitor
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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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
Location: Rural Monitor
Date: 07/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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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.
Date: 07/2017
Type: Document
Sponsoring organization: Government Accountability Office
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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
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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: Rural Policy Research Institute
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Telehealth and Remote Patient Monitoring Use in Medicare and Selected Federal Programs
Examines the factors identified by stakeholders as affecting the provision of telehealth and remote patient monitoring in Medicare, and the emerging payment and delivery models that could affect the future use of telehealth and remote patient monitoring in Medicare. Data was collected through review of agency documents and regulations, and interviews with officials representing nine general and medical specialty associations familiar with telehealth. Rural-specific implications are discussed throughout.
Date: 04/2017
Type: Document
Sponsoring organization: Government Accountability Office
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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
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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
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Project ECHO: Expanding the Capacity of Primary Care Providers to Address Complex Conditions
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).
Author(s): Amy Madore, Julie Rosenberg, Rebecca Weintraub
Date: 03/2017
Type: Document
Sponsoring organizations: Brigham and Women's Hospital, Harvard Medical School
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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. Among other things, Avera offers "eMergency" telehealth services to more than 130 rural hospitals, and "ePharmacy" services to roughly 75 rural hospitals. Avera is also expanding into other areas where provider recruitment may be difficult, including prisons, schools, and long-term care facilities.
Author(s): Sarah Klein, Martha Hostetter
Location: Transforming Care: Reporting on Health System Improvement
Date: 03/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Anticipating Economic Returns of Rural Telehealth
Discusses the quantifiable and nonquantifiable potential benefits of utilizing telehealth services in rural areas across the United States. Provides tables showing estimated savings on travel expenses, lost wages, and hospital costs by state. Also outlines some of the challenges to telehealth and makes recommendations for future improvements. Linked video shows 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
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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.
Location: Journal of the American Board of Family Medicine, 30(3), 320-330
Date: 2017
Type: Document
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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
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Telehealth Policy Barriers
A fact sheet discussing some of the major policy barriers at the federal and state level that restrict the adoption of telehealth in rural and urban areas.
Date: 09/2016
Type: Document
Sponsoring organizations: Center for Connected Health Policy (National Telehealth Policy Resource Center), National Organization of State Offices of Rural Health
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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 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
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Telehealth Reimbursement (Fact Sheet)
An overview of the Medicare reimbursement requirements for the delivery of telehealth services. Describes the type of service, geographic and originating site, provider restrictions, and CPT codes for eligible Medicare reimbursement for telehealth. Medicaid and private payer reimbursement policies for the delivery of telehealth services are briefly discussed.
Date: 08/2016
Type: Document
Sponsoring organizations: Center for Connected Health Policy (National Telehealth Policy Resource Center), National Organization of State Offices of Rural Health
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Broadband Planning Primer and Toolkit
Provides information, tools and resources on broadband technology and planning for the development of Internet service in the Appalachian region. Focuses on identifying the unserved demand for broadband, developing partnerships, and reducing barriers for broadband providers to develop technology in underserved areas. Priorities of this primer are to reduce isolation, support economic development, increase educational opportunities, improve healthcare including telehealth, and enhance 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
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Report to Congress: E-health and Telemedicine
Report regarding 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 the Fiscal Year 2017 budget.
Date: 08/2016
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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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.
Location: Health Affairs
Date: 08/2016
Type: Document
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Project ECHO’s Complex Care Initiative: Building Capacity to Help "Superutilizers" in Underserved Communities
Case study of 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
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State Telehealth Laws and Medicaid Program Policies
Provides a summary of telehealth-related laws and reimbursement policies for all 50 states and the District of Columbia, using policy language available in each state as of August 2016. The primary focus of the report is on Medicaid coverage for telehealth services but also includes references to state policies that require private insurer payment for the service. Interactive map allows results to be narrowed by state.
Additional links: Interactive Map
Date: 08/2016
Type: Document
Sponsoring organization: Center for Connected Health Policy (National Telehealth Policy Resource Center)
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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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Improving Access to Care through Telehealth
Provides descriptions of research studies to expand access to care for Veterans through improved telehealth services.
Date: 07/2016
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Breaking the Barriers to Specialty Care: Practical Ideas to Improve Health Equity and Reduce Cost
A 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
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Telehealth: Mapping the Evidence for Patient Outcomes From Systematic Reviews
A review of literature resulting in an 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
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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 Partridge, Jaime Blackmon, Evan Morgan, Christopher Recklitis
Location: Rural and Remote Health, 16, 3863
Date: 06/2016
Type: Document
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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.
Location: Journal of the American Medical Association, 315(18), 2015–2016
Date: 05/2016
Type: Document
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15 Million Kids in Health Care Deserts: Can Telehealth Make a Difference?
Highlights the problems with access to healthcare for children of vulnerable populations living in rural and poverty stricken areas, and discusses how telehealth can be implemented to overcome these barriers. Describes several case studies including a rural school-based telehealth program as a method for improving access to healthcare services to children.
Author(s): Dale Alverson, Julie Hall-Barrow, Denise M. Dion, et al.
Date: 04/2016
Type: Document
Sponsoring organization: Children's Health Fund
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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 Medicare and Medicaid, the Department of Veterans Affairs (VA), and the Indian Health Service (IHS). Also explains Medicare and Medicaid reimbursement policies associated with telehealth.
Date: 03/2016
Type: Document
Sponsoring organization: Congressional Research Service
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50-State Survey of Telemental/Telebehavioral Health (2016)
Provides an overview of the current state of telemental health policies. For every state in the U.S., includes state specific information for multiple descriptors regarding telehealth, such as the definition of telehealth and telemental services, scope of practice restrictions, licensing requirements, criteria for establishing a provider-patient relationship, confidentiality requirements, restrictions regarding minors, and requirements for follow-up care, among others.
Author(s): Amy F. Lerman, René Y. Quashie
Date: 2016
Type: Document
Sponsoring organization: Epstein Becker & Green
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Perceptions of the Benefits of Telemedicine in Rural Communities
Discusses the results of a survey examining the perceptions of hospital clinicians and administrators regarding the benefits of telemedicine services accessible through a hub facility in rural communities.
Author(s): Andrew J. Potter, Marcia M. Ward, Nabil Natafgi, et al.
Location: Perspectives in Health Information Management, 2016(Summer), 1-13
Date: 2016
Type: Document
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Lessons Learned from the MAVEN Project Pilot: Using Physician Volunteers to Increase Access to Care via Telehealth
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. The pilot 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
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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.
Location: SAMHSA In Brief, 9(2)
Date: 2016
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Health IT Playbook
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
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An Exploratory Study of the Use of Telehealth Services by Federally Qualified Health Centers and Hospitals in New York State
Findings 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
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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
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Family Physicians and Telehealth: Findings from a National Survey
Discusses potential for telemedicine to facilitate expanded access to health care, 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
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State Trends that Impact the Use of Telehealth at Health Centers: Store-and-Forward and Remote Patient Monitoring
A discussion of several state policies and their legislative activity regarding telehealth services involving asynchronous encounters. These encounters include store-an-forward methods where data is transferred between a patient and provider, or provider to provider, and remote patient monitoring 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
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Technology Stemming from Tragedy
Describes how Finger Lakes Community Health, a rural Federally Qualified Health Center, developed an open access telehealth network in response to two separate traffic accidents involving FLCH providers.
Author(s): Kate Menzies
Location: Rural Monitor
Date: 08/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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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 (CHCs).
Date: 07/2015
Type: Document
Sponsoring organization: Center for Connected Health Policy (National Telehealth Policy Resource Center)
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The Use of Telemedicine to Address Access and Physician Workforce Shortages
Policy statement discusses opportunities to use telemedicine technologies to address pediatric workforce shortages in rural and urban settings. Opportunities discussed include improving access to care, physician capacity, quality of care, and costs of care.
Author(s): James Marcin, Mary Rimsza, William Moskowitz
Location: Pediatrics, 136(1)
Date: 06/2015
Type: Document
Sponsoring organization: American Academy of Pediatrics
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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.
Author(s): Deanna Okrent
Date: 06/2015
Type: Document
Sponsoring organization: Alliance for Health Policy
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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
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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
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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
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The Persistent Health Care Gap for Children Living in Poverty: Will the Health Technology Revolution Level the Playing Field?
Discusses the need for and the challenges to expanding healthcare technology for medically underserved children living in poverty stricken areas and in rural areas. Highlights the potential to improve access to healthcare and health outcomes through the use of electronic health records, 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
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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
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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
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The Promise of Telehealth For Hospitals, Health Systems and Their Communities
Highlights how hospitals are embracing the use of 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 who serve those living in rural communities, including the NC Telepsychiatry Network, the Medical University of SC, and the Geisinger Health Plan in rural Pennsylvania.
Date: 01/2015
Type: Document
Sponsoring organization: American Hospital Association
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Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.
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 Brown, Grant Marshall, Joshua Breslau, et al.
Date: 01/2015
Type: Document
Sponsoring organization: RAND Corporation
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Telehealth Policy Trends and Considerations
Provides an overview of the field of telehealth and the potential questions that may arise when considering the creation of policy related to the subject. 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
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Rural Kentucky Gains More Access
Discusses comprehensive telehealth services available to medically underserved and economically disadvantaged Appalachian rural areas and provided by KentuckyOne Health, the state's largest health system. Addresses home telemonitoring and telepsychiatry, and their value to health care professionals and patients.
Author(s): Deborah Burton, F. Rose Rexroat
Location: Health Progress, 96(1)
Date: 2015
Type: Document
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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. Primarily serves Medicare-age patients in rural areas of eight Midwestern states.
Author(s): Donna Farris
Location: Health Progress, 96(1)
Date: 2015
Type: Document
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Telehealth Start-Up and Resource Guide
Provides an overview and framework for implementing telehealth in critical access hospitals and 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 & Assistance Center, Telligen Health Information Technology Regional Extension Center
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The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management
Looks at 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
Location: Telemedicine Journal and E-Health, 20(9), 769-800
Date: 09/2014
Type: Document
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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, A Mackinney, Marcia Ward
Location: Rural and Remote Health, 14, 2787
Date: 08/2014
Type: Document
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Extent of Telehealth Use in Rural and Urban Hospitals
Provides discussion with statistics on the use of telehealth in rural and urban hospitals, and the opportunities telehealth can bring to supporting healthcare in rural communities.
Author(s): Marcia M. Ward, Fred Ullrich, Keith Mueller
Date: 04/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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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.
Date: 04/2014
Type: Document
Sponsoring organization: Government Accountability Office
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Telehealth: Into the Mainstream?
Considers the promise and challenges of telehealth as a tool for addressing health needs with a particular notice to the opportunity to apply telehealth technology in rural America.
Author(s): Lisa Sprague
Date: 03/2014
Type: Document
Sponsoring organization: National Health Policy Forum
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Telehealth Resources: An Introduction
Discusses the Telehealth Resource Centers which provide support to healthcare organizations, networks and providers to implement telehealth programs that serve rural and underserved communities.
Date: 02/2014
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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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
Location: Telemedicine and e-Health, 2D(1), 83-85
Date: 01/2014
Type: Document
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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 is researching and incorporating teleaudiology within its healthcare program.
Author(s): Peter G. Jacobs, Gabrielle H. Saunders
Location: Journal of Rehabilitation Research & Development, 51(5), vii-xii
Date: 2014
Type: Document
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Telemental Health in Today's Rural Health System
Describes the organizational setting, services provided, and staff used in 53 telemental rural health programs. Also outlines the opportunities and challenges for telemental health in the rural health system.
Author(s): David Lambert, John Gale, Anush Y. Hansen, Zach Croll, David Hartley
Date: 12/2013
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Improving Rural Health: State Policy Options
Discusses strategies that states have used to improve healthcare in rural communities. Covers workforce pipeline initiatives, long-term care services, behavioral health, emergency medical services, wellness and prevention, rural health clinics, school-based health centers, telehealth, recruitment and retention of healthcare professionals, loan repayment programs, and community health workers.
Author(s): Kristine Goodwin, Laura Tobler
Date: 11/2013
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Rural Telehealth Capabilities and Outreach Continue to Grow
Telehealth is being used more widely in rural areas, improving patient care for schoolchildren, seniors and every age group in-between.
Author(s): Candi Helseth
Location: Rural Monitor, 2013(Summer)
Date: 08/2013
Type: Document
Sponsoring organization: Rural Health Information Hub
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Telemedicine: Changing the Landscape of Rural Physician Practice
Discusses how telemedicine helps rural primary care physicians provide better care and allows specialists to care for patients in rural and underserved areas.
Author(s): Bonnie Darves
Date: 05/2013
Type: Document
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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 practice-based collaborative primary care for depression involving mental health providers on-site to telemedicine-based collaborative primary care with off-site mental health providers.
Author(s): John C. Fortney, Jeffrey M. Pyne, Sip B. Mouden, et al.
Location: American Journal of Psychiatry, 170(4), 414-25
Date: 04/2013
Type: Document
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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
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Streamlining Telemedicine Licensure to Improve Rural America
Provides information and statistics to support advocacy efforts for telemedicine cross-state licensure to improve health care access in rural America.
Author(s): Jarod Giger, Mary DeVany
Date: 02/2013
Type: Document
Sponsoring organization: National Rural Health Association
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A Guide to Telemedicine: Designing a Hospital-Based Program
Provides small and rural hospitals with step-by-step instructions to develop a telemedicine program in their communities.
Date: 01/2013
Type: Document
Sponsoring organization: Illinois Health and Hospital Association
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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 Health Care 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 Center: Central Region
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Improving Access to Specialized Care: The Telehealth Kidney Transplant Clinic at the Iowa City VAMC
The Telehealth Transplant Clinic at the Iowa City Veterans Affairs Medical Center has been found to reduce travel time and costs for kidney transplant patients by allowing them to receive annual follow-up exams remotely using telehealth services.
Author(s): Roberto Kalil, Christie Thomas, Carol Winetroub, Stacey Abel
Date: 2013
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Center: Central Region
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Compendium of Rural Best Practices/Models Innovations to Strengthen Rural Health Care: Technology, Quality Improvement, Collaboration, and Training
Summaries of 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
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Role of Telehealth/Videoconferencing in Managing Cancer Pain in Rural American Indian Communities
Results of a study to determine the feasibility and effect of using videoconferencing to deliver cancer-related pain management education and case consultation to health care providers in rural AI/AN communities.
Author(s): Haozous E, Doorenbos AZ, Demiris G, et al.
Location: Psycho-Oncology, 21(2), 219-223
Date: 02/2012
Type: Document
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Using Telehealth to Improve Quality and Safety: Findings from the AHRQ Health IT Portfolio
Details a report on AHRQ-funded telehealth projects that were designed to improve the quality, efficiency, and cost of care provided to patients. Discusses technical challenges encountered during the projects, as well as lessons learned. Most of the projects discussed are from rural locations, see Table 1 on page 4 for location details.
Additional links: Decisionmaker Brief
Author(s): AHRQ National Resource Center for Health Information Technology
Date: 12/2008
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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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. By partnering with Bryan Telemedicine and utilizing new technologies, Memorial Health Care Systems was able to improve healthcare accessibility through same-day clinics, online communications, and 24/7 virtual care.
Type: Document
Sponsoring organization: Bryan Health
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NACRHHS Policy Briefs on Telehealth and Intimate Partner Violence
A November 2015 webinar that discussed 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: Transcript
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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USAC Rural Health Care Eligible Rural Areas Search
A tool designed to determine if an organization is located in an eligible rural area for Universal Service Administrative Company (USAC) 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
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Telehealth Services: Rural Health Fact Sheet Series
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
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Medicare Telehealth Payment Eligibility Analyzer
Helps providers determine geographic eligibility for Medicare telehealth services. Identifies 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
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Building Blocks for Cultural Integration in the Development and Establishment of Rural VA Telemental Health Clinics for Native Veterans
Offers an overview, plus suggestions and tips for setting up, operating, and maintaining telemental health (TMH) clinics for rural Native Veterans.
Type: Document
Sponsoring organization: Veterans Rural Health Resource Center: Western Region
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PubMed Search: Telemedicine and Rural Health Services
Searches PubMed's collection of journal article citations on the topic of rural telemedicine.
Type: Literature Search
Sponsoring organization: National Library of Medicine
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Telehealth Resource Centers
Describes the telehealth resource centers which assist health care organizations, health care networks, and health care providers in the implementation of cost-effective telehealth programs to serve rural and medically underserved areas and populations.
Type: Website
Sponsoring organization: Health Resources and Services Administration
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AHRQ Health Information Technology Portfolio
Provides information on AHRQ's health IT portfolio, which focuses on how health information technology can improve healthcare quality. Includes information on AHRQ-funded projects, including rural HIT and telehealth projects. Also provides access to resources and funding opportunities.
Type: Website
Sponsoring organization: Agency for Healthcare Research and Quality
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EHR Product Select & Implement
Provides information on the selection and implementation of an electronic health record (EHR) system, with links to resources and publications.
Type: Website
Sponsoring organization: American Academy of Family Physicians
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Last Updated: 12/14/2017