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Rural Health Information Hub

Telehealth and Health Information Technology in Rural Healthcare – Resources

Selected recent or important resources focusing on Telehealth and Health Information Technology in Rural Healthcare.

Organizational Factors Associated with Using Telehealth Services: Perspectives from Leaders of Rural Health Clinics and Federally Qualified Health Centers
Research and policy brief examining organizational factors influencing telehealth use in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Summarizes interviews with RHC and FQHC key informants to discuss perceptions of telehealth, implementation challenges, operational challenges, and opportunities for innovation. Provides suggestions for policy and reimbursement approaches to improve telehealth provision and access.
Author(s): Constance van Eeghen, John A. Gale, Erika Ziller, Yvonne Jonk
Date: 06/2025
Sponsoring organization: Rural Telehealth Research Center
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The Opioid Epidemic in Rural Communities: Can Telehealth Increase Access to Medication for Opioid Use Disorder and Offset Barriers to Care?
Examines the impact of telehealth on access to medication for opioid use disorder (MOUD) and substance and opioid use disorder (SUD/OUD) treatment. Utilizes data from the Rural Communities Opioid Response Program's (RCORP) consortia, the National Survey of Drug Use and Health (NSDUH), and the U.S. Census Bureau's American Community Survey (ACS) to analyze access to MOUD and rates of telehealth use for rural consortia. Discusses potential barriers and factors impacting telehealth implementation for SUD/OUD care.
Author(s): Kathleen Meyers, Shannon Herman, Heather Schuler, et al.
Citation: Drug and Alcohol Dependence, 271, 112628
Date: 06/2025
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Impact of Telemental Health on Suicide Prevention Care in U.S. Emergency Departments
Describes results of a survey of 977 hospital emergency departments regarding the use of telemental healthcare, and presents data by hospital characteristics, including rural location and Critical Access Hospital (CAH) status. Explores whether access to telemental healthcare affects use of six recommended suicide prevention practices. Compares the use of suicide prevention practices among patients with identified suicide risk by telemental healthcare status and CAH designation.
Author(s): Stephanie K. Doupnik, Cadence F. Bowden, Diana Worsley, et al.
Citation: Academic Emergency Medicine, 32(9), 956-965
Date: 05/2025
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Merit-based Incentive Payment System (MIPS): 2025 MIPS Promoting Interoperability Performance Category Hardship Exception Application Guide
Provides guidance on how clinicians can apply for a MIPS hardship exception. Highlights guidance for having your MIPS Promoting Interoperability performance category reweighted to 0% in cases of insufficient internet connectivity, decertified electronic health record technology, or other circumstances out of the clinicians' control.
Date: 05/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Comparative Effectiveness of Buprenorphine Adherence with Telemedicine Versus In-Person for Rural and Urban Patients
Compares adherence to buprenorphine for opioid use disorder in telemedicine versus in-person healthcare in rural and urban populations. Utilizes 2017–2022 data from 511 adults and compares 3,302 in-person and 519 telemedicine visits, with breakdowns according to patient characteristics, adherence, gaps in treatment, and rural versus urban location. Discusses changing legislative requirements related to buprenorphine treatment and the potential impact on rural populations.
Author(s): Thomas J. Reese, Nana Addo Padi-Adjirackor, Kevin N. Griffith, et al.
Citation: Journal of the American Pharmacists Association, 65(2), 102318
Date: 03/2025
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Millions in US Live in Places Where Doctors Don't Practice and Telehealth Doesn't Reach
Discusses U.S. regions that experience healthcare workforce shortages and lack access to telehealth. Includes interactive county-level map showing behavioral healthcare deserts, primary care deserts, broadband deserts, dead zones, life expectancy, household income, and percentage of rural residents. Provides comparisons of chronic disease for those with and without digital access and showcases county-level dead zones in Alabama.
Author(s): Sarah Jane Tribble, Holly K. Hacker Data, Lydia Zuraw
Date: 03/2025
Sponsoring organization: KFF
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Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology (ASTP/ONC)
Provides an overview of the Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology (ASTP/ONC) within the U.S. Department of Health and Human Services (HHS). Describes ASTP/ONC focus areas, statutory authorities, funding, and select policy considerations.
Date: 03/2025
Sponsoring organization: Congressional Research Service
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Cross-State Travel for Cancer Care and Implications for Telehealth Reciprocity
Examines the extent to which Medicare beneficiaries with breast, colon, lung, or pancreatic cancer travel out of state to receive cancer services between January 1, 2017, and December 31, 2020. Compares cross-state travel by cancer site, service type, and patient rurality. Describes the potential implications of these findings for telehealth policies and reciprocity.
Author(s): Erika L. Moen, Qianfei Wang, Lingbo Liu, et al.
Citation: JAMA Network Open, 8(2), e2461021
Date: 02/2025
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An Analysis of Telehealth in a Post-Pandemic Rural, Midwestern Community: Increased Comfort and a Preference for Primary Care
Discusses the implementation of telehealth in rural, underserved communities during the COVID-19 pandemic and if telehealth remains a sustainable option to provide healthcare. Utilizes 2023 data from 253 survey participants regarding internet access, telehealth usage, and telehealth perceptions.
Author(s): Chase Salmon, Kameron Bell, Eric Reyes, Ellen Ireland, Robin Danek
Citation: BMC Health Services Research, 25, 270
Date: 02/2025
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Disparities in Substance Use Disorder Telehealth Services
Results of a study examining telehealth's association with changes in disparities in substance use disorder telehealth utilization across payers and rurality, from 2019-2023. Features statistics including breakdowns by urban and rural areas.
Author(s): Lauryn Saxe Walker, Manying Cui, Jonathan Cantor, et al.
Citation: JAMA Network Open, 8(2), e2459606
Date: 02/2025
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Last Updated: 9/17/2025