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Rural Health Information Hub

Telehealth Use in Rural Healthcare – Resources

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

National Institutes of Health Pathways to Prevention Workshop: Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication (Draft)
Examines the barriers and facilitators of rural provider-to-provider collaboration through telehealth based on a systematic review of rural provider-to-provider telehealth and the results of a workshop of rural health experts. Discusses uptake of different types of telehealth, effectiveness of provider-to-provider telehealth for rural patients, effective strategies, and limitations of studies examining rural telehealth. Comments on the draft report are due by Friday, February 4, 2021. See more information on the NIH Office of Disease Prevention's Pathways to Prevention (P2P) Workshops website.
Author(s): Mary Wakefield, Joanne Mather Conroy, Sara McLafferty, et al.
Date: 01/2022
Type: Document
Sponsoring organization: National Institutes of Health
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Caring for People with Serious Illness: Lessons Learned from the COVID-19 Pandemic: Proceedings from a Workshop
Proceedings from a three-part workshop to explore the initial responses to the pandemic by healthcare teams providing care to people with serious illness, the impact of the pandemic on the healthcare workforce, use of telehealth, issues related to communicating with the public about health emergencies, and policy opportunities to improve care for people with serious illness. Mentions rural throughout.
Additional links: Read Online
Date: 2022
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Experiences of Health Centers in Implementing Telehealth Visits for Underserved Patients During the COVID-19 Pandemic: Results from the Connected Care Accelerator Initiative
Offers an analysis of telehealth implementation in safety net settings with a focus on Federally Qualified Health Centers based on health center-provided telehealth visit data from February 2019-August 2021, as well as interviews with leadership and staff. Covers trends in telehealth use in health centers that participate in the California Health Care Foundation's Connected Care Accelerator initiative, the perceptions of health center leaders and staff, and implications for future policy, practice, and investigation.
Author(s): Lori Uscher-Pines, Natasha Arora, Maggie Jones, et al.
Date: 2022
Type: Document
Sponsoring organization: RAND Corporation
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State Policy Changes Could Increase Access to Opioid Treatment via Telehealth
Issue brief discussing barriers to opioid use disorder (OUD) treatment via telehealth and policy recommendations to support telehealth, including reimbursement and regulatory policies. Discusses issues of broadband access, infrastructure, and data collection in relation to telehealth implementation.
Date: 12/2021
Type: Document
Sponsoring organization: Pew Charitable Trusts
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Disparities in the Use of In-Person and Telehealth Primary Care Among High- and Low-Risk Medicare Beneficiaries During COVID-19
Study examining telehealth and in-person primary care for low-risk and high-risk Medicare beneficiaries, assessing telehealth's ability to compensate for fewer in-person clinical visits due to the COVID-19 pandemic. Describes rural and urban differences in health risk and telehealth utilization. Analyzes data from Medicare beneficiaries from an Accountable Care Organization (ACO) in Wisconsin.
Author(s): Ying Jessica Cao, Dandi Chen, Yao Liu, Maureen Smith
Citation: Journal of Patient Experience, 8, 1-10
Date: 12/2021
Type: Document
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Understanding the "Tool-ish-ness" of Telehealth: Q&A with Dr. Jonathan Neufeld
An interview with clinical psychologist and program director for the Great Plains Telehealth Resource & Assistance Center, Dr. Jonathan Neufeld. Discusses the role of telehealth in healthcare delivery. Describes how telecommunications tools can be used by providers to bring quality care to rural areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medicare Telemedicine Snapshot
Presents data on telemedicine utilization by Medicare beneficiaries from March 1, 2020 to February 28, 2021, including pre- and post-pandemic rates of accessing telehealth services, trends in e-visits and virtual check-ins, geographic breakdowns including rural and urban residence, and beneficiary characteristics. Uses data from Medicare Fee-for-Service (FFS) claims, Medicare Advantage (MA) encounters, and Medicare enrollment.
Date: 12/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Assessment of Patient Preferences for Telehealth in Post-COVID-19 Pandemic Health Care
Results of a study to ascertain patient preferences for video visits after the ongoing COVID-19 public health emergency, and to identify perceptions of the value of video visits and the role of out-of-pocket costs in changing patient preferences. Features demographic statistics for survey participants, including breakdowns by residence in communities with populations of less than 50,000 or greater than 50,000.
Author(s): Zachary S. Predmore, Elizabeth Roth, Joshua Breslau, et al.
Citation: JAMA Network Open, 4(12)
Date: 12/2021
Type: Document
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Medicare Beneficiaries' Use of Telehealth in 2020: Trends by Beneficiary Characteristics and Location
Report examining telehealth visits by Medicare beneficiaries in 2020 that compares urban and rural residence and breaks down data by visit location, race/ethnicity, visit specialty, and by state, with comparisons to 2019 data. Data drawn from Medicare FFS Part B outpatient and carrier claims submitted between January and December 2020 and the same period in 2019.
Date: 12/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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State Medicaid & CHIP Telehealth Toolkit: Policy Considerations for States Expanding Use of Telehealth, COVID-19 Version
Identifies policy areas that states should address in order to facilitate the expansion of telehealth services within the Medicaid and CHIP programs. Includes a customizable checklist and worksheet for next steps for each policy area. Provides resources on federal telehealth policies and updates as a result of COVID-19.
Additional links: Supplement #1
Date: 12/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Last Updated: 6/16/2022