New Documents Identified in the Past 30 Days:

Dentist Supply, Dental Care Utilization, and Oral Health Among Rural and Urban U.S. Residents
Investigates the differences between rural adults and urban adults regarding their utilization of dental care services. Discusses the influence of dentist supply and oral health outcomes in rural and urban areas.
Author(s): Mark P. Doescher, Gina A. Keppel
Sponsoring organization: WWAMI Rural Health Research Center
Date: 06/2015
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Access to Health and Homeless Services for Rural Veterans
Recording and slides from a May 6, 2015 webinar that provides an overview of federal programs that provide healthcare and homeless services to veterans. Includes information on the Veterans Choice program. Also provides data on rural veterans and the rural homeless veteran population.
Author(s): Gina L. Capra, Roger Casey
Sponsoring organization: Housing Assistance Council
Date: 05/2015
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Labor-HHS Subcommittee Hearing: Rural Health
Recording of a May 7, 2015 hearing before the U.S. Senate Appropriations Committee Subcommittee on Labor, Health and Human Services, Education, and Related Agencies. Witnesses include Sean Cavanaugh from the Centers for Medicare and Medicaid Services and Tom Morris from the Federal Office of Rural Health Policy, as well as people working directly in rural healthcare facilities and programs serving rural areas. Written testimony is also available.
Sponsoring organization: Senate Committee on Appropriations
Date: 05/2015
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Statement by George Stover, Rice County Hospital District 1, before the 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 regulatory and reimbursement challenges facing Critical Access Hospitals.
Author(s): George Stover
Sponsoring organization: Senate Committee on Appropriations
Date: 05/2015
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Kick the Bucket: The Future of Rural Sanitation in Alaska
Discusses the challenges rural Alaska communities face related to installing and maintaining water and sewage treatment facilities, particularly as climate change impacts the region's infrastructure. Discusses the health impacts of a lack of running water and flush toilets. Includes links to other stories in a series reporting on water and sewage treatment in rural Alaska.
Author(s): Alaska Public Media
Date: 05/2015
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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
Sponsoring organization: Senate Committee on Appropriations
Date: 05/2015
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MedPAC Comment on: CMS's Skilled Nursing Facilities: Prospective Payment System, Value Based Purchased and Quality Reporting Proposed Rule
Comments on the Centers for Medicare & Medicaid Services' (CMS) proposed rule entitled Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities for FY 2016.
Author(s): Andy Slavitt
Sponsoring organization: Medicare Payment Advisory Commission
Date: 05/2015
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Urban vs. Rural Differences in Prescription Opioid Misuse among Adults in the United States: Informing Region Specific Drug Policies and Interventions
A study analyzing data from the 2011 and 2012 National Survey on Drug Use and Health discusses the rural/urban differences in prescription opioid misuse.
Author(s): Khary K. Rigg, Shannon M. Monnat
Location: International Journal of Drug Policy, 26(5), 484–491
Date: 05/2015
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Statement by Tim Wolters, Citizens Memorial Hospital and Lake Regional Health System, before the Committee on Appropriations Subcommittee on Labor, Health and Human Services, and Education and Related Agencies
Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Discusses the impact rural hospitals have on their communities and the challenges rural Prospective Payment System (PPS) hospitals face that make them vulnerable to cuts in Medicare reimbursement.
Author(s): Tim Wolters
Sponsoring organization: Senate Committee on Appropriations
Date: 05/2015
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Results from 2012 Tax-Exempt Hospitals’ Schedule H Community Benefit Reporting
Reports community benefit of hospitals by measuring financial costs incurred through charity care, financial assistance and spending to fill gaps in Medicaid and Medicare payments. Findings are divided into urban/suburban and rural locations by zip code.
Author(s): Ernst & Young LLP
Sponsoring organization: American Hospital Association
Date: 05/2015
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Opportunity for All: Fighting Rural Child Poverty
Examines trends in poverty in rural areas, including comparison with urban areas, and provides a discussion of the impact of safety net programs that address poverty in rural areas.
Date: 05/2015
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Health, United States, 2014: With Special Feature on Adults Aged 55-64
Presents an annual overview of national trends in health statistics. Covers health status and determinants, healthcare utilization, access and expenditures. Includes data on rural areas - see index under "Metropolitan/nonmetropolitan data." This year's edition includes a section on adults aged 55-64, covering health status, health behaviors, health insurance coverage, healthcare utilization, and more.
Sponsoring organization: National Center for Health Statistics
Date: 05/2015
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Increases in Hepatitis C Virus Infection Related to Injection Drug Use Among Persons Aged ≤30 Years - Kentucky, Tennessee, Virginia, and West Virginia, 2006-2012
Discusses opioid abuse, drug injecting, and Hepatitis C Virus (HCV) infection in central Appalachia, with data on HCV infection rates for four states. Includes data for rural and urban areas by gender and race/ethnicity.
Author(s): Jon E. Zibbell, Kashif Iqbal, Rajiv C. Patel, Anil Suryaprasad, Kathy J. Sanders, Loretta Moore-Moravian, Jamie Serrecchia, et al.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 64(17), 453-458
Date: 05/2015
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Characteristics of Rural Accountable Care Organizations (ACOs) – A Survey of Medicare ACOs with Rural Presence
Describes the findings of a survey of 27 Accountable Care Organizations (ACOs) that have a presence in a rural area, focusing on characteristics concerning their formation and operation to better inform policy discussions around ACOs in rural areas.
Author(s): Abiodun Salako, Xi Zhu, A. Clinton MacKinney, Fred Ullrich, Keith Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 05/2015
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Deaths From Unintentional Injury Among Adults Aged 65 and Over: United States, 2000–2013
Provides data on unintentional death rates in the United States, highlighting differences by age, race and ethnicity, and urbanization. Figure 5 compares unintentional deaths for metropolitan and non-metropolitan areas by cause of death. Includes rural/urban data on deaths caused by falls, motor vehicle accidents, suffocation, poisoning, and fire.
Author(s): Ellen Kramarow, Li-Hui Chen, Holly Hedegaard, Margaret Warner
Sponsoring organization: National Center for Health Statistics
Date: 05/2015
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Statement by Julie Petersen, PMH Medical Center, before the 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. Provides an overview of rural healthcare innovations in Washington State. Discusses challenges facing the state's Critical Access Hospitals and other small rural hospitals.
Author(s): Julie Petersen
Sponsoring organization: Senate Committee on Appropriations
Date: 05/2015
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Statement of Sean Cavanaugh, Centers for Medicare & Medicaid Services, on Rural Health before the U.S. Senate Appropriations Committee 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. Provides an overview of the Centers for Medicare & Medicaid Services (CMS) activities to improve access to services for rural Medicare beneficiaries. Discusses telehealth, Critical Access Hospitals, Rural Health Clinics, and rural projects being tested through the Health Care Innovation Awards.
Author(s): Sean Cavanaugh, Centers for Medicare & Medicaid Services
Sponsoring organization: Senate Committee on Appropriations
Date: 05/2015
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Health Insurance Marketplaces: Early Findings on Changes in Plan Availability and Premiums in Rural Places, 2014-2015
Assesses changes in the Health Insurance Marketplaces from 2014 to 2015 concerning health insurance plans offered and premiums charged, with a focus on differences between those that exist in rural and urban areas.
Author(s): Abigail Barker, Timothy McBride, Leah Kemper, Keith Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 05/2015
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Sex in the (Non)City: Teen Childbearing in Rural America
Reports on the high rates of teen births in rural counties and why these rates are higher than urban counties.
Author(s): Alison Stewart Ng, Kelleen Kaye
Sponsoring organization: National Campaign to Prevent Teen and Unplanned Pregnancy
Date: 05/2015
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Graduate Medical Education Financing: Sustaining Medical Education in Rural Places
A policy brief reporting on a survey of rural training tracks (RTTs) using collected financial data to better understand their sources of revenue, program expenses, and the financial affiliation between rural and urban RTT sponsors.
Author(s): Davis G. Patterson, David Schmitz, Randall Longenecker, David Squire, Susan M. Skillman
Sponsoring organization: WWAMI Rural Health Research Center
Date: 05/2015
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Community Outbreak of HIV Infection Linked to Injection Drug Use of Oxymorphone - Indiana, 2015
Reports on an HIV outbreak in a rural Indiana community. Provides demographic information about those infected, discusses how the disease spread through syringe-sharing, and describes the initial public health response to the outbreak.
Author(s): Caitlin Conrad, Heather M. Bradley, Dita Broz, Swamy Buddha, Erika L. Chapman, Romeo R. Galang, Daniel Hillman, et al.
Sponsoring organization: Centers for Disease Control and Prevention
Location: MMWR (Morbidity and Mortality Weekly Report), 64(16), 443-444
Date: 05/2015
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Transportation Update: Where We've Gone and What We've Learned
Update to the 2005 report, The Current State of Transportation for People with Disabilities in the United States. Chapter 7 discusses the gaps and barriers in transit services in rural areas, and identifies funding sources for rural transportation and effective strategies to help the rural population of people with disabilities access healthcare, employment and participate in the community.
Sponsoring organization: National Council on Disability
Date: 05/2015
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Statement by Thomas Morris, Federal Office of Rural Health Policy before Subcommittee on Labor, Health and Human Services, Education and Related Agencies, Committee on Appropriations, U.S. Senate
Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Discusses the challenges of rural health delivery and the accomplishments of Health Resources and Services Administration (HRSA) and Federal Office of Rural Health Policy (FORHP) programs addressing rural health.
Author(s): Tom Morris, Federal Office of Rural Health Policy
Sponsoring organization: Senate Committee on Appropriations
Date: 05/2015
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A Comparison of Closed Rural Hospitals and Perceived Impact
Compares characteristics of rural hospitals that have closed or have converted to provide a mix of health services but no inpatient care. Measures perceived impact of rural hospital closures.
Author(s): Sharita Thomas, Brystana Kaufman, Randy Randolph, Kristie Thompson, Julie Perry, George Pink
Sponsoring organization: North Carolina Rural Health Research Program
Date: 04/2015
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The Value of the American Community Survey: Smart Government, Competitive Businesses, and Informed Citizens
Provides an overview of the American Community Survey (ACS) and how data from the ACS is used to inform decision-making. Discusses the importance of the ACS as a unique source of data on the demographic and economic characteristics of rural areas. Includes examples of how rural data from the ACS is used by federal agencies, academic researchers, state government, and rural communities.
Author(s): Regina Powers, David Beede, Rudy Telles, Jr.
Sponsoring organization: U.S. Department of Commerce
Date: 04/2015
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Nutrition-Related Policy and Environmental Strategies to Prevent Obesity in Rural Communities: A Systematic Review of the Literature, 2002-2013
Summarizes findings from 29 rural studies of obesity prevention interventions using nutrition-related and environmental strategies. Includes interventions in school, tribal, farmers market, and other settings. Discusses common strategies for adapting and implementing these programs in rural communities.
Author(s): Larissa Calancie, Jennifer Leeman, Stephanie B. Jilcott Pitts, Laura Kettel Khan, Sheila Fleischhacker, Kelly R. Evenson, Michelle Schreiner, et al.
Location: Preventing Chronic Disease, 12
Date: 04/2015
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The Health and Well-Being of Children in Rural Areas: A Portrait of the Nation 2011–2012
A chartbook providing data from the National Survey of Children’s Health demonstrating the health and well-being of children, as well as the family environment and the characteristics of the community that affect rural children and their families.
Sponsoring organization: Maternal and Child Health Bureau
Date: 04/2015
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Beneficiaries with Medigap Coverage
Reports on demographics of Medicare beneficiaries with Medigap coverage, including statistics specific to those beneficiaries living in rural areas, highlighting the importance of the Medigap program for rural areas.
Sponsoring organization: AHIP Center for Policy and Research
Date: 04/2015
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Preventable Deaths in Montana: Unintentional Injury Deaths by County
Identifies and discusses the rate of premature death due to unintentional injury in Montana at the county level.
Sponsoring organization: University of Montana: Rural Institute
Date: 04/2015
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The Value Proposition of Retail Clinics
Describes the role that retail clinics can play in improving healthcare access in underserved communities, including rural areas. Discusses the potential of telehealth use at retail clinics. Offers recommendations for optimizing the value of retail clinics to meet individual and community health needs.
Author(s): Deborah Bachrach, Jonah Frohlich, Allison Garcimonde, Keith Nevitt
Sponsoring organization: Robert Wood Johnson Foundation
Date: 04/2015
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Characteristics of Rural Communities with a Sole, Independently Owned Pharmacy
Characterizes the population of rural areas being served by a sole, independently owned pharmacy to better understand the role of rural pharmacies in providing broader healthcare services to underserved communities.
Author(s): Matthew Nattinger, Fred Ullrich, Keith Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 04/2015
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Geographies of Opportunity: Ranking Well-Being by Congressional District
Ranks the top and bottom congressional districts based on indicators related to residents' health, access to knowledge, and living standards. Identifies some districts as primarily rural in discussing ranking on specific issues and within certain regions. Includes a comparison of a primarily rural district and primarily urban/suburban district in Virginia in case study on p. 17-19.
Author(s): Sarah Burd-Sharps, Kristen Lewis
Sponsoring organization: Measure of America
Date: 04/2015
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HIV/AIDS Among American Indians and Alaska Natives in the United States
Describes how HIV infection affects American Indians and Alaska Natives (AI/AN) and why it is a serious public health issue among AI/AN. Compares survival rates of infected AI/AN with other races/ethnicities.
Date: 03/2015
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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.
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
Date: 03/2015
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Intimate Partner Violence in Rural America
Discusses the impact of intimate partner violence (IPV) in rural America. Presents recommendations regarding access and barriers to healthcare, IPV in rural versus urban communities, and rural poverty.
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
Date: 03/2015
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Special Report on the Financial Strength of Kentucky's Rural Hospitals
Provides an overview of economic challenges being faced by rural hospitals in Kentucky.
Author(s): Adam Edelen
Sponsoring organization: Commonwealth of Kentucky
Date: 03/2015
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Native American Housing: Obstacles and Opportunities
Recording of a March 24, 2015 panel discussion addressing the challenges involved in supplying and maintaining tribal housing.
Sponsoring organization: U.S. Department of Housing and Urban Development
Date: 03/2015
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The Health of Male Agricultural Workers
Provides an overview of the health characteristics of male agricultural workers including occupational health, chronic disease, mental health, and other health related risk factors.
Sponsoring organization: National Center for Farmworker Health
Date: 02/2015
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Quality of Life Impacts the Recruitment and Retention of Rural Health Care Providers
Policy paper discussing the aspect of maintaining a professional quality of life and its impact on the recruitment and retention of healthcare providers in rural areas. Professional quality of life refers to promoting the advantages of rural practice over the negative aspects.
Author(s): Dayle Sharp, Maritza Bond, Kelly Cheek, Holly Wolff
Sponsoring organization: National Rural Health Association
Date: 02/2015
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Comprehensive Quality Improvement in Rural Health Care
Policy paper addresses comprehensive quality improvement for rural healthcare by incorporating and tailoring strategies from the National Quality Strategy (NQS) aims of better care, healthy people/communities and affordable care to better suit rural healthcare. Includes four broad steps to help guide rural facilities through the quality improvement process.
Author(s): Kevin Driesen, Gretchen Holmes, Mary Smith
Sponsoring organization: National Rural Health Association
Date: 02/2015
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Designation of Frontier Health Professional Shortage Areas
Discusses the frontier-specific health professional shortage area designation and the unique characteristics attributed to frontier areas that may contribute to a more fragile healthcare delivery system and a greater need for healthcare professionals. Includes policy recommendations supporting an appropriate designation, improved healthcare access, and assistance in recruiting healthcare providers.
Author(s): Susan Wilger, Charlie Alfero
Sponsoring organization: National Rural Health Association
Date: 02/2015
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The Future of Rural Behavioral Health
Policy paper discussing the unique challenges of providing behavioral healthcare services in rural areas. Includes policy recommendations and interventions related to workforce development, reimbursement and financing, integration of care, and the use of technology in delivering behavioral healthcare.
Author(s): Will Wilson, Angela Bangs, Tammy Hatting
Sponsoring organization: National Rural Health Association
Date: 02/2015
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Rural Communities: Making Safe Routes Work
Describes the benefits of making walking and biking safer for rural children. Discusses implementing the Safe Routes to School approach in rural communities, with ideas for how to get started.
Sponsoring organization: Safe Routes to School National Partnership
Date: 2015
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Rural Communities: A Two-Pronged Approach for Improving Walking and Bicycling
Outlines infrastructure solutions rural communities can use to encourage and support biking and walking, as a means of improving the health of rural residents.
Sponsoring organization: Safe Routes to School National Partnership
Date: 2015
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Rural Communities: Best Practices and Promising Approaches for Safe Routes
Discusses the barriers to safe walking and biking to school in some rural communities. Describes how to successfully implement the Safe Routes to School approach in rural areas, with examples of successful programs.
Sponsoring organization: Safe Routes to School National Partnership
Date: 2015
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Relationship Between Social Support and Body Mass Index Among Overweight and Obese African American Women in the Rural Deep South, 2011–2013
Reports results from a study undertaken in rural communities of the Alabama Black Belt and the Mississippi Delta. Examines encouragement and discouragement provided to overweight and obese African American women by family and friends related to healthy eating and exercise.
Author(s): Erica R. Johnson, Tiffany L. Carson, Olivia Affuso, Claudia M. Hardy, Monica L. Baskin
Location: Preventing Chronic Disease, 11
Date: 12/2014
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Access to Health Care in the U.S.-México Border Region: Challenges and Opportunities
Identifies ways in which the United States-Mexico Border Health Commission and other interested organizations can increase healthcare access for border populations in the United States. Compares provisions of health reform in both countries to recognize potential binational public health collaborations. Also discusses the socioeconomic challenges in access to healthcare and the enrollment gaps in health insurance offered through the market place.
Sponsoring organization: United States-México Border Health Commission
Date: 11/2014
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State Innovation Models (SIM) Initiative Evaluation: Model Test Base Year Annual Report
First annual report on 6 states - Arkansas, Maine, Massachusetts, Minnesota, Oregon, and Vermont - that received federal support in the first round of the State Innovation Model (SIM) initiative to design and implement health care innovation plans. Presents results of the first site visits to the states, including information from interviews and focus groups, and baseline data on care coordination, quality of care, healthcare utilization, and healthcare expenditures. Includes some discussion of issues specific to rural healthcare.
Author(s): RTI International
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 11/2014
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Electronic Health Information Exchange in Underserved Settings: Examining Initiatives in Small Physician Practices & Community Health Centers
Discusses a study evaluating electronic data exchange projects and identifies the barriers and benefits of participating in health information exchange (HIE) activities in underserved settings.
Author(s): J. Mac McCullough, Frederick J. Zimmerman, DOuglas S. Bell, Hector P. Rodriguez
Location: BMC Health Services Research, 14, 415
Date: 09/2014
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Perceived Reactions of Elementary School Students to Changes in School Lunches after Implementation of the United States Department of Agriculture's New Meals Standards: Minimal Backlash, but Rural and Socioeconomic Disparities Exist
Study assesses the observation by school staff of rural and urban student reaction to changes in the school lunch menus, implemented in 2012 according to revised standards required by the USDA’s National School Lunch Program.
Author(s): Lindsey Turner, Frank J. Chaloupka,
Location: Childhood Obesity, 10(4), 349-356
Date: 08/2014
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Unfreezing the Flexnerian Model: Introducing Longitudinal Integrated Clerkships in Rural Communities
Investigates the perspective of physicians introduced to rural health through a nine-month Longitudinal Integrated Clerkship (LIC) to measure the effectiveness of the LIC model in increasing the rural health workforce.
Author(s): Robert Bing-You, Robert Trowbridge, Catherine Kruithoff, John Daggett
Location: Rural and Remote Health
Date: 08/2014
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Native Elderly Falls and Depression as Related to Elder Abuse Services
Poster presentation illustrating the relationship between depression and fall rates of Native American elders. Also includes information related to their use of Elder Abuse Prevention Programs.
Author(s): Daisy Riley, Paula Carter, Harmony Lindgren, Jacqueline Gray
Sponsoring organization: National Indigenous Elder Justice Initiative
Date: 08/2014
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State Innovation Models (SIM) Initiative Evaluation: Model Design and Model Pre-Test Evaluation Report
Reports on the experiences of 19 states that received federal support to work on state health care innovation plans focused on developing innovative healthcare delivery and payment models. Discusses rural concerns in these states, as well as strategies to address rural healthcare needs. Some topics addressed include patient-centered medical homes, Accountable Care Organizations, workforce, broadband access, electronic health record adoption, and telehealth.
Author(s): RTI International
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 07/2014
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