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New Documents Identified in the Past 30 Days:

Cultivating a Competitive Advantage: How Rural Counties Are Growing Economies with Local Assets and Regional Partners
Case studies of rural counties using creative methods to improve their economies. Includes examples that involve the healthcare sector and address issues that impact health.
Sponsoring organization: National Association of Counties
Date: 11/2014
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National Hospital Ambulatory Medical Care Survey: 2011 Emergency Department Summary Tables
Provides data on emergency department hospital visits, including information for non-metropolitan hospitals. Table 27 provides detailed hospital and emergency department characteristics by metropolitan status. Additional tables that include metro/non-metro data include Table 1, with general overview information, and Table 14, with injury visit data.
Sponsoring organization: National Center for Health Statistics
Date: 11/2014
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Advancing the Transition to a High Performance Rural Health System (Brief)
Identifies the critical components for developing a high quality rural health system. Discusses four separate strategies providers can use to create a high performance system and the public policy implications of these strategies. There is also a full report.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, Clinton MacKinney, Timothy D. McBride, Keith J. Mueller, Paula Weigel
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
Date: 11/2014
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Challenges for Human Services: Rural Adoptions: A Different Kind of Rural Trust
Highlights three successful efforts in rural America to find adoptive homes for foster children.
Author(s): Kathleen Belanger
Sponsoring organization: Rural Assistance Center
Journal citation: Rural Monitor Volume 2014 Issue Fall
Date: 11/2014
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Young Volunteers Aid, Stay Engaged In Their Communities
Discusses volunteerism in rural youth and how they can connect with their community and learn the importance of service.
Author(s): Candi Helseth
Sponsoring organization: Rural Assistance Center
Journal citation: Rural Monitor Volume 2014 Issue Fall
Date: 11/2014
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Intensity of Service Provision for Medicare Beneficiaries Utilizing Home Health Services: A Closer Look at Cerebrovascular Disease, Diabetes, and Joint Replacement (Full Report)
Reports on the impact of home health services provided to the rural elderly receiving Medicare based on the number of visits, the use of rehabilitation specialists, and the median payment per claim. Includes a rural/urban comparison throughout the report.
Author(s): Medha Iyer, Janice C. Probst, Kevin Bennett, Grishma Bhavsar
Sponsoring organization: South Carolina Rural Health Research Center
Date: 11/2014
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Facilitators of Health Systems Change for Tobacco Dependence Treatment: A Qualitative Study of Stakeholders' Perceptions
An evaluation of rural and urban health systems in Minnesota that demonstrates they can implement extensive changes in a short time period to enhance the treatment of tobacco dependence. Emphasizes the use of electronic health records and healthcare quality measures to improve the healthcare environment for tobacco dependence.
Author(s): Amanda L Jansen, Traci R Capesius, Randi Lachter, et al.
Journal citation: BMC Health Services Research Volume 14 Issue 575
Date: 11/2014
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Around the Country: Young Entrepreneurs Help Remold Rural Healthcare in Oregon Through Membership Payment Model
Highlights The Orchid Clinic, which has found success by providing primary care to low-income rural residents via a paid membership model.
Author(s): Candi Helseth
Sponsoring organization: Rural Assistance Center
Journal citation: Rural Monitor Volume 2014 Issue Fall
Date: 11/2014
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Around the Country: Compassionate Collaboration Reduces Homelessness in Utah
Highlights Utah’s Housing First plan which is decreasing the number of homeless in the state while saving thousands of dollars in emergency medical bills and other costs.
Author(s): Candi Helseth
Sponsoring organization: Rural Assistance Center
Journal citation: Rural Monitor Volume 2014 Issue Fall
Date: 11/2014
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Volunteering A Win-Win for Seniors and Rural Communities
Discusses the role of senior volunteers in rural communities and how rural nonprofit organizations benefit from their expertise.
Author(s): Candi Helseth
Sponsoring organization: Rural Assistance Center
Journal citation: Rural Monitor Volume 2014 Issue Fall
Date: 11/2014
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Characteristics, Utilization Patterns, and Expenditures of Rural Dual Eligible Medicare Beneficiaries
Study analyzes the rural-urban differences regarding dual eligible beneficiaries and their race, region of residence, patterns of utilizing health services and Medicare expenditures.
Author(s): Kevin J. Bennett, Ashley S. Robertson, Janice C. Probst
Sponsoring organization: South Carolina Rural Health Research Center
Date: 11/2014
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Rural Spotlight: An Interview with Robert T. Trachtenberg
Presents an interview with Robert Trachtenberg, the Executive Director of the National AHEC Organization who discusses its evolution, and how AHECs build the rural healthcare workforce.
Author(s): Beth Blevins
Sponsoring organization: Rural Assistance Center
Journal citation: Rural Monitor Volume 2014 Issue Fall
Date: 11/2014
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Ending Violence So Children Can Thrive
Examines current epidemic of violence and evaluated suggestions for preventing violence and alleviating its impact on American Indian and Alaskan Native children. It also presents the advisory committee's policy recommendation that aimed to instruct the Attorney General on how to address these problems.
Sponsoring organization: Attorney General's Advisory Committee on American Indian / Alaskan Native Children Exposed to Violence
Date: 11/2014
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Advancing the Transition to a High Performance Rural Health System (Paper)
Identifies the critical components for developing a high quality rural health system. Discusses four separate strategies providers can use to create a high performance system and the public policy implications of these strategies.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, Clinton MacKinney, Timothy D. McBride, Keith J. Mueller, Paula Weigel
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
Date: 11/2014
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Rural America at a Glance, 2014 Edition
Highlights indicators of social and economic conditions in rural areas. Focuses on employment trends, poverty, population trends and educational attainment in rural versus urban areas.
Sponsoring organization: USDA Economic Research Service
Date: 11/2014
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QuickStats: Age-Adjusted Death Rates from Chronic Obstructive Pulmonary Disease (COPD) Among Persons Aged ≥55 Years, by Sex and Urbanization of County of Residence - United States, 2009-2011
Chart showing death rates from Chronic Obstructive Pulmonary Disease for metropolitan and non-metropolitan areas by gender among adults over 55.
Sponsoring organization: Centers for Disease Control and Prevention
Journal citation: MMWR (Morbidity and Mortality Weekly Report) Volume 63 Issue 44 Pages: 1016
Date: 11/2014
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Results from the 2013 National Survey on Drug Use and Health: Mental Health Detailed Tables
Provides data on mental health conditions, co-occurring substance use disorders, use of mental health services, and unmet needs. Rural-specific information is available in the detailed tables that list "geographic characteristics."
Sponsoring organization: Substance Abuse and Mental Health Services Administration
Date: 11/2014
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Intensity of Service Provision for Medicare Beneficiaries Utilizing Home Health Services: A Closer Look at Cerebrovascular Disease, Diabetes, and Joint Replacement (Key Facts)
Examines the intensity of home health services and payments for services across levels of rurality for Medicare patients. Focuses on patients receiving care for stroke, diabetes, or joint replacement.
Sponsoring organization: South Carolina Rural Health Research Center
Date: 11/2014
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Look What's Coming: The Ebola Response
Argues that people underestimate the risk posed by familiar dangers and overreact to strange and foreign hazards.
Author(s): Wayne Myers
Sponsoring organization: Rural Assistance Center
Journal citation: Rural Monitor Volume 2014 Issue Fall
Date: 11/2014
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Successful Health Insurance Outreach, Education, and Enrollment Strategies for Rural Hospitals
Provides best practices for hospitals to use in health insurance outreach and enrollment efforts based on interviews with administrators, staff and community representatives at eleven small rural hospitals. Also discusses certified application counselors who help individuals enroll in health insurance and the importance of collaborative partnerships in the community to conduct insurance enrollment outreach and education.
Author(s): Walter Gregg, Alex Evenson, Adeniyi Togun
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 11/2014
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Aging Well in the 21st Century: Strategic Directions for Research (Draft - October 19, 2014)
A draft document outlining the goals of the National Institute on Aging (NIA) and the research it will support over the next 5 years. Goal F focuses on improving the health status of older adults in diverse populations, including rural older adults, and older adults from different races, ethnicities, and cultural traditions. NIA requests comments on this draft document.
Sponsoring organization: National Institute on Aging
Date: 10/2014
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Health Equity Series: Older Adult Health Disparities in Missouri
Discusses older adults in Missouri, those age 65 and older. Discusses provider shortages and transportation issues in rural Missouri. States that 37% of Missourians live in rural counties with only 18% of the state's primary are physicians located there. Also reports that 75 rural Missouri counties are without a dentist or have limited access to dental care.
Author(s): Cristina Cousins
Sponsoring organization: Missouri Department of Social Services
Date: 10/2014
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The 2014 Update of the Rural-Urban Chartbook
Provides an update to information provided in Health, United States, 2001: With Urban and Rural Health Chartbook. Highlights current trends and disparities across different levels of metro- and nonmetropolitan counties including population characteristics; health-related behaviors and risk factors; mortality rates; healthcare access and use; and other health measures such as teen birth rates, tooth loss, and activity limitations due to chronic disease. Individual data tables are available in an Excel file.
Author(s): Michael Meit, Alana Knudson, Tess Gilbert, et al.
Sponsoring organization: Rural Health Reform Policy Research Center
Date: 10/2014
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Rural-Urban Disparities in Heart Disease: Policy Brief #1 from the 2014 Update of the Rural-Urban Chartbook
Reports on rural disparities in heart disease and the associated risk factors of obesity and physical inactivity. Includes heart disease related death rates and obesity prevalence by sex, region, and rural/urban status from 2008-2010.
Author(s): Alana Knudson, Michael Meit, Shena Popat
Sponsoring organization: Rural Health Reform Policy Research Center
Date: 10/2014
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Observation Care Services for Medicare Beneficiaries in Rural Hospitals: Policy Issues and Stakeholder Perspectives
Describes the findings of a qualitative study aimed to gain a greater understanding of the rural policy context surrounding the use of observation care services by Medicare beneficiaries from 2010 to 2013.
Author(s): Walter Gregg, Samantha Mills, Yvonne Jonk
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 10/2014
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Does Rurality Affect Observation Care Services Use in CAHs for Medicare Beneficiaries?
Describes the use of observation services across levels of rurality by Medicare beneficiaries in CAHs, the demographics and health status of patients receiving these services, and the characteristics of their observation stays.
Author(s): Yvonne Jonk, Heidi O’Connor, Walter Gregg
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 10/2014
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Impact of the Affordable Care Act on Non-Emergency Medical Transportation (NEMT): Assessment for Transit Agencies
Summarizes the impact of the ACA on Non-Emergency Medical Transportation (NEMT) in relation to Medicaid expansion in both rural and urban areas. Discusses the importance of NEMT service to both urban and rural transit providers.
Author(s): Richard Garrity, Kathy McGehee,
Sponsoring organization: Transportation Research Board
Date: 10/2014
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Rural Border Health Chartbook II, 2014 (Key Facts)
Presents a cross-sectional analysis of border counties, urban and rural, comparing these counties to other counties within the four border states and to rural and urban counties in the rest of the United States.
Sponsoring organization: South Carolina Rural Health Research Center
Date: 10/2014
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Health Insurance Among Young Adults Rebounds Post Recession: More Become Dependents on a Parent's Plan After ACA Extends Coverage to Adult Children
Reports on rates of young adults' health insurance coverage.  Nationally, rates were similar in rural and urban areas.
Author(s): Michael J. Staley, Jessica A. Carson
Sponsoring organization: Carsey School of Public Policy
Date: 10/2014
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AACOM 2012-13 Academic Year Survey of Graduating Seniors Summary Report
Presents statistics and data on osteopathic medical college new student enrollment which increased 6.7% over fall 2013. Tables 40 and 42 show that 32% of seniors planned to practice in underserved shortage areas, and of those, 51% indicated rural areas.
Sponsoring organization: American Association of Colleges of Osteopathic Medicine
Date: 10/2014
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'We Desperately Need Some Help Here' - The Experience of Legal Experts with Sexual Assault and Evidence Collection in Rural Communities
Provides context to understanding the rural medico-legal response to sexual assault to inform sexual assault nurse examiners in rural areas. Describes the importance of this role when responding to sexual assault and discusses possible solutions, such as telemedicine, to address the need for more properly trained sexual assault nurses in rural communities.
Author(s): Sandra Annan
Journal citation: Rural and Remote Health
Date: 10/2014
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No Margin for Error: Virginia's Rural Hospitals at a Crossroads
Documents the importance of 37 rural hospitals in Virginia to their local communities and highlights the challenges they face keeping the facilities operating. The report offers both universal and unique challenges facing rural hospitals in Virginia.
Author(s): Jay Andrews, Barbara Brown, Sheila Gray, Steven Hill, Betty Long, David Nutter, Paul Speidell, David Vaamonde
Sponsoring organization: Virginia Hospital & Healthcare Association
Date: 10/2014
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Shaping Our Appalachian Region (SOAR) Health Work Group Final Report
Discusses ways to improve health outcomes for residents in the Appalachian region of Eastern Kentucky. Focuses on coordinated school health, environmental health, smoke-free legislation, substance abuse, wellness programs, a regional health clearinghouse, children's health and wellness, transportation, oral health, physical education in schools, diabetes prevention, health workforce issues, seniors, and teen pregnancy.
Date: 09/2014
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Heroin: Combating this Growing Epidemic in Pennsylvania
Presents data on heroin use and drug overdose deaths in rural and urban Pennsylvania and provides recommendations on how to address the growing epidemic of heroin and opioid use.
Sponsoring organization: Center for Rural Pennsylvania
Date: 09/2014
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Medicare Program; FY 2015 Hospice Wage Index and Payment Rate Update; Hospice Quality Reporting Requirements and Process and Appeals for Part D Payment for Drugs for Beneficiaries Enrolled in Hospice; Final Rule
Presents the final rule set forth for the hospice wage index for fiscal year 2015, effective October 1, 2014. Table 13 shows the number of rural hospices in the United States.
Sponsoring organization: U.S. Government Printing Office
Date: 08/2014
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MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 12
Chapter 12 of the report discusses hospice and palliative support services. Discusses rural throughout. Includes tables that show the percentage of rural beneficiaries who use hospice, and rural hospice costs per day.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 03/2014
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Kansas 2013 Annual Report
Highlights the Kansas Department of Health and Environment program accomplishments for 2013, including the formation of the Center for Population Health - a collaborative effort which brings together Primary Care, Rural Health and Local Public Health departments to focus on improved health outcomes across the state. Also includes information on the Kansas Primary Care Clinic grant program and health professional shortage areas in the state.
Sponsoring organization: Kansas Department of Health and Environment
Date: 02/2014
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Opioid Prescribing Patterns for Non-Malignant Chronic Pain for Rural Versus Non-Rural U.S. Adults: A Population-Based Study Using 2010 NAMCS Data
Discusses the results of a survey comparing rural and non-rural prescribing patterns of opioid drugs for non-malignant chronic pain management. Rurality was indicated to be a factor in the over-prescribing of opioids.
Author(s): Jacob P. Prunske, Catherine A. St. Hill, Keri D. Hager, et al.
Journal citation: BMC Health Services Research Volume 14 Issue 563
Date: 01/2014
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Trends and New Directions: Area Agencies on Aging Survey
Presents survey results on the role of Area Agencies on Aging (AAA) and their operations and services in meeting the needs of their communities. Includes examples of AAA projects that are serving rural communities.
Sponsoring organization: National Association of Area Agencies on Aging
Date: 2014
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NHPCO’s Facts and Figures: Hospice Care in America
Presents an overview of hospice care across America. Provides information on hospice patient and provider characteristics, location and level of care, and role of paid and volunteer staff.
Sponsoring organization: National Hospice and Palliative Care Organization
Date: 2014
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Diversity in the Physician Workforce: Facts & Figures 2014
Interactive report identifying demographics and practice patterns of the physician workforce that graduated from United States M.D. granting medical schools. A map in Section III provides access to state and county-level physician data. Table 12 in Section V lists primary care and specialist physicians by rural and urban areas and by race/ethnicity.
Sponsoring organization: Association of American Medical Colleges
Date: 2014
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Evaluation of the Medicare Frontier Extended Stay Clinic Demonstration: Report to Congress
Reports on the results of a Medicare Frontier Extended Stay Clinic (FESC) demonstration project that used an enhanced clinic model in frontier areas to address the needs of seriously ill or injured patients who could not be transferred to a hospital or needed monitoring and observation for a limited period of time. Includes an overview of the demonstration and key findings from the project.
Sponsoring organization: U.S. Department of Health and Human Services
Date: 2014
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Rural Health in Colorado Snapshot, 2014
Highlights key health issues facing Colorado’s rural and frontier counties, including access and coverage, health professional workforce shortages, technology, unemployment and poverty, and other issues impacting geographic health disparities.
Sponsoring organization: Colorado Rural Health Center
Date: 2014
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Effects of Distance to Care and Rural or Urban Residence on Receipt of Radiation Therapy among North Carolina Medicare Enrollees with Breast Cancer
Discusses the effect of distance on quality of care for Medicare-insured patients with breast cancer living in rural and urban areas of North Carolina.
Author(s): Stephanie B. Wheeler, Tzy-Mey Kuo, Danielle Durham, Brian Frizzelle, Katherine Reeder-Hayes, Anne-Marie Meyer
Journal citation: North Carolina Medical Journal Volume 75 Issue 4 Pages: 239-246
Date: 2014
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Primary Care Health Professional Underserved Areas Report: Kansas 2014
Provides data on the types of health care provider shortage designations in Kansas. Includes maps of Federal Health Professional Shortage Areas and Rural Health Clinic locations. Discusses workforce recruitment and retention programs such as state loan repayment and J-1 Visa Waivers, and includes maps of each.
Sponsoring organization: Kansas Department of Health and Environment
Date: 2014
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The Evolution, Expansion, and Effectiveness of Community Health Workers
Reviews the development of Community Health Worker roles, accomplishments, and future contributions in rural and urban settings. Discusses the education and training of CHWs, and includes a detailed table of their activities in promoting prevention and well-being.
Author(s): Randall R . Bovbjerg, Lauren Eyster, Barbara A. Ormond, Theresa Anderson, Elizabeth Richardson
Sponsoring organization: Urban Institute
Date: 12/2013
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