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New Documents Identified in the Past 30 Days:

How 3 Rural Safety Net Clinics Integrate Care for Patients: A Qualitative Case Study
Case study of two Rural Health Clinics and one rural Federally Qualified Health Center that were part of the Commonwealth Fund's Safety Net Medical Home Initiative (SNMHI), a project to implement and evaluate the patient-centered medical home (PCMH). Reports on challenges encountered related to a transition to team-based care and practical approaches for rural care coordination.
Author(s): Sarah Derrett, Kathryn E. Gunter, Robert S. Nocon, Michael T. Quinn, Katie Coleman, Donna M. Daniel, Edward H. Wagner, Marshall H. Chin
Journal citation: Medical Care Volume 52 Issue 11 Pages: S39-S47
Date: 11/2014
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Transforming Care for Vulnerable Populations: Lessons from the Safety Net Medical Home Initiative
Thematic issue focused on the Commonwealth Fund's Safety Net Medical Home Initiative (SNMHI), a project to develop a replicable approach for establishing a patient-centered medical home (PCMH) in practices serving vulnerable and underserved populations. SNMHI included rural practices and the articles included in this issue are applicable to rural facilities.
Journal citation: Medical Care Volume 52 Issue 11 Pages: S1-S63
Date: 11/2014
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Medicare Payment Basics: Hospice Services Payment System
Presents an overview of Medicare payments for hospice and palliative care for beneficiaries who have a life expectancy of six months or less.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 10/2014
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Medicare Payment Basics: Critical Access Hospitals Payment System
Presents an overview of Medicare payments for critical access hospitals. Compares differences in Medicare payments for CAHs, Sole Community Hospitals, and Medicare-dependent Hospitals.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 10/2014
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Medicare Payment Basics: Home Health Care Services Payment System
Presents an overview of Medicare payments for home health care services. Includes information on setting Medicare payment rates. Discusses the add-on payment of 3% for episodes provided in rural areas.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 10/2014
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Health Care for a High-Tech World: The Potential for Telehealth in Colorado
Describes the importance of telehealth in meeting the changing healthcare needs of Colorado residents in rural and urban areas of the state.
Sponsoring organization: Colorado Health Institute
Date: 10/2014
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Medicare Payment Basics: Hospital Acute Inpatient Services Payment System
Presents an overview of Medicare payments to hospitals for acute inpatient care. Includes information on Medicare payments for medical education, payments to disproportionate share (DSH) hospitals, and policy adjustments and special payments for rural hospitals.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 10/2014
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Distribution of U.S. Health Care Providers Residing in Rural and Urban Areas
Presents the supply and distribution of practitioners in 32 health occupations across urban and rural areas, from 2008-2010, based on their place of residence. Reports that among rural residents, there are more providers in occupations that require fewer years of education and training.
Sponsoring organization: National Center for Health Workforce Analysis
Date: 10/2014
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The Supplemental Poverty Measure: 2013
Provides estimates of poverty for the official poverty measure and the supplemental poverty measure, which takes into account government programs that support low-income families. Tables 2 and 6 provide data for metropolitan and non-metropolitan areas.
Author(s): Kathleen Short
Sponsoring organization: U.S. Census Bureau
Date: 10/2014
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Rural Border Health Chartbook II
Presents as analysis of border counties, both urban and rural, by comparing these counties to other counties within the four border states, and to rural and urban counties in the rest of the U.S. Provides county-level rates and statistics for socio-demographic factors, the physical environment, access to care and health outcomes.
Author(s): Grishma P. Bhavsar, Amy Brock Martin, Janice C. Probst, Myriam E. Torres, Medha Iyer, James Hardin
Sponsoring organization: South Carolina Rural Health Research Center
Date: 10/2014
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Medicare Payment Basics: Skilled Nursing Facility Services Payment System
Provides an overview of Medicare payments for skilled nursing facility services. Discusses rates for small, rural hospitals and critical access hospitals.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 10/2014
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Geographic Variation in Plan Uptake in the Federally Facilitated Marketplace
Combines the recently released data on plan selection in the Federally Facilitated Marketplaces with estimates of the population likely to qualify for the marketplace (i.e. “eligibles”) to calculate the percent of potential eligible individuals who chose a health insurance plan (the “uptake rate”). Contains a heat map that shows variation in uptake rates across the country.
Author(s): Mark Holmes, Pam Silberman, Kristie Thompson, Victoria Freeman, Randy K. Randolph
Sponsoring organization: North Carolina Rural Health Research and Policy Analysis Center
Date: 10/2014
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Rural Childhood Obesity Prevention Toolkit
Provides specific policy options for healthy eating and active living for rural communities to implement to address childhood obesity.
Author(s): Maya Rockeymoore, Craig Moscetti, Andrew Fountain
Sponsoring organization: Robert Wood Johnson Foundation
Date: 10/2014
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Building Health Workforce Capacity Through Community-Based Health Professional Education: Workshop Summary
Presents highlights from a workshop held May 1-2, 2014 which discusses the increased focus on community-based health and healthcare, and interprofessional collaborations. Discusses the current financial and structural design of health professional education. Presents examples of interprofessional, community-based programs and curricula for educating health professionals. Mentions rural throughout.
Author(s): Patricia A. Cuff
Sponsoring organization: Institute of Medicine
Date: 10/2014
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Qualitative Exploration of Rural Focus Group Members’ Participation in the Chronic Disease Self-Management Program, USA
Explores the benefits perceived by rural residents of a self-managed approach to chronic illness. It also discusses research in support of self-managed care for chronic illness in rural areas.
Author(s): Idethia Harvey, Megan Janke
Journal citation: Rural and Remote Health
Date: 10/2014
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How EMS in Rural Methow Valley, Washington, Coped with a Devastating Wildfire
Describes an incident that occurred in a rural valley, where patients and providers were cut off from hospitals, 911 coverage, and power. Shows the importance of advanced preparedness and planning by rural EMS agencies.
Author(s): Cindy Button
Journal citation: Journal of Emergency Medical Services (JEMS)
Date: 10/2014
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Differences in Case-Mix Between Rural and Urban Recipients of Home Health Care (Full Report)
Provides a description of the health status and service needs of rural and urban Medicare home health patients based on a professional assessment of their condition at the start of care.
Author(s): Janice C. Probst, Grishma P. Bhavsar
Sponsoring organization: South Carolina Rural Health Research Center
Date: 10/2014
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Differences in Case-Mix Between Rural and Urban Recipients of Home Health Care (Key Facts)
Provides key facts and comparisons between rural and urban home healthcare patients.
Date: 10/2014
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Medicare Beneficiaries Paid Nearly Half of the Costs for Outpatient Services at Critical Access Hospitals Report
Analyzes the system that Medicare used to calculate outpatient coinsurance amounts for patients who receive services at CAHs versus the system used for patients who receive services at acute-care hospitals. Recommends the Centers for Medicare and Medicaid Services seek legislative authority to modify the coinsurance calculation.
Date: 10/2014
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Report to Congress, 2014: Update on the Adoption of Health Information Technology and Related Efforts to Facilitate the Electronic Use and Exchange of Health Information
Annual report to Congress describing progress related to the nationwide adoption of health information technology (HIT), electronic health records (EHRs), and health information exchange (HIE). Includes information on federal programs supporting rural HIT adoption. See pages 16-18.
Sponsoring organization: Office of the National Coordinator for Health Information Technology
Date: 10/2014
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Alaska’s Community Capacity Review: A Statewide Public Health System Assessment
Assesses the current status of the public health system in Alaska and provides a starting point to improve and strengthen the overall capacity of the system. The report specifically mentions efforts to increase outreach and collaboration with small and rural Alaskan communities.
Author(s): Healthy Alaskans 2020
Sponsoring organization: Alaska Department of Health and Social Services
Date: 10/2014
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Medicare Payment Basics: Ambulance Services Payment System
Presents an overview of Medicare payments for ambulance services. Discusses rural counties including rural and super-rural zip codes, metropolitan statistical areas, rural add-on payments, ambulance fee schedules, and payment rates.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 10/2014
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Medicare Payment Basics: Inpatient Psychiatric Facilities Services Payment System
Presents an overview of Medicare payments for those receiving psychiatric treatment. Discusses rural location adjustments.
Sponsoring organization: Medicare Payment Advisory Commission
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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An Examination of New York State's Integrated Primary and Mental Health Care Services for Adults with Serious Mental Illness
Describes the RAND Corporation’s examination of approaches to integrated care for adults with serious mental illness (SMI) implemented by New York state community mental health centers. Specifically describes increased barriers to integrated care for rural areas, as compared with urban areas, on page 29.
Author(s): Deborah Scharf, Joshua Breslau, Nicole Schmidt Hackbarth, Daniela Kusuke, B. Lynette Staplefoote, Harold Alan Pincus
Sponsoring organization: New York State Health Foundation
Date: 09/2014
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Policy Brief: Community Paramedic Pilot Study Recommendations
Presents policy recommendations regarding the implementation of a Community Paramedicine Program in North Dakota. Discusses the gaps in the ND healthcare delivery system, especially in rural areas.
Sponsoring organization: North Dakota Center for Nursing
Date: 09/2014
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Overcoming Patient Engagement Barriers: Urban And Rural Success Stories
Video highlighting successful patient engagement programs. Features the High Plains Research Network, which serves eastern rural Colorado, and describes how the network tailors its outreach to the community through the insights of the community members involved in the network. The section on the High Plains Research Network begins at 5:35 in the recording.
Author(s): Health Affairs
Date: 09/2014
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The Mental Health Workforce Shortage in Texas
Provides policy recommendations for addressing Texas’ mental health workforce shortage with a focus on rural and includes an assessment of the feasibility and cost of these recommendations.
Sponsoring organization: Texas Department of State Health Services
Date: 09/2014
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Controlling Hypertension: Focusing on "Why" Makes "How" a Lot Easier
Provides an overview of a quality improvement project targeted toward improving the outcomes of patients with hypertension that was implemented within a family medicine group of five separate small rural practices.
Author(s): Jennifer L. Brull
Journal citation: Family Practice Management Volume 21 Issue 5 Pages: 23-27
Date: 09/2014
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Tips for Disaster Responders: Cultural Awareness When Working in Indian Country Post Disaster
Provides information for disaster response workers to build cultural awareness for supporting Native Americans before, during, and after a traumatic event. Discusses cultural values, types of traumatic events, traditional teachings, and talking circles.
Sponsoring organization: Substance Abuse and Mental Health Services Administration
Date: 09/2014
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Geographic Variation in Premiums in Health Insurance Marketplaces
Analyzes the 2014 premiums of the health insurance plans provided through the exchanges created by the Affordable Care Act. Results found the insurance ratings for areas with smaller populations had higher premiums.
Author(s): Abigail R. Barker, Timothy D. McBride, Leah M. Kemper, Keith Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 09/2014
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The Role of Hospitals in Medical Home Initiatives and Strategies to Secure their Support and Participation
Discusses the spread of the Patient Centered Medical Home (PCMH) initiative and the associated pressure and challenges with adaption of the new payment and delivery system for hospitals. This brief makes the case for the new approach, clarifies the hospitals' role in a PCMH and offers strategies to successfully secure hospitals' support and participation. It specifically recognizes the unique considerations for small/rural and Critical Access Hospitals when securing support and participation in medical home initiatives.
Author(s): Charles Townley, Kimm Mooney
Sponsoring organization: National Academy for State Health Policy
Date: 09/2014
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The Georgia Health Care Landscape
An overview of the population health, health coverage, and health care delivery system in Georgia in the era of health reform. Includes discussion on rural hospital closures in the state.
Sponsoring organization: Kaiser Family Foundation
Date: 09/2014
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The Utah Health Care Landscape
An overview of the population health, health coverage, and health care delivery system in Utah in the era of health reform. Includes some rural specific data on the health environment of the state.
Sponsoring organization: Kaiser Family Foundation
Date: 09/2014
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Advancing Primary Care Delivery: Practical, Proven, and Scalable Approaches
Describes the U.S. primary care system and different approaches to improving it. It includes rural specific workforce and healthcare facility statistics.
Sponsoring organization: UnitedHealth Center for Health Reform and Modernization
Date: 09/2014
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Transforming the Workforce to Provide Better Care: The Role of Obstetric Nurse Coordinators in North Carolina
A case study describing how nurses are helping improve prenatal care for high-risk pregnant women via North Carolina's statewide Medicaid Pregnancy Medical Home (PMH) program. Includes a section on support for rural practices participating in the PMH program.
Author(s): Mary Takach, Rachel Yalowich - National Academy for State Health Policy
Sponsoring organization: AARP Public Policy Institute
Date: 09/2014
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2013 Iowa Governor's Designation for Rural Health Clinics
Explains the Governor's shortage designation process, used to identify counties for eligibility for certification as RHCs. Iowa is one of 13 states that utilize this type of designation.
Sponsoring organization: Iowa State Office of Rural Health
Date: 08/2014
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North Dakota Oral Health Report: Needs and Proposed Models, 2014
Presents an assessment of oral health workforce in North Dakota, unmet needs for oral healthcare in the state, and recommendations. Results of the study show a need to increase the number of dentists in rural and tribal communities, and a need to recruit and retain dental providers, especially dentists willing to accept Medicaid, uninsured, homeless, tribal, and special needs patients.
Author(s): Shawnda Schroeder, Yvonne Jonk, Kristin Schuller, Ken Hall, Gary Hart, Brad Gibbens
Sponsoring organization: University of North Dakota Center for Rural Health
Date: 08/2014
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Improving Safety on Rural Local and Tribal Roads: Safety Toolkit
Provides a step-by-step process to assist local agency and Tribal practitioners in completing traffic safety analyses, identify safety issues, countermeasures to address them, and an implementation process.
Sponsoring organization: Federal Highway Administration
Date: 08/2014
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Oral Health in Native American Elderly
This fact sheet includes information on dental work needed and overall oral health indicators in elderly Native America, Alaska Native, and Native Hawaiian tribal member populations.
Author(s): Shyleen Hall, Patty Stensland, Paula Morin-Carter
Sponsoring organization: National Resource Center on Native American Aging
Date: 08/2014
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Homelessness in Rural America
Discusses the unique needs and characteristics of individuals and families experiencing homelessness in rural America. It covers issues of access and barriers to care for rural human service delivery for homeless populations as well as makes recommendation to the Secretary of the Department of Health and Human Services to address these issues.
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
Date: 07/2014
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Traffic Safety Facts, 2012: Rural/Urban Comparison
Contains statistics on motor vehicle fatal crashes based on data from the Fatality Analysis Reporting System (FARS). Provides a rural/urban comparison using boundaries determined by state highway departments and approved by the Federal Highway Administration.
Sponsoring organization: U.S. Department of Transportation
Date: 07/2014
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Federal Tort Claims Act: Health Center Policy Manual
A policy source for information on the Federal Tort Claims Act (FTCA) for health center program grantees. Information is divided into three sections: 1. Eligibility and Coverage; 2. Claims and Lawsuits; and 3. Appendix.
Sponsoring organization: Bureau of Primary Health Care
Date: 07/2014
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The Virginia Health Care Landscape
Provides an overview of the demographics, population health, uninsured, Medicaid beneficiaries, and safety net providers including critical access hospitals in the State of Virginia.
Sponsoring organization: Kaiser Commission on Medicaid and the Uninsured
Date: 05/2014
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Affordable Care Act Plans and Premiums in Rural America
Discusses insurance premium pricing for rural populations following the implementation of the Affordable Care Act and offers recommendations to ensure that as many rural Americans as possible can gain affordable and accessible health coverage.
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
Date: 04/2014
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2013 Annual Report Promotor(a) or Community Health Worker (CHW) Training and Certification Advisory Committee
Provides information on the implementation of standards, guidelines, and requirements related to the training and regulation of persons working as promotores or community health workers in Texas.
Sponsoring organization: Texas Department of State Health Services
Date: 03/2014
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Health Center Program Requirements
Provides a summary of key program requirements for the operation of community health centers funded through Section 330 of the Public Health Service Act.
Sponsoring organization: Bureau of Primary Health Care
Date: 02/2014
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Results from the 2013 National Survey on Drug Use and Health: Detailed Tables
Provides data on illicit drug, alcohol, and tobacco use and attitudes, as well as access to substance abuse treatment. Rural-specific information is available in the detailed tables that list "geographic characteristics."
Sponsoring organization: Substance Abuse and Mental Health Services Administration
Date: 2014
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Promising Approaches to Integrating Community Health Workers into Health Systems: Four Case Studies
Identifies the scope of practice, supervision, financing, and the workforce standards implemented by states and employers in the development of community health worker (CHW) programs. Four case studies that include rural counties illustrate the challenges and opportunities for integrating CHWs into health systems.
Author(s): Lauren Eyster, Randall R. Bovbjerg
Sponsoring organization: Urban Institute
Date: 12/2013
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Physicians Assemble: Integrating Small Groups to Preserve Independent Practice
Discusses how small practices including small rural practices of many sizes are combining together as networks to provide value-based care and at the same time are able to keep some autonomy.
Author(s): David Twiddy
Journal citation: Family Practice Management Volume 20 Issue 6 Pages: 12-17
Date: 11/2013
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