New Documents Identified in the Past 30 Days:

Recent Population Trends for the U.S. Island Areas: 2000 to 2010
Provides data on the populations of American Samoa, Guam, the Commonwealth of the Northern Mariana Islands (CNMI), and the U.S. Virgin Islands. Includes charts and maps describing the population, with information on population density, race and ethnic origin, age, and gender.
Author(s): Justyna Goworowska, Steven Wilson
Sponsoring organization: U.S. Census Bureau
Date: 04/2015
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Sole Community Hospitals: Early Indications Show That TRICARE's Revised Reimbursement Rules Have Not Affected Access to Care
Reports on the impact of a January 2014 revision to TRICARE’s reimbursement for Sole Community Hospitals (SCHs), which serve primarily rural areas. The new TRICARE reimbursement rules approximate Medicare’s for these hospitals. Looks at the impact of revised SCH reimbursement on healthcare access for servicemembers and their dependents. Findings based on claims data, as well as interviews with 10 SCHs and with national stakeholders. Appendices include information on SCHs with a high number of TRICARE admissions.
Sponsoring organization: Government Accountability Office
Date: 04/2015
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QuickStats: Percentage of Adults Who Average ≤6 Hours of Sleep, by Family Income Group and Metropolitan Status of Residence - National Health Interview Survey, United States, 2013
Chart showing the percent of people who slept six hours or less daily, grouped by income level. Includes data for the United States as a whole, metropolitan, and non-metropolitan areas.
Journal citation: MMWR (Morbidity and Mortality Weekly Report) Volume 64 Issue 12 Pages: 335
Date: 04/2015
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Revisions to State Operations Manual (SOM) Appendices A, G, L and T Related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and Swing Beds
Revises the Centers for Medicare & Medicaid Services' State Operations Manual (SOM) to reflect regulation changes affecting Hospitals, Rural health Clinics, Surveyors Ambulatory Surgical Centers and Swing Beds in hospitals.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 04/2015
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2014 National Healthcare Quality and Disparities Report
Provides an overview of healthcare quality and disparities of care received by the population of the U.S. Identifies strength and weaknesses in the healthcare system including healthcare access, healthcare quality, and priorities of the National Quality Strategy.
Sponsoring organization: Agency for Healthcare Research and Quality
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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Hospital Views of Factors Affecting Telemedicine Use
Discusses the observations of rural and urban hospital representatives, from both hub and spoke locations, regarding the obstacles and the driving forces in the development and expansion of telemedicine services.
Author(s): Kimberly A. S. Merchant, Marcia M. Ward, Keith J. Mueller,
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 04/2015
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QuickStats: Age-Adjusted Rates for Suicide, by Urbanization of County of Residence - United States, 2004 and 2013
Chart comparing suicide rates in non-metropolitan and metropolitan counties, with data for 2004 and 2013. Shows higher suicide rates for less urbanized counties.
Sponsoring organization: Centers for Disease Control and Prevention
Journal citation: MMWR (Morbidity and Mortality Weekly Report) Volume 64 Issue 14 Pages: 401
Date: 04/2015
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2014 New York Residency Training Outcomes: A Summary of Responses to the 2014 New York Resident Exit Survey
Presents the results of an annual survey of physicians who have completed a fellowship training program or residency in NY. Table 3.2 shows that 4% of graduates reported entering practice in rural locations, compared to 29% in urban locations.
Author(s): David Armstrong, Rakkoo Chung, Gaetano J. Forte
Sponsoring organization: Center for Health Workforce Studies
Date: 03/2015
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A Rural Taxonomy of Population and Health-Resource Characteristics
Reports on taxonomy of rural places developed based on population and health-resource characteristics. The taxonomy makes comparisons between rural communities to help inform rural health policy and healthcare innovation.
Author(s): Xi Zhu, Keith Mueller, Thomas Vaughn, Fred Ullrich
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 03/2015
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Colorado Critical Access Hospitals and Clinics: Improving Communication and Readmission (iCARE) White Paper
Details how the Colorado Rural Health Center's Improving Communication and Readmission (iCARE) program is improving the patient experience at Critical Access Hospitals and Rural Health Clinics by enhancing care coordination and lowering readmission rates.
Sponsoring organization: Colorado Rural Health Center
Date: 03/2015
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Evaluation of Hospital-Setting HCIA Awards: First Annual Report, Final
Evaluations of 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Covers projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Author(s): Abt Associates
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 03/2015
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Acceptance of New Patients With Public and Private Insurance by Office-based Physicians: United States, 2013
Provides data on office-based physicians accepting new patients with Medicaid, Medicare, and private insurance. See Figure 2 for comparison of metropolitan to non-metropolitan acceptance rates by patient payment source. Also includes state-level data.
Author(s): Esther Hing, Sandra L. Decker, Eric Jamoom
Sponsoring organization: National Center for Health Statistics
Date: 03/2015
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What Is the One Thing from the History of Rural Health That We Should Not Forget?
Features a panel of experts who discuss the history of rural health. Panelists include Tom Morris, Tim Size, Teryl Eisinger, Jan Probst, and Kristine Sande. This expert group will also speak at the National Rural Health Association annual conference in April in a session titled, Rural Health’s Legacy: Transferring Knowledge Between Generations.
Author(s): Brandon Baumbach
Sponsoring organization: Rural Assistance Center
Journal citation: Rural Monitor
Date: 03/2015
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Migration Trends Shifted in 2014: Also Record Deaths and Continuing Low Fertility
Provides information on migration within the U.S. from 2010 to 2014. Includes data on migration for rural areas. Discusses population trends in different types of rural counties, including counties focused on farming, manufacturing, and those attractive to retirees.
Author(s): Kenneth M. Johnson
Sponsoring organization: Carsey School of Public Policy
Date: 03/2015
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A Guidebook of Professional Practices for Behavioral Health and Primary Care Integration: Observations From Exemplary Sites
Assists primary care and behavioral health practices in identifying professional practices that have developed a successful workforce model of integrated care. Several primary care organizations with effective integrated behavioral health and primary care participated in the study including 3 in rural areas.
Author(s): Deborah J. Cohen, Melinda M. Davis, Jennifer D. Hall, Emma C. Gilchrist, Benjamin F. Miller
Sponsoring organization: Agency for Healthcare Research and Quality
Date: 03/2015
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A Rural Taxonomy of Population and Health-Resource Characteristics (Technical Report)
Discusses the justification and the methodology for building a taxonomy of rural places to inform rural stakeholders and policy makers about the effects of healthcare system changes and its impact on population health in rural areas. Taxonomy is based on population and health-resource characteristics including socio-demographics, economic indicators, health insurance coverage, and healthcare resources.
Author(s): Xi Zhu, Keith J. Mueller, Thomas Vaughn, Fred Ullrich,
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 03/2015
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Intra Rural and Urban Primary Care Physician Findings: AAMC 2009 Physician Survey of Primary Care Chartbook
Analyzes primary care physician survey data that was assembled by the Association of American Medical Colleges (AAMC) in 2009/2010 prior to passage of the Affordable Care Act (ACA) to provide baseline measures in which to compare potential post ACA application studies.
Author(s): Gary Hart
Sponsoring organization: Rural Health Reform Policy Research Center
Date: 02/2015
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Family Medicine Graduate Proximity to Their Site of Training: Policy Options for Improving the Distribution of Primary Care Access
Assesses the geographic relationship between graduate practice location and family medicine graduate medical education training sites. Results show an uneven geographic distribution between urban and rural primary care physicians. Report also states that family physicians are more likely to work in rural areas.
Author(s): Ernest Blake Fagan, Claire Gibbons, Sean C. Finnegan, Stephen Petterson, Lars E. Peterson, Robert L. Phillips Jr, Andrew W. Bazemore
Journal citation: Family Medicine Volume 47 Issue 2 Pages: 124-130
Date: 02/2015
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Variability in General Surgical Procedures in Rural and Urban U.S. Hospital Inpatient Settings
Analyzes rural and urban variations in frequently performed inpatient surgical procedures that could be handled by general surgeons rather than subspecialists.
Author(s): Mark P. Doescher, J. Elizabeth Jackson, Meredith A. Fordyce, Dana C. Lynge
Sponsoring organization: WWAMI Rural Health Research Center
Date: 02/2015
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Designing and Implementing the Rural Health System of the Future
Slide presentation by Keith Mueller, Rural Policy Research Institute, at the American Hospital Association Rural Health Care Leadership Conference. Discusses the changing face of rural healthcare and makes recommendations on how best to transition to a high performance rural health system.
Author(s): Keith Mueller
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
Date: 02/2015
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Calendar Year (CY) 2015 Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Updates: Payment Rate Increases for RHCs and FQHCs Billing Under the All-Inclusive Rate System (AIR), and Urban and Rural Designations for FQHCs Billing Under
Provides updates for RHCs and FQHCs that are submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 01/2015
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The Ohio Poverty Report
Discusses poverty in Ohio, including variation between counties. Reports that 11.0% of those in rural areas were poor. Table A6 shows the number and percentage of poor people by county, including both urban and rural.
Author(s): Don Larrick, Steven Kelley, Robert Schmidley
Sponsoring organization: Ohio Development Services Agency
Date: 01/2015
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Dissemination of Rural Health Research: A Toolkit
Offers health services researchers a variety of approaches and products to help communicate research findings to their target audience. Provides general guidelines, as well as advice related to specific product types, such as fact sheets and policy briefs, and to particular methods of communication, including social media.
Sponsoring organization: Rural Health Research Gateway
Date: 2015
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Geriatrician and Other Physician Disciplines as the Usual Source of Care for Rural and Urban Older Adults: 2004-2010 Medical Expenditure Panel Survey
Discusses rates that rural and urban older adults use family practitioners, internists, or geriatricians as their usual source care using data from the 2004 to 2010 Medical Expenditure Panel Survey.
Author(s): Wei-Chen Lee, Ciro V. Sumaya.
Journal citation: Online Journal of Rural Research and Policy Volume 10 Issue 1 Pages: 1-17
Date: 2015
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Rural Areas Lag Urban Areas in College Completion
Compares rural to urban post-high school educational attainment, with a focus on college completion rates, based on 2008-2012 American Community Survey data. Shows trends via comparison to 2000 Census data.
Author(s): Alexander Marré
Sponsoring organization: USDA Economic Research Service
Journal citation: Amber Waves
Date: 12/2014
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Evaluating the HCIA - Behavioral Health/Substance Abuse Awards: First Annual Report
Evaluations of 10 Health Care Innovation Awards Round One projects focused on mental health and substance abuse services. Provides information on whether and how each project addressed the needs of underserved areas, including rural areas. One rural-focused project used telehealth to deliver services. Other projects provided transportation to help meet rural needs.
Author(s): Mathematica Policy Research
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 12/2014
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HCIA Complex/High-Risk Patient Targeting: First Annual Report
Evaluations of 23 Health Care Innovation Awards Round One projects focused on patients with medically complex conditions at high risk for hospitalization, re-hospitalization, emergency department visits, or nursing home stays. Identifies several projects serving rural areas, including programs that use telehealth, in-home care, and various care coordination approaches.
Author(s): NORC at the University of Chicago
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 11/2014
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Evaluation of Health Care Innovation Awards (HCIA): Primary Care Redesign Programs, First Annual Report
Evaluations of 14 Health Care Innovation Awards Round One projects focused on primary care redesign, addressing a range of intervention models, target populations, and organizational settings. Includes 2 rural-focused projects and 9 projects that included services to rural areas.
Author(s): Mathematica Policy Research
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 11/2014
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Annual Report 1: HCIA Disease-Specific Evaluation
Evaluations of 18 Health Care Innovation Awards Round One projects targeting patient populations with specific diseases. Includes projects that serve a variety of rural areas and address conditions such as diabetes, cancer, and cardiovascular disease. Approaches discussed include care coordination, education, and telehealth.
Author(s): NORC at the University of Chicago
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 11/2014
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Building the Evaluation Capacity of Local Programs Serving American Indian/Alaska Native Populations: Lessons Learned
Describes technical assistance provided to help tribal communities develop their evaluation capacity so they could show that the substance abuse prevention programs they were undertaking were effective. Includes discussion of facilitators and challenges related to building evaluation capacity.
Sponsoring organization: Substance Abuse and Mental Health Services Administration
Date: 10/2014
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Evaluation of the Health Care Innovation Awards: Community Resource Planning, Prevention, and Monitoring: Annual Report
Evaluations of 24 Health Care Innovation Awards Round One projects focused on enhancing care coordination and healthcare access through the use of health information technology, care coordination/patient navigation, and health promotion and prevention services. Includes information on 5 rural-focused projects, as well as projects that serve both rural and urban areas.
Author(s): RTI International
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 10/2014
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Evaluation of the Shared Decision Making (SDM) & Medication Management (MM) Health Care Innovation Awardees: Annual Report 1
Evaluations of 9 Health Care Innovation Awards Round One projects focused on implementing shared decision making or medication management programs. Includes 2 projects focused on rural areas. One offers medication management services to patients with multiple chronic conditions and the other provides hospital pharmacist to community pharmacist care coordination.
Author(s): Acumen
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 10/2014
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Rural Employment in Recession and Recovery
Describes the impact of the 2007-2008 recession and the recovery that followed, with a focus on rural employment. Discusses regional variation in unemployment. Compares rural to urban employment growth from 2007 to 2014.
Author(s): Thomas Hertz, Lorin Kusmin, Alexander Marré, Timothy Parker
Sponsoring organization: USDA Economic Research Service
Journal citation: Amber Waves
Date: 10/2014
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Random Assignment of Schools to Groups in the Drug Resistance Strategies Rural Project: Some New Methodological Twists
Discusses the random assignment procedures used in a school-based intervention study. The study assigned schools to three different groups. Two used different versions of a substance abuse intervention and the third served as a control group. Describes the assignment process used to achieve pretest equivalence among the groups, one factor of which was school rurality.
Author(s): John W. Graham, Jonathan Pettigrew, Michelle Miller-Day, et al.
Journal citation: Prevention Science Volume 15 Issue 4 Pages: 516-525
Date: 08/2014
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Occupational Risks and Pregnancy and Infant Health Outcomes in Florida Farmworkers
Presents the results of a cross-sectional survey of a sample of female farmworkers in Central Florida used to gather information about the workplace conditions and behaviors, and maternal, pregnancy and infant health outcomes.
Author(s): Jennifer Runkle, Joan Flocks, Jeannie Economos, et al.
Journal citation: International Journal of Environmental Research and Public Health Volume 11 Issue 8 Pages: 7820–7840
Date: 08/2014
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Comparing Farmers’ Market Revenue Trends Before and After the Implementation of a Monetary Incentive for Recipients of Food Assistance
An analysis of the effect of financial incentives for individuals and families who receive food assistance to encourage the purchase of fruits and vegetables at farmers markets located at a federally qualified health center (FQHC) in rural South Carolina.
Author(s): Darcy A. Freedman, Amy Mattison-Faye, Kassandra Alia, et al.
Journal citation: Preventing Chronic Disease Volume 11
Date: 05/2014
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