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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 and discusses the add-on payment of 3% for episodes provided in rural areas, among other things.
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 Medicare Disproportionate Share Hospitals (DSH), 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 an 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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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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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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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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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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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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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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Kansas 2013 Annual Report
Highlights KDHE program accomplishments in Kansas during 2013. Discusses the formation of the Center for Population Health which brings together the programs of Primary Care, Rural Health and Local Public Health. Also highlights the Kansas Trauma Program which has 27 designated hospitals in Kansas, the Primary Care Clinic Grant Program which provides funding to 40 clinics throughout the state, and mentions that there are 254 primary care, mental health and dental HPSAs in Kansas.
Sponsoring organization: Kansas Department of Health and Environment
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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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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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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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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