New Documents Identified in the Past 30 Days:

Mental and Behavioral Health Workforce in Nevada
Provides statistics, charts, and maps depicting the current characteristics of the mental and behavioral health workforce in rural and urban Nevada.
Author(s): Tabor Griswold,
Sponsoring organization: University of Nevada School of Medicine
Date: 01/2015
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2014: Rural Medicare Advantage Enrollment Update
Reports that the percentage of rural Medicare beneficiaries enrolled in Medicare Advantage (MA) plans varies considerably by state. Also provides Medicare Advantage enrollment by type of plan.
Author(s): Leah Kemper, Abigail Barker, Timothy McBride, Keith Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 01/2015
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Community Connections: Ideas & Innovations for Hospital Leaders
The American Hospital Association's Community Connections initiative has published a report highlighting ten innovative human service programs. These programs are organized into four categories: social and basic needs, health promotion, access and coverage, and quality of life. Some included programs address specific challenges faced in rural communities.
Sponsoring organization: American Hospital Association
Date: 01/2015
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Tapping Nurse Practitioners to Meet Rising Demand for Primary Care
Discusses the use of advanced practice nurses, specifically nurse practitioners, to increase access to primary care for those residing in Health Professional Shortage Areas. Reports that nurse practitioners working in primary care are more likely than primary care physicians to work in rural areas. Suggests that the use of nurse practitioners and physician assistants could help reduce the primary care provider shortage in 2020 by two-thirds.
Author(s): Amanda Van Vleet, Julia Paradise
Sponsoring organization: Kaiser Family Foundation
Date: 01/2015
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Nurse Staffing Levels and Quality of Care in Rural Nursing Homes
Examines the relationship between nurse staffing levels (registered nurse, licensed practical nurse, and certified nurse aide hours per resident per day) and the quality of care in rural nursing homes. Includes data for hospital-based facilities and freestanding nursing homes.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Sponsoring organization: University of Minnesota Rural Health Research Center
Date: 01/2015
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The Promise of Telehealth For Hospitals, Health Systems and Their Communities
Highlights how hospitals are embracing the use of Telehealth technologies. Discusses benefits including virtual consultations with distant specialists for the 20% of Americans who live in rural areas, the ability to perform high-tech monitoring without requiring patients to leave their homes, and providing patients with less expensive and more convenient care options. Features several Telehealth projects who serve those living in rural communities, including the NC Telepsychiatry Network, the Medical University of SC, and the Geisinger Health Plan in rural Pennsylvania.
Sponsoring organization: American Hospital Association
Date: 01/2015
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Fewer Family Physicians Are in Solo Practices
Discusses the current trend of fewer family physicians engaging in a solo practice, which could affect access to healthcare in rural areas that are reliant on single physician facilities.
Author(s): Lars E. Peterson, Elizabeth Baxley, Carlos Roberto Jaén, Robert L. Phillips
Journal citation: Journal of the American Board of Family Medicine Issue 28 Pages: 11-12
Date: 01/2015
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MedPAC Data Book: Beneficiaries Dually Eligible For Medicare and Medicaid
Presents information on characteristics of dually eligible Medicare and Medicaid beneficiaries. Page 33 provides a breakdown of dual eligible beneficiaries between rural and urban residence. Includes information on dual eligible characteristic trends from 2007-2010.
Sponsoring organization: Medicare Payment Advisory Commission
Date: 01/2015
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Access to Behavioral Health Care for Geographically Remote Service Members and Dependents in the U.S.
A geospatial analysis using TRICARE and other data to determine access to and utilization of mental and behavioral healthcare services for veterans who reside in remote locations. Recommends two pathways for improving access to care: telehealth service and collaborative care between primary care and specialty behavioral care.
Author(s): Ryan Brown, Grant Marshall, Joshua Breslau, Coreen Farris, Karen Osilla, Harold Pincus, Teague Ruder, Phoenix Voorhies, Dionne Barnes-Proby, Katherine Pfrommer, Lisa Miyashiro, Y. Rana, D. Adamson
Sponsoring organization: RAND Corporation
Date: 01/2015
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QuickStats: Percentage of Adults Aged ≥45 Years with Selected Diagnosed Chronic Conditions, by Number of Conditions and Urban/Rural Classification - National Health Interview Survey, 2013
Chart showing the percentage of adults 45 and older with zero, one, or two or more chronic conditions, for rural areas, urban areas, and the U.S. overall.
Journal citation: MMWR (Morbidity and Mortality Weekly Report) Volume 63 Issue 53 Pages: 1247
Date: 01/2015
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Nebraska Network Hospitals and Critical Access Hospitals
Presents a listing of Critical Access Hospitals and Network Hospitals throughout Nebraska.
Sponsoring organization: Nebraska Hospital Association
Date: 01/2015
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Critical Access Hospitals’ Receipt of Medicare and Medicaid Electronic Health Record Incentive Payments
Describes Critical Access Hospital (CAH) participation in Medicare and Medicaid electronic health record (EHR) incentive programs and compares participation rates between states and by facility characteristics.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Sponsoring organization: Flex Monitoring Team
Date: 01/2015
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The Need to Reform Medicare’s Payments to Skilled Nursing Facilities Is as Strong as Ever
Compares payments made to Skilled Nursing Facilities (SNFs) and costs over time to see if changes made by the Centers for Medicare and Medicaid Services to the payment system have improved payment accuracy. Table 3 and Table 4 compare healthcare facility characteristics, including rural.
Author(s): Carol Carter, Bowen Garrett, Doug Wissoker
Sponsoring organization: Medicare Payment Advisory Commission
Date: 01/2015
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White Paper on Rural Housing Issues in Massachusetts
Documents challenges to affordable housing for rural communities in Massachusetts. The findings of this report support a holistic approach to housing in rural areas that includes healthcare as a contributing factor.
Author(s): Massachusetts Housing Partnership
Date: 12/2014
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Homelessness Declines, but is Still Difficult to Assess in Rural Areas
Provides the percentage of the national homeless population living in rural areas and discusses challenges in determining the accurate number of homeless individuals and families living in rural communities.
Sponsoring organization: Housing Assistance Council
Date: 12/2014
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Transportation Disadvantaged Populations: Nonemergency Medical Transportation Not Well Coordinated, and Additional Federal Leadership Needed
Discusses the federal programs that support nonemergency medical transportation (NEMT) and how coordination of these programs between federal agencies is limited. Coordination between state and local level NEMT services and the challenges that accompany NEMT coordination are reviewed.
Sponsoring organization: Government Accountability Office
Date: 12/2014
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Health Centers and Medicare: Caring for America’s Seniors
Reports that in 2013, health centers served 1.8 million Medicare beneficiaries with many of these patients served by health centers in rural communities. Also describes the Medicare payment structure and how health centers generate savings for Medicare.
Sponsoring organization: National Association of Community Health Centers
Date: 12/2014
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A Sketch of Community Health Centers: Chart Book
Uses graphs, figures and maps to document patients that health centers serve, what services they provide, and their accomplishments in improving access to healthcare and preventive services, including rural areas that health centers serve across the country. Also includes a map on the estimated percent of county residents experiencing shortages of primary care physicians in 2013.
Sponsoring organization: National Association of Community Health Centers
Date: 12/2014
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The State HIE Program Four Years Later: Key Findings on Grantees’ Experiences from a Six-State Review
Provides information on health information exchange (HIE) efforts in six states including Iowa, Mississippi, New Hampshire, Utah, Vermont and Wyoming and includes the population density for each of those states. Discusses supportive factors and challenges in implementing state-wide health information exchange services.
Author(s): NORC
Date: 12/2014
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Health Care in West Virginia: A Workforce Supply and Demand Analysis Report
Contains an assessment of the healthcare workforce in West Virginia including maps displaying workforce supply data of physicians, physician assistants, dentists, physical therapists, psychologists, pharmacists, and several other health professions. Includes of series of maps with county-level data including population demographics as well as healthcare provider's practice sites. Also, discusses health workforce pipeline programs in the state and state-funded incentive programs to increase access to primary care providers in underserved areas.
Sponsoring organization: West Virginia Rural Health Association
Date: 10/2014
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The Oral Health Workforce in New York
Presents data comparing the ratio of dentists and dental hygienists in New York. Reports that the majority of dentists in New York do not serve Medicaid patients, thus resulting in high-need populations such as those living in rural areas, children, the elderly, those with special needs, and minorities unable to receive dental care. Reports that New York has three federally designated geographic dental health professional shortage areas.
Sponsoring organization: Center for Health Workforce Studies
Date: 08/2014
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Medicare Program; Prospective Payment System for FQHCs; Changes to Contracting Policies for RHCs; and Changes to Clinical Laboratory Improvement Amendments of 1988 Enforcement Actions for Proficiency Testing Referral
The final rule with comment period that implements the methodology and payment rates for a prospective payment system (PPS) for Federally Qualified Health Centers (FQHCs) services beginning October 1, 2014 under Medicare Part B, in compliance with the Affordable Care Act (ACA). Identifies the policy allowing Rural Health Clinics (RHCs) to contract with nonphysician practitioners when statutory requirements for employment of nurse practitioners and physician assistants are met, and incorporated are other technical changes to FQHCs and RHCs regulations. Changes to the Clinical Laboratory Improvement Amendments of 1988 enforcement actions for proficiency testing referral are included.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 05/2014
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Missouri's Nursing Workforce 2014
Highlights Missouri's nursing workforce for advanced practice registered nurses (APRN), registered nurses (RN), and licensed practical nurses (LPN). Compares urban and rural population to nurse ratios, including maps showing workforce by county. Reports that there are twice as many LPNs in urban counties versus rural counties which may be based on a number of factors affecting rural areas.
Sponsoring organization: Missouri Department of Health and Senior Services
Date: 04/2014
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Missouri's Dentists 2014
Highlights Missouri's dental workforce, focusing on access to dental health services. Compares urban and rural population to dentist ratios. Includes a county map of total dentists, showing five counties currently without dental health services. Reports that there are 99 counties in Missouri designated as Dental Health Professional Shortage Areas (DHPSA).
Sponsoring organization: Missouri Department of Health and Senior Services
Date: 04/2014
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