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New Documents Identified in the Past 30 Days:

Improving Access to Comprehensive Healthcare for Veterans
Sponsoring organization: Veterans Health Administration
Summarizes findings from recent VA research related to healthcare access. Includes studies on telemental health services for rural Veterans with PTSD (Post Traumatic Stress Disorder), barriers for rural Veterans at risk of suicide, and home-based primary care services for rural American Indian and Native American Veterans who receive care from both VA and the Indian Health Service.
Date: 08 / 2014

How Did Rural Residents Fare on the Health Insurance Marketplaces?
Sponsoring organization: Robert Wood Johnson Foundation
Examines 2014 premiums, issuers, and plans offered to residents of urban and rural counties. Disparities in both price and number of coverage choices were found between states with a small rural population and those with a significant rural population.
Date: 08 / 2014

Health Disparities Are Leaving Ohio's Rural Children Behind
Sponsoring organization: Children's Defense Fund
Examines rural health disparities and their impact on children in rural, poverty stricken counties in Ohio, many in Appalachia. This report investigates how limited access to nutritious food and healthcare providers has led to the health disparities in children. It makes policy recommendations to remedy the situation.
Date: 08 / 2014

Understanding Geographic Relationships: American Indian Areas
Author(s): Katy Rossiter
Sponsoring organization: U.S. Census Bureau
Explains the relationships that exist between different types of American Indian Areas that are used by the U.S. Census Bureau. Includes a chart showing the relationships among these legal and statistical boundaries and how they relate to the standard geographic units of states and census blocks.
Date: 08 / 2014

Access to Rural Health Care – A Literature Review and New Synthesis
Author(s): A. Clinton MacKinney, Andrew Coburn, Jennifer Lundblad, Timothy McBride, Keith Mueller, Sidney Watson
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Reviews relevant literature to help clarify the meaning of access in the context of rural healthcare. Focuses on four dimensions of access, including people, place, provider and payment, and notes that changes in one dimension affect the others. Recommends that policymakers should address all dimensions of access throughout the policy making process to ensure best outcomes.
Date: 08 / 2014

Rural Hospital Mergers and Acquisitions: Who Is Being Acquired and What Happens Afterward?
Author(s): Marissa Noles, Kristin L. Reiter, George H. Pink, G. Mark Holmes
Sponsoring organization: North Carolina Rural Health Research and Policy Analysis Center
Examines the implications of mergers and acquisitions for small rural hospitals.  Addresses the characteristics of rural hospitals that merged and the changes in hospital financial performance, staffing or services following a merger.
Date: 08 / 2014

Framing Rural Health Value Webinar Series: Summary Report
Sponsoring organization: National Rural Health Resource Center
Provides a summary of the Framing Rural Health Value Webinar Series, held during May through August, 2014. Series provided aid to the state Medical Rural Hospital Flex Programs in understanding the changing landscape of rural health care and program design for Fiscal Year 2015. Includes case studies, recommended interventions, and outcomes.
Date: 08 / 2014

Rural Hospital Performance Improvement (RHPI) Project: Best Practice Concepts in Revenue Cycle Management
Sponsoring organization: National Rural Health Resource Center
Provides rural hospitals a full explanation of revenue cycle management from patient admission to evaluating measures of success and offers guidance that is generally accepted as best practice concepts. The document is aimed to help hospital business administration improve their revenue cycle performance as well as provide State Offices of Rural Health directors, and Flex program coordinators, a better understanding on the subject so they may develop educational trainings.
Date: 08 / 2014

Effect of Tele-Emergency Services on Recruitment and Retention of US Rural Physicians
Author(s): Andrew Potter, Keith Mueller, A Mackinney, Marcia Ward
Analyzes the effects of telemedicine services recruitment and retention of physicians to rural healthcare facilities. This study asked this question through surveys to clinics and hospitals.
Journal citation: Rural and Remote Health
Date: 08 / 2014

Medicaid Section 1115 Waivers: Pathways for Delivery Transformation; Spotlight on the States #7
Author(s): DaShawn Groves
Sponsoring organization: National Association of Community Health Centers
Discusses what Illinois and New York are proposing and have executed to demonstrate waivers that will permit states to implement the ACA’s Medicaid expansion using private insurance. Illinois proposes to establish loan repayment assistance to providers and other health care workers who commit to serving Medicaid populations in rural or other underserved areas.
Date: 08 / 2014

Health Information Technology in the United States: Progress and Challenges Ahead, 2014
Author(s): Catherine DesRoches, Michael Painter, Ashish Jha
Sponsoring organization: Robert Wood Johnson Foundation
Discusses the progress of hospitals and physicians on the adoption of electronic health records (EHR) and improving patient education and quality, as well as challenges ahead. It provides data specific to Medicare Disproportionate-Share Hospitals' and Critical Access Hospitals' adoption rates. Furthermore, exhibit 19 demonstrates stages of EHR adoption by hospital characteristics, including urban and rural geographies.
Date: 08 / 2014

Comment Letter: CMS's Proposed Rule Entitled: Medicare Program; End-Stage Renal Disease Prospective Payment System, Quality Incentive Program, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
Sponsoring organization: Medicare Payment Advisory Commission
This comment letter to the Marilyn Tavenner Administration of the Center for Medicare and Medicaid Services (CMS) from the Medicare Payment Advisory Commission comments on CMS' proposed notice entitled "Medicare Program: End-Stage Renal Disease Prospective Payment System, Quality Incentive Program and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies". It specifically outlines disparities in reimbursement rates and quality of care between rural and urban healthcare facilities that exist in the proposed rule.
Date: 08 / 2014

North Carolina Rural Health Action Plan: A Report of the NCIOM Task Force on Rural Health
Sponsoring organization: North Carolina Institute of Medicine
Contains the North Carolina rural health action plan to improve rural health outcomes and identifies six key strategies at the state and local levels to address rural health disparities.
Date: 08 / 2014

Dynamics of Race: Joining, Leaving, and Staying in the American Indian/Alaska Native Race Category between 2000 and 2010
Author(s): Carolyn A. Liebler, Renuka Bhaskar, Sonya Rastogi
Sponsoring organization: U.S. Census Bureau
Examines survey response changes for racial reporting among American Indian and Alaska Natives, based on data from the 2000 and 2010 censuses and the 2006-2010 American Community Survey. Looks at characteristics of those who consistently identified as AI/AN, those who joined that category, and those who left it.
Date: 08 / 2014

Diabetes Management in Rural Areas Takes Holistic, Community Approaches
Author(s): Candi Helseth
Sponsoring organization: Rural Assistance Center
Programs in Florida and Kentucky are helping diabetic patients better manage their health, and promoting community awareness of the disease.
Journal citation: Rural Monitor Volume 2014 Issue Summer
Date: 08 / 2014

Telehealth Invigorating and Innovating Diabetes Care
Author(s): Candi Helseth
Sponsoring organization: Rural Assistance Center
Home monitors and other technologies are helping diabetic patients live healthier lives, cutting health care costs and hospital visits.
Journal citation: Rural Monitor Volume 2014 Issue Summer
Date: 08 / 2014

Diabetes: A Closer Look
Sponsoring organization: Rural Assistance Center
Presents statistics and data from the 2014 National Diabetes Report. Includes additional resources for further information.
Journal citation: Rural Monitor Volume 2014 Issue Summer
Date: 08 / 2014

Challenges for Human Services: Keeping PACE with the Rural Elderly
Author(s): Kathleen Belanger
Sponsoring organization: Rural Assistance Center
PACE, the Program of All-inclusive Care that helps elderly people remain independent, is especially needed in rural areas.
Journal citation: Rural Monitor Volume 2014 Issue Summer
Date: 08 / 2014

Look What's Coming: Hospital Quality: Tough Issue!
Author(s): Wayne Myers
Sponsoring organization: Rural Assistance Center
Discusses whether quality measures and patients’ wishes may be at odds, and how that affects the perception of whether rural hospitals provide quality care.
Journal citation: Rural Monitor Volume 2014 Issue Summer
Date: 08 / 2014

Around the Country: Rural Patient Centered Medical Homes Achieve New Standards
Author(s): Candi Helseth
Sponsoring organization: Rural Assistance Center
Crete Area Medical Center Physicians’ Clinic and Ammonoosuc Community Health Services are among the very few rural safety net providers that have achieved Level 3 PCMH recognition.
Journal citation: Rural Monitor Volume 2014 Issue Summer
Date: 08 / 2014

Rural Spotlight: An Interview with John Halfen, MD
Author(s): Beth Blevins
Sponsoring organization: Rural Assistance Center
Halfen, the Medical Director of Lakewood Health System in Staples, Minnesota, discusses the challenges of transitioning to a patient centered medical home model.
Journal citation: Rural Monitor Volume 2014 Issue Summer
Date: 08 / 2014

Care Coordination Comparative Matrix
Sponsoring organization: National Rural Health Resource Center
Identifies rural health networks that are developing or implementing value-based models and conducted brief interviews with the network leaders that are implementing or developing care coordination initiatives, creating a comparative matrix of models, lessons and features learned in this process.The goal of the rural health network Care Coordination Model Comparative Matrix is to capture and communicate this emerging knowledge to share with other rural health networks.
Date: 08 / 2014

Differences in Media Access and Use Between Rural Native American and White Children
Author(s): Y. Hswen, J.A. Naslund, D.S. Bickham
This study compared media access between Native American children and White children from rural areas in Michigan to determine the most effective way of disseminating public health initiatives to reach Native children and reduce health disparities.
Journal citation: Rural and Remote Health Volume 14 Issue 2922
Date: 08 / 2014

National Prevention, Health Promotion, and Public Health Council: Annual Status Report
Provides a framework for health providers and communities to align their community programs with evidence-based health promotion activities. Includes a worksite wellness model program from the Panhandle Public Health District which serves rural Nebraska.
Date: 07 / 2014

Keeping Rural Communities Healthy
Author(s): U.S. Congress Joint Economic Committee Democratic Staff
This report recognizes that keeping rural communities healthy is vital to the U.S. economy. The report provides an overview of characteristics of rural populations, rural health statistics, barriers to healthcare in rural areas, economic implications of rural healthcare, and relevant policy actions to keep rural America healthy.
Date: 07 / 2014

Rural Residents with Disabilities Less Likely to Get Colon Cancer Screening
Sponsoring organization: Veterans Health Administration's Office of Rural Health
Reports that rural residents with physical, cognitive, or hearing and vision disabilities are less likely to get preventive screenings and care when compared to those living in urban areas.
Date: 07 / 2014

RHITND Sourcebook
Sponsoring organization: National Rural Health Resource Center
Provides a reference and resource demonstrating the projects of the Rural Health Information Technology Network Development (RHITND) Program funded during Federal fiscal years 2011-2013.
Date: 07 / 2014

Developing a VA Network for Acute Stroke Care
Author(s): Jennifer Myers
Sponsoring organization: VA Health Services Research & Development Service
Provides a map which illustrates access to stroke care for veterans and reports that access to stroke care for veterans varies considerably across the United States.
Date: 06 / 2014

Health Centers and Electronic Health Records: Adoption, Use, and Impact
Sponsoring organization: National Association of Community Health Centers
Provides a brief overview of the adoption rate of electronic health records in both urban and rural federally funded health centers.
Date: 06 / 2014

Using GIS to Plan Specialty Health Services for Veterans: The Example of Acute Stroke Care
Author(s): Diane C. Cowper Ripley, Eric R. Litt, Huanguang Jia, et al.
Examines access to stroke care for veterans who are age 65 and older and focuses on veterans' travel time to receive stroke care. Discusses improving access to care by building relationships with community partners and using telehealth equipment for stroke care. 
Date: 05 / 2014

New York's Primary Care Workforce
Author(s): Tracey Continelli, Jean Moore
Sponsoring organization: Center for Health Workforce Studies
Highlights New York's primary care workforce. Includes information on physicians, nurse practitioners, physician assistants, and midwives. Reports that in 2013, 11% of NPs, 14% of midwives, 7% of physicians, and 8% of PAs practiced in non-metropolitan areas of the state.
Date: 05 / 2014

Practice Based Versus Telemedicine Based Collaborative Care for Depression in Rural Federally Qualified Health Centers: A Pragmatic Randomized Comparative Effectiveness Trial
Author(s): John C. Fortney, Jeffrey M. Pyne, Sip B. Mouden, et al.
Compares the outcomes of patients with depression who were treated with practice based versus telemedicine based collaborative care. Practice based collaborative care involves primary care providers, mental health specialists and care managers working together on-site in a primary care setting.
Journal citation: American Journal of Psychiatry
Date: 04 / 2014

Project ECHO: Bridging the Gap in Health Care for Rural and Underserved Communities
Sponsoring organization: Robert Wood Johnson Foundation
Discusses the Project ECHO model and how it allows physicians, nurse practitioners, and other clinicians to jointly manage complex illness and promotes the use of best practices in care, while enabling patients to receive treatment in their rural communities.
Date: 04 / 2014

Home Health Care Services: Chapter 9
Sponsoring organization: Medicare Payment Advisory Commission
Chapter 9 of the Report to the Congress: Medicare Payment Policy, discusses Medicare payments for home health care, including rural. Updated yearly.
Date: 03 / 2014

21st Century Health Care Workforce for the Nation
Sponsoring organization: U.S. Department of Health and Human Services
Highlights several proposals in the President's 2015 budget related to healthcare workforce, particularly primary care services. Discusses funding for graduate medical education and the National Health Service Corps to increase the number of trained providers in rural areas.
Date: 02 / 2014

State Auditor Releases Financial Assessment of Publicly Owned Rural Hospitals in Mississippi
Contains a study of Mississippi’s publicly owned, rural hospitals’ financial health.
Date: 2014

Telemedicine Advances Access in Rural Mississippi
Author(s): Tearsanee G. Carlisle
Sponsoring organization: Mississippi Rural Health Association
Reports that the University of Mississippi Medical Center launched telehealth programs across the state to increase access to healthcare in emergency care, schools, and workplaces.
Date: 2014

Examining the Potential of Information Technology to Improve Public Insurance Application Processes: Enrollee Assessments from a Concurrent Mixed Method Analysis
Author(s): Abhay Nath Mishra, Patricia Ketsche, James Marton, Angela Snyder, Susan McLaren
Reports on Medicaid and Children's Health Insurance Program (CHIP) beneficiaries' readiness to use technology as part of the application process. Also discusses enrollees' preferences for technology versus face-to-face interaction for different aspects of the application process. Compares responses for rural, small metropolitan, and major metropolitan area enrollees.
Journal citation: JAMIA
Date: 2014

Washington State's Physician Workforce in 2014
Author(s): Susan M. Skillman, Bert Stover
Sponsoring organization: WWAMI Center for Health Workforce Studies
Discusses Washington state's physician supply and reports that differences in distribution are apparent between urban and rural areas of the state with fewer total physicians and generalist physicians in rural areas. Rural areas had a higher percentage of physicians age 55 or older than the rest of the state.
Date: 2014

2014 Kids Count Data Book: State Trends in Child Well-being
Sponsoring organization: Annie E. Casey Foundation
Provides national and state-by-state information on the conditions of America’s children and families. Includes data on overall child well-being and ranks states in four domains: economic well-being, education, health, and family & community.
Date: 2014

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Funding for this project was supported by Grant Number U56RH05539 from the Office of Rural Health Policy, Health Resources and Services Administration, U.S. Department of Health and Human Services. The contents of this website are solely the responsibility of the authors and do not necessarily represent the official views of the funder.