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New Documents Identified in the Past 30 Days:

Healthcare Use and Prescription of Opioids in Rural Residents with Pain
Author(s): Shweta Kapoor, Beverly Thorn
Researches the factors affecting healthcare use and prescription of opioids in low-income individuals living in rural areas with chronic pain receiving treatment at federally qualified health centers.
Journal citation: Rural and Remote Health
Date: 09 / 2014

Examination of New York State's Integrated Primary and Mental Health Care Services for Adults with Serious Mental Illness
Author(s): Deborah Scharf, Joshua Breslau, Nicole Schmidt Hackbarth, Daniela Kusuke, B. Lynette Staplefoote, Harold Alan Pincus
Sponsoring organization: New York State Health Foundation
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.
Date: 09 / 2014

Policy Brief: Community Paramedic Pilot Study Recommendations
Sponsoring organization: North Dakota Center for Nursing
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.
Date: 09 / 2014

Snapshot of Rural Health in Colorado, 2014
Sponsoring organization: Colorado Rural Health Center
Highlights rural health issues for Colorado that includes demographics, health care workforce, health facilities, health insurance, health disparities, and rural hospitals.
Date: 09 / 2014

Peer Support Program for Veterans in Rural Areas
Author(s): Shaili Jain, Julia M. Hernandez, Steven E. Lindley
Discusses the value of developing a peer support program for rural veterans as an intervention method to enhance the reach of PTSD treatment.
Journal citation: Psychiatric Services Volume 65 Issue 9
Date: 09 / 2014

Health Insurance in the United States: 2013
Author(s): Jessica C. Smith, Carla Medalia
Sponsoring organization: U.S. Census Bureau
Reports on health insurance coverage, including data on private insurance, government insurance coverage, and the uninsured. Table 5 (page 11) offers metropolitan and non-metropolitan data. Based on data from the 2014 Current Population Survey Annual Social and Economic Supplement.
Date: 09 / 2014

Cause for Optimism? Child Poverty Declines for the First Time Since Before the Great Recession
Author(s): Marybeth Mattingly, Jessica A. Carson, Andrew Schaefer
Sponsoring organization: Carsey School of Public Policy
Reports of a decrease in child poverty rates between 2012 and 2013 which was driven by poverty declines in urban America. There was no significant change in rural or suburban child poverty rates. Includes rural child poverty data by state, region, and race/ethnicity.
Date: 09 / 2014

Rural Implications of the Blueprints for State-Based Health Insurance Marketplaces
Author(s): Andy Potter, Matt Nattinger, Keith J. Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Presents different states’ approaches to the health insurance marketplaces including service areas and rating areas, network adequacy requirements, rural consumer outreach, rural representation on the Marketplace governing board, certification and oversight of Qualified Health Plans, and design of the Small Business Health Options Program.
Date: 09 / 2014

Challenges of Hepatitis C Treatment in Native Americans in Two North Dakota Medical Facilities
Author(s): Sarah Hossain, Sajid Jalil, Dubert Guerrero, Abe Sahmoun
Describes the experience of two medical facilities located in North Dakota when treating Hepatitis C Virus among American Indians or Alaska Natives (AIANs).
Journal citation: Rural and Remote Health
Date: 09 / 2014

Mental Health Workforce Shortage in Texas
Sponsoring organization: Texas Department of State Health Services
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.
Date: 09 / 2014

State Telehealth Policies and Reimbursement Schedules
Sponsoring organization: National Telehealth Policy Resource Center (Center for Connected Health Policy)
Second annual edition offers policymakers, health advocates, and other interested healthcare professionals the most current summary guide of telehealth-related policies, laws, and regulations for all 50 states and the District of Columbia. A few states have adopted the Medicare policy in which reimbursable services are restricted to those provided in rural or underserved areas.
Date: 09 / 2014

Controlling Hypertension: Focusing on "Why" Makes "How" a Lot Easier
Author(s): Jennifer L. Brull
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.
Journal citation: Family Practice Management Volume 21 Issue 5 Pages: 23-27
Date: 09 / 2014

Household Food Security in the United States in 2013
Author(s): Alisha Coleman-Jensen, Christian Gregory, Anita Singh
Sponsoring organization: U.S. Department of Agriculture
Presents statistics on food security, food expenditures, and use of food and nutrition assistance programs. Food insecurity was more common in large cities and rural areas than in suburban areas and exurban areas around large cities.
Date: 09 / 2014

Economic Impact of Rural Family Physicians Practicing Obstetrics
Author(s): Daniel M. Avery Jr., Dwight E. Hopper, John T. McDonald Jr.
Reports on a study to identify any added economic benefit of rural family physicians practicing obstetrics in rural, underserved Alabama.
Journal citation: Journal of the American Board of Family Medicine
Date: 09 / 2014

Income and Poverty in the United States: 2013
Author(s): Carmen DeNavas-Walt, Bernadette D. Proctor
Sponsoring organization: U.S. Census Bureau
Reports on income levels and the number of people in poverty for 2012 and 2013, along with the percent change from 2012 to 2013. Includes statistics for metropolitan and non-metropolitan areas (see Table 1 and Table 3). Based on data from the 2014 Current Population Survey Annual Social and Economic Supplement.
Date: 09 / 2014

CMS Has Yet to Enforce a Statutory Provision Related to Rural Health Clinics
Author(s): Suzanne Murrin
Sponsoring organization: U.S. Department of Health and Human Services
A study to determine the extent to which Rural Health Clinics (RHCs) no longer meet the location requirements and whether the Centers for Medicare & Medicaid Services (CMS) has taken steps to address a prior Office of Inspector General (OIG) recommendation to issue regulations defining the criteria for RHCs to be deemed “essential providers.”
Date: 09 / 2014

Empirical Foundations of Telemedicine Interventions for Chronic Disease Management
Author(s): Rashid L. Bashshur, Gary W. Shannon, Brian R. Smith
Looks at the impact telemedicine has on cost, quality and rural access to healthcare, focusing on three chronic diseases: congestive heart failure, stroke and obstructive pulmonary disease.
Date: 09 / 2014

Community Health Centers: A 2012 Profile and Spotlight on Implications of State Medicaid Expansion Decisions
Author(s): Peter Shin, Jessica Sharac, Sara Rosenbaum, Julia Paradise
Sponsoring organization: Kaiser Commission on Medicaid and the Uninsured
Offers data on community health centers which provide access to care for patients in rural and medically underserved areas. Provides a comparison of health centers in Medicaid expansion and non-expansion states and the percentage of those health centers in rural versus urban locations.
Date: 09 / 2014

State Telemedicine Gaps Analysis: Coverage & Reimbursement
Author(s): Latoya Thomas, Gary Capistrant
Sponsoring organization: American Telemedicine Association
Compares telemedicine coverage and reimbursement standards for every state. Discusses Medicaid telemedicine coverage and conditions of payment for rural areas by reporting distance or geography restrictions.
Date: 09 / 2014

Tips for Disaster Responders: Cultural Awareness When Working in Indian Country Post Disaster
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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.
Date: 09 / 2014

Exploration of Factors Influencing Initiation and Continuation of Breastfeeding among Hispanic Women Living in Rural Settings: A Multi-Methods Study
Author(s): Ashish Joshi, Kate Trout, Trina Aguirre, S. Wilhelm
Explores the factors that influence breastfeeding among Hispanic women living in rural settings with the objective of developing an educational breastfeeding program to meet the needs of rural Hispanic women.
Journal citation: Rural and Remote Health Volume 14 Issue 2955
Date: 08 / 2014

Rural Transit Fact Book 2014
Author(s): Jeremy Mattson
Sponsoring organization: Upper Great Plains Transportation Institute
Serves as a national resource for statistics and information on rural transit in America. Includes rural demographic and travel behavior data indicating that work, school, and medical trips comprise a higher percentage of rural transit trips. Includes state-by-state data.
Date: 08 / 2014

Medicare Learning Network (MLN) Suite of Products & Resources for Rural Health Providers
Sponsoring organization: Centers for Medicare and Medicaid Services
Provides Medicare publications and resources specific to the unique information needs of rural healthcare providers.
Date: 07 / 2014

Socioeconomic Context and the Food Landscape in Texas: Results from Hotspot Analysis and Border/Non-Border Comparison of Unhealthy Food Environments
Author(s): Jennifer J. Salinas, Bassent Abdelbary, Kelly Klaas, et al.
Describes the food landscape of Texas including rural areas using the CDC’s Modified Retail Food Environment (mRFEI) and makes comparisons by border/non-border. Census tracts where food healthy options were limited or non-existent were in highly rural areas.
Journal citation: International Journal of Environmental Research and Public Health Volume 11 Issue 6 Pages: 5640-5650
Date: 06 / 2014

Telehealth: Promise and Practice in Alaska
Sponsoring organization: Alaska State Hospital & Nursing Home Association
Defines telehealth and summarizes many of the innovations and opportunities that telehealth can facilitate to improve healthcare in Alaskan urban, rural and frontier settings. Addresses the challenges affecting Alaska hospitals and other facilities that are expanding their telehealth services.
Date: 06 / 2014

Why Rural Matters 2013-2014: The Condition of Rural Education in the 50 States
Author(s): Jerry Johnson, Daniel Showalter, Robert Klein, Christine Lester
Sponsoring organization: Rural School and Community Trust
Analyzes the conditions of rural education in each of the fifty states. The report is framed around five gauges including the importance of rural education, the diversity of rural students and their families, the socioeconomic challenges facing rural communities, the educational policy context impacting rural schools, and educational outcomes of students in rural schools in each state.
Date: 05 / 2014

Rural Referral Center Program: Rural Health Fact Sheet Series
Sponsoring organization: Centers for Medicare and Medicaid Services
Provides information on the Rural Referral Center (RCC) program, which supports high-volume rural hospitals that treat a large number of complicated cases. Includes list of CMS Regional Office Rural Health Coordinators.
Date: 05 / 2014

Telehealth Services: Rural Health Fact Sheet Series
Sponsoring organization: Centers for Medicare and Medicaid Services
Contains information on originating sites, distant site practitioners, telehealth services, billing and payment for professional services furnished via telehealth as well as for the originating site facility fee, and a list of helpful websites.
Date: 04 / 2014

Swing Bed Services: Rural Health Fact Sheet Series
Sponsoring organization: Centers for Medicare and Medicaid Services
Provides information about the requirements Critical Access Hospitals must meet in order to enter into a swing bed agreement under which they can use beds, as needed, to provide either acute or Skilled Nursing Facility care.
Date: 04 / 2014

Medicaid Home and Community - Based Services Programs: 2010 Data Update
Author(s): Terence Ng, Charlene Harrington, Mary Beth Musumeci, Erica L. Reaves
Sponsoring organization: Kaiser Family Foundation
Summarizes the key trends in expenditures and participation data for the three main Medicaid Home and Community-Based Services (HCBS) programs: The mandatory home health services state plan benefit, the optional personal care services state plan benefit, and HCBS waivers services.
Date: 03 / 2014

Sole Community Hospital: Rural Health Fact Sheet Series
Sponsoring organization: Centers for Medicare and Medicaid Services
Presents information on Sole Community Hospitals including classification payments and criteria, resources, and a list of regional office rural health coordinators.
Date: 01 / 2014

The State of Health Equity Research: Closing Knowledge Gaps to Address Inequities
Author(s): AAMC Health Equity Research and Policy Staff
Sponsoring organization: AcademyHealth
Reports results of an analysis of health disparities research funded between 2007 and 2011. Finds that certain populations which experience disparities, including rural populations and Native Americans, are underrepresented in the research. Reports on the health conditions most studied and geographic distribution of studies. Describes a trend to more research on solutions rather than just description of health disparities.
Date: 2014

Key Findings and Recommendations from the Coos Youth Study: New Hampshire
Author(s): Michael S. Staunton, Eleanor M. Jaffee
Sponsoring organization: Carsey School of Public Policy
Provides the results of a study of youth in rural northern New Hampshire and addresses regional job opportunities, substance use and mental health, youth retention and out-migration, and community attachment. 
Date: 2014

Physicians Assemble: Integrating Small Groups to Preserve Independent Practice
Author(s): David Twiddy
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.
Journal citation: Family Practice Management Volume 20 Issue 6 Pages: 12-17
Date: 11 / 2013

Strengthening Rural Latinos’ Civic Engagement for Health: The Voceros de Salud Project
Author(s): Daniel López- Cevallos, Tatiana Dierwechter, Kelly Volkmann, Megan Patton- López
Describes the Latino Health Ambassadors Network (Voceros de Salud) project created to support and mobilize Latino community leaders to address health inequalities in rural Oregon.
Journal citation: Journal of Health Care for the Poor and Underserved Volume 24 Issue 4
Date: 11 / 2013

Improving Rural Health: State Policy Options
Author(s): Kristine Goodwin, Laura Tobler
Sponsoring organization: National Conference of State Legislatures
Discusses strategies that states have used to improve healthcare in rural communities. Covers workforce pipeline strategies, long-term care services, behavioral health, emergency medical services, health promotion activities, rural health clinics, school-based health centers, telehealth, recruitment and retention of healthcare professionals, loan repayment programs and community health workers.
Date: 11 / 2013

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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.