Rural Health
Resources by Topic: Sustainability of programs
2024 Annual Report of the Boards of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
Report detailing the current state of the Medicare Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds. Discusses Medicare expenditures as a percentage of Gross Domestic Product (GDP) and makes short and long-range sustainability projections based on variable economic, demographic, and healthcare trends. Also explains the actuarial methods used to calculate the estimates. Includes information on Medicare payment policy updates since the 2023 report.
Additional links: Tables and Figures
Date: 05/2024
Type: Document
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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Report detailing the current state of the Medicare Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds. Discusses Medicare expenditures as a percentage of Gross Domestic Product (GDP) and makes short and long-range sustainability projections based on variable economic, demographic, and healthcare trends. Also explains the actuarial methods used to calculate the estimates. Includes information on Medicare payment policy updates since the 2023 report.
Additional links: Tables and Figures
Date: 05/2024
Type: Document
Sponsoring organization: Board of Trustees, Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds
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Implementation Characteristics That May Promote Sustainability of a Rural Physical Activity Initiative: Examination of Play Streets Through the Lens of Community Implementers
Discusses implementation of Play Streets, a community-based initiative to create safe physical activity areas for children and families, from interviews with program team members in rural Maryland, North Carolina, Oklahoma, and Texas. Highlights factors influencing program effectiveness and sustainability, including community engagement, partnerships, and more.
Author(s): Marilyn E. Wende, M. Renée Umstattd Meyer, Cynthia Perry, et al.
Citation: Implementation Science Communications, 5, 48
Date: 05/2024
Type: Document
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Discusses implementation of Play Streets, a community-based initiative to create safe physical activity areas for children and families, from interviews with program team members in rural Maryland, North Carolina, Oklahoma, and Texas. Highlights factors influencing program effectiveness and sustainability, including community engagement, partnerships, and more.
Author(s): Marilyn E. Wende, M. Renée Umstattd Meyer, Cynthia Perry, et al.
Citation: Implementation Science Communications, 5, 48
Date: 05/2024
Type: Document
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CommHIT Shoots for the Moon
Features a Rural Public Health Workforce Training Network grantee, CommHIT, that is assisting Florida partners with workforce development initiatives. Describes its workforce development efforts focused on community health workers (CHWs) and community paramedics, as well as cybersecurity and other technology-related trainings.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 02/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features a Rural Public Health Workforce Training Network grantee, CommHIT, that is assisting Florida partners with workforce development initiatives. Describes its workforce development efforts focused on community health workers (CHWs) and community paramedics, as well as cybersecurity and other technology-related trainings.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 02/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Needs Assessment of the Obstetric Workforce in Maine's Rural Hospitals
Report assessing the workforce needs for 15 hospitals with obstetrics units in rural Maine. Offers a SWOT Analysis and discusses factors contributing to sustainability of the workforce, community characteristics impacting the workforce, recruitment and retention challenges, and training challenges. Offers recommendations at the state, regional, health system, hospital, and unit level.
Author(s): Brianna Keefe-Oates, Katherine Simmonds, Louisa H. Smith, Jeni Stolow
Date: 01/2024
Type: Document
Sponsoring organizations: MaineHealth, Roux Institute, The Maine Rural Maternity & Obstetrics Management Strategies Network
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Report assessing the workforce needs for 15 hospitals with obstetrics units in rural Maine. Offers a SWOT Analysis and discusses factors contributing to sustainability of the workforce, community characteristics impacting the workforce, recruitment and retention challenges, and training challenges. Offers recommendations at the state, regional, health system, hospital, and unit level.
Author(s): Brianna Keefe-Oates, Katherine Simmonds, Louisa H. Smith, Jeni Stolow
Date: 01/2024
Type: Document
Sponsoring organizations: MaineHealth, Roux Institute, The Maine Rural Maternity & Obstetrics Management Strategies Network
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El Dorado Community Health Centers: Addressing the Opioid Epidemic in Rural California through Community Partnerships
Case study describing how El Dorado Community Health Centers, a Federally Qualified Health Center (FQHC) in California, works with a community coalition to address the opioid epidemic and implement a medication for opioid use disorder (MOUD) program. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Case study describing how El Dorado Community Health Centers, a Federally Qualified Health Center (FQHC) in California, works with a community coalition to address the opioid epidemic and implement a medication for opioid use disorder (MOUD) program. Covers the infrastructure of the MOUD program, staffing and services, financing, and more. Highlights challenges and successes, as well as recommendations for other health centers.
Author(s): Ashley Jasko, Meryl Schulman
Date: 01/2024
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Produce Prescription Programs Offer 'A Holistic Approach' to Addressing Rural Food Insecurity and Diet-Related Disease
Features produce prescription programs serving rural Mississippi, New Mexico, and Vermont that are helping improve access to healthy foods for those with diet-related chronic conditions. Describes how produce Rx programs can support local food systems and discusses funding and sustainability considerations.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features produce prescription programs serving rural Mississippi, New Mexico, and Vermont that are helping improve access to healthy foods for those with diet-related chronic conditions. Describes how produce Rx programs can support local food systems and discusses funding and sustainability considerations.
Author(s): Brendan Stermer
Citation: Rural Monitor
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Information Hub
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A Mixed Methods Evaluation Assessing the Feasibility of Implementing a PrEP Data Dashboard in the Southeastern United States
Explores perspectives from clinicians, administrators, and data personnel related to implementing a pre-exposure prophylaxis (PrEP) dashboard that assists in providing preventive HIV infection care in rural Alabama. Analyzes survey data regarding the acceptability and feasibility of implementing a PrEP dashboard and the potential barriers of sustaining the technology long-term.
Author(s): Kaylee Burgan, C. Greer McCollum, Alfredo Guzman, et al.
Citation: BMC Health Services Research, 24, 101
Date: 01/2024
Type: Document
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Explores perspectives from clinicians, administrators, and data personnel related to implementing a pre-exposure prophylaxis (PrEP) dashboard that assists in providing preventive HIV infection care in rural Alabama. Analyzes survey data regarding the acceptability and feasibility of implementing a PrEP dashboard and the potential barriers of sustaining the technology long-term.
Author(s): Kaylee Burgan, C. Greer McCollum, Alfredo Guzman, et al.
Citation: BMC Health Services Research, 24, 101
Date: 01/2024
Type: Document
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2023 Indiana EMS Workforce Assessment
Provides an overview of the emergency medical services (EMS) workforce in Indiana. Focuses on sustainable EMS workforce tracking, pipeline and retention assessments, and county-level workforce needs. Includes county-level data on population characteristics, such as uninsurance, opioid use, and emergency department utilization rates as compared to EMS workforce characteristics and supply in each respective county.
Author(s): Mykayla Tobin, Becky Boustani, Courtney Medlock, Sierra Vaughn, Hannah L. Maxey,
Date: 2024
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Provides an overview of the emergency medical services (EMS) workforce in Indiana. Focuses on sustainable EMS workforce tracking, pipeline and retention assessments, and county-level workforce needs. Includes county-level data on population characteristics, such as uninsurance, opioid use, and emergency department utilization rates as compared to EMS workforce characteristics and supply in each respective county.
Author(s): Mykayla Tobin, Becky Boustani, Courtney Medlock, Sierra Vaughn, Hannah L. Maxey,
Date: 2024
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Supporting Resilience in Rural Areas Through Cross-Sector Partnerships
Discusses the importance of working across multiple agencies and organizations to address social, economic, and environmental determinants of health. Describes the Health in All Policies (HiAP) approach that uses cross-sector strategies to build health infrastructure and sustainability, with examples from rural communities.
Date: 12/2023
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Discusses the importance of working across multiple agencies and organizations to address social, economic, and environmental determinants of health. Describes the Health in All Policies (HiAP) approach that uses cross-sector strategies to build health infrastructure and sustainability, with examples from rural communities.
Date: 12/2023
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Keeping Rural EMS Reliable and Sustainable, with James Small
An episode of the Exploring Rural Health podcast featuring James Small, Rural EMS Outreach Director for the Wisconsin Office of Rural Health. Focuses on rural emergency medical services workforce and funding shortages, and how rural EMS can be maintained and expanded.
Date: 12/2023
Type: Audio
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring James Small, Rural EMS Outreach Director for the Wisconsin Office of Rural Health. Focuses on rural emergency medical services workforce and funding shortages, and how rural EMS can be maintained and expanded.
Date: 12/2023
Type: Audio
Sponsoring organization: Rural Health Information Hub
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