Telehealth Use in Rural Healthcare Publications

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Documents (46)

Here are 46 recent or important documents focusing on Telehealth. For more on this topic, search all RAC resources.

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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Building Blocks for Cultural Integration in the Development and Establishment of Rural VA Telemental Health Clinics for Native Veterans
Offers an overview, plus suggestions and tips for setting up, operating, and maintaining telemental health (TMH) clinics for rural Native Veterans.
Sponsoring organization: Veterans Rural Health Resource Center Western Region: Native Domain
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Compendium of Rural Best Practices/Models Innovations to Strengthen Rural Health Care: Technology, Quality Improvement, Collaboration, and Training
Summaries of innovative programs occurring in rural areas, featuring a medical home model, a Lean/Six Sigma hospital program, a community health center telehealth program, and a statewide behavioral health network.
Sponsoring organization: National Rural Health Association
Date: 2013
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Creating Telemedicine-Based Medical Networks for Rural and Frontier Areas
Describes a three part approach that can leverage Recovery Act initiatives for launching new technologies that address the needs of medically underserved areas.
Author(s): Leonard R. Graziplene
Date: 2009
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e-Emergency Services Bring Specialists to Rural Patients with the Push of a Button
More and more specialists are available to small hospitals via telemedicine, benefiting patients—and doctors. Highlights Avera eEmergency Services, a hospital-based telemedicine emergency support service available in South Dakota, Iowa, Minnesota, and North Dakota.
Author(s): Candi Helseth
Sponsoring organization: Rural Assistance Center
Location: Rural Monitor, 2011(Summer)
Date: 08/2011
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Effect of Tele-Emergency Services on Recruitment and Retention of US Rural Physicians
Analyzes the effects of telemedicine services on recruitment and retention of physicians to rural healthcare facilities.
Author(s): Andrew Potter, Keith Mueller, A Mackinney, Marcia Ward
Location: Rural and Remote Health, 14, 2787
Date: 08/2014
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The Empirical Foundations of Telemedicine Interventions for Chronic Disease Management
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.
Author(s): Rashid L. Bashshur, Gary W. Shannon, Brian R. Smith
Date: 09/2014
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Estimating the Economic Impact of Telemedicine in a Rural Community
Authors conducted site visits to twenty-four rural hospitals in the Midwest to develop a methodology for estimating the economic impact of telemedicine on a rural community.
Author(s): Brian E. Whitacre
Date: 08/2011
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Extent of Telehealth Use in Rural and Urban Hospitals
Provides discussion with statistics on the use of telehealth in rural hospitals and the opportunities telehealth can bring to supporting health care in rural communities.
Author(s): Marcia M. Ward, Fred Ullrich, Keith Mueller
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 04/2014
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Forging Rural Health Care Links
Discusses Avera eCARE, a South Dakota-based telehealth system providing comprehensive, round-the-clock, "virtual hospital" care in specialties such as infectious disease, behavioral health, oncology, pulmonology, cardiology, and pediatrics. Primarily serves Medicare-age patients in rural areas of eight Midwestern states.
Author(s): Donna Farris
Location: Health Progress, 96(1)
Date: 2015
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Grantee Profiles FY 2010 - 2011 (Office for the Advancement of Telehealth)
Profiles of Office for the Advancement of Telehealth (OAT) grant projects that promote the use of telehealth technologies for health care delivery, education, and health information services. Includes glossary of telehealth terms.
Sponsoring organization: Office for the Advancement of Telehealth
Date: 2011
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A Guide to Telemedicine: Designing a Hospital-Based Program
Provides small and rural hospitals with step-by-step instructions to develop a telemedicine program in their communities.
Sponsoring organization: Illinois Hospital Association
Date: 01/2013
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Hospital Views of Factors Affecting Telemedicine Use
Discusses the observations of rural and urban hospital representatives, from both hub and spoke locations, regarding the obstacles and the driving forces in the development and expansion of telemedicine services.
Author(s): Kimberly A. S. Merchant, Marcia M. Ward, Keith J. Mueller,
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 04/2015
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Improving Access to Specialized Care: The Telehealth Kidney Transplant Clinic at the Iowa City VAMC
The Telehealth Transplant Clinic at the Iowa City Veterans Affairs Medical Center has been found to reduce travel time for kidney transplant patients by allowing them to receive annual follow-up exams remotely using telehealth services.
Author(s): Roberto Kalil, Christie Thomas, Carol Winetroub, Stacey Abel
Sponsoring organization: Veterans Health Administration's Office of Rural Health
Date: 2013
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Improving Rural Health: State Policy Options
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.
Author(s): Kristine Goodwin, Laura Tobler
Sponsoring organization: National Conference of State Legislatures
Date: 11/2013
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Increasing Access to Behavioral Health Care Through Technology
Presents insights on establishing a telebehavioral health program shared at a meeting convened by the U.S. Department of Health and Human Services (HHS) and the Health Resources and Services Administration’s (HRSA) Office of Special Health Affairs with participants from HRSA-funded health centers in urban and rural areas.
Sponsoring organization: Health Resources and Services Administration
Date: 02/2013
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Mental Health Services Are a Critical Rural Need
Reports high rates of depression, suicide, and addiction among rural people, and notes barriers to treatment including lack of anonymity, shortage of detoxification centers, transportation-related problems, and cultural reluctance to seek help with emotional and behavioral stresses. Notes that telemedicine has enabled psychiatrists to treat distance patients effectively, yet initiatives such as this have received little support.
Author(s): Patrick T. Reardon
Location: Health Progress, 91(5)
Date: 2010
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Mixed-methods Evaluation of a Telehealth Collaborative Care Program for Persons with HIV Infection in Rural Settings (Issue Brief)
Discusses the findings of the Iowa City Veterans Affairs Health Care System's implementation of a telehealth collaborative care program for veterans with HIV living in rural parts of Iowa and Illinois.
Author(s): Michael Ohl, Dena Dillon, Jane Moeckli, et al.
Sponsoring organization: U.S. Department of Veterans Affairs
Date: 2013
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Mobile Health and Patient Engagement in the Safety Net: A Survey of Community Health Centers and Clinics
Discusses the results of a survey of rural and urban community health clinics and other clinics to evaluate the use of cell phones by healthcare providers to engage patients in their healthcare. Highlights areas where the use of cell phones has shown to be successful in chronic disease management.
Author(s): Andrew Broderick, Farshid Haque
Sponsoring organization: Commonwealth Fund
Date: 05/2015
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New Opportunities and Challenges for Teleaudiology Within Department of Veterans Affairs
Provides an overview of teleaudiology and the delivery of audiological services through telemedicine practice for rural and inner urban areas. Includes discussion on how the Veterans Administration is researching and incorporating teleaudiology within its healthcare program.
Author(s): Peter G. Jacobs, Gabrielle H. Saunders
Location: Journal of Rehabilitation Research & Development, 51(5), vii-xii
Date: 2014
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A Pilot Project to Improve Access to Telepsychotherapy at Rural Clinics
Describes the challenges and motivators regarding the implementation of a telemental health pilot project in rural outpatient clinics to improve access to mental health services for rural veterans.
Author(s): Geri Adler, Lonique R. Pritchett, Michael R. Kauth, Danielle Nadorff
Location: Telemedicine and e-Health, 2D(1), 83-85
Date: 01/2014
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Practice Based Versus Telemedicine Based Collaborative Care for Depression in Rural Federally Qualified Health Centers: A Pragmatic Randomized Comparative Effectiveness Trial
Reports on a research trial comparing practice-based collaborative primary care for depression involving mental health providers on-site to telemedicine-based collaborative primary care with off-site mental health providers.
Author(s): John C. Fortney, Jeffrey M. Pyne, Sip B. Mouden, et al.
Location: American Journal of Psychiatry, 170(4), 414-25
Date: 04/2013
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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 people 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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Rationale and Design: Telepsychology Service Delivery for Depressed Elderly Veterans
Describes a study and medical trial that will work to provide telepsychology services for depressed, elderly veterans living in rural America.
Author(s): Leonard E. Egede, Christopher B. Frueh, Lisa K. Richardson, et al.
Location: Trials, 10, 22
Date: 04/2009
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The Role of Telehealth in an Evolving Health Care Environment: Workshop Summary
Reports on a HRSA sponsored IOM workshop held in Washington, DC on August 8-9, 2012, that examined how the use of telehealth technology can fit into the U.S. health care system. Chapter 4 considers some of the overarching challenges in telehealth, especially for rural communities. Rural is also mentioned throughout the report.
Author(s): Tracy A. Lustig
Sponsoring organization: Institute of Medicine
Date: 2012
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Role of Telehealth/Videoconferencing in Managing Cancer Pain in Rural American Indian Communities
Results of a study to determine the feasibility and effect of using videoconferencing to deliver cancer-related pain management education and case consultation to health care providers in rural AI/AN communities.
Author(s): Haozous E, Doorenbos AZ, Demiris G, et al.
Location: Psycho-Oncology, 21(2), 219-223
Date: 02/2012
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Rural Kentucky Gains More Access
Discusses comprehensive telehealth services available to medically underserved and economically disadvantaged Appalachian rural areas and provided by KentuckyOne Health, the state's largest health system. Addresses home telemonitoring and telepsychiatry, and their value to health care professionals and patients.
Author(s): Deborah Burton, F. Rose Rexroat
Location: Health Progress, 96(1)
Date: 2015
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Rural Older Adult Readiness to Adopt Mobile Health Technology: A Descriptive Study
Reports on a study of 30 older adults in northern California regarding their comfort level and interest in using mobile health technology (mHealth). Identifies concerns rural seniors have related to use of mobile health technology. Also provides an overview of remote health monitoring technology and its potential for meeting rural healthcare needs.
Author(s): Anita Depatie, Jeri L. Bigbee
Location: Online Journal of Rural Nursing and Health Care, 15(1), 150-184
Date: 2015
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Rural Telehealth Capabilities and Outreach Continue to Grow
Telehealth is being used more widely in rural areas, improving patient care for schoolchildren, seniors and every age group in-between.
Author(s): Candi Helseth
Sponsoring organization: Rural Assistance Center
Location: Rural Monitor, 2013(Summer)
Date: 08/2013
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State Telehealth Policies and Reimbursement Schedules
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.
Sponsoring organization: National Telehealth Policy Resource Center (Center for Connected Health Policy)
Date: 09/2014
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State Telemedicine Gaps Analysis: Coverage & Reimbursement
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.
Author(s): Latoya Thomas, Gary Capistrant
Sponsoring organization: American Telemedicine Association
Date: 05/2015
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Streamlining Telemedicine Licensure to Improve Rural America
Provides information and statistics to support advocacy efforts for telemedicine cross-state licensure to improve health care access in rural America.
Author(s): Jarod Giger, Mary DeVany
Sponsoring organization: National Rural Health Association
Date: 02/2013
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Telecommunications: Projects and Policies Related to Deploying Broadband in Unserved and Underserved Areas
Shares options for broadband deployment in unserved and underserved areas. Identifies alternative approaches to expanding rural broadband and factors to consider when planning a broadband project. Identifies economic, legal, and policy issues. Describes FCC efforts to foster broadband deployment in unserved areas. Appendix includes brief case studies.
Sponsoring organization: Government Accountability Office
Date: 04/2014
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Telehealth in Rural America
Discusses the use of telehealth in rural areas, related reimbursement challenges, and provides recommendations to the Secretary of Health and Human Services for improving healthcare access and quality through the use of telehealth services.
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
Date: 03/2015
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The Telehealth Network Grant Program (TNGP): A Report Summarizing Performance of the TNGP
Summarizes results of the Telehealth Network Grant Program (TNGP), with sections on improving access to needed services, reducing rural practitioner isolation, improving health system productivity and efficiency, and improving patient outcomes.
Sponsoring organization: Federal Office of Rural Health Policy
Date: 01/2013
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Telehealth Resources: An Introduction
Discusses the Telehealth Resource Centers which provide support to healthcare organizations, networks and providers to implement telehealth programs that serve rural and underserved communities.
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
Date: 02/2014
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Telehealth Services: Rural Health Fact Sheet Series
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.
Sponsoring organization: Centers for Medicare and Medicaid Services
Date: 12/2014
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Telehealth Start-Up and Resource Guide
Provides an overview and framework for implementing telehealth in critical access hospitals and rural areas. Includes resources about telehealth and an annotated list of organizations that support telehealth activities.
Sponsoring organization: Telligen Health Information Technology Regional Extension Center
Date: 10/2014
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Telehealth Technologies for Heart Failure Disease Management in Rural Areas: An Integrative Research Review
Discusses the use and effectiveness of telehealth for improving outcomes in cardiac disease management, by detecting health changes earlier, improving self-care behaviors, reducing costs, decreasing hospital readmission and emergency room visits, and promoting cardiac patient satisfaction. Includes descriptions of 14 clinical trials, 5 of which reported specifically for rural populations.
Author(s): Barbara Ann Graves, Cassandra D. Ford, Kathryn Davis Mooney
Location: Online Journal of Rural Nursing and Health Care, 13(2)
Date: 2013
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Telehealth: Into the Mainstream?
Considers the promise and challenges of telehealth as a tool for addressing health needs with a particular notice to the opportunity to apply telehealth technology in rural America.
Author(s): Lisa Sprague
Sponsoring organization: National Health Policy Forum
Date: 03/2014
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Telemedicine Reaches Beyond Clinic Walls: Network Help Extend Access
Discusses how telemedicine isn't confined to hospitals. It can reach patients in nursing homes, prisons and isolated geographic regions.
Author(s): Candi Helseth
Sponsoring organization: Rural Assistance Center
Location: Rural Monitor, 2011(Summer)
Date: 08/2011
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Telemedicine: Changing the Landscape of Rural Physician Practice
Discusses how telemedicine helps rural primary care physicians provide better care and allows specialists to care for patients in rural and underserved areas.
Author(s): Bonnie Darves
Date: 05/2013
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Telemedicine: The Promise and Challenges
Provides an overview of telemedicine including a definition, current applications, policy issues surrounding it, evidence for its use, and a look forward to the future of the service delivery model. Includes examples of the application of telehealth services in rural areas.
Author(s): Deanna Okrent
Sponsoring organization: Alliance for Health Reform
Date: 06/2015
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Telemental Health in Today's Rural Health System
Describes the organizational setting, services provided, and staff used in 53 telemental rural health programs. Also outlines the opportunities and challenges for telemental health in the rural health system.
Author(s): David Lambert, John Gale, Anush Y. Hansen, Zach Croll, David Hartley
Sponsoring organization: Maine Rural Health Research Center
Date: 12/2013
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Testimony by Kristi Henderson, University of Mississippi Medical Center, before the U.S. Senate Committee on Appropriations Subcommittee on Labor, Health and Human Services, Education, and Related Agencies
Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Discusses how telehealth is improving healthcare in rural communities. Includes examples of telehealth across the nation, with more in-depth information about the telehealth services available to rural Mississippi through the University of Mississippi Medical Center's Center for Telehealth.
Author(s): Kristi Henderson
Sponsoring organization: Senate Committee on Appropriations
Date: 05/2015
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The Use of Telemedicine to Address Access and Physician Workforce Shortages
Policy statement discusses opportunities to use telemedicine technologies to address pediatric workforce shortages in rural and urban settings. Opportunities discussed include improving access to care, physician capacity, quality of care, and costs of care.
Author(s): James Marcin, Mary Rimsza, William Moskowitz, James Marcin, Ted Sigrest, Harold Simon
Sponsoring organization: American Academy of Pediatrics
Location: Pediatrics, 136(1)
Date: 06/2015
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Literature Searches (2)

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PubMed Search: Telemedicine and Rural Health Services
Searches PubMed's collection of journal article citations.
Sponsoring organization: National Library of Medicine

RAC Document Search: Telehealth and Telemedicine
Displays an annotated list of documents on the RAC site related to telehealth and telemedicine.
Sponsoring organization: Rural Assistance Center