High Performing Rural Health System

Date: January 10, 2022

High-Performing Rural Health System

This brief presents the RUPRI Health Panel’s vision for a high-performing rural health system and specific pillars of such a system. The RUPRI Health Panel envisions rural health services that are affordable and accessible for all rural residents through a sustainable health system that delivers high quality, high value services. A high-performing rural health system informed by the needs of each unique rural community and population groups will improve community health and well-being.

Contact Information:

Keith J. Mueller, PhD
RUPRI Center for Rural Health Policy Analysis
Phone: 319.384.3832
keith-mueller@uiowa.edu

Additional Resources of Interest:

Click to view Research Alert.

Aging in Place in Rural America – Challenges, Opportunities, and Policy Initiatives Webinar

Date: January 3, 2022

Upcoming Webinar: Aging in Place in Rural America – Challenges, Opportunities, and Policy Initiatives

Date: January 18, 2022
Time: 10:00 am Pacific, 11:00 am Mountain, 12:00 pm Central, 1:00 pm Eastern
Duration: Approximately 60 minutes
Website: ruralhealthresearch.org/webinars/aging-in-place

Aging in place refers to the phenomenon of people remaining in their homes and communities as they get older, even if their health status changes. Supporting older adults in remaining in their homes is particularly urgent in rural areas, where the population is older. This webinar, by Dr. Carrie Henning-Smith and Megan Lahr, will present results from a range of studies investigating challenges, opportunities, and policy implications for older adults aging in place living in rural areas. Results are drawn from nationally representative survey data, a content analysis of state-level policies and initiatives, and a survey of representatives of state offices of rural health.

Registration is free and required. Attendance of the live webinar is limited to 500 persons. If you are unable to attend, you will be able to access the recording, archived on the Gateway website.

Registration

Additional Resources of Interest:

Rural Health Research Gateway

Date: November 30, 2021

New Articles Published on Telehealth, Tobacco, Suicide, and Cancer Screening and Treatment

These journal articles written by the Rural Health Research Centers were recently added to Gateway.

Gateway lists the journal, a brief summary, and a link to additional information and access to the full text of the article, if available. While some journal articles are freely available, many require a subscription or affiliation with a subscribing library.

Additional Resources of Interest:

More information about the Rural Telehealth Research Center

Click to view Research Alert.

Rural Health Research Gateway

Date: November 17, 2021

Using CPT Charges as an Economic Proxy for Telehealth and Non-telehealth Emergency Department Utilization

Economic analysis of health care utilization is a pressing priority. However, procuring economic data presents many challenges. One approach is to obtain charge and reimbursement data within a single health care organization, but this approach lacks external validity. Another approach is to obtain charge and reimbursement data across health care organizations by analyzing claims databases (e.g., Medicare, Medicaid claims). But this approach restricts the sample to covered beneficiaries (e.g., older, disabled), which restricts generalizability. We aimed to obtain economic data on emergency department (ED) visits from a number of unrelated rural hospitals and sought an approach for doing so. It appeared feasible to have rural hospitals report the Current Procedural Terminology (CPT) code (AMA, 2021) and associated charge for a sample of ED visits, since CPT codes would be generated for billing and insurance claims submission. The specific aim of this analysis is to explore the characteristics of the resulting dataset in terms of distribution and association with related variables.

Contact Information:

Marcia M. Ward, PhD
Rural Telehealth Research Center
Phone: 319.384.3815
marcia-m-ward@uiowa.edu

Additional Resources of Interest:

More information from the Rural Health Information Hub’s topic guides: Critical Access Hospitals (CAHs), Healthcare Access in Rural Communities, Rural Hospitals, Telehealth Use in Rural Healthcare

Click to view Research Alert.

Rural Health Research Gateway

Date: November 15, 2021

Rural Health Network Development Planning Grants: Geographic Location and Change over Time

The purpose of this policy brief is to examine the geographic distribution of Rural Health Network Development Planning Grant recipients across the United States. The information presented here complements two other policy briefs about this specific grant program; one of these looks at the distribution of grants among majority BIPOC (Black, Indigenous, and People of Color) counties, and the other examines network focus areas for each funded proposal.

Contact Information:

Katie Rydberg, MPH
University of Minnesota Rural Health Research Center
Phone: 612.626.8401
reedx472@umn.edu

Additional Resources of Interest:

Click to view Research Alert.

 

Rural Health Research Gateway

Date: November 10, 2021

Barriers to Aging in Place in Rural Communities: Perspectives from State Offices of Rural Health

To date there is limited information available about the ability to age in place in rural communities and what barriers may prevent older adults from safely doing so. This policy brief presents findings from an online survey of State Offices of Rural Health describing barriers for older adults in successfully aging in place in rural communities, and recommendations for how to improve the ability to safely age in place in rural areas of their states.

Contact Information:

Megan Lahr, MPH
University of Minnesota Rural Health Research Center
Phone: 612.624.3921
lahrx074@umn.edu

Click to view Research Alert.

Rural Health Research Gateway

Date: November 8, 2021

Family Physicians in Rural America: Training, Distribution, and Scope of Practice

Family physicians are trained to treat patients of all ages and genders, for any clinical condition in any care setting. Consequently, they are the most prevalent physician specialty in rural America. Drs. Peterson and Patterson presented work on the training of family physicians in rural areas, the family physician workforce distribution, and rural/urban differences in scope of practice.

Presenters:

Lars Peterson, MD, PhD

Lars Peterson, MD, PhD is a family physician and health services researcher and current Vice President of Research of the American Board of Family Medicine (ABFM) and an Associate Professor in the Department of Family and Community Medicine at the University of Kentucky. He is leading team research efforts at the ABFM to understand what family physicians do in practice and how the quality of care they provide can be improved. In particular, elucidating the ways in which Continuing Certification activities may be associated with quality of care. His research interests include investigating associations between area level measures of health care and socioeconomics with both health and access to health care, rural health, primary care, and comprehensiveness of primary care.

Davis Patterson, PhD

Davis Patterson, PhD, is a sociologist and Research Associate Professor in the University of Washington (UW) Department of Family Medicine, Seattle, Washington. He is Director of the WWAMI Rural Health Research Center and the Collaborative for Rural Primary care Research, Education, and Practice (Rural PREP). He is also an investigator in the UW Center for Health Workforce Studies. His research seeks to inform policy and improve rural and under-resourced populations’ access to health care, with a focus on the health workforce. His current research includes studies examining trends in rural workforce supply; obstetrics training for family physicians; rural emergency medical services; and provision of home health services to rural patients. He is a returned Peace Corps Volunteer (Belize) and an avid traveler.

Click to view Research Alert.

Rural Health Research Gateway

Date: October 27, 2021

2021 CMS Hospital Quality Star Ratings of Rural Hospitals

The Centers for Medicare & Medicaid Services (CMS) recently released its 2021 Hospital Quality Star Ratings, which incorporate several changes to the methodology. This change in methodology was intended to address methodological concerns about the 2016 Hospital Quality Star Ratings and to include more Critical Access Hospitals (CAHs) in the rating system. The purpose of this study is to 1) compare the 2021 CMS Hospital Quality Star Rating results for rural and urban hospitals, 2) to compare the 2021 and 2016 CMS Hospital Quality Star Rating results for rural hospitals, and 3) to identify implications for the usefulness of the CMS Hospital Quality Star Ratings for rural hospitals.

Key findings from this study include the following:

  • Rural hospitals were more likely to be unrated than urban (41.6% vs. 12.0%).
  • There was a large increase in the percentage of unrated rural hospitals between 2016 and 2021 (34.3% to 41.6%).
  • Almost all (89.4%) unrated rural hospitals are CAHs.
  • Almost half (45%) of unrated rural hospitals are in the Midwest census region.

Contact Information:

George H. Pink, PhD
North Carolina Rural Health Research and Policy Analysis Center
Phone: 919.843.2728
gpink@email.unc.edu

Click to view Research Alert.

Family Physicians in Rural America – Training, Distribution, and Scope of Practice Webinar

Post date: October 21, 2021

Upcoming Webinar: Family Physicians in Rural America – Training, Distribution, and Scope of Practice

Family physicians are trained to treat patients of all ages and genders, for any clinical condition in any care setting. Consequently, they are the most prevalent physician specialty in rural America. Drs. Peterson and Patterson will present work on the training of family physicians in rural areas, the family physician workforce distribution, and rural/urban differences in scope of practice.

Registration is free and required. Attendance of the live webinar is limited to 500 persons. If you are unable to attend, you will be able to access the recording, archived on the Gateway website.

Webinar Date: November 9, 2021

Time: 12:00 PM CDT

Registration

Click to view Research Alert