• Publications - (11)

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Publications - (11)

• Community Factors and Outcomes of Home Health Care for High-Risk Rural Medicare Beneficiaries
  Policy Brief
  WWAMI Rural Health Research Center
  Date: 10/2016
  Outcomes of care vary by region of the country for rural Medicare beneficiaries receiving home health services for high-risk conditions such as heart failure. Those in the East South Central and West South Central Census Divisions had lower rates of community discharge and higher rates of hospital readmission and emergency department use.
• Differences in Care Processes Between Community-Entry Versus Post-acute Home Health for Rural Medicare Beneficiaries
  Policy Brief
  WWAMI Rural Health Research Center
  Date: 04/2019
  This study describes home healthcare processes for rural Medicare beneficiaries who are admitted from the community (community-entry) versus those who are admitted following an inpatient stay (post-acute). Care processes include timely initiation of care, length of stay, and services provided (e.g., physical therapy, medical social work).
• Different Populations Served by the Medicare Home Health Benefit: Comparison of Post-acute versus Community-entry Home Health in Rural Areas
  Policy Brief
  WWAMI Rural Health Research Center
  Date: 07/2018
  This study describes differences between rural, fee-for-service Medicare beneficiaries who are admitted to home health from the community (community-entry) and those who are admitted to home health following an inpatient stay (post-acute) in terms of their clinical and non-clinical characteristics as well as the communities in which they live.
• Geographic Variation in the Supply of Selected Behavioral Health Providers
  WWAMI Rural Health Research Center
  Date: 06/2018
  This study examined the supply of select behavioral health providers by metropolitan, micropolitan, and non-core county and Census Division. Psychiatrists, psychologists, and psychiatric nurse practitioners are unequally distributed throughout the U.S., with disparities between Census Divisions and rural vs. urban areas.
• Preparing Physicians for Rural Practice: Availability of Rural Training in Rural-Centric Residency Programs
  WWAMI Rural Health Research Center
  Date: 10/2019
  This study surveyed physician residency programs in anesthesiology, emergency medicine, general surgery, internal medicine, obstetrics and gynecology, pediatrics, and psychiatry to describe training locations and rural-specific content of rural-centric residency programs (those requiring at least eight weeks of rurally located training).
• Service Provision and Quality Outcomes in Home Health for Rural Medicare Beneficiaries at High Risk for Unplanned Care
  WWAMI Rural Health Research Center
  Date: 06/2018
  This study examined service provision and quality outcomes among rural Medicare beneficiaries who used home health from 2011-2013 and were at high risk for unplanned care. More skilled nursing visits and visits by more types of providers were associated with higher hospital readmission and emergency department use and lower community discharge.
• Supply and Distribution of the Behavioral Health Workforce in Rural America
  Policy Brief
  WWAMI Rural Health Research Center
  Date: 09/2016
  This brief uses National Provider Identifier (NPI) data to report on the variability of the supply and provider to population ratios of five types of behavioral health workforce providers (psychiatrists, psychologists, social workers, psychiatric nurse practitioners, counselors) in Metropolitan, Micropolitan and Non-core rural areas across the U.S.
• Supply and Distribution of the Primary Care Workforce in Rural America: 2019
  Policy Brief
  WWAMI Rural Health Research Center
  Date: 06/2020
  Maintaining an adequate supply of primary care providers in the U.S. is one of the key challenges in rural healthcare. This study examines the 2019 supply and geographic distribution of primary care physicians, nurse practitioners, and physician assistants across rural areas of the U.S.
• The Supply and Rural-Urban Distribution of the Obstetrical Care Workforce in the U.S.
  Policy Brief
  WWAMI Rural Health Research Center
  Date: 06/2020
  Monitoring the supply of the obstetrical (OB) care workforce is important for identifying areas that may lack OB care access. This brief describes the supply and geographic distribution of obstetricians, advanced practice midwives, midwives (not advanced practice), and family physicians in rural versus urban counties.
• Variation in Use of Home Health Care Among Fee-for-Service Medicare Beneficiaries by Rural-Urban Status and Geographic Region: Assessing the Potential for Unmet Need
  Policy Brief
  WWAMI Rural Health Research Center
  Date: 02/2020
  This study describes use of home healthcare by rural-urban status and geographic region. Findings suggest geographic region drives variation more than rural-urban status. Unmet need may be highest in the most remote rural counties and rural counties within the West North Central, East North Central, Mountain, and Pacific Census Divisions.
• What Is the Potential of Community Paramedicine to Fill Rural Healthcare Gaps?
  WWAMI Rural Health Research Center
  Date: 11/2016
  This study collected information on rural community paramedicine in the U.S. programs to describe their goals, target populations, services offered, connections with local community providers and resources, outcomes measured, and results, where available.