Marcia M. Ward, PhD

Director, Rural Telehealth Research Center

Phone: 319.384.3815
Fax: 319.384.4371

Department of Health Management and Policy
University of Iowa
105 River Street, N200 CPHB
Iowa City, IA 52246

Current Projects - (2)

  • EB THNP/SAT TNGP, SB TNGP, and EB TNGP Measure and Data Activities
    The project will collect ongoing data from Evidence Based Tele-Behavioral Health Network Program and Substance Abuse Treatment Telehealth Network Grant Program participants; analyze School Based Telehealth Network Grant Program data for publications; and identify candidate data elements for a new Evidence Based Telehealth Network Grant Program.
    Research center: Rural Telehealth Research Center
    Topics: Children and adolescents, Chronic diseases and conditions, Healthcare access, Mental and behavioral health, Substance use and treatment, Telehealth
  • Telehealth for Chronic Disease Management in the Veterans Health Administration
    This project will capitalize on the aggressive adoption of telehealth within the Veterans Health Administration (VHA). The overall purpose of this jointly funded collaborative project is to better understand key factors impacting how VHA chronic disease management telehealth has reduced healthcare utilization outcomes and cost.
    Research center: Rural Telehealth Research Center
    Topics: Chronic diseases and conditions, Post-acute care, Telehealth, Veterans

Completed Projects - (16)

Publications - (21)




  • Emergency Department Telemedicine Consults Decrease Time to Interpret Computed Tomography of the Head in a Multi-Network Cohort
    Rural Telehealth Research Center
    Date: 11/2019
    This was a study of emergency telemedicine (tele-ED) for stroke care in four tele-ED networks. Tele-ED was associated with decreased time to diagnostic imaging interpretation and time to thrombolytic medication. The effect of tele-ED varied by network, suggesting network characteristics may influence the realized tele-ED benefit for stroke care.
  • Tele-Emergency Behavioral Health in Rural and Underserved Areas
    Rural Telehealth Research Center
    Date: 11/2019
    This paper describes how two distinct tele-emergency department (ED) behavioral health models address challenges in access and placement for patients in rural and underserved areas presenting to EDs. The notable difference in disposition rates between cases and controls shows the impact each model is having on care practices and processes.
  • Pediatric Tele-Emergency Care: A Study of Two Delivery Models
    Rural Telehealth Research Center
    Date: 04/2019
    This study describes two tele-emergency programs that provide care to pediatric populations. Qualitative descriptions of the two tele-emergency department (ED) models and key characteristics of the patient populations served by tele-ED are presented. The study informs others about evaluative measures and how tele-ED works in practice.




  • Rural Bypass for Elective Surgeries
    RUPRI Center for Rural Health Policy Analysis
    Date: 11/2015
    Describes the elective surgical bypass rate, the procedures most commonly bypassed by rural residents, the distribution of volume among Critical Access Hospitals (CAHs) that offer elective surgical services, and factors predictive of bypass.
  • Hospital Views of Factors Affecting Telemedicine Use
    Policy Brief
    RUPRI Center for Rural Health Policy Analysis
    Date: 04/2015
    This brief expands upon previous research by examining hospital-based use of telemedicine by determining the type of use by hospitals, whether it be providing services as a hub or receiving services as a spoke, and then identifying factors from the hospitals' perspectives that affect use.
  • Surgical Services in Critical Access Hospitals, 2011
    Policy Brief
    RUPRI Center for Rural Health Policy Analysis
    Date: 02/2015
    This brief describes the types and volume of major surgical services provided in critical access hospitals across four regionally representative states in 2011.


  • Extent of Telehealth Use in Rural and Urban Hospitals
    Policy Brief
    RUPRI Center for Rural Health Policy Analysis
    Date: 04/2014
    This brief provides discussion with statistics on the use of telehealth in rural hospitals and the opportunities telehealth can bring to supporting healthcare in rural communities.