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Office of Rural Health


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Monthly Fact Sheets

Current Fact Sheet

Current Fact Sheet

August 2014
Volume 4 Issue 11

  • Cataracts in Diabetic Patients
  • Medical Assistance Devices

View all ORH fact sheets

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Quarterly Newsletter - 'The Rural Connection'

Current Newsletter

Current Newsletter

October 2014
Volume 5 Issue 1

  • The Impact of Employment on Rural Veteran’s Health and Well-Being

View previous issues of "The Rural Connection" newsletter

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Resource Center Issue Briefs

Spring 2014

Issue Brief #1
Two VA Studies Examine the Effects of Home-Based Colorectal Cancer Screening and Telephone Follow-Up in a Rural State
Charlton, M. E., Mengeling, M. A., Halfdanarson, T. R., Makki, N. M., Malhotra, A., Klutts, J. S., Levy, B. T., Kaboli, P. J., Schlichting, J. A.

Fall 2013

Issue Brief #1
Improving Access to Specialized Care: The Telehealth Kidney Transplant Clinic at the Iowa City VAMC
Kalil, R., Thomas, C., Winetroub, C., Abel, S.

Summer 2013

Issue Brief #3 
Virtual Lifetime Electronic Record (VLER) Health Program Overview: Lessons Learned
Bennett, J., Byrne, C., Roling, L.

Issue Brief #2
A Pilot Randomized Controlled Trial of a Depression and Disease Management Program Delivered by Telephone
Aburizik, A., Dindo, L., Kaboli, P. J., Charlton, M. E., Turvey, C.

Issue Brief #1
Potentially Inappropriate Prescribing Practices in Rural Elder Veterans
Lund, B. C., Kaboli, P. J.

Spring 2013

Issue Brief #4
Mixed-methods Evaluation of a Telehealth Collaborative Care Program for Persons with HIV Infection in Rural Settings
Ohl, M., Dillon, D., Moeckli, J., Ono, S., Waterbury, N., Sissel, J., Yin, J., Neil, B., Wakefield, B., Kaboli, P.

Issue Brief #3
The Lodge Project: A Permanent Housing Model for Homeless Veterans
Cretzmeyer, M., Bermingham, C., Moeckli, J., Liu, W. M.

Issue Brief #2
Improving Accessibility: VISN 11 Mobile Prosthetics Van Program
DeLoof, S., Bravo, G., Howard, E., Rilenge, M.

Issue Brief #1
Unique Factors Rural VA Hospitals Face in Implementing Healthcare-associated Infection Prevention Initiatives
Harrod, M., Manojlovich, M. Kowalski, C. P., Saint, S., Krein, S. L.

Winter 2012

Issue Brief #2
Transfer of Information from Personal Health Records: A Survey of Veterans Using My HealtheVet
Turvey, C. L., Zulman, D. M., Nazi, K. M., Wakefield, B. J., Woods, S. S., Hogan, T. P., Weaver, F. M., McInnes, K.

Issue Brief #1 
Antiretroviral Adherence Among Rural Compared to Urban Veterans with HIV Infection in the United States
Ohl, M., Perencevich, E. McInnes, K., Kim, N., Rimland, D., Akgun, K., Fiellin, D., Skanderson, M., Wang, K., Justice, A.

Fall 2012

Issue Brief #4
Geographic Isolation Shows Higher Risk for Chronic Obstructive Pulmonary-Disease Related Mortality: A Cohort Study
Abrams, T. E., Vaughan-Sarrazin, M., Fan, V. S., Kaboli, P. J.

Issue Brief #3
My HealtheVet Users: Preliminary Evidence on Rural Reach and Usage
Woods, S., Nazi, K., Weaver, F., Turvey, C.

Issue Brief #2
Effects of Rural Residence on VA Care of Persons Living with HIV
Rural Residence and Adoption of a Novel HIV Therapy in a National, Equal-access Healthcare System
Ohl, M.E., Lund, B., Belperio, P., Goetz, M., Rimland, D., Richardson, K., Justice, A., Perencevich, E., Vaughn-Sarrazin, M.
Rural Residence is Associated with Delayed Care Entry and Increased Mortality Among Veterans with Human Immunodeficiency Virus Infection
Ohl, M., Tate, J., Duggal, D., Skanderson, M., Scotch, M., Kaboli, P., Vaughn-Sarrazin, M., Justice, A.

Issue Brief #1
Accurate and Timely Diagnosis of Infectious Diseases in Veterans Returning from Iraq and Afghanistan
Borchardt, S., Klug, M. G.

Summer 2012

Issue Brief #1
VISN 16: Developing a VA/Clergy Partnership to Increase Access to Mental Health Services among Rural Veterans
Sullivan, S., Sullivan, G.

Spring 2012

Issue Brief #3
Rural Veterans’ Use of CBOCs for Primary Care: FY07
Mengeling, M. A., Charlton, M.

Winter 2011

Issue Brief #9
A Mixed-Method Evaluation of Challenges and Opportunities in the Care of Rural Veterans in VISN 23
Buzza, C., Ono, S., Wittrock, S., Noble, M., Reddy, G., Kaboli, P. J., Reisinger, H. S.

Issue Brief #7
Electronic Health Information Exchange Between VHA System and Private Providers
Mueller, K. J., Lampman, M.

Issue Brief #6
Impact of Tele-ICU Coverage on Patient Outcomes: A Systematic Review and Meta-Analysis
Young, L. B., Chan, P. S., Lu, X., Nallamothu, B. K., Sasson, C., Cram, P.

Issue Brief #5
Expanding Audiology Services to CBOCs: Bringing Care Closer to Veterans
Barrett, D., Dziak, K., Kaboli, P.

Issue Brief #4
VAMC Facility Rurality: Comparison of Three Classification Approaches
Kaboli, P. J., Glasgow, J. M.

Issue Brief #3
Mortality and Revascularization Following Admission for AMI: Implications for Rural Veterans
Abrams, T. E., Vaughn-Sarrazin, M., Kaboli, P. J.

Issue Brief #2
Tobacco Use Among Rural Veterans
Vander Weg, M., Cunningham, C.

Issue Brief #1
Veterans’ Environmental Tobacco Smoke (ETS) Exposure
Vander Weg, M., Cunningham, C.

Spring 2011

Issue Brief #7
Veterans Evaluate Telehealth MOVE! VISN 12’s Clinical Video Telehealth Initiative
Klobucar, T. F., Wittrock, S., Hughes, I.

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Project Summary Briefs

VISN 23: Rural Healthcare Provider Retention Strategies
Blake, L. R., Charlton, M., Peal, R., Ramos, J., Kaboli, K.

Tele-ICU Implementation in VISN 23: Lessons Learned for VA's Rural Hospitals
Moeckli, J., Reisinger, H. S., Cunningham, C., Bonello, R. S., Clutter, K., L., Cram, P.

VISN 12: Expanding Audiology Services into Rural Outpatient Clinics
Evanson, J. L., Valest, K. J.

VISN 12: Establishing an Outreach Clinic to Serve Rural Veterans
Heers, L.

VISN 15: Providing Sleep Lab Services to Rural Veterans
Young, M., Pershing, J. J., Lovette, K.

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Journal Articles

Barriers and Facilitators to Veterans Administration Collaboration With Community Providers: The Lodge Project for Homeless Veterans.  
September 2015
Margaret Cretzmeyer PhD, MSW, Jane Moeckli PhD and William Ming Liu PhD

Unclaimed Health Care Benefits: A Mixed-Method Analysis of Rural Veterans 
July 2014
Wittrock, S., Ono, S., Stewart, K., Reisinger, H. S., and Charlton, M. E.

Increasing colorectal cancer screening in an overdue population: participation and cost impacts of adding telephone calls to a FIT mailing program 
April 2014
Schlichting, J. A., Mengeling, M. A., Makki, N. M., Malhotra, A., Halfdanarson, T. R., Klutts, J. S., Levy, B. T., Kaboli, P. J., Charlton, M. E.

Feasibility and effectiveness of remote, telephone-based delivery of cardiac rehabilitation 
January 2014
Wakefield, B., Drwal, K., Scherubel, M., Klobucar, T., Johnson, S., Kaboli, P.

A pilot randomized controlled trial of a depression and disease management program delivered by phone 
November 2013
Aburizik, A., Dindo, L., Kaboli, P., Charlton, M., Dawn, K., Turvey, C.

Evaluation of a Home-Based Colorectal Cancer Screening Intervention in a Rural State 
October 2013
Charlton, M. E., Mengeling, M. A., Halfdanarson, T. R., Makki, N. M., Malhotra, A., Klutts, J. S., Levy, B. T., Kaboli, P. J.

Mixed-methods evaluation of a telehealth collaborative care program for persons with HIV infection in a rural setting 
September 2013
Ohl, M., Dillon, D., Moeckli, J., Ono, S., Waterbury, N., Sissel, J., Yin, J., Neil, B., Wakefield, B., Kaboli, P.

Regional differences in prescribing quality among elder veterans and the impact of rural residence
Spring 2013
Lund, B. C., Charlton, M. E., Steinman, M. A., Kaboli, P. J.

The Use of Collaboration Science to Define Consensus Outcome Measures: A Telemental Health Case Study
April 2013
Mishkind, M. C., Doarn, C. R., Bernard, J., Shore, J. H.

Provider Barriers to Telemental Health: Obstacles Overcome, Obstacles Remaining
April 2013
Brooks, E., Turvey, C., Augusterfer, E. F.

Antiretroviral adherence among rural compared to urban veterans with HIV infection in the United States 
January 2013
Ohl, M. E., Perencevich, E., McInnes, D. K., Kim, N., Rimland, D., Akgun, K., Fiellin, D. A., Skanderson, M., Wang, K., Justice, A.

Associations between reduced hospital length of stay and 30-day readmission rate and mortality: 14-year experience in 129 Veterans Affairs hospitals 
December 2012
Kaboli P. J., Go J. T., Hockenberry J., Glasgow J. M., Johnson S. R., Rosenthal G. E., Jones M. P., Vaughan-Sarrazin M.

A Population Approach to Mitigating the Long-Term Health Effects of Combat Deployments
September 2012
Reisinger, H. S., Hunt, S. C., Burgo-Black, A. L., Agarwal, M. A.

Use and Quality of Care at a VA Outreach Clinic in Northern Maine
July 2012
Lee, P. W., Markle, P. S., West, A. N., Lee, R. E.

Variability in veterans' alcohol use by place of residence
January 2012
Vander Weg M. W., Cai X.

Alabama Veterans Rural Health Initiative: A Preliminary Evaluation of Unmet Health Care Needs
Davis, L. L., Kertesz, S. G., Mahaney-Price, A. F., Martin, M. Y., Tabb, K. D., Pettey, K. M., McNeal, S. F., Granstaff, U. S., Hamner, K., Powell, M. P., Hilgeman, M. M., Snow, A. L., Stanton, M., Parmelee, P., Litaker, M. S., Hawn, M. T.

The cost-effectiveness of telestroke in the treatment of acute ischemic stroke
October 2011
Nelson, R. E., Saltzman, G. M., Skalabrin, E. J., Demaerschalk, B. M., Majersik, J. J.

Improving Access to VA Care
November 2011
Fortney, J. Kaboli, P., Eisen, S.

A Re-conceptualization of Access for 21st Century Healthcare
November 2011
Fortney, J. C., Burgess, Jr., J. F., Bosworth, H. B., Booth, B. M., Kaboli, P. J.

Distance is Relative: Unpacking a Principal Barrier in Rural Healthcare
November 2011
Buzza, C., Ono, S. S., Turvey, C., Wittrock, S., Noble, M., Reddy, G., Kaboli, P. J., Reisinger, H. S.

Defining Core Issues in Utilizing Information Technology to Improve Access: Evaluation and Research Agenda
November 2011
Jackson, G. L., Krein, S. L., Alverson, D. C., Darkins, A. W., Gunnar, W., Harada, N. D., Helfrich, C. D., Houston, T. K., Klobucar, T. F., Nazi, K. M., Poropatich, R. K., Ralston, J. D., Bosworth, H. B.

Promoting Access Through Complementary eHealth Technologies: Recommendations for VA’s Home Telehealth and Personal Health Record Programs
November 2011
Hogan, T. P., Wakefield, B., Nazi, K. M., Houston, T. K., Weaver, F. M.

Tobacco use and exposure in rural areas: Findings from the Behavioral Risk Factor Surveillance System
March 2011
Vander Weg M. W., Cunningham C. L., Howren M. B., Cai X.

VA Community Mental Health Service Providers’ Utilization of and Attitudes Toward Telemental Health Care: The Gatekeeper’s Perspective
Winter 2011
John Paul Jameson, J. P., Farmer M. S., Head, K. J., Fortney, J., Teal, C. R.

Partnering With Communities to Address the Mental Health Needs of Rural Veterans
Winter 2011
Kirchner, J. E., Farmer, M. S., Shue, V. M., Blevins, D., Sullivan, G.

Rural Residence Is Associated With Delayed Care Entry and Increased Mortality Among Veterans With Human Immunodeficiency Virus Infection
December 2010
Ohl, M., Tate, J., Duggal, M., Skanderson, M., Scotch, M., Kaboli, P., Vaughan-Sarrazin, M., Justice, A.

Using the Medicare Current Beneficiary Survey to conduct research on Medicare-eligible veterans
Jonk Y., O'Connor H., Schult T., Cutting A., Feldman R., Ripley D. C., Dowd B.

Reaching Out to Older Veterans in Need: The Elko Clinic Demonstration Project
Fall 2010
Juretic, M., Hill, R., Luptak, M., Rupper, R., Bair, B., Floyd, J., Westfield,B., Dailey, N. K.

Impact of Rural Residence on Survival of Male Veterans Affairs Patients After Age 65
Fall 2010
MacKenzie, T. A., Wallace, A. E.,Weeks, W. B.

Defining “Rural” for Veterans’ Health Care Planning
Fall 2010
West, A. N., Lee, R. E., Shambaugh-Miller, M. D., Bair, B. D., Mueller, K. J., Lilly, R. S., Kaboli, P. J., Hawthorne, K.

Effect of post-discharge follow-up care on re-admissions among US veterans with congestive heart failure: a rural-urban comparison
April 2010
Muus K. J., Knudson A., Klug M. G., Gokun J., Sarrazin M., Kaboli P.

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South Texas VHCS Rural Home Telehealth CHF Initiative
May 21, 2014
Presented by Mark A. Kostelnik, PharmD, BCPS, Home Telehealth Heart Failure Clinical Pharmacy Specialist, South Texas Veterans Healthcare System

Re-conceptualizing VA access: Practice and Policy Implications
April 2012 - National Rural Health Association Annual Conference
Presented by Peter Kaboli, M.D., Mary Charlton, Ph.D., Thomas Klobucar, Ph.D.
This interactive presentation reviewed recent work on re-conceptualization of access and addressed these themes: newly published conceptual model of health care access, access-related measurement issues, patient perspective of access, how multiple health care systems and payers of care can collaborate/compete and how technology can overcome access barriers. For a copy of the presentation, please contact Lindsay Hall*.

National Rural Health Day, "Caring for Rural Veterans"
November 17, 2011
Presented by Mary Beth Skupien, Ph.D., MS, RN, Former Director, VHA Office of Rural Health

Oral Statement of Mary Beth Skupien, PhD, Former Director, Office of Rural Health
June 20, 2011
Before the Committee on Veterans’ Affairs Subcommittee on Health United States House of Representatives

Poster - The Department of Veterans Affairs Collaboration with Rural Community Health Centers Project
May 2011
Berkowitz, A., Walter, S. B., Heady, H., Jackson, V.

Office of Rural Health, Advisory Committee of Women Veterans
April 14, 2011
Presented by Mary Beth Skupien, Ph.D., MS, RN, Former Director, VHA Office of Rural Health

Presentation to the Advisory Committee on Geriatrics and Gerontology 
April 14, 2011
Presented by Mary Beth Skupien, Ph.D., MS, RN, Former Director, VHA Office of Rural Health

Presentation to the Advisory Committee on Women Veterans
March 30, 2011
Presented by Serena Chu, Ph.D., Program Analyst, VHA Office of Rural Health, in Washington DC

Rural Health Telehealth
November 2, 2010 - Presented to AMSUS Conference, VA Plenary Preliminary Program
Presented by Mary Beth Skupien, Ph.D., MS, RN, Former Director, VHA Office of Rural Health, in Phoenix, AZ

An Overview of the Office of Rural Health
October 26, 2010 - Presented to the Advisory Committee on Women Veterans
Presented by Mary Beth Skupien, Ph.D., MS, RN, Former Director, VHA Office of Rural Health, in Washington, DC

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ORH Project Final Reports

Building Blocks for Cultural Integration in the Development and Establishment of Rural VA Telemental Health Clinics for Native Veterans
August 2011

This document presents a short overview, suggestions and tips for setting up, operating and maintaining Telemental Health (TMH) Clinics, in the form of live interactive videoconferencing, for rural Native Veterans located on American Indian lands or reservations, Alaska Native Corporations and communities, and Native Hawaiian and Pacific Islander lands and communities.

Collaboration with Rural Community Health Centers VISN 5, Task 4: Final Report
June 2011
Prepared by the National Association of Community Health Centers and Atlas Research

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Other Publications

Serving Those Who Have Served: Educational Needs of Health Care Providers Working with Military Members, Veterans, and their Families
December 2011
Kilpatrick, D. G., Best, C. L., Smith, D. W., Kudler, H., Cornelison-Grant, V.

*Emails sent to this address are not secure. Please do not include personal data.
All media inquiries should contact the Office of Rural Health

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