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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Rural America in 2020: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25989.
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Population Health
in Rural America
in 2020

PROCEEDINGS OF A WORKSHOP

Anna Nicholson, Rapporteur

Roundtable on Population Health Improvement

Board on Population Health and Public Health Practice

Health and Medicine Division

images

THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Rural America in 2020: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25989.
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This activity was supported by contracts between the National Academy of Sciences and Aetna Foundation, Association of American Medical Colleges, Blue Shield of California Foundation, BlueCross BlueShield of North Carolina, The California Endowment, Fannie E. Rippel Foundation/ReThink Health, Geisinger, The Kresge Foundation, National Association of County and City Health Officials, Nemours, New York State Health Foundation, Robert Wood Johnson Foundation, Samueli Foundation, The University of Texas at Austin, Thomas Jefferson University, and Wake Forest Baptist Medical Center. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-68527-6
International Standard Book Number-10: 0-309-68527-3
Digital Object Identifier: https://doi.org/10.17226/25989

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2021. Population health in rural America in 2020: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/25989.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Rural America in 2020: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25989.
×

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The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

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Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Rural America in 2020: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25989.
×

Image

Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process, and it represents the position of the National Academies on the statement of task.

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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Rural America in 2020: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25989.
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PLANNING COMMITTEE ON POPULATION HEALTH IN RURAL AMERICA IN 20201

TOM MORRIS (Chair), Federal Office of Rural Health Policy, Health Resources and Services Administration

MICHAEL BIRD, Indian Health Council

ALVA FERDINAND, Southwest Rural Health Research Center, Texas A&M University

ALANA KNUDSON, Walsh Center for Rural Health Analysis, NORC at the University of Chicago

JOSÉ T. MONTERO, Center for State, Tribal, Local, and Territorial Support; Centers for Disease Control and Prevention

KAREN MURPHY, The Steele Institute for Health Innovation, Geisinger

LARS PETERSON, Rural & Underserved Health Research Center, University of Kentucky

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Rural America in 2020: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25989.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Rural America in 2020: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25989.
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ROUNDTABLE ON POPULATION HEALTH IMPROVEMENT1

SANNE MAGNAN (Co-Chair), Senior Fellow, HealthPartners Institute

JOSHUA M. SHARFSTEIN (Co-Chair), Associate Dean for Public Health Practice and Training, Johns Hopkins Bloomberg School of Public Health

PHILIP M. ALBERTI, Senior Director, Health Equity Research and Policy, Association of American Medical Colleges

DAWN ALLEY, Chief Strategy Officer, Center for Medicare & Medicaid Innovation, Centers for Medicare & Medicaid Services

JOHN AUERBACH, Executive Director, Trust for America’s Health

CATHY BAASE, Chair, Board of Directors, Michigan Health Improvement Alliance; Consultant for Health Strategy, The Dow Chemical Company

RAYMOND BAXTER, Trustee, Blue Shield of California Foundation

DEBBIE I. CHANG, President and Chief Executive Officer, Blue Shield of California Foundation

MARC N. GOUREVITCH, Professor and Chair, Department of Population Health, New York University Langone Health

GARTH GRAHAM, President, Aetna Foundation

MEG GUERIN-CALVERT, Senior Managing Director and President, Center for Healthcare, Economics and Policy, FTI Consulting

GARY R. GUNDERSON, Vice President, Faith Health, School of Divinity, Wake Forest University

DORA HUGHES, Associate Research Professor of Health Policy and Management, Milken Institute School of Public Health, The George Washington University

SHERI JOHNSON, Director, Population Health Institute; Acting Director, Robert Wood Johnson Foundation, Culture of Health Prize; Associate Professor, Department of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin–Madison

WAYNE JONAS, Executive Director, Integrative Health Programs, H&S Ventures; Samueli Foundation

ROBERT M. KAPLAN, Professor, Center for Advanced Study in the Behavioral Sciences, Stanford University

MICHELLE LARKIN, Associate Vice President, Associate Chief of Staff, Robert Wood Johnson Foundation

___________________

1 The National Academies of Sciences, Engineering, and Medicines planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Rural America in 2020: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25989.
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MILTON LITTLE, President, United Way of Greater Atlanta

PHYLLIS D. MEADOWS, Senior Fellow, Health Program, The Kresge Foundation

BOBBY MILSTEIN, Director, ReThink Health

JOSÉ T. MONTERO, Director, Center for State, Tribal, Local, and Territorial Support; Deputy Director, Centers for Disease Control and Prevention

WILLIE (BILLY) H. OGLESBY, Interim Dean, Jefferson College of Population Health, Thomas Jefferson University

JASON PURNELL, Associate Professor, Director, Health Equity Works, Brown School, Washington University in Saint Louis

RAHUL RAJKUMAR, Senior Vice President and Chief Medical Officer, BlueCross and BlueShield of North Carolina

LOURDES J. RODRIGUEZ, Senior Program Officer, St. David’s Foundation

PAMELA RUSSO, Senior Program Officer, Robert Wood Johnson Foundation

KOSALI SIMON, Herman B. Wells Endowed Professor, Associate Vice Provost for Health Sciences, Paul H. O’Neill School of Public and Environmental Affairs, Indiana University

HANH CAO YU, Chief Learning Officer, The California Endowment

Health and Medicine Division Staff

ALINA BACIU, Roundtable Director

CARLA ALVARADO, Program Officer (through January 2021)

HARIKA DYER, Senior Program Assistant

AYSHIA COLETRANE, Senior Program Assistant (from October 2020)

ROSE M. MARTINEZ, Senior Board Director, Board on Population Health and Public Health Practice

Consultant

ANNA NICHOLSON, Rapporteur

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Rural America in 2020: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25989.
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Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by MARTIN J. SEPULVEDA, IBM Corporation. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Rural America in 2020: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25989.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Rural America in 2020: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25989.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Rural America in 2020: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25989.
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Acronyms and Abbreviations

ACO accountable care organization
AHRQ ATHS Agency for Healthcare Research and Quality Alaska Tribal Health System
BPC Bipartisan Policy Center
CAH critical access hospital
CARES Coronavirus Aid, Relief, and Economic Security
CCCHC Coal Country Community Health Center
CDC Centers for Disease Control and Prevention
CDC WONDER CDC Wide-ranging Online Data for Epidemiologic Research
CHNA community health needs assessment
CHR community health representative
CHW community health worker
CMS Centers for Medicare & Medicaid Services
COPD chronic obstructive pulmonary disease
COVID-19 coronavirus disease 2019
ED emergency department
EHR electronic health record
FQHC federally qualified health center
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2021. Population Health in Rural America in 2020: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25989.
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HHS Department of Health and Human Services
HRSA Health Resources and Services Administration
IBH integrated behavioral health
ICU intensive care unit
IHCIA Indian Health Care Improvement Act
IHS Indian Health Service
KFF Kaiser Family Foundation
medevac medical evacuation
metro metropolitan
OMB Office of Management and Budget
PPE personal protective equipment
PPP Paycheck Protection Program
RAP recommendation adoption progress
SBA Small Business Administration
SDOH social determinants of health
SMC Sakakawea Medical Center
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Population Health in Rural America in 2020: Proceedings of a Workshop Get This Book
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Rural America is economically, socially, culturally, geographically, and demographically diverse. This multidimensional diversity presents complex challenges and unique opportunities related to delivering health care and improving health outcomes and health equity in rural communities.

To explore issues related to population health in rural America, the Roundtable on Population Health Improvement of the Board on Population Health and Public Health Practice of the National Academies of Sciences, Engineering, and Medicine convened a public virtual workshop, "Population Health in Rural America in 2020" on June 24-25, 2020. The workshop planning committee was composed of rural health experts representing public health, health care, and tribal health. Presentations and discussions focused on rural America in context, rural health vital signs, rural health care in action,assessment and implementation strategies for improving the health and health equity in rural populations, and rural health policy.This Proceedings of a Workshop summarizes the presentations and discussions from the workshop.

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