Information for health professionals and citizens including state health statistics prevention and health promotion and health care and health related professions protecting maintaining and improving the health of all minnesotans information on this website is available in alternative formats upon request . Access to health services and health outcomes are generally poorer in rural and remote areas relative to metropolitan areas in order to improve access to services many new programs and models of service delivery have been trialled since the first national rural health strategy in 1994. A 2016 medicare payment advisory commission presentation improving efficiency and preserving access to emergency care in rural areas describes policies and strategies to ensure access to emergency department services in rural areas the presentation provides discussion on alternative healthcare delivery models. Options for rural health care system reform and redesign advisory committee on rural health and human services produced after its june meeting 2012 in kansas city missouri while the first paper used datadriven analysis to evaluate proposals fesc and f chip represent alternative models of health care delivery which attempt to provide. Coordinate restrain the cost of and improve the quality of essential health care services including preventative and emergency services through the development of integrated health care delivery systems or networks in the rural areas and regions
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