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Rural Health
Resources by Topic: Capital funding

Are You Ready to Begin a Capital Project? A Guide, Toolkit and Resources for Critical Access Hospitals and Rural Health Centers
Determines organizational readiness of Critical Access Hospitals and Rural Health Clinics as they proceed through the process of developing capital projects, and helps them prevent any drawbacks due to an inadequate plan. The manual is divided into two major sections: Self-assessment provides tools to identify current capabilities and weaknesses that can be used as a starting point to build a capital project; and External Influences provides tools to examine patient population and the community's demand for services and healthcare trends to ensure the capital project is responsive to current and future needs.
Date: 11/2015
Type: Document
Sponsoring organizations: Capital Link, National Rural Health Resource Center
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Financing Capital Investments in Rural Health Care: A Resource Overview
Helps hospital administrators, board members, rural administrators, state associations, community lenders, and community leaders better understand and identify federally sponsored healthcare financing options.
Date: 01/2014
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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A Guide to Financing Strategies for Hospitals: With Special Consideration for Smaller Hospitals
Explores seven strategies that help hospitals achieve capital access. Discusses smaller organizations, such as rural hospitals, Critical Access Hospitals, and stand-alone community hospitals.
Date: 12/2010
Type: Document
Sponsoring organization: Health Research & Educational Trust
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Critical Access Hospital Replacement Process: The Manual
Describes the facility replacement process, including the phases, actions, and involved parties that are needed. Offers guidance on the facility replacement process, including assessing the Critical Access Hospital's physical and financial situation, gaining community support, identifying and obtaining financing, working with lenders and Federal enhancement programs, and completing the design and construction process.
Date: 10/2010
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Critical Access Hospital Replacement Process: The Roadmap
Provides a visual overview of the entire facility replacement process. Divided into four phases including Planning, Design and Financing, Endorsement, and Construction. Each phase is further described by events, actions, duration, costs/fees, and involved parties.
Date: 10/2010
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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The Capital Investment Needs of Critical Access Hospitals (CAHs): Results of the 2007 National CAH Survey
Describes the findings of a national telephone survey of Critical Access Hospitals (CAHs) to determine the nature of their capital funding needs and experiences in accessing capital funding to meet those needs. Includes policy implications.
Author(s): Walter Gregg
Date: 02/2009
Type: Document
Sponsoring organization: Flex Monitoring Team
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The Capital Investment Needs of CAHs: Fire and Life Safety Code Compliance and Organizational Performance
Describes current Critical Access Hospital (CAH) capital investment needs and their experiences obtaining the capital funding critical for remaining compliant with fire and life safety codes and essential for maintaining effective and efficient operations.
Author(s): Walter Gregg
Date: 11/2008
Type: Document
Sponsoring organization: Flex Monitoring Team
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Implementing a New USDA Rural Development Program Targeting Small Rural Hospitals and Their Communities: Recommendations of the RUPRI Health Panel
Lists recommendations for implementing a new USDA Rural Development program, as included in the Senate Farm Bill proposal, should it be enacted into law. Discusses program goals to strengthen rural healthcare delivery systems, to provide necessary healthcare services to rural residents in a cost-effective manner.
Author(s): Andrew F. Coburn, A. Clinton MacKinney, Timothy D. McBride, et al.
Date: 03/2008
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Availability and Use of Capital by Critical Access Hospitals
Examines the experiences of Critical Access Hospitals (CAHs) in meeting their capital needs. Discusses efforts to obtain capital, sources of capital, uses of capital, technical assistance resources, and current capital needs. Includes information on state capital programs available to CAHs.
Author(s): Walter Gregg
Date: 03/2005
Type: Document
Sponsoring organization: Flex Monitoring Team
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Rural Hospital Access to Capital: Issues and Recommendations
Identifies federal programs that have or could help rural hospitals meet their capital needs, assesses whether rural hospitals have difficulty getting capital under the current programs, and makes recommendations for improvement. The Hospital Mortgage Insurance Program (HUD 242) and USDA Community Facilities Program (CFP) are discussed.
Author(s): Walter Gregg, Astrid Knott, Ira Moscovice
Date: 07/2002
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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