Skip to main content

Rural Health
Resources by Topic: Closures of healthcare facilities and services

Rural Hospital Closures
Webinar recording discusses rural hospital closures across the U.S. Details the various causes of closures and the effect this has on healthcare access in rural communities, as well as possible solutions for preventing rural hospital closures. Features presentations from representatives of the NC Rural Health Research Program, the Episcopal Health Foundation, and the A&M Rural and Community Health Institute.
Additional links: Audio Recording, Webinar Slides, Webinar Transcript
Date: 01/2018
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
view details
Range Matters: Rural Averages Can Conceal Important Information
Findings brief showing how research focusing on averages without considering data range can conceal important information about average rural hospital profitability, distance between hospitals, and HIV prevalence by county.
Author(s): Meagan Clawar, Kristie Thompson, George H. Pink
Date: 01/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
Rural Health Research Recap: Effects of Rural Hospital Closures
Summarizes key findings from the Rural Health Research Centers' most recent research on the effects of rural hospital closures. Examines rural hospital closures and conversions, payment models, the loss of obstetric services, and more. Provides links to each of the referenced source documents.
Date: 12/2017
Type: Document
Sponsoring organization: Rural Health Research Gateway
view details
Rural Health Research Recap: Rural Hospital Closures
Summarizes key findings from the Rural Health Research Centers' most recent research on rural hospital closures. Discusses hospitals by U.S. census region, rural hospital closures between 2005 and 2017, urban and rural hospital profitability, and the financial distress index. Provides links to each of the referenced source documents.
Date: 12/2017
Type: Document
Sponsoring organization: Rural Health Research Gateway
view details
Characteristics of Communities Served by Hospitals at High Risk of Financial Distress
Study compares communities served by rural hospitals that have a high risk of financial distress with those that do not. Looks at community demographics, socio-economics, and health status.
Author(s): Erica L. Richman, George H. Pink
Date: 12/2017
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
view details
ESRD Facility Characteristics by Rurality and Risk of Closure
Profiles rural end-stage renal disease (ESRD) facilities, especially the ones at greatest risk for closure. Examines the facilities' characteristics, quality of care, and distance their patients would need to travel if the facilities should close. Features statistics with breakdowns by urban and rural locations.
Author(s): Jan M. Eberth, Fozia Ajmal, Kevin Bennett, Janice C. Probst
Date: 11/2017
Type: Document
Sponsoring organization: South Carolina Rural Health Research Center
view details
Ensuring Access with a Hospital’s Conversion to a Freestanding Emergency Department
Outlines Ellijay, Georgia-based North Georgia Medical Center's transition from a traditional community hospital to a freestanding emergency department (ED). Shares administrative, legal, and logistical challenges that, once overcome, resulted in Piedmont Mountainside Hospital Emergency Services - a successful, community-focused freestanding ED.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Section for Small or Rural Hospitals
view details
Financial Distress and Closures of Rural Hospitals
Webinar recording presents an analysis of indicators of financial distress and the causes of closures of rural hospitals. Discusses realistic benchmarks rural hospitals should meet to maintain financial stability. Highlights data on rural hospitals currently at high risk of financial stress across the country.
Additional links: Presentation Slides, Transcript
Date: 09/2017
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
view details
Rethinking Rural Hospitals
Discusses the various factors associated with rural hospital closures, and makes the case for adopting new, innovative approaches to rural healthcare delivery.
Author(s): Diana J. Mason
Location: JAMA, 318(2), 114-115
Date: 07/2017
Type: Document
view details
After Hospital Closure: Pursuing High Performance Rural Health Systems without Inpatient Care
Describes ways for rural communities to develop optimal healthcare delivery systems after a local hospital closure. Features 3 case studies from Arizona, Michigan, and Illinois. Includes tables showing options currently available under federal and state laws, and policies under consideration.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 06/2017
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
view details