Rural Health
Resources by Topic: Closures of healthcare facilities and services
Hospital Access in the Fifth District and COVID-19
Examines hospital access in West Virginia, Virginia, North Carolina, South Carolina, Maryland, and Washington D.C. Discusses concerns raised by the COVID-19 pandemic and provides state- and county-level statistics and data on number of hospital beds per capita, average distance to nearest hospitals, and more.
Author(s): Surekha Carpenter, Tim Sablik
Date: 04/2020
Sponsoring organization: Federal Reserve Bank of Richmond
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Examines hospital access in West Virginia, Virginia, North Carolina, South Carolina, Maryland, and Washington D.C. Discusses concerns raised by the COVID-19 pandemic and provides state- and county-level statistics and data on number of hospital beds per capita, average distance to nearest hospitals, and more.
Author(s): Surekha Carpenter, Tim Sablik
Date: 04/2020
Sponsoring organization: Federal Reserve Bank of Richmond
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Health Care Professional Workforce Composition Before and After Rural Hospital Closure
Policy brief examining the change in numbers of local healthcare providers before and after rural hospital closures from 2010-2018, to examine associations with eliminating inpatient services in rural areas. Features statistics with breakdowns by advanced practice providers, primary care providers, and specialists.
Author(s): Erin Mobley, Fred Ullrich, Redwan Bin Abdul Baten, Mina Shrestha, Keith Mueller
Date: 04/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief examining the change in numbers of local healthcare providers before and after rural hospital closures from 2010-2018, to examine associations with eliminating inpatient services in rural areas. Features statistics with breakdowns by advanced practice providers, primary care providers, and specialists.
Author(s): Erin Mobley, Fred Ullrich, Redwan Bin Abdul Baten, Mina Shrestha, Keith Mueller
Date: 04/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Confronting Rural America's Health Care Crisis
Offers policy recommendations to stabilize the rural healthcare infrastructure and ensuring local access to care. Discusses strategies to provide financial relief to rural providers, preserve obstetric services, expand telehealth services, and address workforce shortages. Includes brief references to policy actions taken in response to the COVID-19 pandemic.
Additional links: Rural Hospital Transformation Models, Summary, The Case for Expanding Telehealth Services, July 2020
Date: 04/2020
Sponsoring organization: Bipartisan Policy Center Rural Health Task Force
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Offers policy recommendations to stabilize the rural healthcare infrastructure and ensuring local access to care. Discusses strategies to provide financial relief to rural providers, preserve obstetric services, expand telehealth services, and address workforce shortages. Includes brief references to policy actions taken in response to the COVID-19 pandemic.
Additional links: Rural Hospital Transformation Models, Summary, The Case for Expanding Telehealth Services, July 2020
Date: 04/2020
Sponsoring organization: Bipartisan Policy Center Rural Health Task Force
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2020 Rural Hospital Sustainability Index
Reports on an analysis of rural hospital financial viability. Identifies the number of hospitals by state at financial risk of closing and the number by state at high financial risk that are considered essential for community trauma access. Full report is available with email registration.
Additional links: State-Based Data
Author(s): David Mosley, Daniel DeBehnke
Date: 04/2020
Sponsoring organization: Guidehouse
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Reports on an analysis of rural hospital financial viability. Identifies the number of hospitals by state at financial risk of closing and the number by state at high financial risk that are considered essential for community trauma access. Full report is available with email registration.
Additional links: State-Based Data
Author(s): David Mosley, Daniel DeBehnke
Date: 04/2020
Sponsoring organization: Guidehouse
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The Rural Health Safety Net Under Pressure: Rural Hospital Vulnerability
Examines financial and operational metrics for closed hospitals in the 36 months prior to closure. Identifies 453 rural facilities vulnerable to closure and the performance variables that have the greatest impact on a facility's likelihood of closure.
Date: 02/2020
Sponsoring organization: Chartis Center for Rural Health
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Examines financial and operational metrics for closed hospitals in the 36 months prior to closure. Identifies 453 rural facilities vulnerable to closure and the performance variables that have the greatest impact on a facility's likelihood of closure.
Date: 02/2020
Sponsoring organization: Chartis Center for Rural Health
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Medicare: Information on Medicare-Dependent Hospitals
Provides an overview of the Medicare-dependent hospital (MDH) program, how the MDH designation differs from other rural hospital designations, and how MDH hospitals have changed over time. Discusses the decrease in the number of MDHs over time. Examines a variety of operational and financial metrics across MDHs over time.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Provides an overview of the Medicare-dependent hospital (MDH) program, how the MDH designation differs from other rural hospital designations, and how MDH hospitals have changed over time. Discusses the decrease in the number of MDHs over time. Examines a variety of operational and financial metrics across MDHs over time.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Nursing Home Closures and Trends: June 2015 - June 2019
Provides an overview of the causes and implications of 500 nursing home closures between June 2015 and June 2019. Examines the geographic distribution of these closures, including states in which closures are concentrated in rural areas. Explores nursing home closures in relation to occupancy rates, quality ratings, tax status, and the impact of Medicaid payment policies. Offers recommendations for policymakers and nursing homes.
Date: 02/2020
Sponsoring organization: LeadingAge
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Provides an overview of the causes and implications of 500 nursing home closures between June 2015 and June 2019. Examines the geographic distribution of these closures, including states in which closures are concentrated in rural areas. Explores nursing home closures in relation to occupancy rates, quality ratings, tax status, and the impact of Medicaid payment policies. Offers recommendations for policymakers and nursing homes.
Date: 02/2020
Sponsoring organization: LeadingAge
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Rural Health Predictions: Q&A with Alan Morgan
An interview with National Rural Health Association (NRHA) CEO Alan Morgan. Focuses on NRHA's work on rural health issues and shares rural health predictions for 2020.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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An interview with National Rural Health Association (NRHA) CEO Alan Morgan. Focuses on NRHA's work on rural health issues and shares rural health predictions for 2020.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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Addressing Factors that Affect Health Care Costs: Recommendations for Indiana Stakeholders
Highlights the factors affecting healthcare costs in Indiana and makes recommendations to healthcare stakeholders, such as providers, policymakers, and consumers. Presents 16 factors that contribute to healthcare costs and discusses rural hospital closures.
Author(s): Nir Menachemi, Paul Halverson
Date: 01/2020
Sponsoring organization: Center for Health Policy, Richard M. Fairbanks School of Public Health at Indiana University-Purdue University Indianapolis
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Highlights the factors affecting healthcare costs in Indiana and makes recommendations to healthcare stakeholders, such as providers, policymakers, and consumers. Presents 16 factors that contribute to healthcare costs and discusses rural hospital closures.
Author(s): Nir Menachemi, Paul Halverson
Date: 01/2020
Sponsoring organization: Center for Health Policy, Richard M. Fairbanks School of Public Health at Indiana University-Purdue University Indianapolis
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Vermont Rural Health Services Task Force: Act 26 of 2019, Report and Recommendations
Report details Vermont's rural healthcare delivery system. Highlights the financial, administrative, and workforce barriers that rural facilities face and suggests ways the state can overcome those barriers.
Date: 01/2020
Sponsoring organizations: Rural Health Services Task Force, State of Vermont: Green Mountain Care Board
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Report details Vermont's rural healthcare delivery system. Highlights the financial, administrative, and workforce barriers that rural facilities face and suggests ways the state can overcome those barriers.
Date: 01/2020
Sponsoring organizations: Rural Health Services Task Force, State of Vermont: Green Mountain Care Board
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