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Rural Health
Resources by Topic: Community and economic development

Improving Community Health through Hospital Community Benefit Spending: Charting a Path to Reform
Provides background on the origin and importance of nonprofit hospital community benefit spending, and explains the difference between community building and community benefit activities. Examines policy options that the IRS could use to enhance community benefit spending focused on improving social determinants of health community-wide. Includes rural-specific statistics and multiple comparisons of items identified in community health needs assessments (CHNAs).
Author(s): Sara Rosenbaum, Maureen Byrnes, Sara Rothenberg, Rachel Gunsalus
Date: 12/2016
Type: Document
Sponsoring organizations: George Washington University Milken Institute School of Public Health Department of Health Policy and Management, Milken Institute School of Public Health
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Exploring Transit's Contribution to Livability in Rural Communities: Case Study of Valley City, ND, and Dickinson, ND
Examines the connection between transit and rural livability by conducting surveys and interviews in 2 rural North Dakota communities: Valley City and Dickinson. Criteria for the survey included rider diversity, trip purpose, transit utilization, transit patronage, service variety, and ease of outreach. Discussion covers several factors of livability including access to quality healthcare.
Author(s): Ranjit Godavarthy, Jeremy Mattson
Date: 11/2016
Type: Document
Sponsoring organization: Upper Great Plains Transportation Institute
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Measuring Rural Wealth Creation: A Guide for Regional Development Organizations
Presents concepts and samples to create a development plan for measuring progress in rural wealth creation for rural development organizations (RDOs) involved in community and economic development. Specifically identifies 8 forms of capital measures useful to evaluate progress in rural wealth creation including the skills, understanding, physical health and mental wellness of the individuals within the community.
Author(s): Carrie Kissel
Date: 11/2016
Type: Document
Sponsoring organization: National Association of Development Organizations
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Comparing the Community Benefit Spending of Critical Access, Other Rural, and Urban Hospitals
Examines the levels and types of community benefit spending by Critical Access, rural, and urban hospitals. Compares the spending by percentage of total expenses, as well as by category, direct patient care versus community-building activities.
Author(s): John Gale, Zach Croll, Andrew Coburn, Jamar Croom
Date: 11/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Economic Impact of a Critical Access Hospital on a Rural Community
Estimates the economic impact of a Critical Access Hospital (CAH) on a rural community. Uses data collected from 2012 to 2016, representing 91 CAHs across 18 states. Discusses direct impacts, such as employee wages and benefits, as well as secondary benefits such as construction activity and retail spending.
Author(s): Gerald A. Doeksen, Cheryl F. St. Clair, Fred C. Eilrich
Date: 10/2016
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Estimate the Economic Impact of a Rural Primary Care Physician
Provides estimates of, and the methodology used to determine, the economic impact of a primary care physician on a rural community. Shows that the economic impact is greater in communities that have a local hospital, where the physician can refer patients and provide inpatient services.
Author(s): Fred C Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 10/2016
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Economic Impact of Rural Health Care
Presents the economic impacts that various healthcare components have on rural communities. Covers topics such as Critical Access Hospitals (CAHs), rural hospital closures, prospective payment system (PPS) hospitals, Rural Health Clinics (RHCs), primary care physicians, and more.
Author(s): Gerald A. Doeksen, Cheryl F. St. Clair, Fred C. Eilrich
Date: 10/2016
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Estimate the Annual Economic Impact of an Independent Rural Health Clinic
Study featuring two scenarios, the first exploring average economic employment and labor income impacts of an independent rural health clinic, and the second looking at the same scenario without direct physician employment.
Author(s): Fred C. Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 10/2016
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Health Outside Hospital Walls
Outlines how Chadron Community Hospital and Health Services (CCHHS) in Chadron, Nebraska, is leveraging the changing healthcare environment to prioritize population health and fill needed service gaps within the community. As part of the focus on overall community health, CCHHS took leadership in an assisted living facility, funded a large scholarship fund to help cultivate a skilled local workforce, and assumed management of the community action agency.
Date: 07/2016
Type: Document
Sponsoring organization: Rural Health Value
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Planning for Transportation Together: Collaborating to Address Transportation and Economic Resilience
Expands on the definition of economic development in transportation, and provides case studies demonstrating how state agencies, regional and rural planning, and development organizations can work together to develop transportation facilities, infrastructure, and services to create jobs, improve access to employment, education, and community services, including healthcare.
Author(s): Carrie Kissel, Brett Schwartz, Sara James, Susan Dyer
Date: 07/2016
Type: Document
Sponsoring organization: National Association of Development Organizations
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