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Rural Health
Resources by Topic: Critical Access Hospitals

Antibiotic Stewardship Detailed Data Summarization Tool for State Flex Programs
Tool to help state Flex programs summarize and utilize the Core and Detailed Annual Facility Survey antibiotic stewardship data. Provides a core element summary and a question-by-question summary of Critical Access Hospital responses.
Date: 09/2021
Type: Tool
Sponsoring organization: Stratis Health
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Results from 2018 Tax-Exempt Hospitals' Schedule H Community Benefit Reports
Summarizes the benefits nonprofit hospitals provide their communities based on an analysis of IRS Form 990 Schedule H. Addresses the percent spent on financial assistance, health professions education, community building activities, and other categories included on Schedule H. Includes data for rural and Critical Access Hospitals.
Date: 09/2021
Type: Document
Sponsoring organization: American Hospital Association
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Challenges to Public Health Reporting Experienced by Non-Federal Acute Care Hospitals, 2019
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs). Outlines challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Compares challenges faced by hospitals by size, CAH status, rural/urban, and independent/system affiliated and offers state-level maps of percent of hospitals reporting specific challenges.
Author(s): Chelsea Richwine, Carmelita Marshall, Christian Johnson, Vaishali Patel
Date: 09/2021
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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The University of Arizona Center for Rural Health Annual Report, FY 2020-21
Highlights the Center for Rural Health's accomplishments, and describes challenges and opportunities for improving the health of rural Arizonans in the upcoming year. Discusses the Arizona Rural Hospital Flexibility program (AzFLEX, the Arizona Small Rural Hospital Improvement Program (AzSHIP), the Arizona First Responders Initiative, and other programs.
Author(s): Arizona Center for Rural Health
Date: 09/2021
Type: Document
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Keeping the Doors Open: Vulnerable Rural Hospitals Benefit from Federally Funded Technical Assistance
Features the work of Texas A&M's Center for Optimizing Rural Health (CORH), which provides technical assistance through a federally funded program for vulnerable hospitals. Highlights the experiences of a participating Oklahoma hospital.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Delta Region Community Health Systems Development (DRCHSD) Program: Revenue Cycle Management Best Practices Guide
Offers rural hospital executives and management teams best practice concepts in revenue cycle management by assisting them in identifying performance improvement within their hospitals and departments. Provides State Offices of Rural Health (SORH) directors and Flex Program coordinators a better understanding of the revenue cycle best practices to help them design educational training programs to support rural hospital administrators with performance improvement.
Additional links: Check List
Date: 08/2021
Type: Document
Sponsoring organizations: BKD CPAs & Advisors, National Rural Health Resource Center
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The Pennsylvania Rural Health Model (PARHM): First Annual Report
Evaluates the first year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall health care spending. Provides an overview of the model and describes the implementation experience of the first cohort of participating hospitals. Presents preliminary, descriptive data on the financial performance and utilization outcomes of Cohort 1 participants.
Additional links: Appendix, Findings at a Glance
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Trends in Cancer Treatment Service Availability Across Critical Access Hospitals and Prospective Payment System Hospitals
Presents results of a study examining the availability of cancer services at Critical Access Hospitals (CAHs) and urban and rural Prospective Payment System (PPS) hospitals using 2008 to 2017 American Hospital Association Annual Survey data. Offers comparisons over time and by hospital characteristics, including rural and urban status, hospital ownership, region, shortage area, and more.
Author(s): Peiyin Hung, Kewei Shi, Janice C. Probst, et al.
Citation: Medical Care
Date: 08/2021
Type: Document
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Potential Implications of SARS-CoV-2 Delta Variant Surges for Rural Areas and Hospitals
Opinion piece highlighting features of rural healthcare systems that make it more difficult for those hospitals to withstand surges in COVID-19 cases. Suggests possible solutions for institutions, governments, and society as they navigate the potentially rural-dominant Delta variant phase.
Author(s): Sameer S. Kadri, Steven Q. Simpson
Citation: JAMA
Date: 08/2021
Type: Document
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Trends at Minnesota Community Hospitals, 2016 to 2019
Summarizes utilization and financial trends at Minnesota community hospitals between 2016 and 2019. Presents data on indicators by hospital affiliation and Critical Access Hospital status.
Date: 08/2021
Type: Document
Sponsoring organization: Minnesota Department of Health
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