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Rural Health
Resources by Topic: Critical Access Hospitals

Provision of Mental Health Services by Critical Access Hospital-Based Rural Health Clinics
Examines the extent to which Critical Access Hospital (CAH)-based Rural Health Clinics (RHCs) provide mental health services. Describes the characteristics and staffing patterns of CAH-based RHCs that offer these services. Explores challenges of providing mental health services at RHCs and strategies for integrating mental health and primary care services.
Author(s): John Gale, Zacharia Croll, Nathan First, Sara Kahn-Troster
Date: 06/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Engaging Critical Access Hospitals in Addressing Rural Substance Use
Provides a framework for Critical Access Hospitals (CAHs) to identify and address substance use needs in their communities. Includes examples of rural CAH substance use prevention, treatment, and recovery strategies.
Author(s): John Gale, Sara Kahn-Troster, Zachariah Croll, Nathan First
Date: 06/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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COVID-19 Frequently Asked Questions (FAQs) on Medicare Fee-for-Service (FFS) Billing
Addresses issues related to Medicare fee-for-service (FFS) billing during the COVID-19 public health emergency. Covers COVID-19 test specimen collection, diagnostic laboratory services, hospital services, ambulance services, Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs), telehealth, skilled nursing facility services, home health, and other services.
Date: 06/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Health Panel Comment Letter – Maternal and Infant Health Care in Rural Communities
Offers comments in response to the CMS Maternal and Infant Health Care in Rural Communities Request for Information. Describes Medicare cost reporting challenges for obstetric services at Critical Access Hospitals and possible changes to maternal health coverage under Medicaid.
Date: 05/2020
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2018
Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at services provided, economic health of CAHs, and the effect this has on their communities broadly. Includes national and state-level comparisons of service indicators provided by CAHs and other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale, Connor Huggins
Date: 05/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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COVID-19's Current Impact on Rural Healthcare Delivery: Q&A with Brock Slabach
An interview with Brock Slabach, the National Rural Health Association's Senior Vice President for Member Services. Discusses the impact of COVID-19 on rural healthcare facilities, policy changes impacting rural providers, collaboration among rural communities to help share solutions, and the use of telehealth during the pandemic.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Estimated Reduction in CAH Profitability from Loss of Cost-Based Reimbursement for Swing Beds
Examines the impact of proposed legislation recommending changes to swing bed reimbursements for Critical Access Hospitals (CAHs) from cost-based to the Skilled Nursing Facility Prospective Payment System (SNF PPS). Estimates CAH profitability using reimbursement formulas from Medicare cost reports and discusses the characteristics of CAHs most affected by a change in swing bed reimbursement.
Author(s): Drake M. Broussard, Kristin L. Reiter
Date: 05/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Quality Time: Sharing PIE - Becoming a QI Leader
First episode of a quarterly podcast focusing on Critical Access Hospital (CAH) performance improvement experiences. Profiles two CAH quality leaders who share strategies, tips, and lessons learned from their experiences becoming quality improvement professionals.
Date: 05/2020
Type: Audio
Sponsoring organization: Stratis Health
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CAHMPAS Financial Data Revisions
Provides an overview of new and revised financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS) tool. Discusses the revised indicator framework and provides benchmarks and percentiles for all indicators for 2017 and 2018.
Author(s): Savannah Stallings, Ann Howard, George Pink, Kristin Reiter
Date: 05/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Oregon Rural Hospitals
Shows a county-level map of Oregon identifying the location of rural hospitals including Critical Access Hospitals (CAHs), non-CAHs, and sole community hospitals.
Date: 05/2020
Type: Map/Mapping System
Sponsoring organization: Oregon Office of Rural Health
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