Rural Health
Resources by Topic: Critical Access Hospitals
The Pennsylvania Rural Health Model (PARHM): Third Annual Evaluation Report
Evaluates the third performance 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 healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2021. Includes three case studies discussing three themes: the recruitment and retention of system-affiliated hospitals, engagement and coordination with community organizations and providers, and exploring service line changes.
Additional links: Appendix, Findings at a Glance
Date: 09/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the third performance 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 healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2021. Includes three case studies discussing three themes: the recruitment and retention of system-affiliated hospitals, engagement and coordination with community organizations and providers, and exploring service line changes.
Additional links: Appendix, Findings at a Glance
Date: 09/2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Characteristics of Short-Term Acute Care Hospitals That Experienced a Ransomware Attack from 2016 to 2021
Analyzed short-term acute care hospitals experiencing a ransomware attack between 2016 and 2019 to identify characteristics associated with an attack. Considered variables such as rurality, various financial characteristics, information technology infrastructure, and more. Includes recommendation for future research regarding rural impacts.
Author(s): Claire C. McGlave, Sayeh S. Nikpay, Carrie Henning-Smith, Katie Rydberg, Hannah T. Neprash
Citation: Health Affairs Scholar, 1(3)
Date: 09/2023
Type: Document
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Analyzed short-term acute care hospitals experiencing a ransomware attack between 2016 and 2019 to identify characteristics associated with an attack. Considered variables such as rurality, various financial characteristics, information technology infrastructure, and more. Includes recommendation for future research regarding rural impacts.
Author(s): Claire C. McGlave, Sayeh S. Nikpay, Carrie Henning-Smith, Katie Rydberg, Hannah T. Neprash
Citation: Health Affairs Scholar, 1(3)
Date: 09/2023
Type: Document
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Quality Time: Sharing PIE – Improving Swing Bed Quality
Podcast episode discussing how two Critical Access Hospital (CAH) quality improvement leaders in Mississippi and Nevada used proactive approaches to improve their swing bed programs. Describes efforts in reducing healthcare-associated infections with pneumonia and improving the documentation and coordination of swing bed patients.
Date: 09/2023
Type: Audio
Sponsoring organization: Stratis Health
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Podcast episode discussing how two Critical Access Hospital (CAH) quality improvement leaders in Mississippi and Nevada used proactive approaches to improve their swing bed programs. Describes efforts in reducing healthcare-associated infections with pneumonia and improving the documentation and coordination of swing bed patients.
Date: 09/2023
Type: Audio
Sponsoring organization: Stratis Health
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Arizona Critical Access Hospitals: Community Health Needs 2023
Brief summarizing the community health needs of Arizona Critical Access Hospitals (CAHs) based on a Community Health Needs Assessment. Identifies participating CAHs, lists priorities of each facility, and compares CAH community health priorities to Arizona state health priorities.
Author(s): J. Hospodar, J. Bullock, B. Koch, D. Derksen
Date: 08/2023
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Brief summarizing the community health needs of Arizona Critical Access Hospitals (CAHs) based on a Community Health Needs Assessment. Identifies participating CAHs, lists priorities of each facility, and compares CAH community health priorities to Arizona state health priorities.
Author(s): J. Hospodar, J. Bullock, B. Koch, D. Derksen
Date: 08/2023
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Quality Time: Sharing PIE – Preventing Readmissions
Podcast episode discussing the varied approaches used by quality leaders from three Critical Access Hospitals to reduce readmissions. Covers community partnerships and collaboration with local health and human services providers, including emergency medical services (EMS).
Date: 08/2023
Type: Document
Sponsoring organization: Stratis Health
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Podcast episode discussing the varied approaches used by quality leaders from three Critical Access Hospitals to reduce readmissions. Covers community partnerships and collaboration with local health and human services providers, including emergency medical services (EMS).
Date: 08/2023
Type: Document
Sponsoring organization: Stratis Health
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FY 2024 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule — CMS-1785-F and CMS-1788-F Fact Sheet
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2024 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the low-wage index hospital policy, Rural Emergency Hospitals (REHs) being allowed to receive Medicare Graduate Medical Education (GME) payments, changes to the rural wage index calculation methodology, and more.
Date: 08/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2024 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the low-wage index hospital policy, Rural Emergency Hospitals (REHs) being allowed to receive Medicare Graduate Medical Education (GME) payments, changes to the rural wage index calculation methodology, and more.
Date: 08/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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: 08/2023
Type: Tool
Sponsoring organization: Stratis Health
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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: 08/2023
Type: Tool
Sponsoring organization: Stratis Health
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MBQIP Measures Fact Sheets
Discusses the federal data collection and reporting process for Medicare Beneficiary Quality Improvement Project (MBQIP) Core Measures and MBQIP Additional Measures to help Critical Access Hospitals (CAH) and state Flex Program personnel involved in quality improvement. The measures address patient safety, patient engagement, care transitions, and outpatient care.
Date: 08/2023
Type: Document
Sponsoring organization: Stratis Health
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Discusses the federal data collection and reporting process for Medicare Beneficiary Quality Improvement Project (MBQIP) Core Measures and MBQIP Additional Measures to help Critical Access Hospitals (CAH) and state Flex Program personnel involved in quality improvement. The measures address patient safety, patient engagement, care transitions, and outpatient care.
Date: 08/2023
Type: Document
Sponsoring organization: Stratis Health
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Current Medicare Beneficiary Quality Improvement Project (MBQIP) Measures
Chart outlining the required and optional MBQIP measures. Measures are broken down into two categories, core and additional, and then into four domains: patient safety/inpatient, patient engagement, care transitions, and outpatient. MBQIP is a Medicare Rural Hospital Flexibility (Flex) quality improvement grant program for Critical Access Hospitals.
Date: 08/2023
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Chart outlining the required and optional MBQIP measures. Measures are broken down into two categories, core and additional, and then into four domains: patient safety/inpatient, patient engagement, care transitions, and outpatient. MBQIP is a Medicare Rural Hospital Flexibility (Flex) quality improvement grant program for Critical Access Hospitals.
Date: 08/2023
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Critical Access Hospital Electronic Clinical Quality Measure (eCQM) Resource List
Resource list for electronic clinical quality measures (eCQMs), reflecting new materials and updates from the Centers for Medicare & Medicaid Services for 2022 reporting.
Date: 08/2023
Type: Document
Sponsoring organization: Stratis Health
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Resource list for electronic clinical quality measures (eCQMs), reflecting new materials and updates from the Centers for Medicare & Medicaid Services for 2022 reporting.
Date: 08/2023
Type: Document
Sponsoring organization: Stratis Health
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