Rural Health
Resources by Topic: Critical Access Hospitals
TEFCA Awareness and Planned Participation Among U.S. Hospitals: 2023
Evaluates survey data to determine non-federal acute care hospitals' awareness of and participation in the Trusted Exchange Framework and Common Agreement (TEFCA). Includes comparisons by rural and urban status as well as for Critical Access Hospitals (CAHs) and non-CAHs, among other factors.
Author(s): Wei Chang, Meghan Hufstader Gabriel, Jordan Everson
Date: 07/2024
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Evaluates survey data to determine non-federal acute care hospitals' awareness of and participation in the Trusted Exchange Framework and Common Agreement (TEFCA). Includes comparisons by rural and urban status as well as for Critical Access Hospitals (CAHs) and non-CAHs, among other factors.
Author(s): Wei Chang, Meghan Hufstader Gabriel, Jordan Everson
Date: 07/2024
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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How a Rural Health System Continues to Provide Essential Obstetric Services
Podcast episode describing how Kittitas Valley Healthcare in rural Washington State worked to continue to provide obstetric services at its Critical Access Hospital (CAH) amid the departure of its full-time obstetric providers. Discusses the involvement of the governing board and recruitment and retention efforts.
Date: 07/2024
Sponsoring organization: American Hospital Association
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Podcast episode describing how Kittitas Valley Healthcare in rural Washington State worked to continue to provide obstetric services at its Critical Access Hospital (CAH) amid the departure of its full-time obstetric providers. Discusses the involvement of the governing board and recruitment and retention efforts.
Date: 07/2024
Sponsoring organization: American Hospital Association
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North Carolina Critical Access and Small Rural Hospitals: SFY 2025
County-level map showing locations of 20 Critical Access Hospitals and 11 small rural hospitals. Shadings indicate rural counties and urban counties.
Date: 07/2024
Sponsoring organization: North Carolina Department of Health and Human Services
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County-level map showing locations of 20 Critical Access Hospitals and 11 small rural hospitals. Shadings indicate rural counties and urban counties.
Date: 07/2024
Sponsoring organization: North Carolina Department of Health and Human Services
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2018‐23 Profitability of Rural and Urban Hospitals by Medicare Payment Designation
Examines the profitability of rural and urban hospitals according to special Medicare payment designations, including: Critical Access Hospitals (CAHs), Prospective Payment System (PPS) hospitals, Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), Rural Referral Centers (RRCs), and Essential Access Community Hospitals (EAC). Utilizes 2018-2023 data to analyze hospital profitability by rural versus urban status and facility/payment type.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the profitability of rural and urban hospitals according to special Medicare payment designations, including: Critical Access Hospitals (CAHs), Prospective Payment System (PPS) hospitals, Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), Rural Referral Centers (RRCs), and Essential Access Community Hospitals (EAC). Utilizes 2018-2023 data to analyze hospital profitability by rural versus urban status and facility/payment type.
Author(s): Sruthi Malavika Srinivasan, Kristie Thompson, George Pink
Date: 06/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Health Leaders Overcoming Challenges with Alan Morgan, Kathy Kuepers and Steve Tenhouse
Podcast episode featuring two Critical Access Hospital (CAH) executives discussing factors that influence a rural health organization's growth and vitality, replacement facility projects, and building trust and stakeholder engagement. Also highlights a national partnership addressing rural hospital cybersecurity involving the White House, Google, Microsoft, the American Hospital Association, and the National Rural Health Association.
Date: 06/2024
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode featuring two Critical Access Hospital (CAH) executives discussing factors that influence a rural health organization's growth and vitality, replacement facility projects, and building trust and stakeholder engagement. Also highlights a national partnership addressing rural hospital cybersecurity involving the White House, Google, Microsoft, the American Hospital Association, and the National Rural Health Association.
Date: 06/2024
Sponsoring organization: Impact! Communications, Inc.
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Remote Patient Monitoring at a Rural FQHC
Presentation slides that discuss remote patient monitoring (RPM) at a Federally Qualified Health Center (FQHC) in western North Dakota. Provides information on North Dakota Health Center locations, Critical Access Hospital (CAH) locations, and referral centers, as well as strategies for implementing RPM.
Author(s): Amber Brady
Date: 05/2024
Sponsoring organization: Great Plains Telehealth Resource and Assistance Center
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Presentation slides that discuss remote patient monitoring (RPM) at a Federally Qualified Health Center (FQHC) in western North Dakota. Provides information on North Dakota Health Center locations, Critical Access Hospital (CAH) locations, and referral centers, as well as strategies for implementing RPM.
Author(s): Amber Brady
Date: 05/2024
Sponsoring organization: Great Plains Telehealth Resource and Assistance Center
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Interoperable Exchange of Patient Health Information Among U.S. Hospitals: 2023
Presents data on the degree to which hospitals engage in the four domains of interoperable exchange - send, receive, find, and integrate - as of 2023 and describes trends between 2018 and 2023. Analyzes the frequency that non-federal acute care hospitals engaged in interoperable exchange by hospital characteristics, including hospital size, system affiliation status, rural or urban location, and Critical Access Hospital (CAH) designation. Describes hospitals' ability to exchange electronic health information with other providers across the care continuum and how clinicians use this information about the point of care.
Author(s): Meghan Hufstader Gabriel, Chelsea Richwine, Catherine Strawley, Wesley Barker, Jordan Everson
Date: 05/2024
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Presents data on the degree to which hospitals engage in the four domains of interoperable exchange - send, receive, find, and integrate - as of 2023 and describes trends between 2018 and 2023. Analyzes the frequency that non-federal acute care hospitals engaged in interoperable exchange by hospital characteristics, including hospital size, system affiliation status, rural or urban location, and Critical Access Hospital (CAH) designation. Describes hospitals' ability to exchange electronic health information with other providers across the care continuum and how clinicians use this information about the point of care.
Author(s): Meghan Hufstader Gabriel, Chelsea Richwine, Catherine Strawley, Wesley Barker, Jordan Everson
Date: 05/2024
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Providing Behavioral Health Support for Older Adults
Podcast episode featuring a discussion with leaders of Broaddus Hospital, a Critical Access Hospital in West Virginia, describing how they work to identify and fill the unique mental health needs of older adults in the community, including the development of an intensive outpatient group therapy program for older adults.
Date: 05/2024
Sponsoring organization: American Hospital Association
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Podcast episode featuring a discussion with leaders of Broaddus Hospital, a Critical Access Hospital in West Virginia, describing how they work to identify and fill the unique mental health needs of older adults in the community, including the development of an intensive outpatient group therapy program for older adults.
Date: 05/2024
Sponsoring organization: American Hospital Association
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Calculation of Overall Hospital Quality Star Ratings With and Without Inclusion of the Peer Grouping Step
Examines potential implications of including a peer grouping step in the calculation of Centers for Medicare & Medicaid Services (CMS) Overall Star Ratings. Uses January 2023 Medicare Care Compare data on 3,076 hospitals that received a star rating to calculate the peer groups based on the number of quality measure groups for which hospitals had 3 or more reported measures. Presents data on the characteristics of each peer group, the distribution of star ratings whether the peer grouping step was used or not used, and the number of hospitals with a higher, lower, or identical star rating when the peer grouping step was applied. Compares data by hospital characteristics, including safety-net status, Critical Access Hospital status, rural or urban location, and more.
Author(s): Cameron J. Gettel, Kyle Bagshaw, Li Qin, et al.
Citation: JAMA Network Open, 7(5), e2411933
Date: 05/2024
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Examines potential implications of including a peer grouping step in the calculation of Centers for Medicare & Medicaid Services (CMS) Overall Star Ratings. Uses January 2023 Medicare Care Compare data on 3,076 hospitals that received a star rating to calculate the peer groups based on the number of quality measure groups for which hospitals had 3 or more reported measures. Presents data on the characteristics of each peer group, the distribution of star ratings whether the peer grouping step was used or not used, and the number of hospitals with a higher, lower, or identical star rating when the peer grouping step was applied. Compares data by hospital characteristics, including safety-net status, Critical Access Hospital status, rural or urban location, and more.
Author(s): Cameron J. Gettel, Kyle Bagshaw, Li Qin, et al.
Citation: JAMA Network Open, 7(5), e2411933
Date: 05/2024
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Rural Health Care: Supporting Lives and Improving Communities
Presents the U.S. Senate Committee on Finance May 16, 2024, hearing on rural healthcare. Discusses the financial vulnerability of rural hospitals, the rural healthcare workforce and graduate medical education (GME), access to maternal healthcare, health information technology and telehealth, and more. Features testimony from the Chartis Center for Rural Health; Grande Ronde Hospital, a Critical Access Hospital in Oregon; the Wisconsin Collaborative for Rural Graduate Medical Education; and the Rural Policy Research Institute.
Additional links: Jeremy P. Davis, Grande Ronde Hospital - Testimony, Keith J. Mueller, Rural Policy Research Institute - Testimony, Lori Rodefeld, Wisconsin Collaborative for Rural Graduate Medical Education - Testimony, Michael Topchik, Chartis Center for Rural Health - Testimony
Date: 05/2024
Sponsoring organization: Senate Committee on Finance
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Presents the U.S. Senate Committee on Finance May 16, 2024, hearing on rural healthcare. Discusses the financial vulnerability of rural hospitals, the rural healthcare workforce and graduate medical education (GME), access to maternal healthcare, health information technology and telehealth, and more. Features testimony from the Chartis Center for Rural Health; Grande Ronde Hospital, a Critical Access Hospital in Oregon; the Wisconsin Collaborative for Rural Graduate Medical Education; and the Rural Policy Research Institute.
Additional links: Jeremy P. Davis, Grande Ronde Hospital - Testimony, Keith J. Mueller, Rural Policy Research Institute - Testimony, Lori Rodefeld, Wisconsin Collaborative for Rural Graduate Medical Education - Testimony, Michael Topchik, Chartis Center for Rural Health - Testimony
Date: 05/2024
Sponsoring organization: Senate Committee on Finance
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