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Rural Health
Resources by Topic: Critical Access Hospitals

Market Characteristics Associated with Rural Hospitals' Provision of Post-Acute Care
Findings brief summarizing hospital- and market-level factors related to post-acute care (PAC) provided in rural hospitals from 2012-2015. Features statistics including number of rural Medicare cost reports from 2012-2015, PAC provision by census region in 2015, and percent of hospitals in frontier and remote areas in 2015 with breakdowns by type and PAC provision.
Author(s): Abby F. Hoffman, Randy K. Randolph, Alex R. Schulte, George H. Pink
Date: 04/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural and Urban Provider Market Share of Inpatient Post-Acute Care Services Provided to Rural Medicare Beneficiaries
Findings brief examining rural patients' access to rehabilitation and skilled nursing care, using claims data from January 2013 through March 2014. Features statistics including numbers of patient days and discharges and average length of stay, with breakdowns by type and location of facility and type of care.
Author(s): Alex R. Schulte, Denise A. Kirk, Randy K. Randolph, George H. Pink
Date: 04/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Critical Access Hospital Swing-Bed Quality Measures: Findings from Key Informant Interviews
Results of a study to examine how Critical Access Hospitals (CAHs) are assessing the quality of care given to swing bed patients. Uses data from interviews with representatives from CAH networks, consultants, and staff members responsible for swing bed services at 10 CAHs and 2 rural PPS hospitals in 10 states.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 04/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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CAH Financial Indicators Report: Summary of Indicator Medians by State
Presents state and national median values of 22 financial indicators included in the CAH Financial Indicators Report. Indicators represent six domains: profitability, liquidity, capital structure, revenue, cost, and utilization. A description of each indicator is provided, and appendix shows median indicator values by state. Indicators are specifically designed to help CAHs compare their financial performance with other CAHs.
Date: 03/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Illinois Rural Community Care Organization – Princeton, IL: Statewide Rural Accountable Care Organization
Provides an overview of the work and impact of the Illinois Rural Community Care Organization (IRCCO), a Medicare shared savings Accountable Care Organization (ACO). IRCCO includes 24 Critical Access Hospitals and rural hospitals and associated physician practices and clinics.
Date: 03/2018
Type: Document
Sponsoring organization: American Hospital Association
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Geographic Variation in the 2016 Profitability of Urban and Rural Hospitals
Findings brief describing differences in profitability of Critical Access Hospitals, other rural hospitals, and urban Prospective Payment Systems hospitals, with breakdowns by census region, census division, and state.
Author(s): George H. Pink, Kristie Thompson, H. Ann Howard, Mark Holmes
Date: 03/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Hospital Compare Quality Measure Results for CAHs, 2016
Examines Hospital Compare inpatient and outpatient process of care and structural measures among Critical Access Hospitals (CAHs) in 2016. Includes data on reporting rates and performance for specific quality measures, and state-by-state comparison of CAH reporting rates for inpatient and outpatient measures.
Additional links: State-Specific Reports
Author(s): Megan Lahr, Alex Evenson, Tongtan Chantarat, Michelle Casey
Date: 03/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospital R&D: Investing in Value Based Care Capacity
Discusses Critical Access Hospital research and development investments focusing on delivering healthcare under value-based payment models.
Date: 02/2018
Type: Presentation Slides
Sponsoring organization: Rural Health Value
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Hospital Consumer Assessment of Healthcare Providers and Systems Overview: Vendor Directory
Provides information about the benefits and challenges of implementing a HCAHPS survey process in small rural hospitals, specifically Critical Access Hospitals (CAHs). Includes a full directory of vendors currently authorized to perform HCAHPS data collection.
Date: 02/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Young Rural Healthcare Leaders Share Experiences and Insights
Interviews with four Critical Access Hospital leaders under the age of forty, who share their experiences helping their facilities and communities. They also offer advice to others interested in rural hospital leadership. Interviewees include Benjamin Anderson, CEO of Kearny County Hospital in Lakin, Kansas; Melissa Kelly, CEO and CFO of Pender Community Hospital in Pender, Nebraska; Stephanie Orr, CNO at Steele Memorial Medical Center in Salmon, Idaho; and Adam Willmann, CEO and President of Goodall-Witcher Hospital Authority in Clifton, Texas.
Citation: Rural Monitor
Date: 01/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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