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Rural Health Information Hub

Rural Health
Resources by Topic: Critical Access Hospitals

Oklahoma Hospital Association Annual Report 2023
Highlights the Oklahoma Hospital Association's (OHA) 2023 leadership and advocacy efforts, including virtual and in-person educational events, health improvement initiatives, and partnerships with Critical Access Hospitals (CAHs).
Date: 2023
Sponsoring organization: Oklahoma Hospital Association
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2023 Nebraska Nursing Workforce Shortage
Provides information on the nursing workforce shortage in Nebraska, broken down by region and county. Includes data on nursing education and on nursing shortages in Critical Access Hospitals (CAHs), rural hospitals, urban hospitals, and long-term care facilities.
Date: 2023
Sponsoring organization: Nebraska Hospital Association
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A Comparison of Critical Access Hospitals and Other Rural Acute Care Hospitals in Pennsylvania
Examines finances of acute care hospitals in rural Pennsylvania between 2000 and 2020 to determine if the Critical Access Hospital (CAH) designation increases financial stability. Compares CAHs to rural Prospective Payment System hospitals to draw conclusions on the success of the Medicare Rural Hospital Flexibility Program's impact on CAHs. Includes information on financial measures, hospital characteristics, quality measures, payer mix, and more to suggest opportunities for strengthening CAH viability.
Author(s): Dinesh R. Pai, Chamila K. Dissanayake, Anna M. Anna
Citation: Journal of Rural Health, 39(4), 719-727
Date: 2023
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CAH, Rural and OB Hospitals in Texas
Map identifying Critical Access Hospital (CAH) and rural hospital locations in Texas. Highlights rural counties with and without labor and delivery services, and shows rural counties without a hospital.
Date: 12/2022
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Characteristics of Rural Hospitals Eligible for Conversion to Rural Emergency Hospitals and Three Rural Hospitals Considering Conversion
Findings brief presenting updated data for Rural Emergency Hospital (REH)-eligible hospitals. Compares financial and operational measures of 3 rural hospitals that have expressed interest in REH conversion with those of all 1,787 REH-eligible hospitals. Also discusses what factors may determine the number of rural hospitals that convert to REH, including risk of permanent closure.
Author(s): George Pink, Susie Gurzenda, Kristie Thompson, Ann Howard
Date: 12/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Rates of Limited English Proficiency in Counties with Critical Access Hospitals
Describes the rates of residents with limited English proficiency (LEP) in counties with at least one Critical Access Hospital. Summarizes research on the relationship between the availability of language interpreting services and better healthcare outcomes.
Author(s): Robert Barclay, Nathan Bean, Madeleine Pick, Megan Lahr
Date: 12/2022
Sponsoring organization: Flex Monitoring Team
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MBQIP Quality Measures National Annual Report - 2021
Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2021. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Alyssa Furukawa, Madeleine Pick
Date: 12/2022
Sponsoring organization: Flex Monitoring Team
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Idaho: CAH Map
Interactive map details the number, name, and location of Critical Access Hospitals (CAHs) in Idaho.
Date: 11/2022
Sponsoring organization: Idaho Bureau of Rural Health and Primary Care
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COVID-19 Response in System-Owned and Independent CAHs
Recording of a November 2022 webinar presenting findings from Critical Access Hospital (CAH) executives regarding experiences and challenges responding to the COVID-19 pandemic. Compares the experiences of system-affiliated and independent CAHs.
Additional links: Presentation Slides
Author(s): Madeleine Pick
Date: 11/2022
Sponsoring organization: Flex Monitoring Team
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Clarity for Rural Emergency Hospitals and Changes for Critical Access Hospitals: CMS Finalizes Conditions of Participation and Payment and Enrollment Policies But Pauses Stark Law Flexibilities
Provides an overview of the Rural Emergency Hospitals (REHs) provisions of the Calendar Year 2023 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System Final Rule. Discusses REH reimbursement, Conditions of Participation (CoPs), enrollment provisions, and Stark Law regulatory modifications to accommodate REHs. Highlights changes to the definition of "primary roads" related to Critical Access Hospital (CAH) CoPs.
Author(s): Emily Jane Cook, Caroline Reignley, Amber Arnold, Sandra M. DiVarco
Date: 11/2022
Sponsoring organization: McDermott Will & Emery
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