Rural Health
Resources by Topic: Critical Access Hospitals
Critical Access Hospitals' Initial Response to the COVID-19 Pandemic: Use of Federal Funding and Regulatory Flexibilities
Explores how Critical Access Hospitals (CAHs) used federal relief funding and regulatory waivers to respond to the COVID-19 pandemic through August 2020. Summarizes results of a survey of CAH executives in eight states. Discusses the sources of federal funding CAHs received and the types of regulatory waivers and flexibilities these CAHs used.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr, Nathan Bean, Keelia Silvis
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Explores how Critical Access Hospitals (CAHs) used federal relief funding and regulatory waivers to respond to the COVID-19 pandemic through August 2020. Summarizes results of a survey of CAH executives in eight states. Discusses the sources of federal funding CAHs received and the types of regulatory waivers and flexibilities these CAHs used.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr, Nathan Bean, Keelia Silvis
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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It Takes a Village: Rural Recruitment and Retention
Provides an overview of the challenges of recruiting and retaining healthcare professionals in rural areas. Features healthcare facilities in North Dakota and Kansas, describing how they work with their communities to attract healthcare providers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2021
Sponsoring organization: Rural Health Information Hub
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Provides an overview of the challenges of recruiting and retaining healthcare professionals in rural areas. Features healthcare facilities in North Dakota and Kansas, describing how they work with their communities to attract healthcare providers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2021
Sponsoring organization: Rural Health Information Hub
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How Critical Access Hospitals Are Addressing the Social Needs of Rural Populations
Describes Critical Access Hospital (CAH) initiatives that address the social needs of their communities. Summarizes interviews with 14 CAHs and identifies key facilitators and barriers to program success, as well as advice for other CAHs interested in implementing similar programs.
Author(s): Megan Lahr, Tongtan Chantarat, Mariah Quick, Madeleine Pick, Ira Moscovice
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Describes Critical Access Hospital (CAH) initiatives that address the social needs of their communities. Summarizes interviews with 14 CAHs and identifies key facilitators and barriers to program success, as well as advice for other CAHs interested in implementing similar programs.
Author(s): Megan Lahr, Tongtan Chantarat, Mariah Quick, Madeleine Pick, Ira Moscovice
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Oregon Critical Access Hospital Quality Reporting Overview Guide
Serves as a guide to help Oregon Critical Access Hospital (CAH) quality improvement officers develop and support quality improvement activities and make informed decisions when reporting their quality improvement efforts.
Date: 10/2021
Sponsoring organization: Oregon Office of Rural Health
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Serves as a guide to help Oregon Critical Access Hospital (CAH) quality improvement officers develop and support quality improvement activities and make informed decisions when reporting their quality improvement efforts.
Date: 10/2021
Sponsoring organization: Oregon Office of Rural Health
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Association Between Hospital Performance Metrics and Market Share
Research letter describing the association between publicly reported performance scores for 4,930 hospitals and hospital market share. Features descriptive statistics with breakdowns including acute care hospital or Critical Access Hospital, and percentage of hospital referral region population in rural areas.
Author(s): August Oddleifson, Xiao Xu, Patrick Liu, et al.
Citation: JAMA Network Open, 4(10)
Date: 10/2021
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Research letter describing the association between publicly reported performance scores for 4,930 hospitals and hospital market share. Features descriptive statistics with breakdowns including acute care hospital or Critical Access Hospital, and percentage of hospital referral region population in rural areas.
Author(s): August Oddleifson, Xiao Xu, Patrick Liu, et al.
Citation: JAMA Network Open, 4(10)
Date: 10/2021
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The Association Between System Affiliation and Financial Performance in Critical Access Hospitals
Examines the association between Critical Access Hospital (CAH) health system affiliation and financial performance as measured by the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Discusses trends in health system affiliation as an alternative to closures as well as potential downsides of affiliation.
Author(s): Laura Bozovich, Kathleen Knocke, George Pink, Ann Howard, Kristin L. Reiter
Date: 10/2021
Sponsoring organization: Flex Monitoring Team
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Examines the association between Critical Access Hospital (CAH) health system affiliation and financial performance as measured by the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Discusses trends in health system affiliation as an alternative to closures as well as potential downsides of affiliation.
Author(s): Laura Bozovich, Kathleen Knocke, George Pink, Ann Howard, Kristin L. Reiter
Date: 10/2021
Sponsoring organization: Flex Monitoring Team
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Financial Guide for the Rural Health Care Leaders During COVID and Post-COVID
Highlights strategies for addressing the financial challenges RHCs and CAHs may face during and after a public health emergency such as COVID-19. Discusses how rural providers can improve financial performance in the face of lower inpatient and outpatient volumes, fewer elective surgeries, and the added cost of PPE, ventilators, and staff, among others. Details indicators of financial stress and recommends corresponding strategies.
Date: 10/2021
Sponsoring organization: National Rural Health Resource Center
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Highlights strategies for addressing the financial challenges RHCs and CAHs may face during and after a public health emergency such as COVID-19. Discusses how rural providers can improve financial performance in the face of lower inpatient and outpatient volumes, fewer elective surgeries, and the added cost of PPE, ventilators, and staff, among others. Details indicators of financial stress and recommends corresponding strategies.
Date: 10/2021
Sponsoring organization: National Rural Health Resource Center
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Obstacles Persist for Rural Patients to Access Hospice
Discusses challenges to delivering hospice care in rural areas. Highlights changes to allow providers at Rural Health Centers and Federal Qualified Health Centers to serve as attending physicians for hospice patients. Explores the impact of COVID-19 on the delivery of hospice services, including the use of telehealth services and workforce concerns.
Author(s): Jim Parker
Date: 09/2021
Sponsoring organization: Hospice News
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Discusses challenges to delivering hospice care in rural areas. Highlights changes to allow providers at Rural Health Centers and Federal Qualified Health Centers to serve as attending physicians for hospice patients. Explores the impact of COVID-19 on the delivery of hospice services, including the use of telehealth services and workforce concerns.
Author(s): Jim Parker
Date: 09/2021
Sponsoring organization: Hospice News
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Challenges to Public Health Reporting Experienced by Non-Federal Acute Care Hospitals, 2019
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs). Outlines challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Compares challenges faced by hospitals by size, CAH status, rural/urban, and independent/system affiliated and offers state-level maps of percent of hospitals reporting specific challenges.
Author(s): Chelsea Richwine, Carmelita Marshall, Christian Johnson, Vaishali Patel
Date: 09/2021
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs). Outlines challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Compares challenges faced by hospitals by size, CAH status, rural/urban, and independent/system affiliated and offers state-level maps of percent of hospitals reporting specific challenges.
Author(s): Chelsea Richwine, Carmelita Marshall, Christian Johnson, Vaishali Patel
Date: 09/2021
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Keeping the Doors Open: Vulnerable Rural Hospitals Benefit from Federally Funded Technical Assistance
Features the work of Texas A&M's Center for Optimizing Rural Health (CORH), which provides technical assistance through a federally funded program for vulnerable hospitals. Highlights the experiences of a participating Oklahoma hospital.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2021
Sponsoring organization: Rural Health Information Hub
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Features the work of Texas A&M's Center for Optimizing Rural Health (CORH), which provides technical assistance through a federally funded program for vulnerable hospitals. Highlights the experiences of a participating Oklahoma hospital.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2021
Sponsoring organization: Rural Health Information Hub
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