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Rural Health
Resources by Topic: Critical Access Hospitals

The Road to Value-based Care: Where are We?
Presentation slides by Keith Mueller for the NRHA Annual Meeting in San Diego, CA. Discusses the Rural Health Value Project, initiated in 2013, and how it has progressed in the years since. Includes examples of innovative approaches, models and strategies, and resources to support continued innovation, with specific examples provided to demonstrate Critical Access Hospital (CAH) value.
Date: 05/2017
Type: Presentation Slides
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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A Study of HCAHPS Best Practices in High Performing Critical Access Hospitals
Provides an overview of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, and presents HCAHPS best practices of high performing Critical Access Hospitals (CAHs). Findings are based on focus group discussions with 38 hospitals across 17 states.
Date: 05/2017
Type: Document
Sponsoring organization: Stratis Health
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Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study
Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from eight states with significant rural populations, and examines ADE rates based on hospital characteristics and across four main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Socorro General Hospital Serving as Role Model for FOA
Highlights the successes and ongoing improvements of Socorro General Hospital (SGH), a 24-bed Critical Access Hospital located in Socorro, New Mexico, that participated in the Small Rural Hospital Transition (SRHT) project during 2016. Also discusses some of the changes that were implemented after completing a financial operational assessment (FOA).
Date: 05/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Finance in Rural and Urban Hospitals
A summary of the impact of the Affordable Care Act (ACA) on the insurance coverage rates and reimbursement methods in rural hospitals in Minnesota. Includes a discussion of public and private insurance programs, uncompensated care, and operating margins. Also includes data and statistic comparisons for Critical Access Hospitals (CAHs), other rural hospitals, and urban hospitals.
Date: 04/2017
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Madison County Memorial Hospital: Making the Most of FOA
Documents Madison County Memorial Hospital's (MCMH) successes from participating in the Small Rural Hospital Transition (SRHT) project. Top accomplishments include improving relationships with the community and other providers, improving business office operations and leadership development, developing outpatient rehab services, and improving transitions of care. MCMH is a 25-bed, nonprofit Critical Access Hospital located in Madison, Florida.
Additional links: One-Page Summary
Date: 03/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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In Focus: Reimagining Rural Health Care
Examines innovative and/or experimental initiatives taking place in rural communities across the U.S. Covers topics such as Critical Access Hospitals (CAHs), global payments, care coordination, and social determinants of health. Overviews a specific project in each category where stakeholders are actively working to improve their rural healthcare delivery system.
Author(s): Sarah Klein, Martha Hostetter
Location: Transforming Care: Reporting on Health System Improvement
Date: 03/2017
Type: Document
Sponsoring organization: Commonwealth Fund
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Strategies for Superbugs: Antibiotic Stewardship for Rural Hospitals
Discusses the need for antibiotic stewardship (AS) and challenges rural hospitals face in implementing AS programs. Highlights efforts underway for a group of hospitals in Utah and at Critical Access Hospitals in Idaho and Utah.
Author(s): Kay Miller Temple
Location: Rural Monitor
Date: 03/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Emergency Medical Services (EMS) in the Flex Program
Recorded webinar reviewing EMS related activities that are currently funded in the fiscal year (FY) 2015 - FY 2017 Medicare Rural Hospital Flexibility (Flex) grant cycle. Also discusses Flex Program needs, recommendations from stakeholders, and opportunities for future improvement.
Additional links: Presentation Slides
Date: 03/2017
Type: Video/Multimedia
Sponsoring organizations: Federal Office of Rural Health Policy, Technical Assistance and Services Center
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CAH Financial Indicators Report: Summary of Indicator Medians by State
Presents state and national median values of 23 financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). 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: 03/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
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