Rural Health
Resources by Topic: Critical Access Hospitals
Report to Congress on Medicaid and CHIP, March 2020
Reports on three aspects of Medicaid: improving the structure of Disproportionate Share Hospital (DSH) payments, state reporting on the quality of care for individuals covered by Medicaid or the State Children's Health Insurance Program (CHIP), and the timeliness and quality of Medicaid demonstration evaluations. Chapter 1 examines the relationship between DSH allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 1-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid: improving the structure of Disproportionate Share Hospital (DSH) payments, state reporting on the quality of care for individuals covered by Medicaid or the State Children's Health Insurance Program (CHIP), and the timeliness and quality of Medicaid demonstration evaluations. Chapter 1 examines the relationship between DSH allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 1-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2020
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Patients' Experiences in CAHs: HCAHPS Results, 2018
Provides results from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for calendar year 2018. Summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Mariah Quick, Megan Lahr, Tongtan Chantarat, Ira Moscovice
Date: 01/2020
Sponsoring organization: Flex Monitoring Team
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Provides results from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for calendar year 2018. Summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Mariah Quick, Megan Lahr, Tongtan Chantarat, Ira Moscovice
Date: 01/2020
Sponsoring organization: Flex Monitoring Team
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Ohio's Rural and Urban Counties
Map of rural, partially rural, urban, and Appalachian counties in Ohio overlaid with locations of Rural Health Clinics (RHCs), Critical Access Hospitals (CAHs), and Federally Qualified Health Centers (FQHCs).
Date: 2020
Sponsoring organization: Ohio Primary Care Office
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Map of rural, partially rural, urban, and Appalachian counties in Ohio overlaid with locations of Rural Health Clinics (RHCs), Critical Access Hospitals (CAHs), and Federally Qualified Health Centers (FQHCs).
Date: 2020
Sponsoring organization: Ohio Primary Care Office
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Florida Rural Health Network Service Areas and Rural Hospitals 2020
Map of Florida with counties delineated identifying the rural health network service areas and the location of rural hospitals including Critical Access Hospitals.
Date: 2020
Sponsoring organization: Florida Office of Rural Health
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Map of Florida with counties delineated identifying the rural health network service areas and the location of rural hospitals including Critical Access Hospitals.
Date: 2020
Sponsoring organization: Florida Office of Rural Health
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Telehealth Decreases Rural Emergency Department Wait Times for Behavioral Health Patients in a Group of Critical Access Hospitals
Explores impacts of telehealth on behavioral health patients in rural emergency departments (EDs) at 4 Midwestern Critical Access Hospitals (CAHs). Compares wait time and length of stay (LOS) for 153 patients from 2005-2013 before telehealth implementation and 287 patents from 2015-2017 after telehealth implementation. Provides data on patient demographics, wait time, LOS, behavioral health diagnosis, and total costs of ED visit.
Author(s): Roseanne Moody Fairchild, Shiaw-Fen Ferng-Kuo, Stephanie Laws, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine and e-Health, 25(12), 1154-1164
Date: 12/2019
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Explores impacts of telehealth on behavioral health patients in rural emergency departments (EDs) at 4 Midwestern Critical Access Hospitals (CAHs). Compares wait time and length of stay (LOS) for 153 patients from 2005-2013 before telehealth implementation and 287 patents from 2015-2017 after telehealth implementation. Provides data on patient demographics, wait time, LOS, behavioral health diagnosis, and total costs of ED visit.
Author(s): Roseanne Moody Fairchild, Shiaw-Fen Ferng-Kuo, Stephanie Laws, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine and e-Health, 25(12), 1154-1164
Date: 12/2019
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The Value Initiative Members in Action: Dartmouth-Hitchcock Medical Center - Lebanon, N.H
Describes how the Dartmouth-Hitchcock Medical Center partners with rural and community hospitals to provide telehealth specialty care services across northern New England through the Dartmouth-Hitchcock Connected Care program. Discusses clinical outcomes and patient satisfaction with the telehealth programs. Examines how telehealth services impact staffing and services offered in small and rural hospitals.
Date: 12/2019
Sponsoring organization: American Hospital Association
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Describes how the Dartmouth-Hitchcock Medical Center partners with rural and community hospitals to provide telehealth specialty care services across northern New England through the Dartmouth-Hitchcock Connected Care program. Discusses clinical outcomes and patient satisfaction with the telehealth programs. Examines how telehealth services impact staffing and services offered in small and rural hospitals.
Date: 12/2019
Sponsoring organization: American Hospital Association
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Partial Psychiatric Hospitalization Program Availability in Non-Metropolitan and Metropolitan Hospitals Nationally
Describes the purpose of partial psychiatric hospitalization programs (PPHPs), and compares 2016 American Hospital Association (AHA) Annual Survey of Hospitals data on the availability and the characteristics of PPHPs among non-metropolitan and metropolitan hospitals in the U.S.
Author(s): Timothy Williams, Tyrone F. Borders, Lindsey Jasinski
Date: 12/2019
Sponsoring organization: Rural and Underserved Health Research Center
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Describes the purpose of partial psychiatric hospitalization programs (PPHPs), and compares 2016 American Hospital Association (AHA) Annual Survey of Hospitals data on the availability and the characteristics of PPHPs among non-metropolitan and metropolitan hospitals in the U.S.
Author(s): Timothy Williams, Tyrone F. Borders, Lindsey Jasinski
Date: 12/2019
Sponsoring organization: Rural and Underserved Health Research Center
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R3 Report: National Patient Safety Goal for Suicide Prevention
Establishes safety goals and practices for suicide prevention in Joint Commission-accredited hospitals. This 2019 update highlights specific requirements for accredited Critical Access Hospitals.
Date: 11/2019
Sponsoring organization: Joint Commission
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Establishes safety goals and practices for suicide prevention in Joint Commission-accredited hospitals. This 2019 update highlights specific requirements for accredited Critical Access Hospitals.
Date: 11/2019
Sponsoring organization: Joint Commission
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Rural Hospitals: Here Today, Gone Tomorrow
Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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Collaborative Solutions to Antibiotic Stewardship in Small Community and Critical Access Hospitals
Examines the issue of antibiotic resistance and the purpose of antibiotic stewardship programs (ASPs). Discusses barriers to ASP adoption in small community hospitals and Critical Access Hospitals (CAHs) as well as potential solutions.
Author(s): Jay Bhatt, Brian Smith, Melinda M. Neuhauser, et al.
Citation: Academic Medicine, 94(10), 1419-1421
Date: 10/2019
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Examines the issue of antibiotic resistance and the purpose of antibiotic stewardship programs (ASPs). Discusses barriers to ASP adoption in small community hospitals and Critical Access Hospitals (CAHs) as well as potential solutions.
Author(s): Jay Bhatt, Brian Smith, Melinda M. Neuhauser, et al.
Citation: Academic Medicine, 94(10), 1419-1421
Date: 10/2019
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