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Rural Health
Resources by Topic: Critical Access Hospitals

Rural Hospital Closures and the Fifth District
Discusses reasons for rural hospital closures as well as the resulting consequences on communities, including decreased healthcare access, loss of jobs, and more. Emphasizes hospital closures in the Fifth Federal Reserve District and provides recommendations to policymakers and government leaders.
Author(s): Emily Wavering Corcoran, Sonya Ravindranath Waddell
Date: 2019
Type: Document
Sponsoring organization: Federal Reserve Bank of Richmond
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Observational Study of the Distribution and Diversity of Interventional Pain Procedures Among Hospitals in the State of Iowa
Examines the diversity of interventional pain procedures offered by small and large hospitals using 2012-2017 data from hospital-owned facilities in the state of Iowa. Discusses the role of Critical Access Hospitals (CAHs) in pain management, their diversity of pain procedures, and if these procedures are performed by a few clinicians, or by the cumulative activity of many clinicians.
Author(s): Amy C. S. Pearson, Franklin Dexter
Citation: Pain Physician, 22, E157-E170
Date: 2019
Type: Document
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Florida Rural Health Clinics, Rural Hospitals, and Rural Hospitals that are Critical Access Hospitals 2019
Map of Florida with counties delineated, showing locations of Rural Health Clinics and rural hospitals, including Critical Access Hospitals.
Date: 2019
Type: Map/Mapping System
Sponsoring organization: Florida Rural Health Association
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Critical Access Hospital Network (CAHN): Eastern Washington Critical Access Hospital Network's Rural Health Care Coordination Network Partnership Program, Washington
Brief overview of a care coordination program that used Washington State's Health Home Program, an intensive care coordination program for high risk Medicare-Medicaid patients, as a guide. Discusses the program's sustainability efforts, as well as key takeaways about the program. The program was funded under the Rural Health Care Coordination Network Partnership Grant Program from 2015-2018 and received additional philanthropic funding through a public-private partnership.
Date: 2019
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Updating the Costs of Compliance for California's Hospital Seismic Safety Standards
Updates progress made on California's implementation of a bill intended to improve hospital building standards to prepare for earthquakes. Analyzes the legislation's affordability for hospitals, particularly Critical Access Hospitals; future costs of compliance; factors influencing prioritization of compliance strategies; and policy alternatives.
Author(s): Benjamin L. Preston, Tom LaTourrette, James R. Broyles, et al.
Date: 2019
Type: Document
Sponsoring organizations: California Hospital Association, RAND Corporation
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Twenty-Five Things to Know about Texas Rural Hospitals
A fact sheet describing several characteristics, concerns, and related data unique to rural hospitals in Texas.
Date: 12/2018
Type: Document
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Medicaid Inpatient Hospital Services Fee-for-Service Payment Policy
Provides an overview of Medicaid payment policies for inpatient hospital services. Includes a link to an Excel sheet with details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Inpatient Hospital Services
Date: 12/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Critical Access Hospitals' Community Benefit Activities: An Updated Review
Examines community benefit data from a sample of Critical Access Hospitals (CAHs) to understand how they are fulfilling their community benefit obligations, including related spending. Discusses how state Flex programs can help CAHs meet their community benefit obligations and the related Internal Revenue Service (IRS) requirements. Second of two briefs reporting project results.
Author(s): John A. Gale, Zachariah Croll, Lauren Zoll, Andrew F. Coburn
Date: 12/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Assessing the Unintended Consequences of Health Policy on Rural Populations and Places
Explores health policies that have affected, or could potentially have affected, rural people, places, and providers, in ways that ran counter to policy intent. Examines 6 historical health policies and their effect on rural health systems. Includes a framework for analyzing policy impact on rural populations and places.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 12/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Methods Used to Enable Interoperability among U.S. Non-Federal Acute Care Hospitals in 2017
Analyzes 2017 American Hospital Association IT Supplement survey data to describe the methods used by acute care hospitals in the U.S. to support interoperability. Discusses hospital participation in health information networks by hospital size and location. Includes information on the rates of small, rural, and Critical Access Hospitals' (CAH) use of non-electronic methods to exchanging patient health information with partners outside their hospital system.
Author(s): Christian Johnson, Yuriy Pylypchuk, Vaishali Patel
Date: 12/2018
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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