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Rural Health
Resources by Topic: Critical Access Hospitals

Trends in Hospital System Affiliation, 2007-2016
Policy brief reporting trends in hospital system affiliation from 2007 to 2016 for hospitals in metro and nonmetro areas, and Critical Access Hospitals (CAHs). Presents statistics on hospital system affiliation by hospital characteristics and highlights trends in hospital system affiliation by Census region.
Author(s): Onyinye Oyeka, Fred Ullrich, Keith Mueller
Date: 10/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Critical Access Hospitals' Community Health Needs Assessments and Implementation Plans: How Do They Align?
Examines how Critical Access Hospitals (CAHs) are using community health needs assessments to improve population health. Highlights common community health issues identified by the needs assessments, types of strategies CAHs used to address them, and ways to improve on their efforts to meet community needs. Discusses how Flex programs can support CAHs in their work and includes a list of resources to help CAHs.
Author(s): John A. Gale, Zachariah Croll, Lauren Zoll, Andrew F. Coburn
Date: 10/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Minnie Hamilton Health Care Center Experiencing Improved Community Feedback
Updates the quality improvement work of a Critical Access Hospital in West Virginia that operates a Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC). Focuses on the hospital's accomplishments around patient experience and clinical quality as part of the Small Rural Hospital Transition (SRHT) Quality of Care and Transition Project.
Additional links: One Page Summary
Date: 10/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Telestroke Adoption among Community Hospitals in North Carolina: A Cross-sectional Study
Discusses the advantages of implementing telestroke in rural acute care hospitals, including Critical Access Hospitals (CAHs), where stroke mortality is higher than in urban settings. Identifies the community and hospital characteristics associated with the adoption of the telestroke approach in acute care hospitals in North Carolina.
Author(s): Christopher M. Shea, Amir Alishahi Tabriz, Kea Turner, Steve North, Kristin L. Reiter
Citation: Journal of Stroke and Cerebrovascular Diseases, 27(9), 2411-2417
Date: 09/2018
Type: Document
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nevada. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Tallahatchie General Hospital: 5-Star HCAHPs Facility
Describes Tallahatchie General Hospital's (TGH) progress as part of the Small Rural Hospital Transition (SRHT) Project focused on care transitions and healthcare quality. TGH is a Critical Access Hospital located in Charleston, Mississippi that also operates three Rural Health Clinics. TGH engaged all department heads in quality efforts and focused on communication, population health, and staff engagement.
Date: 08/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Rural Hospitals and Medicaid Payment Policy
Describes how rural hospitals serve Medicaid beneficiaries and the process through which Medicaid programs pay rural hospitals. Features statistics from 2015 with breakdowns by urban hospitals, Critical Access Hospitals (CAHs), and other rural hospitals.
Date: 08/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Implementing Team Huddles in Small Rural Hospitals: How Does the Kotter Model of Change Apply?
Discusses how the Kotter model of change and team huddles were implemented through the TeamSTEPPS program at 8 Critical Access Hospitals in Iowa. Describes how team huddles can promote patient safety. Examines different implementation strategies, the scope of implementation, and other factors that supported or hindered the performance of teams executing the Kotter model of change.
Author(s): Jure Baloh, Xi Zhu, Marcia M. Ward
Citation: Journal of Nursing Management, 26(5), 571-578
Date: 07/2018
Type: Document
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2018 Rural Hospital and Clinic Financial Summit Report: Key Financial Success Indicators and Strategies
Identifies the indicators of financial success for hospitals and clinics, provides strategies to transition into value-based payment models, and includes success stories from Summit participants and resources necessary for hospitals and clinics. Includes a table showing Critical Access Hospital financial indicators medians for 2016.
Date: 07/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Together We Can Be Bully Free: CAH and Law Enforcement Address Peer Victimization through School-Based Program
Highlights an anti-bullying program developed by Union General Hospital, a Critical Access Hospital (CAH) in Union Parish, Louisiana. Describes how the hospital and local law enforcement collaborate to teach elementary, middle, and high school students about the negative effects bullying and how to model positive social behavior.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 07/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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