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Rural Health
Resources by Topic: Critical Access Hospitals

Improving Rural Systems of Care for Time Critical Diagnoses: A Review of State Flex Program Activities
Examines state Flex program initiatives to improve time critical diagnoses (TCD) care systems and integrate rural emergency medical services (EMS) into area care systems, particularly Critical Access Hospitals (CAHs). Briefly describes what each of the 17 participating states did to collaborate with EMS stakeholders, enhance TCD capacity, support EMS training, provide technical assistance to local EMS agencies, and collect EMS and TCD data.
Author(s): John A. Gale, Karen Pearson
Date: 01/2019
Sponsoring organization: Flex Monitoring Team
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Rural Health Research Recap: Quality of Care in Rural Hospitals
Describes methods used to collect data on rural hospital care quality and offers findings comparing quality in rural and urban hospitals. Features statistics on CMS star quality ratings in 2017, with breakdowns by rural and urban locations.
Author(s): Shawnda Schroeder
Date: 01/2019
Sponsoring organization: Rural Health Research Gateway
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340B Hospitals on the Front Lines of Addressing the U.S. Opioid Epidemic: Case Examples from the Field
Highlights how six hospitals participating in the 340B drug pricing program are helping address the opioid epidemic. Includes case studies from rural Critical Access Hospitals in Minnesota.
Date: 01/2019
Sponsoring organization: 340B Health
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Understanding the Many Roles of COPD Foundation State Captains: Q&A with John Linnell
An interview with John Linnell, a rural COPD Foundation State Captain, who talks about COPD and how he and other Captains can be partners in efforts to impact the disease.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2019
Sponsoring organization: Rural Health Information Hub
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Patients' Experiences in CAHs: HCAHPS Results, 2017
Shares results from the calendar year 2017 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, summarizing 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, Tongtan Chantarat, Ashleigh Norris, Ira Moscovice
Date: 01/2019
Sponsoring organization: Flex Monitoring Team
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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
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
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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
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
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
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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