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Rural Health
Resources by Topic: Critical Access Hospitals

Swing Bed Reimbursement in Critical Access Hospitals
March 2015 webinar discussion in response to the release of a report from the Office of the Inspector General (OIG) on the value of swing bed programs vs. skilled nursing facilities (SNF) in Critical Access Hospitals. Covers the major components of the swing bed program, reviews the report, and provides an example of a successful program in Kentucky. Presented by Brock Slabach, National Rural Health Association; Kristin L. Reiter, Associate Professor in the Department of Health Policy and Management at the University of North Carolina at Chapel Hill and Research Fellow at the Cecil G. Sheps Center for Health Services Research; and Susan Starling, CEO/President at Marcum and Wallace Memorial Hospital. 60 minutes.
Additional links: Audio Recording, PowerPoint Handout, Transcript
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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MBQIP Monthly
A monthly electronic newsletter providing Critical Access Hospitals (CAHs) information and support for quality reporting and improvement and includes news items about the Medicare Beneficiary Quality Improvement Project (MBQIP).
Type: Journal/Newsletter
Sponsoring organization: Stratis Health
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Rural Relevance 2016: Vulnerability to Value, A Hospital Strength INDEX Study
An iVantage study about the transition of Critical Access Hospitals from volume to value using the Hospital Strength INDEX. Includes the full research study, methodology, news release, vulnerability and health disparities index infographics, and conference presentation. In order to access the research study a free registration is required.
Type: Document
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Core Competencies for State Flex Program Excellence Guide
A framework of tools, resources, and training developed for state Medicare Rural Hospital Flexibility Programs (Flex) to achieve the highest level of success. Includes a program self-assessment, process improvement tools, and guides to understanding policies and regulations, quality improvement, and systems of care, among others.
Type: Website
Sponsoring organization: Technical Assistance and Services Center
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Population Health Portal
Provides tools and resources to help Critical Access Hospitals (CAHs), Flex Coordinators, and rural health networks use a systems-based approach to move forward with value-based compensation for care. Includes a readiness assessment tool to identify strengths and needs, and a data tool for accessing public health and hospital data by county and state.
Type: Website
Sponsoring organization: National Rural Health Resource Center
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CAH Financial Indicators Reports (CAHFIR) Primer and Calculator Resources
Introduces the Critical Access Hospital Financial Indicators Report (CAHFIR) and provides editable templates and calculators CAHs can use to assess their facility’s financial performance and compare it to peer facilities.
Type: Tool
Sponsoring organization: Flex Monitoring Team
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CMS State Operations Manual (SOM)
Provides guidance to state agencies that survey healthcare facilities and providers to determine if they are in compliance with the Medicare Conditions of Participation (CoP). Includes appendices with regulatory information specific to Critical Access Hospitals (Appendix W), and Federally Qualified Health Centers/Rural Health Clinics (Appendix G). Can be used by healthcare facilities as a tool to self-evaluate their compliance with Medicare CoP.
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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RHIhub Rural Healthcare Facility State Maps
Individual state maps showing each state’s Critical Access Hospitals and Rural Health Clinics, as well as rural Federally Qualified Health Centers and Skilled Nursing Facilities.
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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CAH Financial Indicators Reports (CAHFIR): Indicator Means & Quartiles by State & Peer Group
Presents state and national median and quartile values of financial indicators in a series of annually published Critical Access Hospital financial indicator reports. Aimed to capture the financial performance of Critical Access Hospitals.
Type: Website
Sponsoring organization: Flex Monitoring Team
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Guidance on the Physician Quality Reporting System (PQRS) 2013 Reporting Year and 2015 Payment Adjustment for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs)
Lists frequently asked questions concerning Rural Health Clinics, Federally Qualified Health Centers, and Critical Access Hospitals who submit claims to Medicare Administrative Contractors (MACs) for services provided to Medicare beneficiaries.
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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