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Rural Health
Resources by Topic: Critical Access Hospitals

A Review of State Flex Program Plans, 2004-2005
Examines the objectives and project activities proposed by states in their Medicare Rural Hospital Flexibility Program (Flex Program) grant applications for Fiscal Year 2004 to strengthen the rural healthcare infrastructure in their states.
Author(s): Stephenie Loux, John Gale, Anush Yousefian, Andrew Coburn, Walter Gregg
Date: 03/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospital Year 1 Hospital Compare Participation and Quality Measure Results
Examines the first year participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database for hospital quality measures. Includes the percent of CAHs participating in the program by state.
Author(s): Michelle Casey, Ira Moscovice
Date: 02/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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CAH Participation in Hospital Compare and Initial Results
Examines the participation of Critical Access Hospitals (CAHs) in public reporting of quality measures in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare database. Includes initial Hospital Compare results for CAHs and comparisons with other groups of hospitals.
Date: 02/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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Trends in Skilled Nursing and Swing-bed Use in Rural Areas, 1996-2003
Examines trends in the delivery of skilled nursing facility (SNF) services in rural areas during a period of dramatic change in Medicare payments. Focuses on the role of rural hospitals in providing SNF services, as a number of regulatory changes occurred between 1998 and 2002 that could potentially influence hospital provision of skilled nursing care.
Author(s): Kathleen Dalton, Jeongyoung Park, Ann Howard, Rebecca Slifkin
Date: 12/2005
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Mental Health Encounters in Critical Access Hospital Emergency Rooms: A National Survey
Examines the extent to which Critical Access Hospital (CAH) emergency rooms are used as a mental health safety net. Investigates the types of cases that present with mental health problems, as well as the resources available to emergency room staff in CAHs for addressing such problems.
Additional links: Research and Policy Brief: Smallest Rural Hospitals Treat Mental Health Emergencies
Author(s): David Hartley, Erika Ziller, Stephenie Loux, et al.
Date: 09/2005
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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MedPAC Report to the Congress: Issues in a Modernized Medicare Program, 2005
Examines issues affecting the Medicare program. Addresses Part D, Medicare's new outpatient prescription drug benefit, with some coverage of rural issues. Includes overview of the Medicare Advantage program. Discusses the effects of the Critical Access Hospital (CAH) provisions in the MMA.
Date: 06/2005
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Financial Indicators for Critical Access Hospitals
Discusses the development of a set of financial indicators for the Critical Access Hospital (CAH) program. Includes discussion of the potential usefulness of different types of indicators. Also provides indicator medians for CAHs for 1998-2003.
Author(s): George H. Pink, G. Mark Holmes, Cameron D'Alpe, et al.
Date: 05/2005
Type: Document
Sponsoring organization: Flex Monitoring Team
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Scope of Services Offered by Critical Access Hospitals: Results of the 2004 National CAH Survey
Examines how Critical Access Hospital (CAH) services have changed over time, based on 2000, 2002 and 2004 survey data. Discusses the role of network affiliations in service changes and reasons for reported service expansions.
Author(s): David Hartley, Stephenie Loux
Date: 03/2005
Type: Document
Sponsoring organization: Flex Monitoring Team
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Community Involvement of Critical Access Hospitals: Results of the 2004 National CAH Survey
Describes the ways in which Critical Access Hospitals (CAHs) are engaged with their communities. Discusses CAHs involvement in community needs assessment, outreach and formal health promotion programs, relationships with other community organizations, free or reduced cost health care, and hospital activities in support on special populations.
Author(s): Stephanie Poley, Rebecca Slifkin
Date: 03/2005
Type: Document
Sponsoring organization: Flex Monitoring Team
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Availability and Use of Capital by Critical Access Hospitals
Examines the experiences of Critical Access Hospitals (CAHs) in meeting their capital needs. Discusses efforts to obtain capital, sources of capital, uses of capital, technical assistance resources, and current capital needs. Includes information on state capital programs available to CAHs.
Author(s): Walter Gregg
Date: 03/2005
Type: Document
Sponsoring organization: Flex Monitoring Team
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