Rural Health
Resources by Topic: Critical Access Hospitals
Arizona Critical Access Hospital Designation Manual
Identifies and describes the requirements for becoming a federally designated Critical Access Hospital (CAH)in Arizona. Includes technical assistance and contact information for help completing the CAH application. Appendix provides sample agreements and templates.
Author(s): Joyce A. Hospodar
Date: 11/2016
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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Identifies and describes the requirements for becoming a federally designated Critical Access Hospital (CAH)in Arizona. Includes technical assistance and contact information for help completing the CAH application. Appendix provides sample agreements and templates.
Author(s): Joyce A. Hospodar
Date: 11/2016
Type: Document
Sponsoring organization: Arizona Center for Rural Health
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MBQIP Quality Measure Trends, 2011-2016
Examines trends in 37 Medicare Beneficiary Quality Improvement Project (MBQIP) quality measures from 2011 to 2016. Groups Critical Access Hospitals (CAHs) within 45 State Flex Programs into five regions, and organizes data into tables and figures which allow in-depth comparisons of the national, regional, and state trends for each MBQIP measure. Presents findings across five quality measure domains: patient engagement, care transitions, outpatient, inpatient, and patient safety.
Author(s): Tami Swenson, Michelle Casey
Date: 11/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines trends in 37 Medicare Beneficiary Quality Improvement Project (MBQIP) quality measures from 2011 to 2016. Groups Critical Access Hospitals (CAHs) within 45 State Flex Programs into five regions, and organizes data into tables and figures which allow in-depth comparisons of the national, regional, and state trends for each MBQIP measure. Presents findings across five quality measure domains: patient engagement, care transitions, outpatient, inpatient, and patient safety.
Author(s): Tami Swenson, Michelle Casey
Date: 11/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Federal Requirement for Physician Supervision of CRNAs
Discusses the federal requirement affecting participation in the Medicare program by Critical Access Hospitals (CAHs) or Ambulatory Surgical Centers (ASCs) regarding physician supervision of Certified Registered Nurse Anesthetists (CRNAs). Addresses the conditions for states to opt out of the physician supervision Medicare rule if they meet certain conditions and the research comparing the outcomes between states that opt-out and those that do not.
Author(s): Steve Barnett, John H Everett, Pat Schou
Date: 11/2016
Type: Document
Sponsoring organization: National Rural Health Association
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Discusses the federal requirement affecting participation in the Medicare program by Critical Access Hospitals (CAHs) or Ambulatory Surgical Centers (ASCs) regarding physician supervision of Certified Registered Nurse Anesthetists (CRNAs). Addresses the conditions for states to opt out of the physician supervision Medicare rule if they meet certain conditions and the research comparing the outcomes between states that opt-out and those that do not.
Author(s): Steve Barnett, John H Everett, Pat Schou
Date: 11/2016
Type: Document
Sponsoring organization: National Rural Health Association
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Comparing the Community Benefit Spending of Critical Access, Other Rural, and Urban Hospitals
Examines the levels and types of community benefit spending by Critical Access, rural, and urban hospitals. Compares the spending by percentage of total expenses, as well as by category, direct patient care versus community-building activities.
Author(s): John Gale, Zach Croll, Andrew Coburn, Jamar Croom
Date: 11/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines the levels and types of community benefit spending by Critical Access, rural, and urban hospitals. Compares the spending by percentage of total expenses, as well as by category, direct patient care versus community-building activities.
Author(s): John Gale, Zach Croll, Andrew Coburn, Jamar Croom
Date: 11/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Reassessing Financial Peer Groups for Critical Access Hospitals
Policy brief analyzing the influence of hospital, geographic, and community characteristics on the financial performance and conditions of Critical Access Hospitals (CAHs). Discusses the current factors of net patient revenue, government ownership, provision of long-term care, and operation of a Rural Health Clinic (RHC), which are used to determine peer groups for the Critical Access Hospital Financial Indicators Report (CAHFIR).
Author(s): Walter L. Hawkins, Kristin L. Reiter, George H. Pink
Date: 11/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Policy brief analyzing the influence of hospital, geographic, and community characteristics on the financial performance and conditions of Critical Access Hospitals (CAHs). Discusses the current factors of net patient revenue, government ownership, provision of long-term care, and operation of a Rural Health Clinic (RHC), which are used to determine peer groups for the Critical Access Hospital Financial Indicators Report (CAHFIR).
Author(s): Walter L. Hawkins, Kristin L. Reiter, George H. Pink
Date: 11/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Emergency Department Telemedicine Is Used for More Severely Injured Rural Trauma Patients, but Does Not Decrease Transfer: A Cohort Study
Examines the use of telemedicine consultation in Critical Access Hospital (CAH) emergency departments in North Dakota. Focuses on whether telemedicine was used more frequently based on severity of injury or illness and whether telemedicine use decreased hospital transfers.
Author(s): Nicholas M. Mohr, Karisa K. Harland, Elizabeth A. Chrischilles, et al.
Citation: Academic Emergency Medicine, 24(2), 177-185
Date: 10/2016
Type: Document
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Examines the use of telemedicine consultation in Critical Access Hospital (CAH) emergency departments in North Dakota. Focuses on whether telemedicine was used more frequently based on severity of injury or illness and whether telemedicine use decreased hospital transfers.
Author(s): Nicholas M. Mohr, Karisa K. Harland, Elizabeth A. Chrischilles, et al.
Citation: Academic Emergency Medicine, 24(2), 177-185
Date: 10/2016
Type: Document
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Union General Hospital "It's a Girl Thing: Making Proud Choices"
Outlines Union General Hospital's "It's a Girl Thing: Making Proud Choices" program, which seeks to curb sexually transmitted diseases and teenage pregnancy in Farmerville, Louisiana. The program focuses on educating high school girls on topics such as self-esteem, dating and violence, finances, the consequences of teen pregnancy, and more. Also includes a brief discussion with one of the program developers.
Date: 10/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Outlines Union General Hospital's "It's a Girl Thing: Making Proud Choices" program, which seeks to curb sexually transmitted diseases and teenage pregnancy in Farmerville, Louisiana. The program focuses on educating high school girls on topics such as self-esteem, dating and violence, finances, the consequences of teen pregnancy, and more. Also includes a brief discussion with one of the program developers.
Date: 10/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Economic Impact of a Critical Access Hospital on a Rural Community
Estimates the economic impact of a Critical Access Hospital (CAH) on a rural community. Uses data collected from 2012 to 2016, representing 91 CAHs across 18 states. Discusses direct impacts, such as employee wages and benefits, as well as secondary benefits such as construction activity and retail spending.
Author(s): Gerald A. Doeksen, Cheryl F. St. Clair, Fred C. Eilrich
Date: 10/2016
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Estimates the economic impact of a Critical Access Hospital (CAH) on a rural community. Uses data collected from 2012 to 2016, representing 91 CAHs across 18 states. Discusses direct impacts, such as employee wages and benefits, as well as secondary benefits such as construction activity and retail spending.
Author(s): Gerald A. Doeksen, Cheryl F. St. Clair, Fred C. Eilrich
Date: 10/2016
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Economic Impact of Rural Health Care
Presents the economic impacts that various healthcare components have on rural communities. Covers topics such as Critical Access Hospitals (CAHs), rural hospital closures, prospective payment system (PPS) hospitals, Rural Health Clinics (RHCs), primary care physicians, and more.
Author(s): Gerald A. Doeksen, Cheryl F. St. Clair, Fred C. Eilrich
Date: 10/2016
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Presents the economic impacts that various healthcare components have on rural communities. Covers topics such as Critical Access Hospitals (CAHs), rural hospital closures, prospective payment system (PPS) hospitals, Rural Health Clinics (RHCs), primary care physicians, and more.
Author(s): Gerald A. Doeksen, Cheryl F. St. Clair, Fred C. Eilrich
Date: 10/2016
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Rural Hospital Participation and Performance in Value-Based Purchasing and Other Delivery System Reform Initiatives
Reports on the participation of delivery system reform initiatives by rural hospitals, and discusses the supporting factors and challenges for successful participation. Includes data comparing rural and urban Hospital Value-Based Payment (HVBP) performance.
Author(s): Karen E. Joynt, Nguyen Nguyen, Lok Wong Samson, et al.
Date: 10/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on the participation of delivery system reform initiatives by rural hospitals, and discusses the supporting factors and challenges for successful participation. Includes data comparing rural and urban Hospital Value-Based Payment (HVBP) performance.
Author(s): Karen E. Joynt, Nguyen Nguyen, Lok Wong Samson, et al.
Date: 10/2016
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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