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Resources by Topic: Critical Access Hospitals

Health Outside Hospital Walls
Outlines how Chadron Community Hospital and Health Services (CCHHS) in Chadron, Nebraska, is leveraging the changing healthcare environment to prioritize population health and fill needed service gaps within the community. As part of the focus on overall community health, CCHHS took leadership in an assisted living facility, funded a large scholarship fund to help cultivate a skilled local workforce, and assumed management of the community action agency.
Date: 07/2016
Type: Document
Sponsoring organization: Rural Health Value
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Variation in Interoperability among U.S. Non-Federal Acute Care Hospitals in 2015
Discusses how health information is shared between hospitals, includes a review of the methods used and the rate of exchange between providers and health systems. Includes data and statistics on electronic health records (EHR), Health Information Exchange (HIE), and specific information about lower rates of EHR and HIE use of both in small, rural, and Critical Access Hospitals (CAHs).
Author(s): Vaishali Patel, JaWanna Henry, Yuriy Pylypchuk, Talisha Searcy
Date: 07/2016
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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2016 Financial Leadership Summit Report: Strategies for Rural Hospitals Transitioning to Value-based Purchasing and Population Health
Provides rural hospital administrators strategies for meeting the challenges of a changing healthcare environment. Includes discussion on alternative payment models, the impact of market forces, successful examples. and lessons learned. Offers information for developing tools to support hospitals and networks as they transition to value-based purchasing and population health.
Additional links: Webinar Playback: Rural Strategies for Transitioning to Value-based Purchasing and Population Health, Webinar Slides: Rural Strategies for Transitioning to Value-based Purchasing and Population Health
Author(s): Mark Chustz
Date: 07/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Deliberation Makes a Difference: Preparation Strategies for TeamSTEPPS Implementation in Small and Rural Hospitals
Reports on a study of TeamSTEPPS implementation at 14 Critical Access Hospitals (CAHs) in Iowa. Offers recommendations for preparing for and implementing the TeamSTEPPS quality improvement initiative based on the results.
Author(s): Xi Zhu, Jure Baloh, Marcia M. Ward, Greg L. Stewart
Citation: Medical Care Research and Review, 73(3), 283-307
Date: 06/2016
Type: Document
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Medicare Copayments for Critical Access Hospital Outpatient Services - Update
Estimates the impact of Medicare Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals (CAHs), and identifies the Medicare fee-for-service (FFS) proportion of key services provided in CAHs.
Author(s): Allison Briggs, Matthew Toth, Sara Freeman
Date: 06/2016
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Hospital Compare Quality Measure Results for CAHs, Q2 2014 - Q1 2015
Discusses the reporting rates and performance of U.S. Critical Access Hospitals (CAHs) on CMS Hospital Compare quality measures. Includes data and statistics comparing inpatient and outpatient CAH participation, state rankings, process of care, median time to receiving care, and structural quality measures. Also includes links to state-specific reports for 45 states.
Author(s): Michelle Casey, Tami Swenson, Alex Evenson
Date: 06/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Association Between the Value-Based Purchasing Pay for Performance Program and Patient Mortality in US Hospitals: Observational Study
Examines the impact of Medicare's Hospital Value-Based Purchasing (HVBP) program on mortality for pneumonia, heart failure, and acute myocardial infarction by comparing data from acute care hospitals participating in the program to data from over 1,300 Critical Access Hospitals (CAHs) and 44 hospitals in Maryland not in the program.
Author(s): Jose F. Figueroa, Yusuke Tsugawa, Jie Zheng, E. John Orav, Ashish K. Jha
Citation: BMJ, 9(353), i2214
Date: 05/2016
Type: Document
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Illinois Critical Access Hospital Network (ICAHN)
Highlights the Illinois Critical Access Hospital Network (ICAHN) and services it provides to meet the needs of rural hospitals across its state. Describes how ICAHN has helped 54 hospitals transition from competition to collaboration.
Date: 05/2016
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Pender Community Hospital Surpassing Project Goals
Explains how Pender Community Hospital (PCH), a 21-bed Critical Access Hospital (CAH) located in Pender, Nebraska, improved its financial and operational performance through the Small Rural Hospital Transition (SRHT) Project. Focuses discussion on relocating the clinic, enhancing retail pharmacy and swing bed services, increasing marketing efforts, and restructuring therapy programs.
Date: 05/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Proactively Pursuing Value-Based Payment
Profiles a program developed at a Critical Access Hospital (CAH) located in rural Washington that is transitioning from volume- to value-based care. The CEO of the hospital is working with payers to design a value-based payment contract to help the facility fund the continued transition to value-based care and hopefully create a payment model other CAHs in the state can adopt.
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Value
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