Rural Health
Resources by Topic: Critical Access Hospitals
Report to Congress on Medicaid Disproportionate Share Hospital Payments
First annual report on Medicaid Disproportionate Share Hospital (DSH) payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Discusses Medicaid policy, current and future DSH allotments, and data needs. Table B-3 projects FY2018 DSH payments under different scenarios, with data for urban and rural hospitals and for Critical Access Hospitals.
Date: 02/2016
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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First annual report on Medicaid Disproportionate Share Hospital (DSH) payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Discusses Medicaid policy, current and future DSH allotments, and data needs. Table B-3 projects FY2018 DSH payments under different scenarios, with data for urban and rural hospitals and for Critical Access Hospitals.
Date: 02/2016
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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CMS Manual System: Revisions to Medicare State Operations Manual, Chapter 9 - Critical Access Hospital (CAH) Recertification Checklist: Rural and Distance or Necessary Provider Verification
Provides a list of the necessary components to be confirmed when Critical Access Hospitals (CAHs) are surveyed for recertification to determine if they meet the rural location and distance or necessary provider requirements to maintain their CAH status. Identifies the procedures used by the CMS Regional Office and state survey agencies to determine if CAHs meet the necessary requirements.
Date: 02/2016
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides a list of the necessary components to be confirmed when Critical Access Hospitals (CAHs) are surveyed for recertification to determine if they meet the rural location and distance or necessary provider requirements to maintain their CAH status. Identifies the procedures used by the CMS Regional Office and state survey agencies to determine if CAHs meet the necessary requirements.
Date: 02/2016
Sponsoring organization: Centers for Medicare and Medicaid Services
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2016 Rural Hospital Replacement Facility Study
Examines the effects of facility replacement on rural Critical Access Hospitals (CAHs), including service volumes, operating efficiency, financial performance, and healthcare quality.
Date: 2016
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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Examines the effects of facility replacement on rural Critical Access Hospitals (CAHs), including service volumes, operating efficiency, financial performance, and healthcare quality.
Date: 2016
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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Benefiting Hospitals, Not Patients: An Analysis of Charity Care Provided by Hospitals Enrolled in the 340B Discount Program
Examines charity care levels at 340B Disproportionate Share Hospitals (DSHs) to determine if eligibility criteria for DSH hospitals appropriately align with the 340B programs goal of supporting access to prescription drugs for uninsured and vulnerable populations. Appendix provides additional information and operating statistics specific to Critical Access Hospitals (CAHs).
Date: 2016
Sponsoring organization: Alliance for Integrity and Reform of 340B
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Examines charity care levels at 340B Disproportionate Share Hospitals (DSHs) to determine if eligibility criteria for DSH hospitals appropriately align with the 340B programs goal of supporting access to prescription drugs for uninsured and vulnerable populations. Appendix provides additional information and operating statistics specific to Critical Access Hospitals (CAHs).
Date: 2016
Sponsoring organization: Alliance for Integrity and Reform of 340B
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Critical Access Hospital-Relevant Measures for Health System Development and Population Health
Describes performance measures for assessing health system development and population health in Critical Access Hospitals (CAHs). Discusses how the measures can help CAHs and other stakeholders benchmark and improve performance.
Author(s): John Gale, Andrew Coburn, Zach Croll
Date: 12/2015
Sponsoring organization: Flex Monitoring Team
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Describes performance measures for assessing health system development and population health in Critical Access Hospitals (CAHs). Discusses how the measures can help CAHs and other stakeholders benchmark and improve performance.
Author(s): John Gale, Andrew Coburn, Zach Croll
Date: 12/2015
Sponsoring organization: Flex Monitoring Team
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Impact of Financial and Operational Interventions Funded by the Flex Program
Analyzes the impact of Flex Program sponsorship and associated financial and operational activities on the financial performance of Critical Access Hospitals.
Author(s): Rebecca G. Whitaker, George H. Pink, G. Mark Holmes
Date: 11/2015
Sponsoring organization: Flex Monitoring Team
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Analyzes the impact of Flex Program sponsorship and associated financial and operational activities on the financial performance of Critical Access Hospitals.
Author(s): Rebecca G. Whitaker, George H. Pink, G. Mark Holmes
Date: 11/2015
Sponsoring organization: Flex Monitoring Team
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Evidence-Based Programs and Strategies for Reducing Healthcare-Associated Infections in Critical Access Hospitals
Highlights successful, evidence-based programs and approaches that Critical Access Hospitals (CAHs) may use to curb healthcare-associated infections (HAIs).
Author(s): Michelle Casey, Shailendra Prasad, Emma Distel, Alex Evenson
Date: 09/2015
Sponsoring organization: Flex Monitoring Team
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Highlights successful, evidence-based programs and approaches that Critical Access Hospitals (CAHs) may use to curb healthcare-associated infections (HAIs).
Author(s): Michelle Casey, Shailendra Prasad, Emma Distel, Alex Evenson
Date: 09/2015
Sponsoring organization: Flex Monitoring Team
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Reporting of Healthcare-Associated Infections by Critical Access Hospitals
Describes state requirements for reporting healthcare-associated infections (HAIs) and the implications for Critical Access Hospitals (CAHs). Also analyzes HAI data reported by CAHs via Hospital Compare.
Author(s): Michelle Casey, Emma Distel, Alex Evenson, Shailendra Prasad, Peiyin Hung
Date: 09/2015
Sponsoring organization: Flex Monitoring Team
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Describes state requirements for reporting healthcare-associated infections (HAIs) and the implications for Critical Access Hospitals (CAHs). Also analyzes HAI data reported by CAHs via Hospital Compare.
Author(s): Michelle Casey, Emma Distel, Alex Evenson, Shailendra Prasad, Peiyin Hung
Date: 09/2015
Sponsoring organization: Flex Monitoring Team
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RHAC Brief: Nurse Practitioners in Rural Minnesota - Results of an Employer Survey
Summarizes the results of a survey conducted by the Minnesota Rural Health Advisory Committee (RHAC) of the state's Rural Health Clinics and Critical Access Hospitals to learn more about the rural nurse practitioner (NP) workforce. Describes NP use by department and discusses recruitment and retention challenges.
Date: 08/2015
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Summarizes the results of a survey conducted by the Minnesota Rural Health Advisory Committee (RHAC) of the state's Rural Health Clinics and Critical Access Hospitals to learn more about the rural nurse practitioner (NP) workforce. Describes NP use by department and discusses recruitment and retention challenges.
Date: 08/2015
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Rural Health Care Disparities Created by Medicare Regulations
Transcript of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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Transcript of a July 28, 2015, U.S. House of Representatives Ways and Means Committee, Subcommittee on Health hearing concerning rural healthcare disparities created by Medicare regulations. Features testimony from the Arizona Center for Rural Health and leaders from two Critical Access Hospitals and one rural hospital. Covers physician shortages; graduate medical education; the impact of regulatory changes such as the 96-hour rule, the two-midnight rule, and physician supervision requirements; and more.
Additional links: Carrie Saia, Holton Community Hospital - Testimony, Daniel Derksen, Arizona Center for Rural Health - Testimony, Shannon Sorensen, Brown County Hospital - Testimony, Tim Joslin, Community Regional Medical Centers - Testimony
Date: 07/2015
Sponsoring organization: House Ways and Means Committee, Subcommittee on Health
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