Rural Health
Resources by Topic: Critical Access Hospitals
Does Rurality Affect Observation Care Services Use in CAHs for Medicare Beneficiaries?
Describes the use of observation services across levels of rurality by Medicare beneficiaries in Critical Access Hospitals (CAHs), the demographics and health status of patients receiving these services, and the characteristics of their observation stays.
Author(s): Yvonne Jonk, Heidi O'Connor, Walter Gregg
Date: 10/2014
Sponsoring organization: University of Minnesota Rural Health Research Center
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Describes the use of observation services across levels of rurality by Medicare beneficiaries in Critical Access Hospitals (CAHs), the demographics and health status of patients receiving these services, and the characteristics of their observation stays.
Author(s): Yvonne Jonk, Heidi O'Connor, Walter Gregg
Date: 10/2014
Sponsoring organization: University of Minnesota Rural Health Research Center
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Medicare Beneficiaries Paid Nearly Half of the Costs for Outpatient Services at Critical Access Hospitals
Compares the system Medicare used to calculate outpatient coinsurance amounts for patients who receive services at Critical Access Hospitals (CAHs) with the system used for acute-care hospital patients. Recommends that the Centers for Medicare and Medicaid Services seek legislative authority to modify the coinsurance calculation.
Date: 10/2014
Sponsoring organization: Office of Inspector General (HHS)
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Compares the system Medicare used to calculate outpatient coinsurance amounts for patients who receive services at Critical Access Hospitals (CAHs) with the system used for acute-care hospital patients. Recommends that the Centers for Medicare and Medicaid Services seek legislative authority to modify the coinsurance calculation.
Date: 10/2014
Sponsoring organization: Office of Inspector General (HHS)
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Framing Rural Health Value Webinar Series: Summary Report
Provides a summary of the Framing Rural Health Value Webinar Series, held during May through August, 2014. Series provided aid to the state Medical Rural Hospital Flex Programs in understanding the changing landscape of rural healthcare and program design for Fiscal Year 2015. Includes case studies, recommended interventions, and outcomes.
Date: 08/2014
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
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Provides a summary of the Framing Rural Health Value Webinar Series, held during May through August, 2014. Series provided aid to the state Medical Rural Hospital Flex Programs in understanding the changing landscape of rural healthcare and program design for Fiscal Year 2015. Includes case studies, recommended interventions, and outcomes.
Date: 08/2014
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
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Collaborative Community Health Needs Assessments: Approaches and Benefits for Critical Access Hospitals
Informs the efforts of state Flex Programs to support Critical Access Hospitals in conducting collaborative Community Health Needs Assessments. The results of these assessments can be used by hospitals as well as state Flex Programs to inform their ongoing strategic initiatives.
Author(s): John A. Gale, Andrew F. Coburn, Helen E. Newton
Date: 05/2014
Sponsoring organization: Flex Monitoring Team
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Informs the efforts of state Flex Programs to support Critical Access Hospitals in conducting collaborative Community Health Needs Assessments. The results of these assessments can be used by hospitals as well as state Flex Programs to inform their ongoing strategic initiatives.
Author(s): John A. Gale, Andrew F. Coburn, Helen E. Newton
Date: 05/2014
Sponsoring organization: Flex Monitoring Team
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Development of the Nursing Community Apgar Questionnaire (NCAQ): A Rural Nurse Recruitment and Retention Tool
Introduces the Nursing Community Apgar Questionnaire, a guide to assess strengths and weaknesses of Critical Access Hospitals (CAHs) in rural communities to help them improve nursing recruitment and retention.
Author(s): Molly Prengaman, Jeri Bigbee, Edward Baker, David Schmitz
Citation: Rural and Remote Health, 14(1), 2633
Date: 03/2014
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Introduces the Nursing Community Apgar Questionnaire, a guide to assess strengths and weaknesses of Critical Access Hospitals (CAHs) in rural communities to help them improve nursing recruitment and retention.
Author(s): Molly Prengaman, Jeri Bigbee, Edward Baker, David Schmitz
Citation: Rural and Remote Health, 14(1), 2633
Date: 03/2014
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The Evidence for Community Paramedicine in Rural Areas: State and Local Findings and the Role of the State Flex Program
Examines the role of the Flex program in supporting state Emergency Medical Services (EMS) in rural communities. Analyses the evidence base for community paramedicine in rural communities, the role of community paramedics in rural healthcare delivery systems, and the challenges faced by states in implementing community paramedicine programs.
Author(s): Karen Pearson, John Gale, George Shaler
Date: 02/2014
Sponsoring organization: Flex Monitoring Team
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Examines the role of the Flex program in supporting state Emergency Medical Services (EMS) in rural communities. Analyses the evidence base for community paramedicine in rural communities, the role of community paramedics in rural healthcare delivery systems, and the challenges faced by states in implementing community paramedicine programs.
Author(s): Karen Pearson, John Gale, George Shaler
Date: 02/2014
Sponsoring organization: Flex Monitoring Team
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Implications for Beneficiary Travel Time if Financially-Vulnerable Critical Access Hospitals Close
Examines potential increases in beneficiary travel times and distances if financially-vulnerable Critical Access Hospitals (CAHs) close. Analysis is based on a review of 93 CAHs identified as financially-vulnerable and likely to close if reimbursement methods or eligibility requirements change.
Author(s): Victoria A. Freeman, Randy K. Randolph, George Pink, Mark Holmes
Date: 12/2013
Sponsoring organization: North Carolina Rural Health Research Program
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Examines potential increases in beneficiary travel times and distances if financially-vulnerable Critical Access Hospitals (CAHs) close. Analysis is based on a review of 93 CAHs identified as financially-vulnerable and likely to close if reimbursement methods or eligibility requirements change.
Author(s): Victoria A. Freeman, Randy K. Randolph, George Pink, Mark Holmes
Date: 12/2013
Sponsoring organization: North Carolina Rural Health Research Program
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Critical Access Hospital Year 8 Hospital Compare Participation and Quality Measure Results
Examines the participation and quality measure results in 2011 for the Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database for hospital quality measures.
Additional links: Policy Brief
Author(s): Michelle Casey, Peiyin Hung, Ira Moscovice
Date: 09/2013
Sponsoring organization: Flex Monitoring Team
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Examines the participation and quality measure results in 2011 for the Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database for hospital quality measures.
Additional links: Policy Brief
Author(s): Michelle Casey, Peiyin Hung, Ira Moscovice
Date: 09/2013
Sponsoring organization: Flex Monitoring Team
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Trends in Observation Care Among Medicare Fee-for-Service Beneficiaries at Critical Access Hospitals, 2007 – 2009
Highlights a study on the prevalence and duration of observational care in Critical Access Hospitals (CAHs) compared to Prospective Payment System (PPS) hospitals using Medicare claims data from 2007-2009, as well as 2007 American Hospital Association data to identify hospitals as CAHs or PPS hospitals and whether they were in rural or urban areas.
Author(s): Brad Wright, Hye-Young Jung, Zhanlian Feng, Vincent Mor
Citation: Journal of Rural Health, 29(s1), s1-s6
Date: 08/2013
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Highlights a study on the prevalence and duration of observational care in Critical Access Hospitals (CAHs) compared to Prospective Payment System (PPS) hospitals using Medicare claims data from 2007-2009, as well as 2007 American Hospital Association data to identify hospitals as CAHs or PPS hospitals and whether they were in rural or urban areas.
Author(s): Brad Wright, Hye-Young Jung, Zhanlian Feng, Vincent Mor
Citation: Journal of Rural Health, 29(s1), s1-s6
Date: 08/2013
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Most Critical Access Hospitals Would Not Meet the Location Requirements if Required to Re-Enroll in Medicare
Recommends that CMS seek legislative authority to remove the permanent distance exemption for Critical Access Hospitals (CAHs) that currently have Necessary Provider designations.
Date: 08/2013
Sponsoring organization: Office of Inspector General (HHS)
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Recommends that CMS seek legislative authority to remove the permanent distance exemption for Critical Access Hospitals (CAHs) that currently have Necessary Provider designations.
Date: 08/2013
Sponsoring organization: Office of Inspector General (HHS)
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