Rural Health
Resources by Topic: Critical Access Hospitals
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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An Interview with Darrold Bertsch
A healthcare administrator who serves as CEO of both a Critical Access Hospital and a Federally Qualified Health Center in rural North Dakota discusses how the two facilities work together to meet their region's healthcare needs.
Citation: Rural Monitor
Date: 09/2015
Sponsoring organization: Rural Health Information Hub
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A healthcare administrator who serves as CEO of both a Critical Access Hospital and a Federally Qualified Health Center in rural North Dakota discusses how the two facilities work together to meet their region's healthcare needs.
Citation: Rural Monitor
Date: 09/2015
Sponsoring organization: Rural Health Information Hub
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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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The Economic Impact of Recent Hospital Closures on Rural Communities
Estimates the direct and secondary economic impacts of hospital closures on rural communities, focusing on labor (wages, salaries, benefits) and employment (jobs) income. Uses data collected from 16 hospitals representing 13 states that have closed since 2010, of which 9 were designated as Critical Access Hospitals.
Author(s): Fred C Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 07/2015
Sponsoring organization: National Center for Rural Health Works
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Estimates the direct and secondary economic impacts of hospital closures on rural communities, focusing on labor (wages, salaries, benefits) and employment (jobs) income. Uses data collected from 16 hospitals representing 13 states that have closed since 2010, of which 9 were designated as Critical Access Hospitals.
Author(s): Fred C Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 07/2015
Sponsoring organization: National Center for Rural Health Works
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Hospital Policy Issues: Statement by Mark Miller, Medicare Payment Advisory Commission before Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives
Testimony from the Medicare Payment Advisory Commission's executive director presented at a July 22nd, 2015, Ways and Means subcommittee hearing concerning Medicare hospital payment issues, rural health issues, and beneficiary access to care. Discusses Medicare's rural hospital payment adjustments, how they impact access to care, and principles to consider in evaluating rural add-on payments. Also discusses MedPAC recommendations related to graduate medical education (GME), including some related to rural training.
Author(s): Mark E. Miller
Date: 07/2015
Sponsoring organizations: House Ways and Means Committee, Subcommittee on Health, Medicare Payment Advisory Commission
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Testimony from the Medicare Payment Advisory Commission's executive director presented at a July 22nd, 2015, Ways and Means subcommittee hearing concerning Medicare hospital payment issues, rural health issues, and beneficiary access to care. Discusses Medicare's rural hospital payment adjustments, how they impact access to care, and principles to consider in evaluating rural add-on payments. Also discusses MedPAC recommendations related to graduate medical education (GME), including some related to rural training.
Author(s): Mark E. Miller
Date: 07/2015
Sponsoring organizations: House Ways and Means Committee, Subcommittee on Health, Medicare Payment Advisory Commission
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