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Resources by Topic: Critical Access Hospitals

Developing Regional STEMI Systems of Care: A Review of the Evidence and the Role of the Flex Program
Discusses the evidence base for the development of regional systems of care for patients presenting with ST-segment elevation myocardial infarction (STEMI). Places special emphasis on the role of Critical Access Hospitals (CAHs) and emergency medical services (EMS) providers, and is designed to act as a guide for State Flex Programs as they develop these local and regional systems of care.
Author(s): John A. Gale
Date: 10/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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Value-Based Purchasing Demonstrations for Critical Access and Small PPS Hospitals
White paper discussing the expanded quality reporting programs for Critical Access Hospitals (CAHs) and hospitals excluded from the inpatient Value-Based Purchasing (VBP) program due to a low number of cases. Includes recommendations to the Secretary of Health and Human Services on the rural implications from the Affordable Care Act (ACA) provision on inpatient hospital VBP program.
Date: 09/2011
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Will Bundling Work in Rural America? Analysis of the Feasibility and Consequences of Bundled Payments for Rural Health Providers and Patients
Assesses how bundled payments may affect both healthcare quality and access among rural providers, and explains the financial and operational challenges associated with implementing bundled payments in low-volume providers such as Critical Access Hospitals (CAHs).
Author(s): Robert Town, Walter Gregg, Ira Moscovice, Shailendra Prasad, Jill Klingner
Date: 09/2011
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Quality of Care and Patient Outcomes in Critical Access Hospitals
Compares quality of care and patient outcomes for Critical Access Hospitals (CAHs) and non-CAHs using national data from 2008 and 2009.
Author(s): Karen E. Joynt, Yael Harris, E. John Orav, Ashish K. Jha
Citation: JAMA: Journal of the American Medical Association, 306(1), 45-52
Date: 07/2011
Type: Document
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Trends in the Provision of Surgery by Rural Hospitals
Examines changes in the number of rural hospitals that provided surgery between 2001 and 2008. Shows results based on hospital location and Medicare payment classification.
Author(s): George M. Holmes, Saleema A. Karim, George H. Pink
Date: 07/2011
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Pneumonia Quality Improvement Programs and Strategies in Critical Access Hospitals
Discusses several quality improvement (QI) strategies that have been shown to improve pneumonia care and may be replicable in Critical Access Hospital (CAHs). Includes a reference table to help in determining which strategies may be useful for implementation in hospitals.
Author(s): Michelle Casey, Jill Klingner, Shailendra Prasad, Walter Gregg, Ira Moscovice
Date: 06/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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Improving Hospital Patient Safety Through Teamwork: The Use of TeamSTEPPS in Critical Access Hospitals
Provides information on how state Flex programs and Critical Access Hospital (CAHs) have successfully adapted and used TeamSTEPPS to improve patient safety through team training.
Author(s): Andrew Coburn, Zach Gage-Croll
Date: 06/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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Trends in Skilled Nursing Facility and Swing Bed Use in Rural Areas Following the Medicare Modernization Act of 2003
Provides descriptive evidence on current trends in the availability and use of swing beds and skilled nursing facility services in rural areas.
Additional links: Findings Brief
Author(s): Kristin L. Reiter, Victoria A. Freeman
Date: 04/2011
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Critical Access Hospital Year 6 Hospital Compare Participation and Quality Measure Results
Examines 2009 participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database for hospital quality measures.
Author(s): Michelle Casey, Michele Burlew, Ira Moscovice
Date: 04/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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Collaboration and Federally Qualified Health Centers (FQHC)
Provides non-FQHC health care providers, including Rural Health Clinics (RHCs) and Critical Access Hospitals (CAHs), with an understanding of motivating factors for FQHCs to expand the number of service sites and provide non-FQHC reimbursed services, such as laboratory and other diagnostic services.
Date: 03/2011
Type: Document
Sponsoring organization: Stroudwater Associates
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