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Rural Health
Resources by Topic: Critical Access Hospitals

Community Benefit and Impact of Critical Access Hospitals: The Results of the 2007 CAH Survey
Reports results from a 2007 survey of 381 Critical Access Hospital (CAH) administrators assessing the community benefit and overall impact of CAHs, their activities, and their efforts to address unmet community health needs.
Date: 03/2008
Type: Document
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospitals' Experiences with Medicare Advantage Plans
Examines findings from a survey of 60 Critical Access Hospital (CAH) administrators about their experiences with Medicare Advantage (MA) plans. Discussion topics include CAH interactions and MA, reimbursement terms, financial performance, revenue, and relationship with beneficiaries.
Author(s): Michael Meit, Keith Mueller
Date: 03/2008
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, RUPRI Center for Rural Health Policy Analysis
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Critical Access Hospital Quality Improvement Activities and Reporting on Quality Measures: Results of the 2007 National CAH Survey
Reports on Critical Access Hospitals' involvement with a wide range of quality improvement initiatives, particularly patient and medication safety.
Author(s): Michelle Casey
Date: 03/2008
Type: Document
Sponsoring organization: Flex Monitoring Team
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Medicare Program: Changes to the Hospital Outpatient Prospective Payment System, Ambulatory Surgical Center System, Graduate Medical Education and Critical Access Hospital; Interim and Final Rule with Comment Period
Addresses changes to the Hospital Outpatient Prospective Payment System (OPPS) and CY 2008 Payment Rates, the Ambulatory Surgical Center Payment System and CY 2008 Payment Rates, the Hospital Inpatient Prospective Payment System (IPPS) and FY 2008 Payment Rates. Describes changes relating to the necessary provider designations of Critical Access Hospitals (CAHs) and to the conditions of participation requirements. Also addresses changes to graduate medical education (GME) payments made to teaching hospitals that have Medicare affiliation agreements for certain emergency situations.
Citation: Federal Register, 72(227), 66579-67226
Date: 11/2007
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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State Initiatives Funded by the Medicare Rural Hospital Flexibility Grant Program
Explores activities funded by the Medicare Rural Hospital Flexibility Program (Flex Program) in the previous two years to strengthen the rural health care infrastructure. Discusses which activities were considered most successful by State Flex Coordinators.
Additional links: Policy Brief, December 2007
Author(s): John Gale, Jennifer Lenardson, Walt Gregg, et al.
Date: 10/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospitals (CAHs): Distance from Other Providers and Relocation of CAHs with a Necessary Provider Designation
September 7, 2007, letter from CMS to State Survey Agency Directors. Explains the criteria to determine whether a Critical Access Hospital (CAH) applicant satisfies the regulatory requirement. Explains the criteria to determine whether a CAH with a necessary provider designation remains essentially the same provider, serving the same service area after relocation. Supersedes the November 14, 2005, guidance on this topic.
Date: 09/2007
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Inpatient Psychiatric Units Improve Access to Community-Based Mental Health Services, but Medicare Payment Policy a Barrier
Examines inpatient psychiatric units (IPUs) in rural hospitals as well as the community-based mental health services available to patients.
Author(s): Stephenie Loux, David Hartley, David Lambert
Date: 08/2007
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Critical Access Hospital Year 2 Hospital Compare Participation and Quality Measure Results
Examines the second year 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.
Additional links: Policy Brief, May 2007
Author(s): Michelle Casey, Michele Burlew, Ira Moscovice
Date: 04/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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Small, Stand-Alone, and Struggling: The Adoption of Health Information Technology by Rural Hospitals
Reports findings from a national survey of rural hospitals designed to investigate how differences among the hospitals affect their implementation of health IT.
Author(s): Julie A. Schoenman
Date: 04/2007
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Rural Hospital Emergency Department Quality Measures: Aggregate Data Report
Reports findings from a project that tested emergency department quality measures in a voluntary sample of Critical Access Hospitals (CAHs) in Washington State.
Author(s): Jill Klingner, Ira Moscovice
Date: 03/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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