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Rural Health
Resources by Topic: Governance of healthcare facilities

Indian Health Service: Actions Needed to Improve Oversight of Quality of Care
Reports results from a performance audit conducted by the Government Accountability Office (GAO) from March 2016 through January 2017, examining IHS's oversight of quality of care in it's federally operated facilities. Draws conclusions based on a review of policies related to quality of care, interviews with IHS officials at the headquarters and area offices, and examination of documents from governance meetings. Makes recommendations to the Secretary of the Department of Health and Human Services (HHS) on actions that can be taken to help ensure quality care is provided in federally operated IHS facilities. Appendices include the responding comments from HHS, and provide additional information about leadership turnover at IHS offices and facilities.
Additional links: Highlights
Date: 01/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Innovations in Rural Health System Development: Governance
A discussion about the need for collaboration between healthcare facilities and their communities, including ideas for new approaches to governance to help make these transitions happen. Provides examples of hospital/health system collaborations and population health programs.
Author(s): Sara Kahn-Troster, Andrew Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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“How Can We Talk about Patient-centered Care without Patients at the Table?” Lessons Learned from Patient Advisory Councils
Reports on a survey of patient advisory council (PAC) members associated with 8 primary care clinics and Federally Qualified Health Clinics (FQHCs), both rural and urban, in Northern California, to understand how PACs are developed, and to identify and discuss the challenges and the benefits of effective PACs.
Author(s): Anjana E. Sharma, Rachel Willard-Grace, Andrew Willis, et al.
Location: Journal of the American Board of Family Medicine, 29(6), 775-784
Date: 11/2016
Type: Document
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Engaging Your Board and Community in Value-Based Care Conversations
Provides starting points for healthcare organizations to engage in value-based care conversations with their board and community members to support strategic planning and informed decision-making.
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Value
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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.
Location: Rural Monitor
Date: 09/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Illinois Hospital Association Rural Healthcare Transformation Pathways
A summary of the IHA Transforming Illinois Health Care Task Force work on identifying new rural healthcare delivery systems and how to support facilities when transitioning to those new models. Includes a list of recommendations focused on access, service delivery, workforce, serving the underserved, and healthcare governance and finance.
Date: 2015
Type: Document
Sponsoring organization: Illinois Health and Hospital Association
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Rural Hospital Performance Improvement (RHPI) Project: Best Practice Concepts in Revenue Cycle Management
Provides rural hospitals a full explanation of revenue cycle management from patient admission to evaluating measures of success and offers guidance that is generally accepted as best practice concepts. The document is aimed to help hospital business administration improve their revenue cycle performance as well as provide State Offices of Rural Health directors, and Flex program coordinators, a better understanding on the subject so they may develop educational trainings.
Date: 08/2014
Type: Document
Sponsoring organization: National Rural Health Resource Center
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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
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Restructuring of Vermont CAH and FQHCs Puts Emphasis on Preventative Care, Collaboration
Highlights a Critical Access Hospital that has engineered a restructuring that puts it and seven rural clinics under one corporate umbrella.
Author(s): Candi Helseth
Location: Rural Monitor, 2013(Fall)
Date: 11/2013
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural-Urban Differences in Consumer Governance at Community Health Centers
Presents a study on the difference in structure of community health center (CHC) governing boards in urban and rural communities. Draws conclusions from phone interviews with CHC board members in 14 different states. Discusses board composition and consumer input into the direction of CHCs.
Author(s): David Bradley Wright
Location: Journal of Rural Health, 29(2), 125-131
Date: 2013
Type: Document
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