Rural Health
Resources by Topic: Governance of healthcare organizations
Re-imagining Leadership: A Pathway for Rural Health to Thrive in a COVID-19 World
A COVID-19 emergency response playbook for rural healthcare delivery systems. Designed to build rural hospital and primary care leadership capacities around strategic thinking and local problem solving. Distills insights from rural hospital administrators, clinicians, and public health experts. Includes an assessment tool to help rural communities examine governance and leadership, community engagement, financial health, clinical care, and emergency preparedness and resilience.
Author(s): Lauren S. Hughes, Benjamin D. Anderson, Darlene B. Tad-y, et al.
Date: 12/2020
Sponsoring organizations: Colorado Hospital Association, Eugene S. Farley, Jr. Health Policy Center
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A COVID-19 emergency response playbook for rural healthcare delivery systems. Designed to build rural hospital and primary care leadership capacities around strategic thinking and local problem solving. Distills insights from rural hospital administrators, clinicians, and public health experts. Includes an assessment tool to help rural communities examine governance and leadership, community engagement, financial health, clinical care, and emergency preparedness and resilience.
Author(s): Lauren S. Hughes, Benjamin D. Anderson, Darlene B. Tad-y, et al.
Date: 12/2020
Sponsoring organizations: Colorado Hospital Association, Eugene S. Farley, Jr. Health Policy Center
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Rural Hospital CEO Turnover
Policy paper examining CEO turnover in rural hospitals. Discusses factors that contribute to CEO turnover as well as the impact of turnover on hospitals. Offers policy initiatives and recommendations for hospital boards to address CEO turnover.
Author(s): Mellie Bridewell, Matt Shahan
Date: 10/2020
Sponsoring organization: National Rural Health Association
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Policy paper examining CEO turnover in rural hospitals. Discusses factors that contribute to CEO turnover as well as the impact of turnover on hospitals. Offers policy initiatives and recommendations for hospital boards to address CEO turnover.
Author(s): Mellie Bridewell, Matt Shahan
Date: 10/2020
Sponsoring organization: National Rural Health Association
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Visionary Board Leadership and the Transition to Value Video Series
A 6-part video series on healthcare leadership for Critical Access Hospital (CAH) board members. Details best practices for CAH leadership through training modules that include hospital board interviews, discussion questions, and example activities to use in the development of long-term visioning plans.
Date: 07/2020
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
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A 6-part video series on healthcare leadership for Critical Access Hospital (CAH) board members. Details best practices for CAH leadership through training modules that include hospital board interviews, discussion questions, and example activities to use in the development of long-term visioning plans.
Date: 07/2020
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
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High Risk: Progress Made but Continued Attention Needed to Address Management Weaknesses at Federal Agencies Serving Indian Tribes
Identifies progress made and areas that still need to be addressed to remove the Bureau of Indian Education (BIE) and Indian Health Service (IHS) from the Government Accountability Office's list of high risk federal programs. Addresses leadership commitment, demonstrated progress, action plans, monitoring, and capacity. Appendix III lists open recommendations for IHS.
Additional links: Full Report
Date: 03/2019
Sponsoring organization: Government Accountability Office
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Identifies progress made and areas that still need to be addressed to remove the Bureau of Indian Education (BIE) and Indian Health Service (IHS) from the Government Accountability Office's list of high risk federal programs. Addresses leadership commitment, demonstrated progress, action plans, monitoring, and capacity. Appendix III lists open recommendations for IHS.
Additional links: Full Report
Date: 03/2019
Sponsoring organization: Government Accountability Office
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Rural Hospital Mergers from 2005 through 2016
Examines the number of mergers of rural hospitals across the U.S. from 2005-2016. Looks at the effect of mergers and acquisitions on rural healthcare.
Author(s): Dunc Williams Jr., Sharita R. Thomas, Hilda A. Howard, George H. Pink
Date: 08/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the number of mergers of rural hospitals across the U.S. from 2005-2016. Looks at the effect of mergers and acquisitions on rural healthcare.
Author(s): Dunc Williams Jr., Sharita R. Thomas, Hilda A. Howard, George H. Pink
Date: 08/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Cross-Jurisdictional Resource Sharing in Local Health Departments: Implications for Services, Quality, and Cost
Examines Local Health Departments (LHDs) in Connecticut and Massachusetts and discusses how to increase capacity of public health systems in smaller municipalities. Analyzes 15 resource-sharing jurisdictions and 54 single-municipality jurisdictions and provides benefits and drawbacks of the 2 models. Includes data on demographic and organizational characteristics of independent and sharing municipalities including percentages of rural, suburban, and urban municipality type.
Author(s): Debbie L. Humphries, Justeen Hyde, Ethan Hahn, et al.
Citation: Frontiers in Public Health, 6(115), 1-13
Date: 04/2018
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Examines Local Health Departments (LHDs) in Connecticut and Massachusetts and discusses how to increase capacity of public health systems in smaller municipalities. Analyzes 15 resource-sharing jurisdictions and 54 single-municipality jurisdictions and provides benefits and drawbacks of the 2 models. Includes data on demographic and organizational characteristics of independent and sharing municipalities including percentages of rural, suburban, and urban municipality type.
Author(s): Debbie L. Humphries, Justeen Hyde, Ethan Hahn, et al.
Citation: Frontiers in Public Health, 6(115), 1-13
Date: 04/2018
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What Are Rural Health Leaders Asking about Value-Based Care and Payment?
Brief highlights a survey of 60 rural healthcare leaders on value-based care and payment priorities. Details the survey questions, results, and the number of priorities ranked in top five by the participants.
Date: 2018
Sponsoring organization: Rural Health Value
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Brief highlights a survey of 60 rural healthcare leaders on value-based care and payment priorities. Details the survey questions, results, and the number of priorities ranked in top five by the participants.
Date: 2018
Sponsoring organization: Rural Health Value
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Tribal Nursing Homes: Communicating with Your Governing Board
Presents methods for tribal nursing home administrators to effectively communicate with their governing boards. Features examples from several tribes of the southern and western U.S., as well as several resources and toolkits that further explore effective modes of communication for long-term care facility governance.
Date: 07/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Presents methods for tribal nursing home administrators to effectively communicate with their governing boards. Features examples from several tribes of the southern and western U.S., as well as several resources and toolkits that further explore effective modes of communication for long-term care facility governance.
Date: 07/2017
Sponsoring organization: Centers for Disease Control and Prevention
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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 its 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: Full Report
Date: 01/2017
Sponsoring organization: Government Accountability Office
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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 its 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: Full Report
Date: 01/2017
Sponsoring organization: Government Accountability Office
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Innovations in Rural Health System Development: Governance
Discusses 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 from throughout the U.S.
Author(s): Sara Kahn-Troster, Andrew F. Coburn
Date: 11/2016
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Discusses 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 from throughout the U.S.
Author(s): Sara Kahn-Troster, Andrew F. Coburn
Date: 11/2016
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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