Rural Health
Resources by Topic: Healthcare facilities
Calendar Year (CY) 2015 Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Updates: Payment Rate Increases for RHCs and FQHCs Billing Under the All-Inclusive Rate System (AIR), and Urban and Rural Designations for FQHCs Billing Under the AIR
Provides updates for RHCs and FQHCs that are submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries.
Date: 12/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides updates for RHCs and FQHCs that are submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries.
Date: 12/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluating the Effectiveness of a Patient-Centered, Nonphysician Led Self-Monitoring Blood Pressure Program in a Rural Federally Qualified Health Center
Evaluated the effectiveness of a self-monitoring blood pressure program (SMBP) involving a nonphysician team for 205 patients with recent hypertension diagnoses in a rural Washington Federally Qualified Health Center (FQHC). Discusses facilitators and barriers to implementation including COVID-19, telehealth, community health workers, working with limited English proficiency populations, reimbursement, and collaborations.
Author(s): Magali Sanchez, KeliAnne Hara-Hubbard, Bárbara Baquero
Citation: Journal of Public Health Management and Practice, 30, S3167-S174
Date: 09/2024
Type: Document
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Evaluated the effectiveness of a self-monitoring blood pressure program (SMBP) involving a nonphysician team for 205 patients with recent hypertension diagnoses in a rural Washington Federally Qualified Health Center (FQHC). Discusses facilitators and barriers to implementation including COVID-19, telehealth, community health workers, working with limited English proficiency populations, reimbursement, and collaborations.
Author(s): Magali Sanchez, KeliAnne Hara-Hubbard, Bárbara Baquero
Citation: Journal of Public Health Management and Practice, 30, S3167-S174
Date: 09/2024
Type: Document
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The Low-Volume Hospital Adjustment Before and During COVID-19
Describes characteristics of rural low-volume hospitals (LVHs) between April 2018 and March 2022. Compares the characteristics and profitability of rural LVHs with other rural prospective payment system (PPS) hospitals before and during the COVID-19 pandemic. Presents data on LVH profitability margins with and without the LVH payment adjustment.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 07/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Describes characteristics of rural low-volume hospitals (LVHs) between April 2018 and March 2022. Compares the characteristics and profitability of rural LVHs with other rural prospective payment system (PPS) hospitals before and during the COVID-19 pandemic. Presents data on LVH profitability margins with and without the LVH payment adjustment.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 07/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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The Availability of Midwifery Care in Rural United States Communities
Describes the availability of midwifery care at rural hospitals in 2021. Presents results of a survey of 292 rural hospitals with current or recently closed childbirth services. Details whether rural hospitals with current or prior childbirth services had midwifery care with certified nurse-midwives available locally. Compares rural communities with and without midwifery care by hospital-level and county-level characteristics.
Author(s): Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante, Katy B. Kozhimannil
Citation: Journal of Midwifery & Women's Health
Date: 07/2024
Type: Document
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Describes the availability of midwifery care at rural hospitals in 2021. Presents results of a survey of 292 rural hospitals with current or recently closed childbirth services. Details whether rural hospitals with current or prior childbirth services had midwifery care with certified nurse-midwives available locally. Compares rural communities with and without midwifery care by hospital-level and county-level characteristics.
Author(s): Emily C. Sheffield, Alyssa H. Fritz, Julia D. Interrante, Katy B. Kozhimannil
Citation: Journal of Midwifery & Women's Health
Date: 07/2024
Type: Document
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Proposed CY 2025 Medicare Physician Fee Schedule: Fact Sheet
Fact sheet covering proposed Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2025 as outlined in the calendar year (CY) 2025 Physician Fee Schedule proposed rule. Covers proposals related to audio-only telehealth; eligible services that can be delivered by telehealth; frequency limitations for inpatient visits, nursing facilities, and critical care consults; direct supervision through the use of live video; payment to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs); opioid treatment programs; and more.
Date: 07/2024
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Fact sheet covering proposed Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2025 as outlined in the calendar year (CY) 2025 Physician Fee Schedule proposed rule. Covers proposals related to audio-only telehealth; eligible services that can be delivered by telehealth; frequency limitations for inpatient visits, nursing facilities, and critical care consults; direct supervision through the use of live video; payment to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs); opioid treatment programs; and more.
Date: 07/2024
Type: Document
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Interactive Maps to Improve Stroke Systems of Care in Wisconsin
Analyzes transfer patterns of stroke patients, including driving time and distance, from small rural hospitals to large tertiary hospitals in Wisconsin. Describes the development of interactive stroke transfer maps and discusses the use of mapping to identify gaps in systems of care, improve the efficiency of emergency services, and better understand hospital capacity.
Author(s): Ka Z. Xiong, Lena Swander, Dot Bluma, et al.
Citation: Preventing Chronic Disease, 21, 230166
Date: 07/2024
Type: Document
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Analyzes transfer patterns of stroke patients, including driving time and distance, from small rural hospitals to large tertiary hospitals in Wisconsin. Describes the development of interactive stroke transfer maps and discusses the use of mapping to identify gaps in systems of care, improve the efficiency of emergency services, and better understand hospital capacity.
Author(s): Ka Z. Xiong, Lena Swander, Dot Bluma, et al.
Citation: Preventing Chronic Disease, 21, 230166
Date: 07/2024
Type: Document
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TEFCA Awareness and Planned Participation Among U.S. Hospitals: 2023
Evaluates survey data to determine non-federal acute care hospitals' awareness of and participation in the Trusted Exchange Framework and Common Agreement (TEFCA). Includes comparisons by rural and urban status as well as for Critical Access Hospitals (CAHs) and non-CAHs, among other factors.
Author(s): Wei Chang, Meghan Hufstader Gabriel, Jordan Everson
Date: 07/2024
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Evaluates survey data to determine non-federal acute care hospitals' awareness of and participation in the Trusted Exchange Framework and Common Agreement (TEFCA). Includes comparisons by rural and urban status as well as for Critical Access Hospitals (CAHs) and non-CAHs, among other factors.
Author(s): Wei Chang, Meghan Hufstader Gabriel, Jordan Everson
Date: 07/2024
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Understanding and Responding to Registered Nursing Shortages in Acute Care Hospitals in New York
Identifies factors that contribute to persistent registered nurse (RN) shortages, based on interviews with chief nursing officers or executives, nurse recruiters, and human resources staff from more than 50 New York hospitals. Describes promising strategies to improve the recruitment and retention of patient care RNs, with an emphasis on rural and safety-net hospitals.
Author(s): R Martiniano, S Shirey, J Moore
Date: 07/2024
Type: Document
Sponsoring organizations: Center for Health Workforce Studies, Mother Cabrini Health Foundation
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Identifies factors that contribute to persistent registered nurse (RN) shortages, based on interviews with chief nursing officers or executives, nurse recruiters, and human resources staff from more than 50 New York hospitals. Describes promising strategies to improve the recruitment and retention of patient care RNs, with an emphasis on rural and safety-net hospitals.
Author(s): R Martiniano, S Shirey, J Moore
Date: 07/2024
Type: Document
Sponsoring organizations: Center for Health Workforce Studies, Mother Cabrini Health Foundation
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2024
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures.
Date: 07/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural-specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures.
Date: 07/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Changes in Maternity Care Policies and Practices that Support Breastfeeding as Measured by the Ten Steps to Successful Breastfeeding — United States, 2018–2022
Evaluates hospitals' implementation of the Ten Steps to Successful Breastfeeding, a set of evidence-based policies and practices to improve breastfeeding outcomes. Utilizes Maternity Practices in Infant Nutrition and Care data from 2018, 2020, and 2022. Includes data on changes in implementation over time, comparisons by state, and hospital characteristics including rural versus urban location.
Author(s): Kristin J. Marks, Lucas Gosdin, Lauren E. O'Connor, Heather C. Hamner, Daurice A. Grossniklaus
Citation: BMC Pregnancy and Childbirth, 24, 475
Date: 07/2024
Type: Document
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Evaluates hospitals' implementation of the Ten Steps to Successful Breastfeeding, a set of evidence-based policies and practices to improve breastfeeding outcomes. Utilizes Maternity Practices in Infant Nutrition and Care data from 2018, 2020, and 2022. Includes data on changes in implementation over time, comparisons by state, and hospital characteristics including rural versus urban location.
Author(s): Kristin J. Marks, Lucas Gosdin, Lauren E. O'Connor, Heather C. Hamner, Daurice A. Grossniklaus
Citation: BMC Pregnancy and Childbirth, 24, 475
Date: 07/2024
Type: Document
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