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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare facilities

'Filling the Cracks': How a Rural Maine Community Kept its 24/7 Urgent Care Open with Paramedics
Features a pilot program serving rural Maine where paramedics take shifts staffing the local health center after-hours and on weekends.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 10/2022
Sponsoring organization: Rural Health Information Hub
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Suicide and Self-Harm in Youth Presenting to a US Rural Hospital During COVID-19
Presents a study on rural emergency department utilization and hospital admission for suicide or self-harm in children ages 5 to 17 during the COVID-19 pandemic. Analyzes hospital data from January 2017 to May 2021. Breaks down data by demographic factors, such as sex and rurality, as well as length of stay and visit type, among other measures.
Author(s): Mary Arakelyan, Jennifer A. Emond, JoAnna K. Leyenaar
Citation: Hospital Pediatrics, 12(10), e336–e342
Date: 10/2022
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Using Z Codes to Improve Health Equity in Rural Indiana
Describes how Cameron Memorial Community Hospital, a Critical Access Hospital in Indiana, used ICD-10-CM Z codes to detect and address patients' social needs as part of its health equity strategy.
Date: 10/2022
Sponsoring organization: American Hospital Association
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Health Workforce Implications for the Rural Emergency Hospital Model
Describes workforce challenges hospitals converting to Rural Emergency Hospital status may experience. Discusses flexible staffing models, utilization of behavioral health providers, colocation of health and human services providers and team-based care, and recruitment and retention.
Author(s): Jacob Rains
Citation: Health Affairs Forefront
Date: 10/2022
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Hospital Capabilities to Enable Patient Electronic Access to Health Information, 2021
Data brief examining 2021 national estimates of rates of U.S. hospitals enabling patient electronic access to health information, presenting findings for small, Critical Access, rural, and independent hospitals. Analyzes data from the 2021 AHA Annual Survey Information Technology Supplement.
Author(s): Wesley Barker, Dustin Charles
Date: 10/2022
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Reimagining and Reinvesting in Rural Hospital Markets
Commentary examining the hospital infrastructure needed in rural areas and how rural hospitals can be financed. Discusses current issues related to rural hospital services and how public health policy and infrastructure can impact the health of rural citizens.
Author(s): Caitlin Carroll, Arrianna Planey, Katy B. Kozhimannil
Citation: Health Services Research, 57(5), 1001-1005
Date: 10/2022
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Medicare Part B Overpaid and Beneficiaries Incurred Cost-Share Overcharges of Over $1 Million for the Same Professional Services
Results of an audit of Medicare Part B claims to determine whether Part B payments to Critical Access Hospitals (CAHs) for professional services and payments made to healthcare practitioners for the same services complied with federal requirements. Includes recommendations from the Office of Inspector General (OIG), and the response from the Centers for Medicare & Medicaid Services (CMS).
Additional links: Report in Brief
Date: 09/2022
Sponsoring organization: Office of Inspector General (HHS)
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Indiana Rural Health Clinic Dashboard
A fact sheet that includes information about Rural Health Clinics (RHCs) in Indiana, such as their respective business model, ownership, National Health Service Corps (NHSC) site status, Health Professional Shortage Area (HPSA) score, rural status, RHC services provided, and number of RHCs by county.
Date: 09/2022
Sponsoring organization: Indiana Rural Health Association
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September 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare payments to safety-net clinicians, the development of a prototype post-acute care prospective payment system, nursing facility staffing requirements and data, the expansion of telehealth during the COVID-19 public health emergency (PHE) and payment for telehealth services after the PHE, inpatient psychiatric facility care, and Part D data on drug rebates and discounts. Includes rural references and considerations throughout.
Date: 09/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Resident and Facility Factors Associated with High Risk of Discharge from Nursing Facilities, 2012-2017: Final Report
Presents findings on the relationship between live discharges and post-discharge outcomes. Identifies characteristics of nursing home residents at increased risk of facility-initiated live discharges and how these relationships vary across time, states, and facility types. Includes a comparison of discharges at urban and rural facilities.
Date: 09/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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