Rural Health
Resources by Topic: Healthcare facilities
Trends in Hospital Administrative Costs: Urban–Rural Disparities, Barriers, and Reduction Strategies
Compares Medicare cost report data from 2011 and 2022 for over 4,400 rural and urban short-term acute care hospitals to identify shifts in administrative and general (A&G) spending. Discusses 3 themes related to cost growth, barriers in reporting, and strategies to manage and reduce costs. Describes implications for hospital policy.
Author(s): Lauree Handlon, Kit Simpson, Larry Leaming, Dunc Williams
Citation: Health Affairs Scholar, 3(8)
Date: 08/2025
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Compares Medicare cost report data from 2011 and 2022 for over 4,400 rural and urban short-term acute care hospitals to identify shifts in administrative and general (A&G) spending. Discusses 3 themes related to cost growth, barriers in reporting, and strategies to manage and reduce costs. Describes implications for hospital policy.
Author(s): Lauree Handlon, Kit Simpson, Larry Leaming, Dunc Williams
Citation: Health Affairs Scholar, 3(8)
Date: 08/2025
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Hospital Health Information Exchange Participation and Heart Failure Discharges to Skilled Nursing Facilities: A Cohort Study
Examines the correlation of health information exchange (HIE) participation and admission to skilled nursing facilities (SNF) following a heart failure (HF) hospital discharge. Utilizes 2018 Medicare Provider Analysis and Review (MedPar) file data to analyze 385,895 HF discharges according to SNF admission and HIE participation. Includes breakdowns by patient demographics, urban/rural status, hospital ownership, hospital type and bed size, length of stay, and more.
Author(s): Sara D. Turbow, Camille P. Vaughan, Mohammed K. Ali, Steven D. Culler
Citation: BMC Health Services Research, 25, 1079
Date: 08/2025
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Examines the correlation of health information exchange (HIE) participation and admission to skilled nursing facilities (SNF) following a heart failure (HF) hospital discharge. Utilizes 2018 Medicare Provider Analysis and Review (MedPar) file data to analyze 385,895 HF discharges according to SNF admission and HIE participation. Includes breakdowns by patient demographics, urban/rural status, hospital ownership, hospital type and bed size, length of stay, and more.
Author(s): Sara D. Turbow, Camille P. Vaughan, Mohammed K. Ali, Steven D. Culler
Citation: BMC Health Services Research, 25, 1079
Date: 08/2025
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Time is Tissue: How CommonSpirit Mercy Hospital is Revolutionizing Rural Cardiac Care
Podcast episode discussing how CommonSpirit Mercy Hospital in Durango, Colorado, uses a communications platform that connects emergency medical services and pre-hospital providers with patients who are having chest pain and cardiac-related issues with on-call cardiologists.
Date: 08/2025
Sponsoring organization: American Hospital Association
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Podcast episode discussing how CommonSpirit Mercy Hospital in Durango, Colorado, uses a communications platform that connects emergency medical services and pre-hospital providers with patients who are having chest pain and cardiac-related issues with on-call cardiologists.
Date: 08/2025
Sponsoring organization: American Hospital Association
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Prescribed Medications for Patients with Amphetamine-Type Stimulant Use Disorder Seen in Rural-Serving Pacific Northwest Primary Care Clinics
Examines the frequency in which patients living in the rural Pacific Northwest with amphetamine-type stimulant use disorder (AT-StUD) received medications for AT-StUD in primary care clinics. Utilizes 2017-2021 electronic health record (EHR) data to analyze patients who have received prescriptions according to demographics, mental health status, and health behaviors.
Author(s): Megan J. Yerton, Connor J. McCabe, Matthew D. Iles-Shih, Judith I. Tsui, Kevin A. Hallgren
Citation: Addiction Science & Clinical Practice, 20, 67
Date: 08/2025
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Examines the frequency in which patients living in the rural Pacific Northwest with amphetamine-type stimulant use disorder (AT-StUD) received medications for AT-StUD in primary care clinics. Utilizes 2017-2021 electronic health record (EHR) data to analyze patients who have received prescriptions according to demographics, mental health status, and health behaviors.
Author(s): Megan J. Yerton, Connor J. McCabe, Matthew D. Iles-Shih, Judith I. Tsui, Kevin A. Hallgren
Citation: Addiction Science & Clinical Practice, 20, 67
Date: 08/2025
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Arizona Rural Health Transformation Program (RHTP)
Details the process for Arizona's participation in the Rural Health Transformation Program (RHTP), which provides funding for rural health access, rural health outcomes, and improve the financial stability and operations of rural hospitals and other rural health facilities in each state.
Author(s): Dan Derksen, Bryna Koch
Date: 08/2025
Sponsoring organization: Arizona Center for Rural Health
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Details the process for Arizona's participation in the Rural Health Transformation Program (RHTP), which provides funding for rural health access, rural health outcomes, and improve the financial stability and operations of rural hospitals and other rural health facilities in each state.
Author(s): Dan Derksen, Bryna Koch
Date: 08/2025
Sponsoring organization: Arizona Center for Rural Health
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CAH Quality Inventory & Assessment - State Flex Program Resources
Provides ancillary materials related to the 2025 Critical Access Hospital (CAH) Quality Inventory & Assessment (Assessment) for State Flex Programs (SFPs). Includes resources on the background and components of the Assessment for State Flex Programs, a template email that State Flex Programs can use to send to CAHs regarding the Assessment, and instructions for State Flex Programs detailing how to use the Assessment Data Tool for 2024 Assessment.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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Provides ancillary materials related to the 2025 Critical Access Hospital (CAH) Quality Inventory & Assessment (Assessment) for State Flex Programs (SFPs). Includes resources on the background and components of the Assessment for State Flex Programs, a template email that State Flex Programs can use to send to CAHs regarding the Assessment, and instructions for State Flex Programs detailing how to use the Assessment Data Tool for 2024 Assessment.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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CAH Quality Inventory & Assessment Resources
Provides a list of resources for Critical Access Hospitals (CAHs) to use to complete the 2025 CAH Quality Inventory and Assessment (Assessment). Includes resources regarding the background and components of the Assessment and instructions for each question.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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Provides a list of resources for Critical Access Hospitals (CAHs) to use to complete the 2025 CAH Quality Inventory and Assessment (Assessment). Includes resources regarding the background and components of the Assessment and instructions for each question.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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HCAHPS Toolkit for Critical Access Hospitals
Designed to assist Critical Access Hospitals (CAHs) in reporting and utilizing Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data. Provides a detailed description of HCAHPS as a Medicare Beneficiary Quality Improvement Project (MBQIP) core measure, strategies for improving HCAHPS survey response rates, and answers to common HCAHPS questions. Offers recommendations for utilizing HCAHPS data reports from vendors and the Flex Monitoring Team (FMT) and improving HCAHPS scores.
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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Designed to assist Critical Access Hospitals (CAHs) in reporting and utilizing Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data. Provides a detailed description of HCAHPS as a Medicare Beneficiary Quality Improvement Project (MBQIP) core measure, strategies for improving HCAHPS survey response rates, and answers to common HCAHPS questions. Offers recommendations for utilizing HCAHPS data reports from vendors and the Flex Monitoring Team (FMT) and improving HCAHPS scores.
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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FY 2026 Medicare Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) and Quality Reporting (IPFQR) Updates Final Rule (CMS-1831-F)
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2026 inpatient psychiatric facility (IPF) prospective payment system (PPS) final rule. Covers annual updates to the prospective payment rates, outlier threshold, and wage index. Also describes changes to facility-level adjustment factors for teaching status and rural location.
Date: 08/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2026 inpatient psychiatric facility (IPF) prospective payment system (PPS) final rule. Covers annual updates to the prospective payment rates, outlier threshold, and wage index. Also describes changes to facility-level adjustment factors for teaching status and rural location.
Date: 08/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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2025 Indiana State Rural Health Report
Examines the state of rural health in Indiana and provides data on the health of rural citizens. Focuses on access, healthcare workforce shortages, health insurance, healthcare facilities availability, mobile health, telehealth services, maternal and infant health, mental health, substance use, and rural health finances and funding.
Author(s): Amnah Anwar, Kasia Hamman, Anureet Sandhu, et al.
Date: 08/2025
Sponsoring organization: Indiana Rural Health Association
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Examines the state of rural health in Indiana and provides data on the health of rural citizens. Focuses on access, healthcare workforce shortages, health insurance, healthcare facilities availability, mobile health, telehealth services, maternal and infant health, mental health, substance use, and rural health finances and funding.
Author(s): Amnah Anwar, Kasia Hamman, Anureet Sandhu, et al.
Date: 08/2025
Sponsoring organization: Indiana Rural Health Association
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