Rural Health
Resources by Topic: Healthcare facilities
COVID-19 in Nursing Homes: Outbreak Duration Averaged 4 Weeks and Was Strongly Associated with Community Spread
Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing homeownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing homeownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Ownership of Skilled Nursing Facilities: An Analysis of Newly-Released Federal Data
Analyzes the Centers for Medicare & Medicaid Services (CMS) dataset on the ownership of all U.S. skilled nursing facilities (SNFs) enrolled in Medicare in September 2022. Examines 15,151 nursing homes by for-profit, nonprofit, or government controlled; organizational structure; affiliated entity by SNF size, Medicare and Medicaid certified versus Medicare-only certified, and rural versus urban location. Includes data on the 10 largest SNF chains and their distribution of SNFs across the U.S.
Author(s): W. Pete Welch, Iara Oliveira, Martin Blanco, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes the Centers for Medicare & Medicaid Services (CMS) dataset on the ownership of all U.S. skilled nursing facilities (SNFs) enrolled in Medicare in September 2022. Examines 15,151 nursing homes by for-profit, nonprofit, or government controlled; organizational structure; affiliated entity by SNF size, Medicare and Medicaid certified versus Medicare-only certified, and rural versus urban location. Includes data on the 10 largest SNF chains and their distribution of SNFs across the U.S.
Author(s): W. Pete Welch, Iara Oliveira, Martin Blanco, Benjamin D. Sommers
Date: 12/2022
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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MBQIP Quality Measures National Annual Report - 2021
Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2021. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Alyssa Furukawa, Madeleine Pick
Date: 12/2022
Sponsoring organization: Flex Monitoring Team
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Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2021. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Alyssa Furukawa, Madeleine Pick
Date: 12/2022
Sponsoring organization: Flex Monitoring Team
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Racial and Ethnic Differences in Emergency Department Visits Related to Substance Use Disorders, 2019
Explores emergency department (ED) visits related to substance use disorders (SUD) using data from the 2019 Nationwide Emergency Department Sample (NEDS). Presents the number and percentage of SUD-related ED visits by race and ethnicity for selected patient characteristics, including sex, age group, rural/urban location, and the social vulnerability of the county in which the individual resides.
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Explores emergency department (ED) visits related to substance use disorders (SUD) using data from the 2019 Nationwide Emergency Department Sample (NEDS). Presents the number and percentage of SUD-related ED visits by race and ethnicity for selected patient characteristics, including sex, age group, rural/urban location, and the social vulnerability of the county in which the individual resides.
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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RHC Regulatory Updates & Good Faith Estimate (GFE) Policy
Recording of a December 7, 2022, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2023. Discusses price transparency in healthcare and good faith estimate requirements for RHCs. Includes links to good faith estimate resources. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 12/2022
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a December 7, 2022, webinar providing an overview of telehealth payment rates for Rural Health Clinics (RHCs) and other regulatory updates and potential changes for 2023. Discusses price transparency in healthcare and good faith estimate requirements for RHCs. Includes links to good faith estimate resources. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 12/2022
Sponsoring organization: National Association of Rural Health Clinics
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30 Years Of 340B: Preserving The Health Care Safety Net
Discusses the development and purpose of the 340B Drug Pricing Program and provides an overview of the program. Summarizes research on the impact of the 340B program on hospitals and lessons learned.
Author(s): Henry A. Waxman
Citation: Health Affairs Forefront
Date: 12/2022
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Discusses the development and purpose of the 340B Drug Pricing Program and provides an overview of the program. Summarizes research on the impact of the 340B program on hospitals and lessons learned.
Author(s): Henry A. Waxman
Citation: Health Affairs Forefront
Date: 12/2022
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Changes in Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April–December 2020), 38 States and DC
Presents data from 38 states on the number of all-cause hospitalizations and in-hospital deaths between April-December 2020 compared to the same period in 2019. Includes data by location of patient residence for large metro, medium and small metro, and rural areas.
Author(s): Marc Roemer, Jennifer Welch
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 38 states on the number of all-cause hospitalizations and in-hospital deaths between April-December 2020 compared to the same period in 2019. Includes data by location of patient residence for large metro, medium and small metro, and rural areas.
Author(s): Marc Roemer, Jennifer Welch
Date: 12/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Financial Impact of Telehealth: Rural Chief Financial Officer Perspectives
Explores how rural chief financial officers (CFOs) and hospital administrators perceive the financial impacts of telehealth in their facilities. Analyzes 30 interview responses from CFOs and administrators between October 2021 and January 2022 about the perceived benefits and challenges of telehealth programs. Discusses opportunities to improve telehealth infrastructure to make the modality more cost effective for hospitals.
Author(s): Lori Uscher-Pines, Jessica L. Sousa, Kori S. Zachrison, Lee Schwamm, Ateev Mehrotra
Citation: The American Journal of Managed Care, 28(12), e436-e443
Date: 12/2022
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Explores how rural chief financial officers (CFOs) and hospital administrators perceive the financial impacts of telehealth in their facilities. Analyzes 30 interview responses from CFOs and administrators between October 2021 and January 2022 about the perceived benefits and challenges of telehealth programs. Discusses opportunities to improve telehealth infrastructure to make the modality more cost effective for hospitals.
Author(s): Lori Uscher-Pines, Jessica L. Sousa, Kori S. Zachrison, Lee Schwamm, Ateev Mehrotra
Citation: The American Journal of Managed Care, 28(12), e436-e443
Date: 12/2022
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Federal Support for Financially Distressed Hospitals
Provides an overview of Medicare hospital payments and federal funding opportunities to assist financially distressed hospitals. Includes information on COVID-19 relief funding targeted to rural and safety net hospitals.
Date: 12/2022
Sponsoring organization: Congressional Research Service
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Provides an overview of Medicare hospital payments and federal funding opportunities to assist financially distressed hospitals. Includes information on COVID-19 relief funding targeted to rural and safety net hospitals.
Date: 12/2022
Sponsoring organization: Congressional Research Service
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Rural–Urban Disparities in Mortality and Place of Death for Gastrointestinal Cancer in the United States From 2003 to 2019
A research letter that examines age-adjusted mortality rates (AAMR) from gastrointestinal cancer in large metro, medium/small metro, and rural areas. Analyzes 2,490,412 AAMR records between 2013 and 2019 utilizing the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (CDC Wonder) database. Provides breakdowns of AAMR data by age, sex, race/ethnicity, cancer type, urbanicity, and location of death, such as nursing facility, hospice facility, medical facility, or home.
Author(s): S.M. Qasim Hussaini, Amanda L. Blackford, Nivedita Arora, et al.
Citation: Gastroenterology, 163(6), 1676-1678
Date: 12/2022
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A research letter that examines age-adjusted mortality rates (AAMR) from gastrointestinal cancer in large metro, medium/small metro, and rural areas. Analyzes 2,490,412 AAMR records between 2013 and 2019 utilizing the Centers for Disease Control and Prevention's Wide-ranging Online Data for Epidemiologic Research (CDC Wonder) database. Provides breakdowns of AAMR data by age, sex, race/ethnicity, cancer type, urbanicity, and location of death, such as nursing facility, hospice facility, medical facility, or home.
Author(s): S.M. Qasim Hussaini, Amanda L. Blackford, Nivedita Arora, et al.
Citation: Gastroenterology, 163(6), 1676-1678
Date: 12/2022
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