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Rural Health
Resources by Topic: Healthcare facilities

Use of the Spatial Access Ratio to Measure Geospatial Access to Emergency General Surgery Services in California
Evaluates the ability of Spatial Access Ratio (SPAR) to identify disparities in emergency general surgery (EGS) access in California. Compares the locations of 238 EGS-capable hospitals to the location of California residents with focus on the socio-demographic characteristics of population size, poverty rate, health insurance coverage, and rural or urban status. Table 2 shows access to EGS hospitals by rurality, among other data. Discusses the use of SPAR to allocate resources differently.
Author(s): Marta McCrum, Neng Wan, Steven Lizotte, et al.
Citation: The Journal of Trauma and Acute Care Surgery, 90(5), 853-860
Date: 05/2021
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Federally Qualified Health Center's Remote Patient Monitoring Tool Kit
Toolkit developed for Federally Qualified Health Centers (FQHCs) implementing a remote patient monitoring program. Provides guidance for FQHCs and offers program considerations regarding administration, program sustainability, electronic health records (EHR) integration, communications, equipment, training, and examples of measurable outcomes for patients and providers.
Date: 05/2021
Sponsoring organization: California Telehealth Resource Center
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National Hospital Ambulatory Medical Care Survey: 2018 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location, Table 2 includes metro/nonmetro ED visit data by location of patient residence, and Table 14 has metro/nonmetro injury visit data based on hospital location.
Date: 05/2021
Sponsoring organization: National Center for Health Statistics
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Building on the Evidence Base: Studies on the Effects of Medicaid Expansion, February 2020 to March 2021
Summarizes the results of a review of 200 studies published between February 2020 and March 2021 on the impact of state Medicaid expansions under the Patient Protection and Affordable Care Act (ACA). Highlights findings on mortality; cancer, chronic disease, and disabilities; sexual and reproductive health; behavioral health; economic impacts on states and providers, including rural providers; disparities; and social determinants of health. Builds on a literature review that examined studies published between January 2014 and January 2020.
Author(s): Madeline Guth, Meghana Ammula
Date: 05/2021
Sponsoring organization: KFF
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Mid-Level Leaders and the Transition to Value Video Series
A 6-part video series on healthcare leadership for mid-level Critical Access Hospital (CAH) leaders. Provides information and strategies on leading a team through the shift to value-based payment with training modules on strategic and systems thinking, collaborative and change leadership, healthcare finance, and talent development.
Additional links: Action Plan, Discussion Questions and Recommended Activities, Resource Guide
Date: 05/2021
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
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Comments on Proposed Criteria for Defining Urban Areas
Comment letter responding to the U.S. Census Bureau on proposed changes to criteria used to define urban areas. Discusses how the proposed changes could impact the delivery of healthcare services in rural communities, including potential implications on the certification of Rural Health Clinics.
Date: 05/2021
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Physician Workforce: Caps on Medicare-funded Graduate Medical Education at Teaching Hospitals
Provides an overview of Medicare physician graduate medical education (GME) funding to teaching hospitals. Describes the extent to which hospitals were over or under their Medicare GME caps in 2018, including their urban or rural status. Summarizes stakeholder views on extending the time frame for hospitals with new GME programs to establish their caps.
Additional links: Full Report
Date: 05/2021
Sponsoring organization: Government Accountability Office
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Rurality is Associated with Increased Drive Times to Opioid Treatment Programs in Arizona
Research brief presenting data on drive times to reach opioid treatment programs and Federally Qualified Health Centers, comparing rural, small town, micropolitan, and metropolitan areas.
Author(s): Rachel Gildersleeve, Benjamin Brady, Bryna Koch, Doug Campos-Outcalt, Daniel Derksen
Date: 05/2021
Sponsoring organization: Arizona Center for Rural Health
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Vaccine Hesitancy among Rural Hospitals: The Arrival of a Challenging "New Normal"
Summarizes the results of a survey of rural hospital leaders between March 12-April 15, 2021, regarding COVID-19 vaccination among rural hospital personnel. Explores the percentage of rural hospital employees that have declined a vaccine, are partially vaccinated, and are fully vaccinated; reasons for declining the vaccine; and changing attitudes toward the vaccine.
Date: 05/2021
Sponsoring organization: The Chartis Group
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RHC COVID Initiatives Webinar
Recording of a May 19, 2021, webinar providing an overview of federal actions regarding COVID-19 vaccine confidence, testing and mitigation, and vaccine access specific to Rural Health Clinics. Covers program funding, eligibility, and application processes. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 05/2021
Sponsoring organization: National Association of Rural Health Clinics
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