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Rural Health
Resources by Topic: Healthcare facilities

Still Stealing Rural America's Breath: An Update on Chronic Obstructive Pulmonary Disease
Discusses rural research efforts focused on chronic obstructive pulmonary disease (COPD), with insights from researchers, philanthropists, and healthcare providers. Explores the impact of COVID-19 on COPD. Also covers the importance of pulmonary rehabilitation and new research findings on the impact of this treatment.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2021
Sponsoring organization: Rural Health Information Hub
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Understanding VA's Use of and Relationships With Community Care Providers Under the MISSION Act
Highlights a study analyzing the VA Community Care Network (CCN) to better understand the needs of the program regionally and the challenges faced by community providers who work with the CCN. Draws data from a national survey of facility directors and breaks down facility data by percent rural, care specialty, and partnerships.
Author(s): Kristin M. Mattocks, Aimee Kroll-Desrosiers, Rebecca Kinney, et al.
Citation: Medical Care, 59, (6, Suppl3), 252-258
Date: 06/2021
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2021
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Chapter 5 presents an interim report on Medicare beneficiaries' access to care in rural areas. Also includes chapters on Medicare Advantage benchmark policy, alternative payment models, private equity and Medicare, the skilled nursing facility value-based purchasing program, indirect medical education payments, Medicare coverage of vaccines, separately payable drugs in the hospital outpatient prospective payment system, clinical laboratory fee schedule payment rates, and the relationship between clinician services and other Medicare services.
Additional links: Executive Summary
Date: 06/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Hospital Capabilities to Enable Patient Electronic Access to Health Information, 2019
Reports on the percentage of U.S. hospitals that provide patients with electronic access to health information. Includes charts comparing types of electronic access; facility type including Critical Access, rural, and suburban-urban hospitals; and what types of information patients access.
Author(s): Christian Johnson, Wesley Barker
Date: 06/2021
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Quality Time: Sharing PIE - Using "Small Data" to Drive Big Improvements
Podcast episode exploring how two Critical Access Hospital (CAH) leaders utilize data for quality improvement. Discusses how different kinds of data have informed quality improvement initiatives and considerations for analyzing data in low-volume contexts.
Date: 06/2021
Sponsoring organization: Stratis Health
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Access to Mechanical Thrombectomy for Ischemic Stroke in the United States
Examines access to mechanical thrombectomy for ischemic stroke, utilizing 2016-2018 emergency department and acute care hospital data for facilities in 11 states. Provides data on rural and urban differences in likelihood of presenting at thrombectomy gap, gateway, and hub facilities after ischemic stroke.
Author(s): Hooman Kamel, Neal S. Parikh, Abhinaba Chatterjee, et al.
Citation: Stroke, 52(8), 2554-2561
Date: 05/2021
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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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