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Rural Health
Resources by Topic: Healthcare facilities

Barriers to Health Care Access for Rural Medicare Beneficiaries: Recommendations from Rural Health Clinics
Presents findings from an online survey of Rural Health Clinics, describing barriers for Medicare patients in accessing healthcare services. Includes recommendations for improving access to care for rural Medicare beneficiaries.
Author(s): Megan Lahr, Carrie Henning-Smith, Adrita Rahman, Ashley M. Hernandez
Date: 01/2021
Sponsoring organization: University of Minnesota Rural Health Research Center
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Serving High Need/High Cost Patients in the Emergency Department
Provides an overview of high-need/high-cost (HNHC) patient program design, implementation, operation, and assessment for rural hospitals to improve participant health, reduce emergency department (ED) visits, and decrease hospital charges. Includes links to additional resources and HNHC patient program case studies.
Author(s): A. Clinton MacKinney, Christopher Stamy
Date: 01/2021
Sponsoring organization: Rural Health Value
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Medicare Severe Wound Care: Spending Declines May Reflect Site of Care Changes; Limited Information Is Available on Quality
Reports on an analysis of where Medicare beneficiaries received care for severe wounds in 2018 and Medicare payment for these services. Provides an overview of the implementation of a dual payment system for long-term care hospitals in 2016, and examines how the dual payment system affected the availability and quality of severe wound care for Medicare beneficiaries. Includes data on severe wound care by facility type in addition to Medicare spending by urban and rural location.
Additional links: Full Report
Date: 01/2021
Sponsoring organization: Government Accountability Office
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Tele‐ICUs for COVID‐19: A Look at National Prevalence and Characteristics of Hospitals Providing Teleintensive Care
Discusses a study on the prevalence of intensive care unit telemedicine (tele-ICUs) in hospitals across the U.S. during the COVID-19 pandemic, specifically in rural and Critical Access Hospitals. Compares hospitals by region, ICU beds, and emergency visits, among other measures.
Author(s): Dunc Williams Jr., John Lawrence, Young-Rock Hong, Aaron Winn
Citation: Journal of Rural Health, 37(1), 133-141
Date: 01/2021
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Will Community Health Centers Survive COVID-19?
Evaluates the financial vulnerability of rural Federally Qualified Health Centers (FQHCs) during the COVID-19 pandemic. Discusses the importance of FQHCs to rural and underserved areas and makes suggestions to fortify FQHC revenue.
Author(s): Brad Wright, Erin Fraher, Marni Gwyther Holder, et al.
Citation: Journal of Rural Health, 37(1), 235-238
Date: 01/2021
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Treating COVID‐19 in Rural America
Explores the challenges of treating COVID-19 in rural hospitals. Highlights the difficulty of conducting clinical trials to identify an effective treatment for COVID-19 in small rural hospitals.
Author(s): Dima Dandachi, Rebecca Reece, Elizabeth W. Wang, et al.
Citation: Journal of Rural Health, 37(1), 205-206
Date: 01/2021
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Ethical and Legal Challenges During the COVID‐19 Pandemic – Are We Thinking About Rural Hospitals?
Discusses the legal framework and ethical decisions hospitals are faced with during the COVID-19 pandemic. Highlights emergency preparedness planning for rural hospitals with limited workforce and resources.
Author(s): Love Patel, Amy Elliott, Erik Storlie, et al.
Citation: Journal of Rural Health, 37(1), 175-178
Date: 01/2021
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Using Telehealth as a Tool for Rural Hospitals in the COVID-19 Pandemic Response
Explores strategies for implementing telehealth services at rural hospitals in response to COVID-19. Discusses how telehealth can be utilized to expand rural hospital capacity, meet the needs of low acuity or recently discharged patients, and limit transfers to tertiary locations.
Author(s): Jeydith Gutierrez, Ethan Kuperman, Peter J. Kaboli
Citation: Journal of Rural Health, 37(1), 161-164
Date: 01/2021
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Telehealth Policies Impacting Federally Qualified Health Centers in Face of COVID‐19
Provides an overview of changes to federal, California Medicaid, and private insurer telehealth policies in response to COVID-19. Discusses opportunities and limitations Federally Qualified Health Centers and Rural Health Clinics may face in expanding telehealth services. Offers recommendations for removing barriers for providers in rural and underserved areas.
Author(s): Miku Sodhi
Citation: Journal of Rural Health, 37(1), 158-160
Date: 01/2021
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Comparing Three Ways to Offer a Weight Management Program to Patients Living in Rural Areas: The RE-POWER Study
Presents the results of a study in 36 rural primary care practices, including Rural Health Clinics and Federally Qualified Health Clinics, comparing Medicare Fee for Service behavioral therapy for obesity delivered to individual clients in clinics with an in-clinic group visit delivered by clinical providers; and phone-based group visits delivered by a centralized provider. Participants included 1,407 adults from rural areas over a 24 month period with the goal to identify the most effective therapy for rural settings.
Author(s): Christie A. Befort, Jeffrey J. VanWormer, Cyrus DeSouza, et al.
Date: 2021
Sponsoring organization: Patient-Centered Outcomes Research Institute
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