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Rural Health
Resources by Topic: Healthcare facilities

Indian Health Service Use of Critical Care Response Teams Has Helped to Meet Facility Needs During the COVID-19 Pandemic
Provides an overview of the Indian Health Service's (IHS) Critical Care Response Teams (CCRTs) program, which was developed to support IHS and Tribal facilities in caring for critically ill COVID-19 patients. Examines the first five CCRT deployments from June -September 2020. Offers recommendations to leverage CCRT program success to support other IHS care improvement efforts.
Date: 09/2021
Sponsoring organization: Office of Inspector General (HHS)
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Quality of Care Before and After Mergers and Acquisitions of Rural Hospitals
Examines the quality of care provided in 172 rural hospitals that merged or were acquired between 2009-2016. Compares the in-hospital mortality rates for patients with several conditions compared admitted to merged or acquired hospitals to patients admitted to 266 rural hospitals that remained independent.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel M. Henke, Teresa P. Gibson
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Evaluation of the Rural Community Hospital Demonstration: Report Covering 2005-2017 (Interim Report 1)
Provides an overview of the Rural Community Hospital Demonstration (RCHD). Describes the characteristics of RCHD participants that entered the demonstration between 2005-2012, the Medicare payments received under program, and the impact of the RCHD on hospital finances between 2005-2017.
Additional links: Findings at a Glance
Date: 09/2021
Sponsoring organization: Centers for Medicare & Medicaid Services
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MedPAC Comment on CMS's Proposed Rule on Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs for CY 2022
Comments on an August 4, 2021, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2022. Includes considerations for Rural Emergency Hospital payments and emergency department staffing requirements.
Date: 09/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Changes in Hospitalizations and In-Hospital Deaths for Adults Aged 65 Years and Older in the Initial Period of the COVID-19 Pandemic (April-September 2020), 13 States
Presents data from 13 states on the number of all-cause hospitalizations and in-hospital deaths among adults aged 65 years old and over between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Zhengyi Fang, Pamela L. Owens
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Changes in Hospitalizations and In-Hospital Deaths for Adults Aged 18-64 Years in the Initial Period of the COVID-19 Pandemic (April-September 2020), 13 States
Presents data from 13 states on the number of all-cause hospitalizations and in-hospital deaths among adults aged 18-64 years old between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Marc Roemer
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Changes in Pediatric Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April-September 2020), 13 States
Presents data from 13 states on the number of pediatric hospitalizations and in-hospital deaths between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of pediatric hospitalizations related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Changes in Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April-September 2020), 13 States
Presents data from 13 states on the number of all-cause hospitalizations and in-hospital deaths between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Provider Relief Fund Reporting Portal
Recording of a September 2, 2021, webinar on the COVID-19 Provider Relief Fund (PRF) program. Provides an overview of the PRF program. Discusses reporting requirements and time periods, methodology for calculating lost revenues, and considerations for Rural Health Clinics. Includes answers to frequently asked questions. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 09/2021
Sponsoring organizations: Health Resources and Services Administration, National Association of Rural Health Clinics
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Challenges to Public Health Reporting Experienced by Non-Federal Acute Care Hospitals, 2019
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs). Outlines challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Compares challenges faced by hospitals by size, CAH status, rural/urban, and independent/system affiliated and offers state-level maps of percent of hospitals reporting specific challenges.
Author(s): Chelsea Richwine, Carmelita Marshall, Christian Johnson, Vaishali Patel
Date: 09/2021
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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