Rural Health
Resources by Topic: Healthcare facilities
Recorded Webinar: The ABCs of Antibiotic Stewardship (Part 1)
Provides a webinar recording addressing antibiotic stewardship for Critical Access Hospitals. Focuses on the core elements of antibiotic stewardship, the related Medicare Beneficiary Quality Improvement Project (MBQIP) measure for CAHs, and the current performance of Oklahoma's CAHs on antibiotic stewardship implementation.
Date: 03/2019
Type: Video/Multimedia
Sponsoring organizations: Oklahoma State University Center for Rural Health, Stratis Health
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Provides a webinar recording addressing antibiotic stewardship for Critical Access Hospitals. Focuses on the core elements of antibiotic stewardship, the related Medicare Beneficiary Quality Improvement Project (MBQIP) measure for CAHs, and the current performance of Oklahoma's CAHs on antibiotic stewardship implementation.
Date: 03/2019
Type: Video/Multimedia
Sponsoring organizations: Oklahoma State University Center for Rural Health, Stratis Health
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Facility-Based Ambulatory Care Provided to Rural Medicare Beneficiaries in 2014
Chartbook describing claims, costs, and common diagnoses in facility-based ambulatory care provided to rural Medicare patients. Features statistics in various categories with breakdowns by Federally Qualified Health Centers in rural and urban areas, Rural Health Clinics, Critical Access Hospitals, and Prospective Payment Systems in rural and urban areas.
Author(s): Alex R. Schulte, Denise A. Kirk, Kristie W. Thompson, George H. Pink
Date: 03/2019
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Chartbook describing claims, costs, and common diagnoses in facility-based ambulatory care provided to rural Medicare patients. Features statistics in various categories with breakdowns by Federally Qualified Health Centers in rural and urban areas, Rural Health Clinics, Critical Access Hospitals, and Prospective Payment Systems in rural and urban areas.
Author(s): Alex R. Schulte, Denise A. Kirk, Kristie W. Thompson, George H. Pink
Date: 03/2019
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Community Health Center Financing: The Role of Medicaid and Section 330 Grant Funding Explained
Describes the two main sources of funds, Medicaid and Section 330 grant funding, that enable community health centers (CHCs) to provide healthcare services for underserved rural and urban populations in the U.S. Discusses Medicaid's special payment rules for CHCs, the role of Section 330 funding, and the expansion of CHCs due to funding increases.
Author(s): Sara Rosenbaum, Jessica Sharac, Peter Shin, Jennifer Tolbert
Date: 03/2019
Type: Document
Sponsoring organization: KFF
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Describes the two main sources of funds, Medicaid and Section 330 grant funding, that enable community health centers (CHCs) to provide healthcare services for underserved rural and urban populations in the U.S. Discusses Medicaid's special payment rules for CHCs, the role of Section 330 funding, and the expansion of CHCs due to funding increases.
Author(s): Sara Rosenbaum, Jessica Sharac, Peter Shin, Jennifer Tolbert
Date: 03/2019
Type: Document
Sponsoring organization: KFF
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Inpatient Stays Involving Mental and Substance Use Disorders, 2016
Examines inpatient stays involving mental and substance use disorders at community hospitals among patients 5 years old or older. Provides data on costs, length of stay, discharge status, patient demographics, primary expected payer, and hospital region. Table 2 includes data by location of patient residence for rural and urban areas.
Author(s): Pamela L. Owens, Kathryn R. Fingar, Kimberly W. McDermott, Pradip K. Muhuri, Kevin C. Heslin
Date: 03/2019
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines inpatient stays involving mental and substance use disorders at community hospitals among patients 5 years old or older. Provides data on costs, length of stay, discharge status, patient demographics, primary expected payer, and hospital region. Table 2 includes data by location of patient residence for rural and urban areas.
Author(s): Pamela L. Owens, Kathryn R. Fingar, Kimberly W. McDermott, Pradip K. Muhuri, Kevin C. Heslin
Date: 03/2019
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Identifying Safety-Net Resources at Health Centers to Prevent Infectious Disease Transmission Resulting from the Opioid Epidemic
Examines challenges faced and strategies used by Community Health Centers (CHCs) in rural areas to reduce the transmission of infectious diseases in relation to opioid use. Focuses on treatment of people with opioid use disorder; prevention of HIV and hepatitis C (HCV) transmission; integration of substance use services with mental health and primary care; information sharing among health centers and Ryan White Part C providers; and challenges related to staffing, administration, finances, and social stigma. Identifies 7 facilitators of successful programs.
Author(s): Joshua Breslau, Ryan K. McBain, Molly Simmons
Date: 03/2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examines challenges faced and strategies used by Community Health Centers (CHCs) in rural areas to reduce the transmission of infectious diseases in relation to opioid use. Focuses on treatment of people with opioid use disorder; prevention of HIV and hepatitis C (HCV) transmission; integration of substance use services with mental health and primary care; information sharing among health centers and Ryan White Part C providers; and challenges related to staffing, administration, finances, and social stigma. Identifies 7 facilitators of successful programs.
Author(s): Joshua Breslau, Ryan K. McBain, Molly Simmons
Date: 03/2019
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Examining the Cost Effectiveness of Teaching Health Centers
Examines areas where the Teaching Health Center Graduate Medical Education (THCGME) program can produce savings, focusing on physician spending for patient encounters during and after residency training and patient Medicaid and Medicare insurance coverage. Identifies the location of THCGME programs and highlights program outcomes, including the percent of graduates who work in rural and underserved areas and practice primary care.
Author(s): Candice Chen, Leighton Ku, Marsha Regenstein, Fitzhugh Mullan
Date: 03/2019
Type: Document
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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Examines areas where the Teaching Health Center Graduate Medical Education (THCGME) program can produce savings, focusing on physician spending for patient encounters during and after residency training and patient Medicaid and Medicare insurance coverage. Identifies the location of THCGME programs and highlights program outcomes, including the percent of graduates who work in rural and underserved areas and practice primary care.
Author(s): Candice Chen, Leighton Ku, Marsha Regenstein, Fitzhugh Mullan
Date: 03/2019
Type: Document
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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MedPAC Report to the Congress: Medicare Payment Policy: Hospital Inpatient and Outpatient Services: Chapter 3
Examines the adequacy of Medicare payments to hospitals in 2017 and offers recommendations for changes. Includes a discussion of rural hospital closures and provides rural/urban breakdowns for hospital occupancy rates, Medicare inpatient discharges, and Medicare margins.
Date: 03/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Examines the adequacy of Medicare payments to hospitals in 2017 and offers recommendations for changes. Includes a discussion of rural hospital closures and provides rural/urban breakdowns for hospital occupancy rates, Medicare inpatient discharges, and Medicare margins.
Date: 03/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2019
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses opioids, Medicare Part D, Medicare Advantage, Medicare's quality incentive program for hospitals, and payment adequacy for healthcare facilities and services.
Date: 03/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses opioids, Medicare Part D, Medicare Advantage, Medicare's quality incentive program for hospitals, and payment adequacy for healthcare facilities and services.
Date: 03/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, March 2019
Reports on three aspects of Medicaid: improving the structure of Disproportionate Share Hospital (DSH) payment reductions, oversight of upper payment limits for supplemental payments to hospitals, and Disproportionate Share Hospital (DSH) payments to states. Chapter 3 includes the annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 3-1 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid: improving the structure of Disproportionate Share Hospital (DSH) payment reductions, oversight of upper payment limits for supplemental payments to hospitals, and Disproportionate Share Hospital (DSH) payments to states. Chapter 3 includes the annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 3-1 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Hospital-Based Incident Command Systems: Small and Rural Hospitals
Provides slides and additional links from a webinar featuring case studies of how rural, Indian Health Service, and Critical Access Hospitals responded to emergencies and used Incident Command Systems in Tennessee, Nebraska, Texas, South Dakota, Georgia, and Utah. Features training examples and actual situations - shooting incidents, school bus accidents, water contamination, and more - addressing challenges faced and lessons learned.
Date: 03/2019
Type: Presentation Slides
Sponsoring organization: Administration for Strategic Preparedness and Response
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Provides slides and additional links from a webinar featuring case studies of how rural, Indian Health Service, and Critical Access Hospitals responded to emergencies and used Incident Command Systems in Tennessee, Nebraska, Texas, South Dakota, Georgia, and Utah. Features training examples and actual situations - shooting incidents, school bus accidents, water contamination, and more - addressing challenges faced and lessons learned.
Date: 03/2019
Type: Presentation Slides
Sponsoring organization: Administration for Strategic Preparedness and Response
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