Rural Health
Resources by Topic: Healthcare facilities
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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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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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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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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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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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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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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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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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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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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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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