Rural Health
Resources by Topic: Healthcare facilities
Assessing Clinical Quality Performance and Staffing Capacity Differences Between Urban and Rural Health Resources and Services Administration-Funded Health Centers in the United States: A Cross Sectional Study
Study comparing quality of medical care in urban and rural health centers funded by the Heath Resources and Services Administration (HRSA) using 2017 Uniform Data System data and 2016 Area Health Resources File data for 1,373 health centers, over 600 of which are rural. Examines 15 reported quality measures related to prevention, care management, and clinical outcomes.
Author(s): Nadereh Pourat, Xiao Chen, Connie Lu, et al.
Citation: PLOS One, 15(12), e0242844
Date: 12/2020
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Study comparing quality of medical care in urban and rural health centers funded by the Heath Resources and Services Administration (HRSA) using 2017 Uniform Data System data and 2016 Area Health Resources File data for 1,373 health centers, over 600 of which are rural. Examines 15 reported quality measures related to prevention, care management, and clinical outcomes.
Author(s): Nadereh Pourat, Xiao Chen, Connie Lu, et al.
Citation: PLOS One, 15(12), e0242844
Date: 12/2020
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Rural Health Clinics Modernization Policy Explained
Recording of a webinar (updated December 31, 2020) providing an overview of statutory revisions to the Rural Health Clinic (RHC) payment methodology. Explains the impact of the changes on both capped and uncapped RHCs. Includes information on telehealth reimbursement for RHCs. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Author(s): Bill Finerfrock, Nathan Baugh
Date: 12/2020
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a webinar (updated December 31, 2020) providing an overview of statutory revisions to the Rural Health Clinic (RHC) payment methodology. Explains the impact of the changes on both capped and uncapped RHCs. Includes information on telehealth reimbursement for RHCs. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides
Author(s): Bill Finerfrock, Nathan Baugh
Date: 12/2020
Sponsoring organization: National Association of Rural Health Clinics
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The Centers for Medicare & Medicaid Services Could Improve Its Wage Index Adjustment for Hospitals in Areas With the Lowest Wages
Analyzes characteristics of hospitals with area wage indexes (AWI) in the bottom quartile in 2020, including rurality, geography, Medicaid expansion status, and hourly wages. Provides an overview of the hospital wage index system and AWI, circularity, and the impact of these policies on prospective payment system (PPS) hospitals. Offers policy recommendations to the Centers for Medicare and Medicaid Services regarding future adjustments.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Analyzes characteristics of hospitals with area wage indexes (AWI) in the bottom quartile in 2020, including rurality, geography, Medicaid expansion status, and hourly wages. Provides an overview of the hospital wage index system and AWI, circularity, and the impact of these policies on prospective payment system (PPS) hospitals. Offers policy recommendations to the Centers for Medicare and Medicaid Services regarding future adjustments.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Lakewood Engage Tackles Food Insecurity in Rural Minnesota
Features a community-based program in rural Minnesota that addresses food insecurity through multiple initiatives, including distribution of fresh produce through a food "prescription" program, home delivery of meals to post-acute care patients and those in COVID-19 quarantine, and a farmers market.
Author(s): Kathryn Rutz
Citation: Rural Monitor
Date: 12/2020
Sponsoring organization: Rural Health Information Hub
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Features a community-based program in rural Minnesota that addresses food insecurity through multiple initiatives, including distribution of fresh produce through a food "prescription" program, home delivery of meals to post-acute care patients and those in COVID-19 quarantine, and a farmers market.
Author(s): Kathryn Rutz
Citation: Rural Monitor
Date: 12/2020
Sponsoring organization: Rural Health Information Hub
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Rural Hospitalizations for COVID-19: Snapshot on December 10, 2020
Analyzes U.S. Department of Health and Human Services data to compare rural and urban hospitals on the percent of hospitalized patients with COVID-19 and the percent of hospital beds occupied by patients who have COVID-19. Features breakdowns by geographical region.
Date: 12/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Analyzes U.S. Department of Health and Human Services data to compare rural and urban hospitals on the percent of hospitalized patients with COVID-19 and the percent of hospital beds occupied by patients who have COVID-19. Features breakdowns by geographical region.
Date: 12/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Hospitals Have Higher Percentages of Patients with COVID-19 than Urban Hospitals (October-December 2020)
Analyzes data from the U.S. Department of Health and Human Services to compare the percent of hospitalized patients with COVID-19 in rural versus urban hospitals. Features breakdowns by the Midwest, Northeast, West, and South.
Date: 12/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Analyzes data from the U.S. Department of Health and Human Services to compare the percent of hospitalized patients with COVID-19 in rural versus urban hospitals. Features breakdowns by the Midwest, Northeast, West, and South.
Date: 12/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Examining Rural Hospital Bypass for Inpatient Services
Explores the drivers of rural hospital bypass for inpatient services. Examines demographic characteristics, why patients bypassed their nearest rural hospital, how the local supply of healthcare services affects rural hospital bypass, and if health insurance networks or cost affect the decision to bypass rural hospitals.
Date: 12/2020
Sponsoring organization: Centers for Medicare & Medicaid Services
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Explores the drivers of rural hospital bypass for inpatient services. Examines demographic characteristics, why patients bypassed their nearest rural hospital, how the local supply of healthcare services affects rural hospital bypass, and if health insurance networks or cost affect the decision to bypass rural hospitals.
Date: 12/2020
Sponsoring organization: Centers for Medicare & Medicaid Services
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Telehealth Practice Among Health Centers During the COVID-19 Pandemic — United States, July 11–17, 2020
Reports health center telehealth services based on a July 11–17, 2020 survey of Health Resources and Services Administration–funded health centers. Includes data for urban and rural locations. Discusses barriers that rural health centers face in expanding telehealth, including broadband access, lack of partners, and logistics.
Author(s): Hanna B. Demeke, Leah Zilversmit Pao, Hollie Clark, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(50), 1902-1905
Date: 12/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Reports health center telehealth services based on a July 11–17, 2020 survey of Health Resources and Services Administration–funded health centers. Includes data for urban and rural locations. Discusses barriers that rural health centers face in expanding telehealth, including broadband access, lack of partners, and logistics.
Author(s): Hanna B. Demeke, Leah Zilversmit Pao, Hollie Clark, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(50), 1902-1905
Date: 12/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Instances of IHS Labor and Delivery Care Not Following National Clinical Guidelines or Best Practices
Evaluates the labor and delivery practices of Indian Health Service (IHS) hospitals and highlights instances when they deviate from national clinical guidelines. Discusses the negative patient outcomes from deviating from national guidelines and makes recommendations regarding site visits and training.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Evaluates the labor and delivery practices of Indian Health Service (IHS) hospitals and highlights instances when they deviate from national clinical guidelines. Discusses the negative patient outcomes from deviating from national guidelines and makes recommendations regarding site visits and training.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Incidence of Adverse Events in Indian Health Service Hospitals
Explores the occurrence of harm events in Indian Health Service (IHS) hospitals. Discusses the rates of adverse harm events, or those leading to prolonged or permanent patient harm, and temporary harm events. Breaks down data by hospital size and patient age and reason for admission. Makes recommendations regarding quality control and oversight.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Explores the occurrence of harm events in Indian Health Service (IHS) hospitals. Discusses the rates of adverse harm events, or those leading to prolonged or permanent patient harm, and temporary harm events. Breaks down data by hospital size and patient age and reason for admission. Makes recommendations regarding quality control and oversight.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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