Rural Health
Resources by Topic: Healthcare facilities
Medicare: Information on Medicare-Dependent Hospitals
Provides an overview of the Medicare-dependent hospital (MDH) program, how the MDH designation differs from other rural hospital designations, and how MDH hospitals have changed over time. Discusses the decrease in the number of MDHs over time. Examines a variety of operational and financial metrics across MDHs over time.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Provides an overview of the Medicare-dependent hospital (MDH) program, how the MDH designation differs from other rural hospital designations, and how MDH hospitals have changed over time. Discusses the decrease in the number of MDHs over time. Examines a variety of operational and financial metrics across MDHs over time.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Making a Difference for Generations to Come: School-Based Oral Healthcare in Louisiana
Features a Louisiana Federally Qualified Health Center that offers primary care oral health assessment and fluoride varnishes in school-based health centers. Discusses the impact that access to childhood oral health services may have into adulthood.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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Features a Louisiana Federally Qualified Health Center that offers primary care oral health assessment and fluoride varnishes in school-based health centers. Discusses the impact that access to childhood oral health services may have into adulthood.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 02/2020
Sponsoring organization: Rural Health Information Hub
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Notes from the Field: Characteristics of Million Hearts Hypertension Control Champions, 2012–2019
Reports on characteristics of the Million Hearts Hypertension Control Champions in 2019. Champions were clinicians, practices, health centers, and health systems that achieved ≥80% blood pressure control rates among their patients with hypertension. Also includes information on the Hypertension Control Champions from 2012-2018. Provides counts for programs serving urban, rural, and both urban and rural locations.
Author(s): Matthew D. Ritchey, Judy Hannan, Hilary K. Wall, Mary G. George, Laurence S. Sperling
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(7), 196-197
Date: 02/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on characteristics of the Million Hearts Hypertension Control Champions in 2019. Champions were clinicians, practices, health centers, and health systems that achieved ≥80% blood pressure control rates among their patients with hypertension. Also includes information on the Hypertension Control Champions from 2012-2018. Provides counts for programs serving urban, rural, and both urban and rural locations.
Author(s): Matthew D. Ritchey, Judy Hannan, Hilary K. Wall, Mary G. George, Laurence S. Sperling
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(7), 196-197
Date: 02/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Impact of Medicaid Work Requirements on Hospital Finances
Explores the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 16 states. Provides a fact sheet on each state, including a section comparing the potential impact of Medicaid work requirements on rural hospitals' operating margins to all hospitals in the state.
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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Explores the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 16 states. Provides a fact sheet on each state, including a section comparing the potential impact of Medicaid work requirements on rural hospitals' operating margins to all hospitals in the state.
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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Patient and Hospital Factors Associated With Unexpected Newborn Complications Among Term Neonates in US Hospitals
Results of a study to examine the rates of severe, unexpected complications in full term newborns in 576 hospitals from January 2015 - December 2017. Explores whether rates vary significantly among hospitals and looks at risk factors and possible causes of variation. Features statistics on characteristics of mothers, hospitals, and delivery types, and median percentage of rural population in the counties where deliveries occurred.
Author(s): Mark A. Clapp, Kaitlyn E. James, Sara V. Bates, Anjali J. Kaimal
Citation: JAMA Network Open, 3(2)
Date: 02/2020
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Results of a study to examine the rates of severe, unexpected complications in full term newborns in 576 hospitals from January 2015 - December 2017. Explores whether rates vary significantly among hospitals and looks at risk factors and possible causes of variation. Features statistics on characteristics of mothers, hospitals, and delivery types, and median percentage of rural population in the counties where deliveries occurred.
Author(s): Mark A. Clapp, Kaitlyn E. James, Sara V. Bates, Anjali J. Kaimal
Citation: JAMA Network Open, 3(2)
Date: 02/2020
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Building Partnerships to Improve Health in the Rural South: CareSouth Carolina
Provides an overview of CareSouth Carolina, a Federally Qualified Health Center (FQHC), and its approaches to increase engagement with low-income patients in its service area. Describes the role of community health workers to address social determinants of health. Discusses partnerships with community organizations and the development of an independent practice association with other FQHCs in South Carolina. Includes CareSouth Carolina's performance scorecard and a summary of lessons learned.
Author(s): Martha Hostetter, Sarah Klein
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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Provides an overview of CareSouth Carolina, a Federally Qualified Health Center (FQHC), and its approaches to increase engagement with low-income patients in its service area. Describes the role of community health workers to address social determinants of health. Discusses partnerships with community organizations and the development of an independent practice association with other FQHCs in South Carolina. Includes CareSouth Carolina's performance scorecard and a summary of lessons learned.
Author(s): Martha Hostetter, Sarah Klein
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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Options for Rural Health Care Delivery in Maryland
Presents a high-level overview of rural health care delivery options and considerations for future access to health services in Kent and upper Queen Anne's Counties and other rural Maryland communities. Features demographics and statistics on inpatient discharges from 2014-2018.
Date: 01/2020
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Presents a high-level overview of rural health care delivery options and considerations for future access to health services in Kent and upper Queen Anne's Counties and other rural Maryland communities. Features demographics and statistics on inpatient discharges from 2014-2018.
Date: 01/2020
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Trends in Mortality for Medicare Beneficiaries Treated in the Emergency Department From 2009 to 2016
Examines mortality rates during and after emergency department (ED) visits among Medicare beneficiaries between 2009-2016. Explores mortality trends by differences in disposition from the ED, the severity of ED visit, and hospital characteristics. Includes a discussion of ED outcomes in rural settings.
Author(s): Laura G. Burke, Stephen K. Epstein, Ryan C. Burke, E. John Orav, Ashish K. Jha
Citation: JAMA Internal Medicine, 180(1), 80-88
Date: 01/2020
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Examines mortality rates during and after emergency department (ED) visits among Medicare beneficiaries between 2009-2016. Explores mortality trends by differences in disposition from the ED, the severity of ED visit, and hospital characteristics. Includes a discussion of ED outcomes in rural settings.
Author(s): Laura G. Burke, Stephen K. Epstein, Ryan C. Burke, E. John Orav, Ashish K. Jha
Citation: JAMA Internal Medicine, 180(1), 80-88
Date: 01/2020
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Potential Predictors of Hospital Length of Stay and Hospital Charges among Patients with All-terrain Vehicle Injuries in Rural Northeast Texas
Examines which factors associated with all-terrain vehicle injuries are predictive of hospital length of stay and hospital charges in rural Northeast Texas. Analyzes how facility of treatment, injury severity, and initial emergency department vital signs are correlated to hospital length of stay and cost of care.
Author(s): Anastasia Miller, Jeanie D. Gallegly, Gabriela Orsak, et al.
Citation: Journal of Injury and Violence Research, 12(1), 55-62
Date: 01/2020
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Examines which factors associated with all-terrain vehicle injuries are predictive of hospital length of stay and hospital charges in rural Northeast Texas. Analyzes how facility of treatment, injury severity, and initial emergency department vital signs are correlated to hospital length of stay and cost of care.
Author(s): Anastasia Miller, Jeanie D. Gallegly, Gabriela Orsak, et al.
Citation: Journal of Injury and Violence Research, 12(1), 55-62
Date: 01/2020
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National Hospital Ambulatory Medical Care Survey: 2017 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: 01/2020
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: 01/2020
Sponsoring organization: National Center for Health Statistics
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