Rural Health
Resources by Topic: Healthcare facilities
Quality Measures for Critical Access Hospital Swing-Bed Patients
Policy brief describing a study to identify quality measures for Critical Access Hospital (CAH) swing-bed patients, focused on outcome and functional status measures. Includes information from key informant interviews on discharge disposition and 30-day follow-up status.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 10/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief describing a study to identify quality measures for Critical Access Hospital (CAH) swing-bed patients, focused on outcome and functional status measures. Includes information from key informant interviews on discharge disposition and 30-day follow-up status.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 10/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Estimate of Federal Payment Reductions to Hospitals Following the ACA: 2010-2029: Estimates and Methodology
Estimates the reduction in Medicare hospital payments due to sequestration from 2010 to 2029, not including reductions enacted under the Affordable Care Act (ACA). Demonstrates how other legislative acts and regulatory changes by the Centers for Medicare and Medicaid Services (CMS) reduced federal payments to hospitals over the same period. Highlights how reductions in Medicare payments for bad debt impacted Critical Access Hospitals (CAHs).
Date: 10/2019
Sponsoring organizations: American Hospital Association, Federation of American Hospitals
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Estimates the reduction in Medicare hospital payments due to sequestration from 2010 to 2029, not including reductions enacted under the Affordable Care Act (ACA). Demonstrates how other legislative acts and regulatory changes by the Centers for Medicare and Medicaid Services (CMS) reduced federal payments to hospitals over the same period. Highlights how reductions in Medicare payments for bad debt impacted Critical Access Hospitals (CAHs).
Date: 10/2019
Sponsoring organizations: American Hospital Association, Federation of American Hospitals
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Understanding Technical Assistance Needs for Delivering Telehealth Services in New York State
Discusses the use of telehealth services in New York State. Highlights the responses to a survey of providers regarding telehealth usage and technical assistance issues.
Date: 10/2019
Sponsoring organization: Center for Health Workforce Studies
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Discusses the use of telehealth services in New York State. Highlights the responses to a survey of providers regarding telehealth usage and technical assistance issues.
Date: 10/2019
Sponsoring organization: Center for Health Workforce Studies
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Inpatient Hospital Stays and Emergency Department Visits Involving Influenza, 2006–2016
Examines inpatient stays and treat-and-release emergency department visits with an influenza diagnosis from the 2006–2007 flu season through the 2015–2016 flu season. Covers in-hospital mortality rates, average stay length, and cost. Includes data by patient location for metropolitan areas, rural adjacent to metro, and rural remote areas.
Author(s): Kathryn R. Fingar, Lan Liang, Carol Stocks
Date: 10/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines inpatient stays and treat-and-release emergency department visits with an influenza diagnosis from the 2006–2007 flu season through the 2015–2016 flu season. Covers in-hospital mortality rates, average stay length, and cost. Includes data by patient location for metropolitan areas, rural adjacent to metro, and rural remote areas.
Author(s): Kathryn R. Fingar, Lan Liang, Carol Stocks
Date: 10/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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States' Medicaid Fee-for-Service Nursing Facility Payment Policies
Spreadsheet outlining each state's Medicaid fee-for-service (FFS) nursing facility payment policy. Lists how each state sets the payment rate and any adjustments and supplemental payments. Includes information on rural/urban aspects of setting or adjustment to the payment in each state.
Date: 10/2019
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Spreadsheet outlining each state's Medicaid fee-for-service (FFS) nursing facility payment policy. Lists how each state sets the payment rate and any adjustments and supplemental payments. Includes information on rural/urban aspects of setting or adjustment to the payment in each state.
Date: 10/2019
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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CAH Participation in Flex Financial and Operational Improvement Activities, 2015–2018
Examines patterns of Critical Access Hospital (CAH) participation in activities funded by the Medicare Rural Hospital Flexibility (Flex) Program. Looks at CAHs' participation in financial and operational improvement activities, with information by various hospital characteristics including risk of financial distress.
Author(s): Kathleen Knocke, Kristin Reiter, George H. Pink
Date: 10/2019
Sponsoring organization: Flex Monitoring Team
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Examines patterns of Critical Access Hospital (CAH) participation in activities funded by the Medicare Rural Hospital Flexibility (Flex) Program. Looks at CAHs' participation in financial and operational improvement activities, with information by various hospital characteristics including risk of financial distress.
Author(s): Kathleen Knocke, Kristin Reiter, George H. Pink
Date: 10/2019
Sponsoring organization: Flex Monitoring Team
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So You Want to Start a Health Center?
Provides guidance for planning and implementing a new health center that meets Section 330 of the U.S. Public Health Service Act requirements. Includes information on developing a needs assessment, physical space considerations, business planning, developing community governance, human resources, information technology, and more.
Date: 09/2019
Sponsoring organization: National Association of Community Health Centers
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Provides guidance for planning and implementing a new health center that meets Section 330 of the U.S. Public Health Service Act requirements. Includes information on developing a needs assessment, physical space considerations, business planning, developing community governance, human resources, information technology, and more.
Date: 09/2019
Sponsoring organization: National Association of Community Health Centers
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Antibiotic Stewardship Implementation: Suggested Strategies from High Performing Critical Access Hospitals
Describes antibiotic stewardship (AS) best practices identified through focus groups of 34 high performing Critical Access Hospitals across 25 states. Provides an overview of focus group findings on the seven core elements of hospital AS and identifies recurring themes.
Date: 09/2019
Sponsoring organization: Stratis Health
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Describes antibiotic stewardship (AS) best practices identified through focus groups of 34 high performing Critical Access Hospitals across 25 states. Provides an overview of focus group findings on the seven core elements of hospital AS and identifies recurring themes.
Date: 09/2019
Sponsoring organization: Stratis Health
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Washington, D.C., September 9-12, 2019
Summarizes the 86th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Washington, D.C. Presents an overview of national perspectives on several topics, including issues impacting rural children, youth, and families; the priorities of federal agencies regarding rural health; the implications of federal policy changes on rural providers; and challenges and opportunities affecting older rural Americans. Features perspectives from national stakeholder groups.
Date: 09/2019
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 86th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Washington, D.C. Presents an overview of national perspectives on several topics, including issues impacting rural children, youth, and families; the priorities of federal agencies regarding rural health; the implications of federal policy changes on rural providers; and challenges and opportunities affecting older rural Americans. Features perspectives from national stakeholder groups.
Date: 09/2019
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Community Health Centers Continue Steady Growth, But Challenges Loom
An overview of the performance of community health centers (CHCs) compiled from data reported annually to the federal government through the Uniform Data System (UDS) between 2000-2018. Data includes the total number of CHCs nationwide and in rural areas, patient demographics, patient volume, health insurance coverage, types of services rendered, number of health center staff, and health center revenue. Discusses the impact of growth on CHCs particularly in Medicaid expansion states.
Author(s): Jessica Sharac, Peter Shin, Sara Rosenbaum, et al.
Date: 09/2019
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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An overview of the performance of community health centers (CHCs) compiled from data reported annually to the federal government through the Uniform Data System (UDS) between 2000-2018. Data includes the total number of CHCs nationwide and in rural areas, patient demographics, patient volume, health insurance coverage, types of services rendered, number of health center staff, and health center revenue. Discusses the impact of growth on CHCs particularly in Medicaid expansion states.
Author(s): Jessica Sharac, Peter Shin, Sara Rosenbaum, et al.
Date: 09/2019
Sponsoring organizations: Geiger Gibson Program in Community Health, RCHN Community Health Foundation
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