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Rural Health
Resources by Topic: Healthcare facilities

Supporting CAHs During the COVID-19 Pandemic: Summary Results of a Survey of State Flex Coordinators
Summarizes key findings from a survey of State Flex Programs regarding the impact of COVID-19 on Critical Access Hospitals (CAHs) between May 26 - July 2, 2020. Describes the type of support and assistance requested by CAHs, promising strategies State Flex Programs used to support CAHs, and how State Flex Programs are planning for CAH needs after the pandemic.
Author(s): John Gale, Zachariah Croll, Yvonne Jonk, Sara Kahn-Troster, Karen Pearson
Date: 10/2020
Sponsoring organization: Flex Monitoring Team
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State Support to Rural Hospitals Fact Sheet
Overview of the Small Rural Hospital Improvement Program (SHIP) and the Medicare Rural Hospital Flexibility (Flex) program supporting rural hospitals and Critical Access Hospitals. Highlights with data the impact of these programs on a national level.
Date: 10/2020
Sponsoring organization: Health Resources and Services Administration
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Characteristics of US Rural Hospitals by Obstetric Service Availability, 2017
Examines the characteristics of rural hospitals that did not provide obstetric care in 2017. Compares rural hospitals that did and did not have obstetrics services by financial structure, location, and hospital size and emergency department availability and volume. Discusses the public health implications of this analysis.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Mariana S. Tuttle, Carrie Henning-Smith, Lindsay Admon
Citation: American Journal of Public Health, 110(9), 1315-1317
Date: 09/2020
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Louisiana Primary Care Needs Assessment: Closing the Gap on Healthcare Disparities and Workforce Shortages
Identifies unmet needs and disparities in health outcomes in Louisiana, explores health workforce concerns, and discusses barriers to accessing healthcare. Includes a section on Health Professional Shortage Areas and mentions rural throughout.
Author(s): Hayley Alexander, Barrie Black, Nicole Coarsey, Kimberly Brent
Date: 09/2020
Sponsoring organization: Well-Ahead Louisiana
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Oregon's Critical Access Hospitals: Fiscal Year 2018 Community Benefit Reporting Highlights
Shows community benefit data for Oregon's 25 Critical Access Hospitals (CAHs), using information from Fiscal Year (FY) 2018. Features an Oregon map showing locations of CAHs, with shadings indicating frontier, rural, and urban areas. Includes a comparison of FY2018 and FY2017 community benefit dollars spent by category, community benefit spending totals, percent of net revenue, and more.
Date: 09/2020
Sponsoring organization: Oregon Office of Rural Health
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Understanding Rural Hospital Bypass Among Medicare Fee-for-Service (FFS) Beneficiaries in 2018
Examines the extent to which rural Medicare beneficiaries receive inpatient services at hospitals that are not their nearest rural hospital. Explores which hospital services rural Medicare beneficiaries most often seek locally and at distant hospitals.
Date: 09/2020
Sponsoring organization: Centers for Medicare & Medicaid Services
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A Comparison of Rural and Urban Specialty Hospitals
Results of a study examining differences in long-term acute care hospitals, inpatient psychiatric hospitals, and inpatient rehabilitation facilities in urban and rural areas. Features statistics on ownership type, location, number of beds, percent of inpatient days for rural residents, percent of inpatient days for Medicare beneficiaries, operating expenses, percent of Medicaid days, and profitability.
Author(s): George H. Pink, Andrew Osgood, Pranathi Sana
Date: 09/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Implementation Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Presents findings on implementation progress, successes, and challenges regarding CCBHC staffing, access to care, scope of required services, and care coordination. Includes rural references and case studies throughout.
Author(s): Allison Wishon Siegwarth, Rachel Miller, Jasmine Little, et al.
Date: 09/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2019
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes participating states' CCBHC activities including improved access to treatment and recovery support services, the range of services provided during the first year of the demonstration, how states have been reporting and utilizing required quality measures, and assess the costs to CCBHCs. This is the third of five annual reports to Congress on the CCBHC demonstration.
Date: 09/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research, RAND Corporation
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Preliminary Cost and Quality Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Describes the CCBHC payment rates and costs of care through the first demonstration year as well as the experiences of states and CCBHCs reporting the required quality measures. Includes a comparison of payment rates by urban and rural clinic location.
Author(s): Joshua Breslau, Brian Briscombe, Michael Dunbar, et al.
Date: 09/2020
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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