Rural Health
Resources by Topic: Healthcare facilities
Rural Care Coordination and Population Health Management Summit: Summit Findings
Provides guidance to rural hospitals, clinics, and healthcare networks on incorporating community care coordination planning to prepare for population health management. Identifies tools and resources to support the transition to value-based payment models. Summarizes findings from a series of summits with national experts.
Author(s): Rebecca Jolley
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Rural Health Association of Tennessee
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Provides guidance to rural hospitals, clinics, and healthcare networks on incorporating community care coordination planning to prepare for population health management. Identifies tools and resources to support the transition to value-based payment models. Summarizes findings from a series of summits with national experts.
Author(s): Rebecca Jolley
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Rural Health Association of Tennessee
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The Evolving Policy Landscape of Telehealth Services Delivered in the Home and Other Nonclinical Settings
Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Sponsoring organization: Milbank Memorial Fund
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Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Sponsoring organization: Milbank Memorial Fund
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Organizational Challenges to Improving Quality of Care in Indian Health Service Hospitals
Identifies organizational issues hindering the Indian Health Service (IHS) from improving the management of IHS hospitals. Discusses concerns related to formal structure, policies and roles; awareness of hospital performance and problems; and IHS officials' confidence in the agency's ability to make sustained improvements. Recommends strategies for improvement.
Author(s): Suzanne Murrin
Date: 08/2019
Sponsoring organization: Office of Inspector General (HHS)
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Identifies organizational issues hindering the Indian Health Service (IHS) from improving the management of IHS hospitals. Discusses concerns related to formal structure, policies and roles; awareness of hospital performance and problems; and IHS officials' confidence in the agency's ability to make sustained improvements. Recommends strategies for improvement.
Author(s): Suzanne Murrin
Date: 08/2019
Sponsoring organization: Office of Inspector General (HHS)
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Impact of Rural and Urban Hospital Closures on Inpatient Mortality
Examines the impact of California's hospital closures from 1995-2011 on adjusted inpatient mortality for sepsis, stroke, asthma/chronic obstructive pulmonary disease, and acute myocardial infarction. Features statistics including the number of closures by year, patient demographics with breakdowns by urban or rural location, and differential impacts of rural and urban closures with breakdowns by condition.
Author(s): Kritee Gujral, Anirban Basu
Citation: NBER Working Paper Series, Working Paper 26182
Date: 08/2019
Sponsoring organization: National Bureau of Economic Research
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Examines the impact of California's hospital closures from 1995-2011 on adjusted inpatient mortality for sepsis, stroke, asthma/chronic obstructive pulmonary disease, and acute myocardial infarction. Features statistics including the number of closures by year, patient demographics with breakdowns by urban or rural location, and differential impacts of rural and urban closures with breakdowns by condition.
Author(s): Kritee Gujral, Anirban Basu
Citation: NBER Working Paper Series, Working Paper 26182
Date: 08/2019
Sponsoring organization: National Bureau of Economic Research
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Community Health Centers Meeting Rural Health Needs
Discusses the barriers to receiving and providing healthcare in rural communities, and highlights with data how community health centers are addressing barriers, delivering needed services, and improving health outcomes.
Date: 08/2019
Sponsoring organization: National Association of Community Health Centers
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Discusses the barriers to receiving and providing healthcare in rural communities, and highlights with data how community health centers are addressing barriers, delivering needed services, and improving health outcomes.
Date: 08/2019
Sponsoring organization: National Association of Community Health Centers
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Patient Experience and Function, Fall 2018 Cycle: CDP Report
Evaluates 5 new measures related to patient function and experience of care and supports using them for quality improvement efforts and public reporting. Measures focus on care coordination, particularly following discharge in order to reduce hospital readmissions. Includes Critical Access Hospitals under acute care hospitals, with exclusions for swing bed stays.
Date: 08/2019
Sponsoring organization: National Quality Forum
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Evaluates 5 new measures related to patient function and experience of care and supports using them for quality improvement efforts and public reporting. Measures focus on care coordination, particularly following discharge in order to reduce hospital readmissions. Includes Critical Access Hospitals under acute care hospitals, with exclusions for swing bed stays.
Date: 08/2019
Sponsoring organization: National Quality Forum
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Developing Risk-Adjusted Avoidable Hospitalizations and Emergency Department Visits Quality Measures: Final Report
Defines avoidable hospitalization (AH) and avoidable emergency department (ED) visits (AVs) and summarizes the development of a model for calculating expected AH and AV rates using Medicare claims data. Seeks to inform Medicare quality payment models and target areas for quality improvement. Table 3-10 includes AH and AV risk-standardized rates for a number of rural market areas.
Author(s): Zhanlian Feng, Benjamin Silver, Micah Segelman, et al.
Date: 08/2019
Sponsoring organizations: Medicare Payment Advisory Commission, RTI International
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Defines avoidable hospitalization (AH) and avoidable emergency department (ED) visits (AVs) and summarizes the development of a model for calculating expected AH and AV rates using Medicare claims data. Seeks to inform Medicare quality payment models and target areas for quality improvement. Table 3-10 includes AH and AV risk-standardized rates for a number of rural market areas.
Author(s): Zhanlian Feng, Benjamin Silver, Micah Segelman, et al.
Date: 08/2019
Sponsoring organizations: Medicare Payment Advisory Commission, RTI International
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Hospital Utilization Among Rural Children Served by Pediatric Neurology Telemedicine Clinics
Compares rates of emergency department visits and hospital admissions at a California academic children's hospital with similar groups of patients who received outpatient pediatric neurology care at remote telemedicine clinics or in-person clinics. Features statistics including baseline characteristics among telemedicine and in-person cohorts, and hospital encounter frequencies and rates.
Author(s): Parul Dayal, Celia H. Chang, William S. Benko
Citation: JAMA Network Open, 2(8)
Date: 08/2019
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Compares rates of emergency department visits and hospital admissions at a California academic children's hospital with similar groups of patients who received outpatient pediatric neurology care at remote telemedicine clinics or in-person clinics. Features statistics including baseline characteristics among telemedicine and in-person cohorts, and hospital encounter frequencies and rates.
Author(s): Parul Dayal, Celia H. Chang, William S. Benko
Citation: JAMA Network Open, 2(8)
Date: 08/2019
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A Change-Management Approach to Closing Care Gaps in a Federally Qualified Health Center: A Rural Kentucky Case Study
Case study focused on application of the proactive office encounter (POE) model to understand how a rural Appalachian Kentucky Federally Qualified Health Center implemented changes to improve delivery of preventive care services, close care gaps, and reduce health disparities among patients.
Author(s): Angela L. Carman, Robin C. Vanderpool, Lindsay R. Stradtman, Emily A. Edmiston
Citation: Preventing Chronic Disease, 16
Date: 08/2019
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Case study focused on application of the proactive office encounter (POE) model to understand how a rural Appalachian Kentucky Federally Qualified Health Center implemented changes to improve delivery of preventive care services, close care gaps, and reduce health disparities among patients.
Author(s): Angela L. Carman, Robin C. Vanderpool, Lindsay R. Stradtman, Emily A. Edmiston
Citation: Preventing Chronic Disease, 16
Date: 08/2019
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Addressing Rural Hospital Closures Through Infrastructure Reform
Provides a historical overview of rural Medicare reimbursement and provider designations and discusses their impact on hospital closures. Supports changing the rural health infrastructure to provide more flexibility for rural hospitals and to emphasize primary care and emergency care access.
Author(s): Eleni Salyers
Date: 08/2019
Sponsoring organization: Bipartisan Policy Center
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Provides a historical overview of rural Medicare reimbursement and provider designations and discusses their impact on hospital closures. Supports changing the rural health infrastructure to provide more flexibility for rural hospitals and to emphasize primary care and emergency care access.
Author(s): Eleni Salyers
Date: 08/2019
Sponsoring organization: Bipartisan Policy Center
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