Rural Health
Resources by Topic: Healthcare facilities
A Flexible Solution: How Critical Access Hospitals Reshaped Rural Health
Brief video overview describing how the Balanced Budget Act of 1997 created the Critical Access Hospital designation to reduce rural hospital closures. Discusses the role of the Senate Finance Committee and Federal Office of Rural Health Policy in developing the related policies, the transition of rural hospitals to critical access status, and the creation and impact of the Medicare Rural Hospital Flexibility Program (Flex Program).
Date: 07/2019
Sponsoring organization: Rural Health Information Hub
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Brief video overview describing how the Balanced Budget Act of 1997 created the Critical Access Hospital designation to reduce rural hospital closures. Discusses the role of the Senate Finance Committee and Federal Office of Rural Health Policy in developing the related policies, the transition of rural hospitals to critical access status, and the creation and impact of the Medicare Rural Hospital Flexibility Program (Flex Program).
Date: 07/2019
Sponsoring organization: Rural Health Information Hub
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Sugar-Sweetened Beverage Intake in a Rural Family Medicine Clinic
Results of a study to assess self-reported sugar-sweetened beverage intake among 121 adult primary care patients at a rural Nebraska clinic. Features demographics and average calories from beverage consumption, with breakdowns by ethnicity and body mass index category.
Author(s): Laura Pinon, Birgit Khandalavala, Jenenne Geske
Citation: Journal of the American Board of Family Medicine, 32(4), 601-606
Date: 07/2019
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Results of a study to assess self-reported sugar-sweetened beverage intake among 121 adult primary care patients at a rural Nebraska clinic. Features demographics and average calories from beverage consumption, with breakdowns by ethnicity and body mass index category.
Author(s): Laura Pinon, Birgit Khandalavala, Jenenne Geske
Citation: Journal of the American Board of Family Medicine, 32(4), 601-606
Date: 07/2019
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Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2017
Details a study on Critical Access Hospitals (CAHs) economic and healthcare benefit to rural communities. Looks at services provided, economic health of CAHs, and the effect this has on their communities broadly. Compares CAHs to other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale, Jeremy Zuckero
Date: 07/2019
Sponsoring organization: Flex Monitoring Team
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Details a study on Critical Access Hospitals (CAHs) economic and healthcare benefit to rural communities. Looks at services provided, economic health of CAHs, and the effect this has on their communities broadly. Compares CAHs to other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale, Jeremy Zuckero
Date: 07/2019
Sponsoring organization: Flex Monitoring Team
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Critical Crossroads: Pediatric Mental Health Care in the Emergency Department: A Care Pathway Resource Toolkit
Toolkit designed to support hospitals that provide high-quality, effective emergency care to pediatric patients in psychiatric distress. Includes case stories from rural emergency departments in various states.
Date: 07/2019
Sponsoring organizations: Health Resources and Services Administration, Maternal and Child Health Bureau
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Toolkit designed to support hospitals that provide high-quality, effective emergency care to pediatric patients in psychiatric distress. Includes case stories from rural emergency departments in various states.
Date: 07/2019
Sponsoring organizations: Health Resources and Services Administration, Maternal and Child Health Bureau
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Medicaid: States' Use and Distribution of Supplemental Payments to Hospitals
Examines the use of disproportionate share hospital (DSH) payments given to hospitals with more Medicaid and uninsured patients. Addresses differences in state Medicaid expansion status, uninsured percentage, and uncompensated care in relation to DSH payments. Includes state data on DSH payments and uncompensated care costs by rural/urban hospital location, as well as data on Critical Access Hospital (CAH) and Sole Community Hospital DSH payments by state.
Additional links: Full Report
Date: 07/2019
Sponsoring organization: Government Accountability Office
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Examines the use of disproportionate share hospital (DSH) payments given to hospitals with more Medicaid and uninsured patients. Addresses differences in state Medicaid expansion status, uninsured percentage, and uncompensated care in relation to DSH payments. Includes state data on DSH payments and uncompensated care costs by rural/urban hospital location, as well as data on Critical Access Hospital (CAH) and Sole Community Hospital DSH payments by state.
Additional links: Full Report
Date: 07/2019
Sponsoring organization: Government Accountability Office
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IHS Needs to Improve Oversight of Its Hospitals' Opioid Prescribing and Dispensing Practices and Consider Centralizing Its Information Technology Functions
Reports on a review of Indian Health Service (IHS) hospitals with a focus on opioid prescriptions and dispensing, information technology (IT), and cybersecurity. Identifies deficiencies related to opioid policies and procedures and supports centralizing IHS IT systems.
Date: 07/2019
Sponsoring organization: Office of Inspector General (HHS)
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Reports on a review of Indian Health Service (IHS) hospitals with a focus on opioid prescriptions and dispensing, information technology (IT), and cybersecurity. Identifies deficiencies related to opioid policies and procedures and supports centralizing IHS IT systems.
Date: 07/2019
Sponsoring organization: Office of Inspector General (HHS)
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Rosebud Hospital: Indian Health Service Management of Emergency Department Closure and Reopening, A Case Study
Examines management of Indian Health Services (IHS) closure of Rosebud Hospital in South Dakota and its reopening to identify lessons learned. Addresses reasons for hospital closure, the impact of the closure, corrective actions taken following its reopening, and issues with sustaining improvements and compliance. Supports developing procedures for temporary emergency department closures and investing in rural workforce recruitment, retention, and training, among other recommendations.
Date: 07/2019
Sponsoring organization: Office of Inspector General (HHS)
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Examines management of Indian Health Services (IHS) closure of Rosebud Hospital in South Dakota and its reopening to identify lessons learned. Addresses reasons for hospital closure, the impact of the closure, corrective actions taken following its reopening, and issues with sustaining improvements and compliance. Supports developing procedures for temporary emergency department closures and investing in rural workforce recruitment, retention, and training, among other recommendations.
Date: 07/2019
Sponsoring organization: Office of Inspector General (HHS)
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Facilitators and Barriers to the Implementation of the HPV VACs (Vaccinate Adolescents Against Cancers) Program: A Consolidated Framework for Implementation Research Analysis
Results of a study examining the delivery of the human papillomavirus virus (HPV) vaccine in a primary care setting, using data from telephone interviews with representatives of 9 Federally Qualified Health Center (FQHC) systems. Features statistics including characteristics of the FQHCs, with breakdowns by urban, suburban, rural, or mixed locations.
Author(s): Cam Escoffery, Kara Riehman, Lesley Watson, et al.
Citation: Preventing Chronic Disease, 16
Date: 07/2019
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Results of a study examining the delivery of the human papillomavirus virus (HPV) vaccine in a primary care setting, using data from telephone interviews with representatives of 9 Federally Qualified Health Center (FQHC) systems. Features statistics including characteristics of the FQHCs, with breakdowns by urban, suburban, rural, or mixed locations.
Author(s): Cam Escoffery, Kara Riehman, Lesley Watson, et al.
Citation: Preventing Chronic Disease, 16
Date: 07/2019
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Markup of 26 Bills, Full Committee (July 17, 2019)
Recording of a U.S. House Committee on Energy and Commerce markup session of 26 bills. Addresses bills reauthorizing the National Health Service Corps, funding for Federally Qualified Health Centers, Medicaid funding for the U.S. territories, and other health-related bills.
Date: 07/2019
Sponsoring organization: U.S. House of Representatives
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Recording of a U.S. House Committee on Energy and Commerce markup session of 26 bills. Addresses bills reauthorizing the National Health Service Corps, funding for Federally Qualified Health Centers, Medicaid funding for the U.S. territories, and other health-related bills.
Date: 07/2019
Sponsoring organization: U.S. House of Representatives
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Access to Primary Care Clinics for Patients With Chronic Pain Receiving Opioids
Results of a study of 194 Michigan primary care clinics, to assess their willingness to continue prescribing opioids to new patients and to determine whether this differs across payer types. Includes statistics on characteristics of clinics accepting new patients currently taking opioids, with breakdowns by urban and rural location.
Author(s): Pooja A. Lagisetty, Nathaniel Healy, Claire Garpestad, et al.
Citation: JAMA Network Open, 2(7)
Date: 07/2019
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Results of a study of 194 Michigan primary care clinics, to assess their willingness to continue prescribing opioids to new patients and to determine whether this differs across payer types. Includes statistics on characteristics of clinics accepting new patients currently taking opioids, with breakdowns by urban and rural location.
Author(s): Pooja A. Lagisetty, Nathaniel Healy, Claire Garpestad, et al.
Citation: JAMA Network Open, 2(7)
Date: 07/2019
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