Rural Health
Resources by Topic: Healthcare facilities
Rural Health Research Recap: Rural Hospital Closures
Summarizes key findings from the Rural Health Research Centers' most recent research on rural hospital closures. Discusses hospitals by U.S. census region, rural hospital closures between 2005 and 2017, urban and rural hospital profitability, and the financial distress index. Provides links to each of the referenced source documents.
Author(s): Shawnda Schroeder
Date: 12/2017
Sponsoring organization: Rural Health Research Gateway
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Summarizes key findings from the Rural Health Research Centers' most recent research on rural hospital closures. Discusses hospitals by U.S. census region, rural hospital closures between 2005 and 2017, urban and rural hospital profitability, and the financial distress index. Provides links to each of the referenced source documents.
Author(s): Shawnda Schroeder
Date: 12/2017
Sponsoring organization: Rural Health Research Gateway
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Medicaid Payment Policy for Federally Qualified Health Centers
Describes the role of Federally Qualified Health Centers (FQHCs) in Medicaid, and highlights current policy issues related to Medicaid FQHC payment. Also discusses the Medicaid FQHC prospective payment system (PPS), alternative payment methodologies, how FQHCs participate in managed care networks, and states' desire for increased flexibility in setting FQHC payment rates.
Date: 12/2017
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Describes the role of Federally Qualified Health Centers (FQHCs) in Medicaid, and highlights current policy issues related to Medicaid FQHC payment. Also discusses the Medicaid FQHC prospective payment system (PPS), alternative payment methodologies, how FQHCs participate in managed care networks, and states' desire for increased flexibility in setting FQHC payment rates.
Date: 12/2017
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Using Hospital Community Benefits to Improve Access to Oral Health Care
Explains how nonprofit hospitals can use targeted oral health programs to fulfill their community benefit obligations, while also improving oral health in the communities they serve. Provides guidance on how to effectively advocate for such programs, and shares tips for assessing community needs.
Author(s): Cheryl Fish-Parcham
Date: 12/2017
Sponsoring organization: Families USA
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Explains how nonprofit hospitals can use targeted oral health programs to fulfill their community benefit obligations, while also improving oral health in the communities they serve. Provides guidance on how to effectively advocate for such programs, and shares tips for assessing community needs.
Author(s): Cheryl Fish-Parcham
Date: 12/2017
Sponsoring organization: Families USA
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MedPAC Report to the Congress: Physician Supervision Requirements in Critical Access Hospitals and Small Rural Hospitals
Provides background information on Medicare physician supervision requirements, and examines how enforcement of these requirements impacts access to care, quality of care, and staffing needs in Critical Access Hospitals (CAHs) and small rural hospitals. Findings are based on interviews with CMS officials, hospital association representatives, and CAH administrators in several states.
Date: 12/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Provides background information on Medicare physician supervision requirements, and examines how enforcement of these requirements impacts access to care, quality of care, and staffing needs in Critical Access Hospitals (CAHs) and small rural hospitals. Findings are based on interviews with CMS officials, hospital association representatives, and CAH administrators in several states.
Date: 12/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Infrequent Provision of Palliative Care to Patients with Dialysis-Requiring AKI
Explores the use of palliative care among patients with acute kidney injury (AKI) who require dialysis. Examines data contained in the National Inpatient Sample (NIS) database from 44 states and over 4,000 hospitals. Compares palliative care use across different comorbidities, patient demographics, and hospital types, including urban and rural hospitals.
Author(s): Kelly Chong, Samuel A. Silver, Jin Long, et al.
Citation: Clinical Journal of the American Society of Nephrology, 12(11), 1744-1752
Date: 11/2017
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Explores the use of palliative care among patients with acute kidney injury (AKI) who require dialysis. Examines data contained in the National Inpatient Sample (NIS) database from 44 states and over 4,000 hospitals. Compares palliative care use across different comorbidities, patient demographics, and hospital types, including urban and rural hospitals.
Author(s): Kelly Chong, Samuel A. Silver, Jin Long, et al.
Citation: Clinical Journal of the American Society of Nephrology, 12(11), 1744-1752
Date: 11/2017
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Worsening Rural-Urban Gap in Hospital Mortality
Results of a study of nonmaternal, nonneonatal hospitalizations in 2008 and 2013, showing the association between rural or urban residence and hospital mortality. Features statistics on hospital mortality by condition in 2013 and hospital deaths among rural patients by year and payer status.
Author(s): Nicole Villapiano, Theodore J. Iwashyna, Matthew M. Davis
Citation: Journal of the American Board of Family Medicine, 30(6), 816-823
Date: 11/2017
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Results of a study of nonmaternal, nonneonatal hospitalizations in 2008 and 2013, showing the association between rural or urban residence and hospital mortality. Features statistics on hospital mortality by condition in 2013 and hospital deaths among rural patients by year and payer status.
Author(s): Nicole Villapiano, Theodore J. Iwashyna, Matthew M. Davis
Citation: Journal of the American Board of Family Medicine, 30(6), 816-823
Date: 11/2017
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Rural Hospital Stabilization Committee Pilot Program Report
Reports on the initial results of using a "hub and spoke" model in Georgia to help address rural hospital financial pressures and emergency department overuse. Highlights the progress made by the initial four hub hospitals and the spokes, which included school-based healthcare and Federally Qualified Health Centers. Additional link provides performance metrics for the pilot.
Additional links: Profile for Rural Hospital Stabilization Committee (Data from SFY 2016 Phase 1 Pilot Program)
Date: 11/2017
Sponsoring organization: Georgia State Office of Rural Health
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Reports on the initial results of using a "hub and spoke" model in Georgia to help address rural hospital financial pressures and emergency department overuse. Highlights the progress made by the initial four hub hospitals and the spokes, which included school-based healthcare and Federally Qualified Health Centers. Additional link provides performance metrics for the pilot.
Additional links: Profile for Rural Hospital Stabilization Committee (Data from SFY 2016 Phase 1 Pilot Program)
Date: 11/2017
Sponsoring organization: Georgia State Office of Rural Health
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Emerging Strategies to Ensure Access to Health Care Services: Emergency Medical Center
Provides an overview of the emergency medical center (EMC) model, which would allow struggling hospitals to convert to EMC status and provide emergency and outpatient services, without having to provide inpatient acute care services. Also outlines rural-specific federal policy proposals that seek to create similar hospital designations, with the goal of improving access to and the delivery of care in underserved communities.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Provides an overview of the emergency medical center (EMC) model, which would allow struggling hospitals to convert to EMC status and provide emergency and outpatient services, without having to provide inpatient acute care services. Also outlines rural-specific federal policy proposals that seek to create similar hospital designations, with the goal of improving access to and the delivery of care in underserved communities.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Emerging Strategies to Ensure Access to Health Care Services: Frontier Health System
Discusses the challenges of providing care in frontier communities and offers solutions for improving access to and delivery of care. Proposes the creation of a frontier-specific accountable care organization (ACO), the Frontier Health System (FHS), that provides traditional ACO services along with transportation, swing beds, home-based care, expanded visiting nurse services, and more.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Discusses the challenges of providing care in frontier communities and offers solutions for improving access to and delivery of care. Proposes the creation of a frontier-specific accountable care organization (ACO), the Frontier Health System (FHS), that provides traditional ACO services along with transportation, swing beds, home-based care, expanded visiting nurse services, and more.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Scanning the Headlines: Small or Rural Hospitals
Provides a bibliographic list of articles and reports published in 2016 and 2017 concerning small and rural hospitals.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Provides a bibliographic list of articles and reports published in 2016 and 2017 concerning small and rural hospitals.
Date: 11/2017
Sponsoring organization: American Hospital Association
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