Rural Health
Resources by Topic: Healthcare facilities
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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A Rural Hospital Guide to Improving Chronic Obstructive Pulmonary Disease
A guide for rural hospital leaders, Rural Health Clinics, and their partners to help them understand rural chronic obstructive pulmonary disease (COPD) services and adopt best practices for COPD diagnosis, treatment, and long-term care. Addresses rural COPD prevalence and services, clinical diagnosis and treatment, service models, care management, technologies, and community support services. Includes considerations for implementing a pulmonary rehab program, roles and staffing needed, and basic billing and coding.
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates, Technical Assistance and Services Center
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A guide for rural hospital leaders, Rural Health Clinics, and their partners to help them understand rural chronic obstructive pulmonary disease (COPD) services and adopt best practices for COPD diagnosis, treatment, and long-term care. Addresses rural COPD prevalence and services, clinical diagnosis and treatment, service models, care management, technologies, and community support services. Includes considerations for implementing a pulmonary rehab program, roles and staffing needed, and basic billing and coding.
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates, Technical Assistance and Services Center
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Mercy Health - Marcum and Wallace Hospital Invests in Swing Bed Program
Highlights the Marcum and Wallace Hospital's work to implement the Small Rural Hospital Transition (SRHT) project recommendations with the goal of expanding the swing bed program to reduce readmission rates. Marcum and Wallace Hospital is a 25-bed Critical Access Hospital in Irvine, Kentucky.
Date: 08/2019
Sponsoring organization: National Rural Health Resource Center
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Highlights the Marcum and Wallace Hospital's work to implement the Small Rural Hospital Transition (SRHT) project recommendations with the goal of expanding the swing bed program to reduce readmission rates. Marcum and Wallace Hospital is a 25-bed Critical Access Hospital in Irvine, Kentucky.
Date: 08/2019
Sponsoring organization: National Rural Health Resource Center
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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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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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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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