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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare facilities

Implementing the 21st Century Cures Act: Making Electronic Health Information Available to Patients and Providers, Part II
A recording of a hearing from the U.S. Senate Committee on Health, Education, Labor and Pensions on implementation of the 21st Century Cures Act, which is intended to improve interoperability of electronic health records. Addresses requirements that would impact healthcare facilities, including rural hospitals and Critical Access Hospitals. Offers testimony from the Office of the National Coordinator of Health Information Technology and the Centers for Medicare & Medicaid Services Center for Clinical Standards and Quality.
Additional links: Kate Goodrich Testimony
Date: 05/2019
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Rural Success: Abrom Kaplan Memorial Hospital, LA
Highlights the success of a Critical Access Hospital in Louisiana in receiving high cleanliness scores and care transitions scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Discusses their initiative to reduce C. difficile infections, strategies for communication and cleaning, emergency department transitions, and teamwork recognition.
Citation: MBQIP Monthly, 1-2
Date: 05/2019
Sponsoring organization: Stratis Health
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Isolated, Small, and Large Hospitals Have Fewer Nursing Resources than Urban Hospitals: Implications for Rural Health Policy
Describes the nurse work environment, nurse education, nursing skill mix, and patient-to-registered nurse (RN) ratios across hospitals in California, Florida, and Pennsylvania. Examines how the findings differ by urban, large, small, and isolated hospitals, and discusses the potential impact on patient outcomes.
Author(s): Jessica G. Smith, Colin M. Plover, Moira C. McChesney, Eileen T. Lake
Citation: Public Health Nursing, 36(4), 469-477
Date: 04/2019
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Are Rural and Urban Emergency Departments Equally Prepared to Reduce Avoidable Hospitalizations?
Presents the results of a cross-sectional, web-based survey sent to medical directors and/or nurse managers from 135 hospital-based emergency departments (EDs) in Michigan. Examines the rural and urban differences in the presence of clinical pathways, services to reduce admissions, barriers connecting patients to outpatient services, and the availability of resources to reduce or prevent avoidable admissions.
Author(s): Margaret B. Greenwood-Ericksen, Michelle L. Macy, Jason Ham, et al.
Citation: Western Journal of Emergency Medicine, 20(3), 477-484
Date: 04/2019
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Rural Public Health Workforce Training and Development: The Performance of an Undergraduate Internship Programme in a Rural Hospital and Healthcare Centre
Examines a year-long undergraduate internship for public health at a rural hospital and health center in the Midwest. Addresses internships and learning effectiveness, feedback from trainees, the implications for rural recruitment, and potential revisions to the model.
Author(s): Luis Miguel Dos Santos
Citation: International Journal of Environmental Research and Public Health, 16(7), 1259
Date: 04/2019
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Overview of HCUP
Documents all aspects of the Healthcare Cost and Utilization Project (HCUP), a national resource of hospital inpatient, ambulatory surgery and services, and emergency department data. Describes HCUP online resources for accessing data and related reports. Includes a list of data elements, with information on which are available by urban/rural location.
Date: 04/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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Trends in Risk of Financial Distress among Rural Hospitals from 2015 to 2019
Details the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) reimbursement type from 2015 to 2019.
Author(s): Sharita R. Thomas, George H. Pink, Kristin Reiter
Date: 04/2019
Sponsoring organization: North Carolina Rural Health Research Program
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Hospitals' Use of Electronic Health Records Data, 2015-2017
Analyzes 2015 to 2017 data from the American Hospital Association Information Technology Survey to determine trends in how electronic health records (EHR) data is used to inform clinical practices and hospital processes. Includes information on EHR data use in small, rural, and Critical Access Hospitals (CAHs).
Author(s): Sonal Parasrampuria, Jawanna Henry
Date: 04/2019
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Hospital Compare Quality Measure Results for CAHs, 2017
Examines Hospital Compare inpatient and outpatient process of care and structural measures among Critical Access Hospitals (CAHs) in 2017. Includes data on reporting rates and performance for specific quality measures, and state-by-state comparison of CAH reporting rates for inpatient and outpatient measures.
Author(s): Megan Lahr, Tongtan Chantarat, Mariah Quick, Ashleigh Norris, Ira Moscovice
Date: 04/2019
Sponsoring organization: Flex Monitoring Team
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Health Center Operational Site Visit (OSV)
Video intended to help Federally Qualified Health Centers prepare for the operational site visit (OSV). Includes updates from the Bipartisan Budget Act of 2018 and answers to frequently asked questions about OSVs.
Date: 04/2019
Sponsoring organization: Health Resources and Services Administration
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