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Rural Health
Resources by Topic: Healthcare facilities

The Hub-and-Spoke Organization Design Revisited: A Lifeline for Rural Hospitals
Provides an overview of the hub-and-spoke organization design and how Willis-Knighton Health System in Louisiana used it to partner with rural hospitals in their region. Discusses the model's outcomes and implications for rural hospitals.
Author(s): James K. Elrod, John L. Fortenberry, Jr.
Citation: BMC Health Services Research, 17(Suppl 4), 795
Date: 2017
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Antifibrinolytics in a Rural Trauma State: Assessing the Opportunities
Retrospective review evaluating the use of tranexamic acid (TXA) at a level 1 trauma center located in a rural area as a treatment to improve mortality and prevent hemorrhagic death in trauma patients. Documents the number of rural trauma patients who met the criteria for receiving TXA treatment, and determines if patients experiencing longer transport times and/or transfers from other hospitals such as Critical Access Hospitals (CAHs) would be regarded as ineligible for effective TXA treatment.
Author(s): James M Bardes, Amanda Palmer, Jorge Con, Alison Wilson, Gregory Schaefer
Citation: Trauma Surgery and Acute Care Open, 2(1)
Date: 2017
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Oregon Rural And Frontier Health Facility Listening Tour, 2017
Reports on common issues, themes, and challenges found on the Oregon Office of Rural Health's 2017 rural and frontier health facility listening tour. Includes a focus on the behavioral health system and provides county-level statistics on key indicators, such as mortality, healthcare utilization, unemployment, substance abuse, and more.
Date: 2017
Sponsoring organization: Oregon Office of Rural Health
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The Imperative for Strategic Workforce Planning And Development: Challenges and Opportunities
Discusses workforce planning and development efforts in rural hospitals, as well as other key topics that present challenges and opportunities in workforce recruitment and retention, such as diversity, the shortage of behavioral health professionals, technology, and more. Covers three rural specific examples that expand access to healthcare services through telehealth services and a rural residency matching incentive programs.
Date: 2017
Sponsoring organization: American Hospital Association
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Stem the Tide: Addressing the Opioid Epidemic
Presents a report on various methods hospitals and health systems can use to address the opioid epidemic. Discusses non-opioid pain management, prescribing practices, and treatment for substance use disorders (SUDs), among other topics. Highlights several rural programs and examples throughout.
Date: 2017
Sponsoring organization: American Hospital Association
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Community Benefit Programming to Improve Healthy Food Access and Reduce Risk of Diet-Related Disease: A National Survey of Hospitals
Details the results of a survey on hospital community benefit programming to increase access to healthy food in an attempt to reduce diet-related health conditions. Discusses the Community Health Needs Assessments for the communities the surveyed hospitals were serving. Also, looks at the various implementation strategies used for each program.
Date: 2017
Sponsoring organization: Health Care Without Harm
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What's Next? Practical Suggestions for Rural Communities Facing a Hospital Closure
Presents alternative healthcare solutions for rural Texas communities that are facing a rural hospital closure. Examines the current state of healthcare delivery and outlines the regulatory and legislative obstacles to maintaining rural hospital services. Appendices provide additional information including maps of rural Texas hospital closures, a list of useful resources, reflections from rural hospital leaders, and more.
Date: 2017
Sponsoring organizations: A&M Rural and Community Health Institute, Episcopal Health Foundation
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Critical Access Hospital Financial Model
Excel-based modeling tool designed to help Critical Access Hospitals (CAHs) anticipate and analyze the financial impacts of joining a Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO).
Date: 2017
Sponsoring organization: Rural Health Value
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Impact of Early Do-Not-Attempt-Resuscitation Orders on Procedures and Outcomes of Severe Sepsis
Examines the impact of early Do-Not-Attempt-Resuscitation (DNAR) orders on in-hospital mortality and interventional procedures among severe sepsis hospitalizations. Determines patient characteristics among the sepsis DNAR population that affect outcomes. Includes statistics of severe sepsis visits with and without early DNAR orders by various demographics, primary payer, urban and rural hospital locations, and other clinical indicators.
Author(s): Neza N. Sarkari, Sarah M. Perman, Adit A. Ginde
Citation: Journal of Critical Care, 36, 134-139
Date: 12/2016
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National Hospital Ambulatory Medical Care Survey: 2013 Emergency Department Summary Tables
Provides data on ambulatory care emergency department hospital visits. Table 1 includes brief metro/non-metro overview information, and Table 14 has metro/non-metro injury visit data.
Date: 12/2016
Sponsoring organization: National Center for Health Statistics
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