Rural Health
Resources by Topic: Healthcare facilities
Bypass of Local Surgical Care in North Carolina: Patient-Directed Care Destination and Utilization
Examines patient bypass of nearest surgical hospital (NSH) in North Carolina. Utilizes 2016-2019 patient data to analyze bypassing of local surgery care according to rurality of NSH and facility characteristics, general surgery workforce density by county, and patient characteristics, including residence of metro, micro, small town, or rural area.
Author(s): Mustafa Abid, Tyler Malone, Mark Holmes, Anthony Charles
Citation: The American Surgeon
Date: 02/2026
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Examines patient bypass of nearest surgical hospital (NSH) in North Carolina. Utilizes 2016-2019 patient data to analyze bypassing of local surgery care according to rurality of NSH and facility characteristics, general surgery workforce density by county, and patient characteristics, including residence of metro, micro, small town, or rural area.
Author(s): Mustafa Abid, Tyler Malone, Mark Holmes, Anthony Charles
Citation: The American Surgeon
Date: 02/2026
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Nonventilator Hospital-Acquired Pneumonia: Prevalence and Hospital and Patient Characteristics, 2019-2023
Presents statistics on inpatient hospital stays involving nonventilator hospital-acquired pneumonia (NVHAP) between 2019-2023. Examines data by patient and hospital characteristics, including patient age group, urban or rural location, Critical Access Hospital status, and hospital ownership status.
Author(s): Rhona Limcangco, David P. Calfee, Melissa A. Miller
Date: 02/2026
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents statistics on inpatient hospital stays involving nonventilator hospital-acquired pneumonia (NVHAP) between 2019-2023. Examines data by patient and hospital characteristics, including patient age group, urban or rural location, Critical Access Hospital status, and hospital ownership status.
Author(s): Rhona Limcangco, David P. Calfee, Melissa A. Miller
Date: 02/2026
Sponsoring organization: Agency for Healthcare Research and Quality
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Usual Source of Care for Rural Medicare Fee-for-Service Beneficiaries in 2021
Explores Medicare fee-for-service (FFS) beneficiaries' usual source of care in 2021. Describes the types of facilities that serve as primary care providers for rural Medicare FFS beneficiaries. Compares the usual source of care for beneficiaries by demographic characteristics, including degree of rurality.
Author(s): Sruthi Malavika Srinivasan, Melissa Sandahl, Kristie Thompson, George Pink, Mark Holmes
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Explores Medicare fee-for-service (FFS) beneficiaries' usual source of care in 2021. Describes the types of facilities that serve as primary care providers for rural Medicare FFS beneficiaries. Compares the usual source of care for beneficiaries by demographic characteristics, including degree of rurality.
Author(s): Sruthi Malavika Srinivasan, Melissa Sandahl, Kristie Thompson, George Pink, Mark Holmes
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Fourteen of Thirty Selected Indian Health Service and Rural Providers Did Not Comply or May Not Have Complied With Terms and Conditions and Federal Requirements for Expending Provider Relief Fund Payments
Examines whether 30 selected Indian Health Service (IHS) and rural providers that received Provider Relief Fund (PRF) payments spent funds in accordance with Federal and program requirements. Describes unallowable and potentially unallowable expenditures and inaccurately calculated or unsupported lost revenues and their causes. Presents recommendations for the Health Resources and Services Administration (HRSA) and HRSA's response.
Additional links: Report Highlights
Date: 02/2026
Sponsoring organization: Office of Inspector General (HHS)
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Examines whether 30 selected Indian Health Service (IHS) and rural providers that received Provider Relief Fund (PRF) payments spent funds in accordance with Federal and program requirements. Describes unallowable and potentially unallowable expenditures and inaccurately calculated or unsupported lost revenues and their causes. Presents recommendations for the Health Resources and Services Administration (HRSA) and HRSA's response.
Additional links: Report Highlights
Date: 02/2026
Sponsoring organization: Office of Inspector General (HHS)
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Geospatial Structural Isolation Analysis of Emergency Services in New York State
Examines access to emergency healthcare across rural New York State. Utilizes geospatial analysis to analyze hospital isolation, inter-facility spacing, travel-time catchments, coverage responsibilities, and more. Includes state-level maps showing location of emergency services, coverage area of the most isolated healthcare facilities, and catchment areas for healthcare facilities with emergency access along with populations served.
Author(s): Brandon Bedenbender
Citation: Journal of Rural Health, 42(1), e70126
Date: 02/2026
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Examines access to emergency healthcare across rural New York State. Utilizes geospatial analysis to analyze hospital isolation, inter-facility spacing, travel-time catchments, coverage responsibilities, and more. Includes state-level maps showing location of emergency services, coverage area of the most isolated healthcare facilities, and catchment areas for healthcare facilities with emergency access along with populations served.
Author(s): Brandon Bedenbender
Citation: Journal of Rural Health, 42(1), e70126
Date: 02/2026
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A Comparison of Independent and System-Affiliated Rural Hospitals
Compares independent and system-affiliated rural hospitals by organizational characteristics, financial performance, and county characteristics. Presents Medicare Cost Report data from 2023-2024 on the number and percentage of independent and system-affiliated rural hospitals by state, ownership characteristics, Medicare payment classification, use of swing beds, financial distress, and more.
Author(s): Aditya R. Pillutla, Sruthi Malavika Srinivasan, Kristie Thompson, George Pink, Tyler Malone
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Compares independent and system-affiliated rural hospitals by organizational characteristics, financial performance, and county characteristics. Presents Medicare Cost Report data from 2023-2024 on the number and percentage of independent and system-affiliated rural hospitals by state, ownership characteristics, Medicare payment classification, use of swing beds, financial distress, and more.
Author(s): Aditya R. Pillutla, Sruthi Malavika Srinivasan, Kristie Thompson, George Pink, Tyler Malone
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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REH Learning Brief: Obstetric Care in Rural Emergency Hospitals
Describes how three Rural Emergency Hospitals (REHs) approach delivering obstetric-related care. Discusses challenges to providing obstetric services each facility faced prior to their conversion to REH status, and strategies implemented under the REH designation. Identifies common strategies these facilities take to support obstetric care without traditional labor and delivery services.
Author(s): Hope Burch, Candice Talkington, Annette Schnabel, et al.
Date: 02/2026
Sponsoring organization: Rural Health Redesign Center
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Describes how three Rural Emergency Hospitals (REHs) approach delivering obstetric-related care. Discusses challenges to providing obstetric services each facility faced prior to their conversion to REH status, and strategies implemented under the REH designation. Identifies common strategies these facilities take to support obstetric care without traditional labor and delivery services.
Author(s): Hope Burch, Candice Talkington, Annette Schnabel, et al.
Date: 02/2026
Sponsoring organization: Rural Health Redesign Center
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Availability of Higher-Level Neonatal Care in Rural and Urban US Hospitals, 2010-2022
A research letter that discusses the availability of higher-level neonatal care in rural and urban hospitals. Analyzes changes in intermediate or intensive neonatal care availability between 2010 and 2022 in 3,257 U.S. birth hospitals according to rurality.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Clara E. Busse, et al.
Citation: JAMA Network Open, 9(2), e2559680
Date: 02/2026
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A research letter that discusses the availability of higher-level neonatal care in rural and urban hospitals. Analyzes changes in intermediate or intensive neonatal care availability between 2010 and 2022 in 3,257 U.S. birth hospitals according to rurality.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Clara E. Busse, et al.
Citation: JAMA Network Open, 9(2), e2559680
Date: 02/2026
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Improving the Value Proposition of Critical Access Hospitals – Lessons from Federal and State Initiatives
Report details how federal and state initiatives can support Critical Access Hospitals (CAHs) transition to value-based payment models. Provides examples of initiatives that offer models for use by State Flex Programs (SFPs) for supporting CAHs' transformation to value-based care.
Author(s): John Gale, Rebecca Stearns, Bridget Harr
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Report details how federal and state initiatives can support Critical Access Hospitals (CAHs) transition to value-based payment models. Provides examples of initiatives that offer models for use by State Flex Programs (SFPs) for supporting CAHs' transformation to value-based care.
Author(s): John Gale, Rebecca Stearns, Bridget Harr
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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2026 Stability of the Rural Health Safety Net: State and National Data Tables
Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2026 National Rural Health Association Policy Institute.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2026 National Rural Health Association Policy Institute.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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