Rural Health
Resources by Topic: Healthcare facilities
Potentially Preventable Medication-Related Hospitalizations: A Clinical Pharmacist Approach to Assessment, Categorization, and Quality Improvement
Examines pharmacist-led quality improvement practices, implemented across rural and urban counties in Hawaii, to identify and categorize potentially preventable medication-related hospital admissions. Describes how data collected during the investigation is used to improve pharmacist interventions focused on reducing medication-related readmissions.
Author(s): Karen L. Pellegrin, Elizabeth Lee, Reece Uyeno, Chris Ayson, Roy Goo
Citation: Journal of the American Pharmacies Association, 57(6), 711-716
Date: 06/2017
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Examines pharmacist-led quality improvement practices, implemented across rural and urban counties in Hawaii, to identify and categorize potentially preventable medication-related hospital admissions. Describes how data collected during the investigation is used to improve pharmacist interventions focused on reducing medication-related readmissions.
Author(s): Karen L. Pellegrin, Elizabeth Lee, Reece Uyeno, Chris Ayson, Roy Goo
Citation: Journal of the American Pharmacies Association, 57(6), 711-716
Date: 06/2017
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Medical Center Barbour Reduces Readmission Rates
Highlights the accomplishments of Medical Center Barbour (MCB), a prospective payment system (PPS) hospital located in Eufaula, Alabama, as it progressed through a Small Rural Hospital Transition (SRHT) quality of care and transition of care project. MCB's top accomplishments include reducing readmissions, improving communication among staff and patients, and enhancing the discharge process.
Additional links: One-Page Summary
Date: 06/2017
Sponsoring organization: National Rural Health Resource Center
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Highlights the accomplishments of Medical Center Barbour (MCB), a prospective payment system (PPS) hospital located in Eufaula, Alabama, as it progressed through a Small Rural Hospital Transition (SRHT) quality of care and transition of care project. MCB's top accomplishments include reducing readmissions, improving communication among staff and patients, and enhancing the discharge process.
Additional links: One-Page Summary
Date: 06/2017
Sponsoring organization: National Rural Health Resource Center
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Hospital Value-Based Purchasing: CMS Should Take Steps to Ensure Lower Quality Hospitals Do Not Qualify for Bonuses
Examines the scoring methodology used by the Hospital Value-Based Purchasing (HVBP) program, which measures quality and efficiency within multiple hospital types including small, rural, and safety-net hospitals. Addresses differences in how safety net, small rural, and small urban hospitals performed, how payment adjustments changed for them over time, and the impact of an efficiency score on payment adjustments. Supports revising the methodology to apply the standards more evenly.
Additional links: Full Report
Date: 06/2017
Sponsoring organization: Government Accountability Office
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Examines the scoring methodology used by the Hospital Value-Based Purchasing (HVBP) program, which measures quality and efficiency within multiple hospital types including small, rural, and safety-net hospitals. Addresses differences in how safety net, small rural, and small urban hospitals performed, how payment adjustments changed for them over time, and the impact of an efficiency score on payment adjustments. Supports revising the methodology to apply the standards more evenly.
Additional links: Full Report
Date: 06/2017
Sponsoring organization: Government Accountability Office
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CMS Hospital Quality Star Rating: For 762 Rural Hospitals, No Stars Is the Problem
Examines the characteristics of rural hospitals with and without quality star ratings, and explains how the current methodology disproportionately affects rural hospitals. Makes recommendations for improving the utility of the Hospital Quality Star Rating system, especially for the purpose of comparing quality among rural hospitals or between rural and urban hospitals.
Author(s): Kristie W. Thompson, Randy K. Randolph, Kristin L. Reiter, George H. Pink, G. Mark Holmes
Date: 06/2017
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the characteristics of rural hospitals with and without quality star ratings, and explains how the current methodology disproportionately affects rural hospitals. Makes recommendations for improving the utility of the Hospital Quality Star Rating system, especially for the purpose of comparing quality among rural hospitals or between rural and urban hospitals.
Author(s): Kristie W. Thompson, Randy K. Randolph, Kristin L. Reiter, George H. Pink, G. Mark Holmes
Date: 06/2017
Sponsoring organization: North Carolina Rural Health Research Program
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2017
Includes chapters on implementing a unified payment system for post-acute care, Part B drug payment policies, the redesign of the Merit-Based Incentive Payment System (MIPS) and other alternative payment models, drug and device manufacturer payments to physicians and teaching hospitals, stand-alone emergency departments, and skilled nursing facility use. Rural hospitals and rural patient populations are discussed throughout the report.
Date: 06/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Includes chapters on implementing a unified payment system for post-acute care, Part B drug payment policies, the redesign of the Merit-Based Incentive Payment System (MIPS) and other alternative payment models, drug and device manufacturer payments to physicians and teaching hospitals, stand-alone emergency departments, and skilled nursing facility use. Rural hospitals and rural patient populations are discussed throughout the report.
Date: 06/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study
Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from 8 states with significant rural populations, and examines ADE rates based on hospital characteristics and across 4 main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Sponsoring organization: University of Minnesota Rural Health Research Center
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Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from 8 states with significant rural populations, and examines ADE rates based on hospital characteristics and across 4 main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Sponsoring organization: University of Minnesota Rural Health Research Center
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Surgeries in Hospital-Based Ambulatory Surgery and Hospital Inpatient Settings, 2014
Provides national data on surgeries performed in hospital inpatient and hospital-based ambulatory surgery (outpatient) settings. Table 1 includes data for rural, urban teaching, and urban nonteaching hospitals. Revised February 2018 and July 2020.
Author(s): Claudia A. Steiner, Zeynal Karaca, Brian J. Moore, Melina C. Imshaug, Gary Pickens
Date: 05/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides national data on surgeries performed in hospital inpatient and hospital-based ambulatory surgery (outpatient) settings. Table 1 includes data for rural, urban teaching, and urban nonteaching hospitals. Revised February 2018 and July 2020.
Author(s): Claudia A. Steiner, Zeynal Karaca, Brian J. Moore, Melina C. Imshaug, Gary Pickens
Date: 05/2017
Sponsoring organization: Agency for Healthcare Research and Quality
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Federal Health Centers: An Overview
Explains the Federal Health Center program, with information relating to the statutory authority, program requirements, funding, location, patient populations, health outcomes, and more. Also discusses the Federally Qualified Health Center (FQHC) designation, and how this designation affects Medicare and Medicaid payment levels.
Date: 05/2017
Sponsoring organization: Congressional Research Service
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Explains the Federal Health Center program, with information relating to the statutory authority, program requirements, funding, location, patient populations, health outcomes, and more. Also discusses the Federally Qualified Health Center (FQHC) designation, and how this designation affects Medicare and Medicaid payment levels.
Date: 05/2017
Sponsoring organization: Congressional Research Service
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Projected Financial Losses Experienced by Community Health Centers under a Scenario of Major Cuts in Key Sources of Federal Funding: 2018-2022
Simulates the potential financial impacts on health centers and communities if the following congressional proposals are implemented: cuts to federal funding for Medicaid expansion, cuts to federal funding for Marketplace subsidies, and expiration of the Community Health Centers Fund. Also assesses the implications for other state and federal programs that may be required to help fill the resulting service and funding gaps.
Author(s): Avi Dor, Eric Luo, Ali Moghtaderi, Anne Rossier Markus
Date: 04/2017
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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Simulates the potential financial impacts on health centers and communities if the following congressional proposals are implemented: cuts to federal funding for Medicaid expansion, cuts to federal funding for Marketplace subsidies, and expiration of the Community Health Centers Fund. Also assesses the implications for other state and federal programs that may be required to help fill the resulting service and funding gaps.
Author(s): Avi Dor, Eric Luo, Ali Moghtaderi, Anne Rossier Markus
Date: 04/2017
Sponsoring organizations: Geiger Gibson Program in Community Health, George Washington University Milken Institute School of Public Health Department of Health Policy and Management, RCHN Community Health Foundation
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Finance in Rural and Urban Hospitals
Summary of the impact of the Affordable Care Act (ACA) on the insurance coverage rates and reimbursement methods in rural hospitals in Minnesota. Includes a discussion of public and private insurance programs, uncompensated care, and operating margins. Includes data and statistic comparisons for Critical Access Hospitals (CAHs), other rural hospitals, and urban hospitals.
Date: 04/2017
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Summary of the impact of the Affordable Care Act (ACA) on the insurance coverage rates and reimbursement methods in rural hospitals in Minnesota. Includes a discussion of public and private insurance programs, uncompensated care, and operating margins. Includes data and statistic comparisons for Critical Access Hospitals (CAHs), other rural hospitals, and urban hospitals.
Date: 04/2017
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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