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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare facilities

Lessons Learned from the Conduct of a Multisite Cluster Randomized Practical Trial of Decision Aids in Rural and Suburban Primary Care Practices
Reports on participant recruitment for a community-based primary care practice study that included rural clinics. Discusses lessons learned related to timing and location of recruitment and impact of recruitment methods on the intervention implementation. Also describes how the study was designed to minimize disruption for the participating clinical sites.
Author(s): Kari L Ruud, Annie LeBlanc, Rebecca J Mullan, et al.
Citation: Trials, 14, 267
Date: 2013
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Changes in the Healthcare Safety Net 1992-2003: Disparities in Access for Uninsured Persons in Florida
Discusses how the closing of safety net hospitals or conversion from a public or nonprofit to a for-profit status and the increase in community health centers affected access to care for urban and rural uninsured in Florida. Provides patient statistics by time period for race/ethnicity, age group, sex, safety net events, and more.
Author(s): Tzy-Mey Kuo, Lee R. Mobley, Gloria J. Bazzoli
Citation: International Journal of Health Services, 43(3), 551-566
Date: 2013
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A Mixed Methods Descriptive Investigation of Readiness to Change in Rural Hospitals Participating in a Tele-Critical Care Intervention
Examines organizational readiness for community-academic partnerships to utilize telemedicine outreach and clinician education based on 4 rural hospitals in South Carolina. Discusses factors that help and hinder telemedicine readiness.
Author(s): Jane Zapka, Kit Simpson, Lara Hiott, et al.
Citation: BMC Health Services Research, 13, 33
Date: 2013
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Implications of Proposed Changes to Rural Hospital Payment Designations
Discusses the short-term policy implications of proposed changes to the designation and payment guidelines for small rural hospitals. Focuses on proposed changes to rural Medicare payments for hospitals and physicians, as well as a proposal to change the CAH distance requirements.
Date: 12/2012
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Assessing Community Health Center (CHC) Assets and Capabilities for Recruiting Physicians: The CHC Community Apgar Questionnaire
Describes the evaluation instrument, CHC Community Apgar Questionnaire (CHC CAQ), developed for Idaho CHCs to use in physician recruitment with a focus on rural areas.
Author(s): Edward Baker, David Schmitz, Sean Wasden, Lisa MacKenzie
Citation: Rural and Remote Health, 12(4), 2179
Date: 12/2012
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Why Do Some Critical Access Hospitals Close Their Skilled Nursing Facility Services While Others Retain Them?
Examines the factors related to the operation of skilled nursing services by Critical Access Hospitals (CAHs) and specifically the factors related to closure of skilled nursing units by some CAHs and the continued provision of these services by others. Addresses the impact of swing beds.
Author(s): John A. Gale, Zachariah T. Croll, Andrew F. Coburn, Walter R. Gregg
Date: 11/2012
Sponsoring organization: Flex Monitoring Team
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The Contributions of Community Colleges to the Education of Allied Health Professionals in Rural Areas of the United States
Examines the availability and importance of community colleges for educating the rural allied health workforce. Discusses which allied health occupations are most affected, the contributions of rural community colleges, and the potential for using distance education to overcome geographic barriers. Addresses the distance from community colleges with allied health programs to Critical Access Hospitals and the implications for workforce recruitment.
Additional links: Policy Brief
Author(s): Susan M. Skillman, Gina A. Keppel, Davis G. Patterson, Mark P. Doescher
Date: 10/2012
Sponsoring organization: WWAMI Rural Health Research Center
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Health Risk Behaviors in Insured and Uninsured Community Health Center Patients in the Rural US South
Examines the most common risk-taking behaviors of rural patients of Federally Qualified Health Centers (FQHCs) and if risk-taking behaviors vary between insured and uninsured patients.
Author(s): K. Bryant Smalley, Jacob Warren, Jeffrey Klibert
Citation: Rural and Remote Health, 12(4), 2123
Date: 10/2012
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Critical Access Hospital Year 7 Hospital Compare Participation and Quality Measure Results
Examines 2010 participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database for hospital quality measures.
Additional links: Policy Brief
Author(s): Michelle Casey, Bridget Barton, Peiyin Hung, Ira Moscovice
Date: 08/2012
Sponsoring organization: Flex Monitoring Team
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Evidence-Based Surgical Care Quality Improvement Programs and Strategies for Critical Access Hospitals
Focuses on evidence-based surgical care QI programs and strategies applicable to inpatient and outpatient surgeries in CAHs. One in a series of policy briefs identifying and assessing evidence-based patient safety and quality improvement interventions for use by state Flex Programs and Critical Access Hospitals (CAHs).
Author(s): Jill Klingner, Michelle Casey, Shailendra Prasad, Walter Gregg, Ira Moscovice
Date: 08/2012
Sponsoring organization: Flex Monitoring Team
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