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Rural Health
Resources by Topic: Healthcare facilities

Patient Assessments and Quality of Care in Rural Hospitals
Analyzes the relationships between rural patients' perspectives of hospital quality of care and key hospital characteristics that may influence patients' experiences of hospital care. Includes some breakdowns for Critical Access Hospitals (CAHs). Uses data from the Consumer Assessment of Health Providers and Systems (HCAHPS) survey.
Additional links: Policy Brief
Author(s): Michelle M. Casey, Gestur Davidson
Date: 06/2010
Sponsoring organization: Upper Midwest Rural Health Research Center
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The Provision of Mental Health Services by Rural Health Clinics
Reports on a study that examined changes in the delivery of mental health services by RHCs, operational characteristics of these services, barriers and challenges experienced by RHCs, and policy options to encourage more RHCs to deliver mental health services.
Author(s): John A. Gale, Barbara Shaw, David Hartley, Stephenie Loux
Date: 05/2010
Sponsoring organization: Maine Rural Health Research Center
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Pediatric Care in Rural Hospital Emergency Departments
Analyzes data from the Emergency Pediatric Services and Equipment Supplement (EPSES) to the National Hospital Ambulatory Medicare Care Survey comparing rural and urban hospitals' responses on various dimensions of pediatric emergency department care.
Author(s): Victoria A. Freeman, Randy K. Randolph, Stephanie Poley, Sarah Friedman, Rebecca T. Slifkin
Date: 05/2010
Sponsoring organization: North Carolina Rural Health Research Program
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Encouraging Rural Health Clinics to Provide Mental Health Services: What are the Options?
Examines changes in the delivery of mental health services by Rural Health Clinics (RHCs), their operational characteristics, barriers to the development of services, and policy options to encourage more RHCs to deliver mental health services.
Author(s): John Gale, David Hartley, Barbara Shaw, Stephanie Loux
Date: 05/2010
Sponsoring organization: Maine Rural Health Research Center
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Electronic Medical Record Systems in Critical Access Hospitals: Leadership Perspectives on Anticipated and Realized Benefits
Examines the efficacy of electronic medical records (EMRs) in reducing healthcare costs while also improving performance and quality in Critical Access Hospitals (CAHs). Also discusses the reasons CAH leadership may choose to implement an EMR, and whether anticipated benefits have generally been realized. Results are based on a survey of leadership from 15 Iowa-based CAHs.
Author(s): Troy R. Mills, Jared Vavroch, James A. Bahensky, Marcia M. Ward
Citation: Perspectives in Health Information Management, 7, 1c
Date: 04/2010
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States' Use of Cost-Based Reimbursement for Medicaid Services at Critical Access Hospitals
Explains cost-based reimbursement for Critical Access Hospitals (CAHs). Documents which of the 45 states with CAHs utilize a cost-based reimbursement methodology for Medicaid.
Author(s): Andrea Radford, Mike Hamon, Caitlin Nelligan
Date: 04/2010
Sponsoring organization: North Carolina Rural Health Research Program
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Alternatives to the Outpatient Prospective Payment System: Assessing the Impact on Rural Hospitals
Explores alternatives to Medicare's Outpatient Prospective Payment System and how these options would affect rural hospitals.
Author(s): Janet Pagan-Sutton, Claudia Schur, Katie Merrell
Date: 04/2010
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Community Benefits of Critical Access Hospitals: A Review of the Data
Examines the community benefit activities of Critical Access Hospitals (CAHs), and assesses the utility and feasibility of tracking and reporting community benefit information. Uses data from the Internal Revenue Service's (IRS) 2006 Hospital Compliance Study, the 2007 FMT CAH survey, and the Flex Monitoring Team's (FMT) pilot test of a set of community benefit data collection tools and performance indicators.
Additional links: Policy Brief
Author(s): Melanie Race, John Gale, Andrew Coburn
Date: 03/2010
Sponsoring organization: Flex Monitoring Team
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Quality of Care for Acute Myocardial Infarction: Are the Gaps Between Rural and Urban Hospitals Closing?
Compares the quality of care provided by rural and urban hospitals for patients with acute myocardial infarction. Includes breakdowns by admission characteristics, such as concurrent conditions, and for remote rural areas.
Additional links: Policy Brief
Author(s): Laura-Mae Baldwin, Leighton Chan, C. Holly A. Andrilla, Edwin Huff, L. Gary Hart
Date: 03/2010
Sponsoring organization: WWAMI Rural Health Research Center
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State Flex Program EMS/Trauma Activities and Integration of Critical Access Hospitals into Trauma Systems
Examines State Flex Program trauma-related and emergency medical system (EMS) activities and the designation of Critical Access Hospitals (CAHs) as trauma centers. Includes data by state on CAH trauma center designation.
Additional links: Policy Brief
Author(s): Walter Gregg, Nicholas Jennings, Christopher Dickerson
Date: 03/2010
Sponsoring organization: Flex Monitoring Team
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