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Rural Health
Resources by Topic: Healthcare facilities

Models for Quality Improvement in Critical Access Hospitals: The Role of State Flex Programs
Examines the scope of multi-Critical Access Hospital (CAH) quality improvement and performance measurement reporting initiatives supported by the Medicare Rural Hospital Flexibility Program (Flex Program) in 9 states. Addresses how the Flex Program has been instrumental in funding and providing leadership for the development of Critical Access Hospital (CAH) quality improvement initiatives.
Additional links: Policy Brief: The Role of State Flex Programs in Supporting Quality Improvement in Critical Access Hospitals
Author(s): Andrew Coburn, John Gale, Melanie Race, Mark Richards, Anush Hansen
Date: 03/2010
Type: Document
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospital Year 5 Hospital Compare Participation and Quality Measure Results
Report examines 2008 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, Michele Burlew, Ira Moscovice, Adam Hofer
Date: 03/2010
Type: Document
Sponsoring organization: Flex Monitoring Team
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MedPAC Report to the Congress: Medicare Payment Policy, 2010
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2010
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Critical Access Hospitals and Meaningful Use of Health Information Technology
Assesses the availability of health information technology (HIT) applications that are preconditions for meaningful use in Critical Access Hospitals (CAHs), compared to other U.S. hospitals in 2008.
Author(s): Jeffrey McCullough, Michelle Casey, Ira Moscovice
Date: 02/2010
Type: Document
Sponsoring organization: Flex Monitoring Team
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Inpatient Stays in Rural Hospitals, 2007
Presents data on rural hospital inpatient stays in 2007. Compares rural and urban hospital utilization, hospital characteristics, resources, patient characteristics, common procedures, and principal diagnoses.
Author(s): Elizabeth Stranges, Laurel Holmquist, Roxanne M. Andrews
Date: 01/2010
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Compendium of Rural Best Practices/Models Innovations to Strengthen Rural Health Care: Technology, Training and Workforce Development
Summarizes innovative programs occurring in rural areas, featuring a recruitment and retention network and other models focusing on workforce education and training for behavioral and mental health, transportation, Federally Qualified Health Centers (FQHCs), and chronic disease management.
Date: 2010
Type: Document
Sponsoring organization: National Rural Health Association
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From Hospitals to Healthcare Coalitions: Transforming Health Preparedness and Response in Our Communities
Summarizes progress that states and hospitals, along with the public health and emergency management communities, made from 2007-2009 in the Hospital Preparedness Program (HPP). Serves as a guide in healthcare preparedness and response successful models and as an educational tool for legislators, funding recipients and other key stakeholders. Mentions rural throughout.
Date: 2010
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Rural Hospital Network Summit Meeting 2009
Summarizes information and recommendations resulting from a December 2009 meeting of rural hospital network leaders. Addresses quality improvement, health information technology (HIT), workforce, financial sustainability, network governance, and leadership.
Date: 12/2009
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
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The Nurse Work Environment, Job Satisfaction and Turnover Rates in Rural and Urban Nursing Units
Examines hospital characteristics, nursing unit characteristics, the nurse work environment, job satisfaction, and turnover rates in rural and urban nursing units. Based on data from 2003 and 2004.
Author(s): Marianne Baernholdt, Barbara A. Mark
Citation: Journal of Nursing Management, 17(8), 994-1001
Date: 12/2009
Type: Document
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The Potential Impact of Pay-for-Performance on the Financial Health of Critical Access Hospitals
Models the impact of different Medicare pay-for-performance (P4P) incentives on the financial health of Critical Access Hospitals (CAHs) using quality performance measures for pneumonia and heart failure from several data sources.
Additional links: Policy Brief, February 2010
Author(s): Robert Town, Ira Moscovice
Date: 12/2009
Type: Document
Sponsoring organization: Flex Monitoring Team
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