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Rural Health
Resources by Topic: Healthcare facilities

Updates and Resources on Novel Coronavirus (COVID-19)
Resources for hospitals and health systems to help them respond to COVID-19. Includes news from AHA on the latest developments.
Date: 05/2021
Type: Website
Sponsoring organization: American Hospital Association
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Supporting and Sustaining Rural Hospitals
Describes state and federal actions to support and safeguard rural hospitals. Discusses appropriated funding opportunities for struggling hospitals, Medicaid coverage and eligibility, alternative payment models, and technical assistance programs.
Author(s): Noah Cruz
Date: 04/2021
Type: Document
Sponsoring organization: National Conference of State Legislatures
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CAH Financial Indicators Report: Summary of Indicator Medians by State
Presents state and national median values of 23 financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Provides an overview of each measurement, and reports mean values by state. Indicators represent six areas of financial performance: profitability, liquidity, capital structure, revenue, cost, and utilization.
Date: 04/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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COVID-19: The Rural Story
Slides presented at the April 26, 2021, meeting of the Washington University in St. Louis COVID Social Determinants of Health Working Group. Presents data on the spread of COVID-19 in rural communities over time, as well as the impact on rural hospitals and population groups. Includes information on vaccine distribution and pharmacy availability in counties.
Author(s): Keith Mueller, Fred Ullrich
Date: 04/2021
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Place and Population Matter in General Surgeon Location and Practice Structure
Examines ways in which population changes over time in different geographical regions of the United States have affected the availability of general surgeons and quality of care. Explores the implications of hospital mergers on the viability of rural hospitals.
Author(s): Thomas C. Ricketts
Citation: JAMA Network Open, 4(4)
Date: 04/2021
Type: Document
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American Rescue Plan Act of 2021 (P.L. 117-2): Private Health Insurance, Medicaid, CHIP, and Medicare Provisions
Provides an overview of the provisions of the American Rescue Plan Act of 2021 that relate to private health insurance, Medicaid, the State Children's Health Insurance Program (CHIP), and Medicare. Includes information on provisions specific to rural providers.
Date: 04/2021
Type: Document
Sponsoring organization: Congressional Research Service
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Making It Plain: Rural Hospitals and the Healthcare Delivery System
Recording of an April 21, 2021, town hall discussing COVID-19 epidemiological trends, compliance with public health guidance, and vaccine rates in rural communities. Explores barriers and solutions regarding vaccine administration and acceptance in rural areas, and describes federal plans to promote vaccine acceptance in rural communities. Features speakers from the Black Coalition Against COVID-19 (BCAC), the American Hospital Association, and the White House COVID-19 response team, among others.
Date: 04/2021
Type: Document
Sponsoring organization: BlackDoctor.org
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Critical Access Hospital Response to COVID-19
Webinar recording summarizing results of a survey of Critical Access Hospital (CAH) executives in eight states regarding the hospitals' ability to respond to the COVID-19 pandemic from February-August 2020. Covers survey findings related to CAH finance, federal waivers and regulatory flexibilities, capacity for treatment, workforce, and partnerships. Discusses opportunities for future research on COVID-19 response and preparedness for future disasters and public health emergencies.
Additional links: Presentation Slides
Author(s): Madeleine Pick, Megan Lahr, Ira Moscovice
Date: 04/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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Coronavirus Aid, Recovery, and Economic Security (CARES) Act & Related Legislation and Administrative Action Impacting Rural Health
Provides an overview of legislation passed by Congress regarding COVID-19. Identifies provisions relevant to rural healthcare providers, including the Paycheck Protection Program, funding for public health and rural workforce programs, telehealth flexibilities, and more.
Date: 04/2021
Type: Document
Sponsoring organization: National Rural Health Association
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Changes in Provision of Selected Services by Rural and Urban Hospitals between 2009 and 2017
Examines the increase in number of rural hospitals that have closed or converted to a model eliminating inpatient care, as well as rural hospitals that have reduced or terminated historically essential services including obstetrics, surgery, long-term care, home health, and oncology. Features statistics on the number of hospitals offering various types of healthcare services in 2009 and in 2017, with breakdowns by urban and rural location.
Author(s): Kathleen Knocke, George H. Pink, Kristie W. Thompson, Randy K. Randolph, Mark Holmes
Date: 04/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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