Rural Health
Resources by Topic: Healthcare facilities
Implementing High-Quality Primary Care: A Policy Menu for States
Presents policy strategies utilized by states to strengthen primary care across five priority areas. Strategies cover primary care reimbursement; addressing individual, community, and market-level barriers to care; expanding and supporting the primary care workforce; and supporting practice transformation. Includes rural references throughout.
Date: 09/2025
Sponsoring organizations: Milbank Memorial Fund, National Academy for State Health Policy
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Presents policy strategies utilized by states to strengthen primary care across five priority areas. Strategies cover primary care reimbursement; addressing individual, community, and market-level barriers to care; expanding and supporting the primary care workforce; and supporting practice transformation. Includes rural references throughout.
Date: 09/2025
Sponsoring organizations: Milbank Memorial Fund, National Academy for State Health Policy
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Expiring Health Provisions of the 119th Congress
Outlines the healthcare-related funding and governmental authorities that will expire during the 119th Congress, calendars year 2025-2026, if not extended through congressional action. Highlights similar provisions that expired during the 118th Congress (2023-2024). Includes rural references throughout.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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Outlines the healthcare-related funding and governmental authorities that will expire during the 119th Congress, calendars year 2025-2026, if not extended through congressional action. Highlights similar provisions that expired during the 118th Congress (2023-2024). Includes rural references throughout.
Date: 09/2025
Sponsoring organization: Congressional Research Service
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Health Center Performance Improvement Toolkit
Offers a framework to support health center performance improvement and health outcomes across seven domains. assess their current performance in each domain, describe future performance goals, and identify how to reach and sustain improved performance. Offers self-assessment tools, including fillable checklists for each domain, progress snapshot worksheets, and example improvement activities.
Additional links: Guide to Self-Assessment, Self-Assessment Tools
Date: 09/2025
Sponsoring organization: Bureau of Primary Health Care
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Offers a framework to support health center performance improvement and health outcomes across seven domains. assess their current performance in each domain, describe future performance goals, and identify how to reach and sustain improved performance. Offers self-assessment tools, including fillable checklists for each domain, progress snapshot worksheets, and example improvement activities.
Additional links: Guide to Self-Assessment, Self-Assessment Tools
Date: 09/2025
Sponsoring organization: Bureau of Primary Health Care
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Georgia Counties with Rural, Critical Access, and Rural Emergency Hospitals
Map showing Georgia counties with rural hospitals, Critical Access Hospitals, and Rural Emergency Hospitals.
Date: 09/2025
Sponsoring organization: Georgia State Office of Rural Health
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Map showing Georgia counties with rural hospitals, Critical Access Hospitals, and Rural Emergency Hospitals.
Date: 09/2025
Sponsoring organization: Georgia State Office of Rural Health
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MBQIP 2025 Measure Core Set Information Guide
Provides an overview of the 2025 Core Measure Set adopted by the Federal Office of Rural Health Policy (FORHP) for use in the Medicare Beneficiary Quality Improvement Project (MBQIP). Offers descriptions, rationales, data elements, data availability, resources, and more for each new and continuing measure.
Date: 09/2025
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Provides an overview of the 2025 Core Measure Set adopted by the Federal Office of Rural Health Policy (FORHP) for use in the Medicare Beneficiary Quality Improvement Project (MBQIP). Offers descriptions, rationales, data elements, data availability, resources, and more for each new and continuing measure.
Date: 09/2025
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Skill Mix Versus Flexibility: Decoding Nurse Staffing Impacts on Critical Access Hospitals
Presents a study on the skill mix and flexibility of nurse staffing on the financial stability, care quality, and efficacy of Critical Access Hospitals (CAHs) in Pennsylvania from 2000 to 2023. Correlates skill mix and flexibility with hospital outcomes and controls for hospital-specific, socioeconomic, and demographic factors.
Author(s): Dinesh R. Pai, Esmaeil Bahalkeh
Citation: Journal of Rural Health, 41(3), e70075
Date: 08/2025
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Presents a study on the skill mix and flexibility of nurse staffing on the financial stability, care quality, and efficacy of Critical Access Hospitals (CAHs) in Pennsylvania from 2000 to 2023. Correlates skill mix and flexibility with hospital outcomes and controls for hospital-specific, socioeconomic, and demographic factors.
Author(s): Dinesh R. Pai, Esmaeil Bahalkeh
Citation: Journal of Rural Health, 41(3), e70075
Date: 08/2025
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Ambulatory Care for Individuals Dually Eligible for Medicare and Medicaid
Compares ambulatory services utilization for more than 5.5 million dual and non-dual Medicaid and Medicare individuals. Describes the rural or urban status of the population studied as well as whether services were utilized in a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC), among other demographic and service related factors.
Author(s): Joshua M. Liao, Paula Chatterjee, Yueming Zhao, et al.
Citation: Health Affairs Scholar, 3(8)
Date: 08/2025
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Compares ambulatory services utilization for more than 5.5 million dual and non-dual Medicaid and Medicare individuals. Describes the rural or urban status of the population studied as well as whether services were utilized in a Federally Qualified Health Center (FQHC) or Rural Health Clinic (RHC), among other demographic and service related factors.
Author(s): Joshua M. Liao, Paula Chatterjee, Yueming Zhao, et al.
Citation: Health Affairs Scholar, 3(8)
Date: 08/2025
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Rural & Safety Net Health Facilities in Arizona
Map of Arizona's Critical Access Hospitals, Indian Health Service and Tribal Facilities, Rural Health Clinics, and Federally Qualified Health Centers.
Date: 08/2025
Sponsoring organization: Arizona Center for Rural Health
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Map of Arizona's Critical Access Hospitals, Indian Health Service and Tribal Facilities, Rural Health Clinics, and Federally Qualified Health Centers.
Date: 08/2025
Sponsoring organization: Arizona Center for Rural Health
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Building Healthier Rural Communities: Economic Development Districts Address Social Determinants of Health
Report outlining social determinants of health (SDOH) in rural areas and how Economic Development Districts (EDD) address them. Highlights workforce, infrastructure, food security, health, disaster preparedness, funding, data, and public-private partnerships. Includes a case study from an EDD in North Carolina and highlights the role of hospitals in the community.
Date: 08/2025
Sponsoring organizations: Economic Development District Community of Practice, National Association of Development Organizations
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Report outlining social determinants of health (SDOH) in rural areas and how Economic Development Districts (EDD) address them. Highlights workforce, infrastructure, food security, health, disaster preparedness, funding, data, and public-private partnerships. Includes a case study from an EDD in North Carolina and highlights the role of hospitals in the community.
Date: 08/2025
Sponsoring organizations: Economic Development District Community of Practice, National Association of Development Organizations
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Growth of Health IT-Enabled Patient Engagement Capabilities Among U.S. Hospitals: 2021-2024
Describes hospital trends regarding the adoption of capabilities that enable patient access to their electronic health information, including the ability to view, download, transmit, and import data from other organizations into their patient portal; view clinical notes; and access information through apps between 2021-2024. Presents data and analysis by hospital type, including Critical Access Hospitals (CAHs) and rural hospitals, on the percent of hospitals that app-based and Fast Healthcare Interoperability Resource® (FHIR)-enabled patient engagement capabilities.
Author(s): Meghan Hufstader Gabriel, Chelsea Richwine, Priscilla Owusu-Mensah, Catherine Strawley
Date: 08/2025
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Describes hospital trends regarding the adoption of capabilities that enable patient access to their electronic health information, including the ability to view, download, transmit, and import data from other organizations into their patient portal; view clinical notes; and access information through apps between 2021-2024. Presents data and analysis by hospital type, including Critical Access Hospitals (CAHs) and rural hospitals, on the percent of hospitals that app-based and Fast Healthcare Interoperability Resource® (FHIR)-enabled patient engagement capabilities.
Author(s): Meghan Hufstader Gabriel, Chelsea Richwine, Priscilla Owusu-Mensah, Catherine Strawley
Date: 08/2025
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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