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Rural Health
Resources by Topic: Healthcare facilities

Promising Flex Program Initiatives to Support Critical Access Hospitals during the COVID-19 Pandemic
Reports on promising State Flex Program (SFP) strategies to support Critical Access Hospitals (CAHs) and address priority needs during the COVID-19 pandemic. Highlights initiatives implemented by SFPs in seven states: Alaska, Arizona, Idaho, Kentucky, Montana, Pennsylvania, and Wyoming. Discusses strategies regarding support for frontline staff, staff communication, communication to rural communities, clinical and service improvement, and CAH and Rural Health Clinic financial performance. Discusses ongoing considerations and concerns.
Author(s): Celia Jewell, Sara Kahn-Troster, John Gale
Date: 04/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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Rural Emergency Hospital (REH) Model Summary
Provides an overview of the Rural Emergency Hospital (REH) model, a Medicare provider type established by the Consolidated Appropriations Act, 2021. Describes key features of the REH model and the REH payment methodology. Identifies considerations that must be addressed by the Centers for Medicare and Medicaid Services (CMS) and state Medicaid programs, as well as areas that will require technical assistance.
Date: 04/2021
Type: Document
Sponsoring organization: National Rural Health Association
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The Hospital as a Convener in Rural Communities
Case study examining the role of rural hospitals as conveners that support community health goals and population health, discussing examples from Michigan and Virginia. Describes community sectors that hospitals can convene, including education, behavioral health, housing, transportation, food, and state and local governments. Offers steps for a hospital to become a convener in their community.
Date: 04/2021
Type: Document
Sponsoring organization: American Hospital Association
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Rural and Urban Hospital Characteristics by Obstetric Service Provision Status, 2010-2018
Illustrates the differences between urban and rural hospitals providing obstetric (OB) services. Compares them by size, capacity, location, and community characteristics, and compares these factors between rural hospitals with OB units and those that had discontinued services during the study period. Features statistics with breakdowns by urban and rural location.
Additional links: Characteristics of Rural and Urban U.S. Hospitals Based on Obstetric Services
Author(s): Julia D. Interrante, Lindsay K. Admon, Mariana S. Tuttle, Bridget Basile Ibrahim, Katy B. Kozhimannil
Date: 04/2021
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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States Work to Support Rural Hospitals Despite Pandemic Challenges
Blog post highlighting state-level policies to address and prevent rural hospital closures. Discusses proposals in state legislatures regarding alternative payment methodologies and funding, service delivery models, and the recruitment and retention of a rural healthcare workforce.
Author(s): Beth Giambrone
Date: 04/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Care Systems COVID-19 Impact Assessment: Lessons Learned and Compelling Needs
Explores the clinical and public health responses and experiences of hospitals and health systems, during the COVID-19 pandemic. Presents policy actions and policy considerations to leverage the lessons of the pandemic to improve health system financing, infrastructure, and coordination. Includes information on challenges and priority areas for consideration for rural hospitals and Critical Access Hospitals.
Author(s): Jeffrey Balser, Jaewon Ryu, Michelle Hood, et al.
Date: 04/2021
Type: Document
Sponsoring organization: National Academy of Medicine
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Preliminary Medicare COVID-19 Data Snapshot
Reports cases and hospitalization data for Medicare beneficiaries diagnosed with COVID-19. Includes data on beneficiary demographics, case and hospitalization trends, and the prevalence of chronic conditions among beneficiaries hospitalized for COVID-19. Compares COVID-19 case and hospitalization rates by state and rural and urban status.
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Healthcare Surge Readiness
Up-to-date and critical resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 04/2021
Type: Website
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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NRHA COVID-19 Technical Assistance Center
Supports the needs of rural providers and communities impacted by the COVID-19 pandemic. Assists rural healthcare organizations through financial consultations, operational support, and help obtaining essential medical resources, including Personal Protection Equipment (PPE).
Date: 04/2021
Type: Website
Sponsoring organization: National Rural Health Association
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COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
Provides an overview of waived Medicare regulations in response to COVID-19. Lists waivers that impact all types of providers, including Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Centers, physicians, skilled nursing facilities, and others. Includes information on changes to telemedicine and quality improvement programs.
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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