Rural Health
Resources by Topic: Healthcare facilities
Provision of Social Care Services by US Hospitals
Explores the extent to which social care services are provided by hospitals. Analyzes data from the 2018 American Hospital Association (AHA) Annual Survey and Community Benefit Insight to identify the number and type of social care services provided by hospitals. Examines whether community and hospital characteristics, including bed size, system affiliation, rurality, neighborhood median income, and state community benefit requirements, are associated with these services.
Author(s): Bradley Iott, Denise Anthony
Citation: The Milbank Quarterly, 101(2), 601-635
Date: 06/2023
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Explores the extent to which social care services are provided by hospitals. Analyzes data from the 2018 American Hospital Association (AHA) Annual Survey and Community Benefit Insight to identify the number and type of social care services provided by hospitals. Examines whether community and hospital characteristics, including bed size, system affiliation, rurality, neighborhood median income, and state community benefit requirements, are associated with these services.
Author(s): Bradley Iott, Denise Anthony
Citation: The Milbank Quarterly, 101(2), 601-635
Date: 06/2023
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Urban-Rural Disparities in Interfacility Transfers for Children During COVID-19
Presents a study on the rates of rural and urban pediatric interfacility transfers (IFTs) during the COVID-19 pandemic. Compares IFT rates from before the pandemic. Breaks down rural and urban data by medical complexity, transfer type, and census region, among other measures.
Author(s): Corrie E. McDaniel, JoAnna K. Leyenaar, Mersine A. Bryan, et al
Citation: Journal of Rural Health, 39(3), 611-616
Date: 06/2023
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Presents a study on the rates of rural and urban pediatric interfacility transfers (IFTs) during the COVID-19 pandemic. Compares IFT rates from before the pandemic. Breaks down rural and urban data by medical complexity, transfer type, and census region, among other measures.
Author(s): Corrie E. McDaniel, JoAnna K. Leyenaar, Mersine A. Bryan, et al
Citation: Journal of Rural Health, 39(3), 611-616
Date: 06/2023
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Telehealth Adoption in Kentucky Prior to the COVID-19 Pandemic
Reports statistics and data on the adoption of telehealth, including remote patient monitoring, in Kentucky before the COVID-19 pandemic. Compares rural and urban areas with U.S. averages, and highlights adoption rates in Critical Access and short-term acute care hospitals. Discusses the implications of pre-pandemic telehealth adoption for COVID-19 response in Kentucky.
Author(s): Claudia A. Rhoades
Date: 06/2023
Sponsoring organization: Blueprint Kentucky
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Reports statistics and data on the adoption of telehealth, including remote patient monitoring, in Kentucky before the COVID-19 pandemic. Compares rural and urban areas with U.S. averages, and highlights adoption rates in Critical Access and short-term acute care hospitals. Discusses the implications of pre-pandemic telehealth adoption for COVID-19 response in Kentucky.
Author(s): Claudia A. Rhoades
Date: 06/2023
Sponsoring organization: Blueprint Kentucky
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Nursing Home Staffing Study: Comprehensive Report
Examines the level and type of staffing needed to promote acceptable nursing home quality and safety. Explores the potential implications and feasibility of increased staffing and costs to nursing homes. Presents four options for minimum staffing requirements and their cost, quality, and safety impacts. Includes rural references and considerations throughout.
Additional links: Literature Review Results Table, State Minimum Staffing Requirement
Date: 06/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Examines the level and type of staffing needed to promote acceptable nursing home quality and safety. Explores the potential implications and feasibility of increased staffing and costs to nursing homes. Presents four options for minimum staffing requirements and their cost, quality, and safety impacts. Includes rural references and considerations throughout.
Additional links: Literature Review Results Table, State Minimum Staffing Requirement
Date: 06/2023
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Arkansas Rural Hospital Assessment: Final Report
An assessment of 18 rural Arkansas hospitals with regard to their financial stability, workforce challenges, facilities, distance from other facilities, sustainability, and more. Compares Critical Access Hospitals (CAH) and non-CAHs in the state. Discusses decision-making around the Rural Emergency Hospital designation.
Author(s): Alvarez & Marsal Public Sector Services LLC
Date: 06/2023
Sponsoring organization: Arkansas Department of Finance & Administration
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An assessment of 18 rural Arkansas hospitals with regard to their financial stability, workforce challenges, facilities, distance from other facilities, sustainability, and more. Compares Critical Access Hospitals (CAH) and non-CAHs in the state. Discusses decision-making around the Rural Emergency Hospital designation.
Author(s): Alvarez & Marsal Public Sector Services LLC
Date: 06/2023
Sponsoring organization: Arkansas Department of Finance & Administration
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Telehealth in Michigan: Insights and Data for Effective Policymaking
Examines telehealth usage in Michigan for the purpose of policymaking. Evaluates the impact of expanding telehealth in rural Michigan, usage by Federally Qualified Health Centers and Rural Health Clinics, broadband, and more. Suggests policy recommendations including for issues in rural telehealth.
Author(s): Chad Ellimoottil, Ziwei Zhu, Xinwei Hi, Monica Van Til
Date: 06/2023
Sponsoring organizations: Ethel & James Flinn Foundation, Michigan Health Endowment Fund
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Examines telehealth usage in Michigan for the purpose of policymaking. Evaluates the impact of expanding telehealth in rural Michigan, usage by Federally Qualified Health Centers and Rural Health Clinics, broadband, and more. Suggests policy recommendations including for issues in rural telehealth.
Author(s): Chad Ellimoottil, Ziwei Zhu, Xinwei Hi, Monica Van Til
Date: 06/2023
Sponsoring organizations: Ethel & James Flinn Foundation, Michigan Health Endowment Fund
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A Rural Accountable Care Organization's Journey
Profiles South East Rural Physicians Alliance Accountable Care Organization (SERPA‐ACO), a physician‐led ACO consisting of 16 Nebraska clinics - 13 of which are rural. Describes various value-based payment models SERPA-ACO clinics participated in and activities the clinics use to succeed in these models. Includes recommendations for primary care clinics considering joining an ACO.
Date: 06/2023
Sponsoring organization: Rural Health Value
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Profiles South East Rural Physicians Alliance Accountable Care Organization (SERPA‐ACO), a physician‐led ACO consisting of 16 Nebraska clinics - 13 of which are rural. Describes various value-based payment models SERPA-ACO clinics participated in and activities the clinics use to succeed in these models. Includes recommendations for primary care clinics considering joining an ACO.
Date: 06/2023
Sponsoring organization: Rural Health Value
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Rural Health on Life Support
Podcast episode discussing the effects of policy on rural maternal health outcomes and access to maternity care services. Covers the role of state policies, including Medicaid policies, on maternal and infant health.
Date: 06/2023
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode discussing the effects of policy on rural maternal health outcomes and access to maternity care services. Covers the role of state policies, including Medicaid policies, on maternal and infant health.
Date: 06/2023
Sponsoring organization: Impact! Communications, Inc.
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Rural Health on Life Support - The State of America's Rural Health Systems
Podcast episode discussing the rural health landscape and how policies affect rural healthcare systems and service delivery. Covers rural hospital closures, payment policy, workforce concerns, emergency medical services (EMS), the Rural Emergency Hospital designation, and more.
Date: 06/2023
Sponsoring organization: Impact! Communications, Inc.
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Podcast episode discussing the rural health landscape and how policies affect rural healthcare systems and service delivery. Covers rural hospital closures, payment policy, workforce concerns, emergency medical services (EMS), the Rural Emergency Hospital designation, and more.
Date: 06/2023
Sponsoring organization: Impact! Communications, Inc.
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The Impact of COVID-19 on CAH Financial Indicators
Describes the impact of the COVID-19 pandemic on Critical Access Hospital (CAH) financial indicators. Compares summary statistics on CAH financial indicators across eight categories in the six years prior to the pandemic (April 2015 - March 2020) to the same metrics during the pandemic (April 2020 - March 2022).
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Sponsoring organization: Flex Monitoring Team
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Describes the impact of the COVID-19 pandemic on Critical Access Hospital (CAH) financial indicators. Compares summary statistics on CAH financial indicators across eight categories in the six years prior to the pandemic (April 2015 - March 2020) to the same metrics during the pandemic (April 2020 - March 2022).
Author(s): Laura McFadyen, George Pink, Susie Gurzenda, Kristie W. Thompson, Kristin L. Reiter
Date: 06/2023
Sponsoring organization: Flex Monitoring Team
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