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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare facilities

Quality Improvement in Rural Health Care
Policy position paper regarding challenges rural providers face in participating in quality improvement initiatives. Offers policy recommendations on the establishment and support of rural-relevant quality measures.
Author(s): Michelle Mills, Roger Wells
Date: 02/2023
Sponsoring organization: National Rural Health Association
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FQHC & RHC CMS Policy Manual Updates
Highlights policy changes in the 2022 and 2023 Final Physician Fee Schedules, but not included in the FQHC/RHC CMS Policy Manual, regarding mental health face-to-face and telehealth encounters, and care management services. Details when permanent policies take effect. Discusses the current CMS modified definition of a mental health visit. Provides clarification on the Medicare allowance for general care management services including chronic care, chronic pain, and behavioral health integration.
Date: 02/2023
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Federal Credit Assistance and Grant Programs for Rural Businesses: In Brief
Provides an overview of selected federal credit assistance and grant programs that support rural businesses. Covers programs administered by the U.S. Department of Agriculture (USDA), U.S. Small Business Administration (SBA), and the U.S. Department of Commerce's Economic Development Administration (EDA), as well as the Appalachian Regional Commission (ARC).
Date: 02/2023
Sponsoring organization: Congressional Research Service
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The Approaching End of the COVID-19 Public Health Emergency and Its Implications for RHCs
Outlines Rural Health Clinic (RHC)-specific waivers implemented in response to the COVID-19 pandemic and will end at the conclusion of the public health emergency (PHE). Highlights how other policies will be impacted by the end of the PHE, including telehealth flexibilities; Medicaid redetermination; the commercialization of COVID-19 vaccines, treatments, and tests; and Emergency Use Authorizations.
Date: 02/2023
Sponsoring organization: National Association of Rural Health Clinics
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Leadership Dialogue Series: Strengthening Rural Health Care with Jennifer Havens
Discussion between John Haupert, president and CEO of Grady Health System, and Jennifer Havens, CEO of UnityPoint Health – Grinnell Regional Medical Center (GRMC). Describes challenges facing rural hospitals and health systems, as well as access to maternal health services. Explores how GRMC has addressed these challenges and improved care delivery. Transcript is available by clicking the dots above the video description, then selecting Show Transcript.
Date: 02/2023
Sponsoring organization: American Hospital Association
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Associations Between Social Vulnerability and Providing Evidence-Based Diabetes Prevention and Management Activities in South Carolina, 2019
Examines the abilities of Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) in South Carolina to implement evidence-based diabetes prevention and management activities in counties with high burden of heart disease, diabetes, and associated social vulnerabilities. Includes a state map showing location of RHCs and FQHCs and data on associations between social vulnerability measures and diabetes prevention and management activities.
Author(s): Jennifer Mandelbaum, Courtney Brightharp, Kristian Myers, Shauna Hicks
Citation: Preventing Chronic Disease, 20
Date: 02/2023
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Rural Hospitals Face Renewed Financial Challenges, Especially in States That Have Not Expanded Medicaid
Provides an overview of rural hospital finances before the COVID-19 pandemic and compares operating margins in hospitals in states that expanded Medicaid with those that did not expand Medicaid. Describes financial trends during pandemic. Highlights selected policy initiatives intended to support rural hospitals or restructure the rural healthcare delivery system.
Author(s): Zachary Levinson, Jamie Godwin, Scott Hulver
Date: 02/2023
Sponsoring organization: KFF
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Rural Hospitals: Community Cornerstones Facing Perilous Threats to Care
Infographic presenting data regarding the importance of rural hospitals to their communities. Includes information on workforce and financial challenges experienced by rural hospitals, as well as the impact of hospital closures on access to care. Provides recommendations on actions to support rural hospitals and communities.
Date: 02/2023
Sponsoring organization: American Hospital Association
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Data Challenges in Identifying Patients Due for Colorectal Cancer Screening in Rural Clinics
Analyzes barriers to identifying patients in need of colorectal cancer (CRC) screenings in rural Oregon. Explores the effectiveness of rural primary care clinics and Medicaid health plans utilizing electronic health records (EHRs) for CRC outreach and includes corresponding data.
Author(s): Amanda F. Petrik, Jennifer Coury, Jean Hiebert Larson, et al.
Citation: The Journal of the American Board of Family Medicine, 36(1), 118-129
Date: 02/2023
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Patient Transfers to and from Critical Access Hospitals During the COVID-19 Pandemic
Examines inbound and outbound transfer patient volumes among Critical Access Hospitals (CAHs) during the COVID-19 pandemic. Discusses the barriers and facilitators to transferring patients that CAHs experienced. Compares transfer volume and facilitators for outbound transfers by CAH system ownership status.
Author(s): Abigail Wenninger, Madeleine Pick, Megan Lahr
Date: 02/2023
Sponsoring organization: Flex Monitoring Team
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