Rural Health
Resources by Topic: Healthcare facilities
Pediatric Hospitalizations at Rural and Urban Teaching and Nonteaching Hospitals in the US, 2009-2019
Describes changes in the number and proportion of pediatric hospitalizations and costs at urban teaching, urban nonteaching, and rural hospitals versus freestanding children's hospitals from 2009-2019. Estimates the number and proportion of hospitals providing inpatient pediatric care and characterizes changes in clinical complexity. Features statistics including sociodemographic, clinical, and hospital characteristics of pediatric hospitalizations, with breakdowns by urban and rural location.
Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, David C. Goodman, A. James O'Malley
Citation: JAMA Network Open, 6(9)
Date: 09/2023
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Describes changes in the number and proportion of pediatric hospitalizations and costs at urban teaching, urban nonteaching, and rural hospitals versus freestanding children's hospitals from 2009-2019. Estimates the number and proportion of hospitals providing inpatient pediatric care and characterizes changes in clinical complexity. Features statistics including sociodemographic, clinical, and hospital characteristics of pediatric hospitalizations, with breakdowns by urban and rural location.
Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, David C. Goodman, A. James O'Malley
Citation: JAMA Network Open, 6(9)
Date: 09/2023
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Oregon Small Rural Hospital Improvement Program (SHIP) Facilities
Shows a county-level map of Oregon identifying the locations of hospitals participating in the Small Rural Hospital Improvement Program (SHIP), whether they are type A or B, and whether they are located in a frontier county.
Date: 09/2023
Sponsoring organization: Oregon Office of Rural Health
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Shows a county-level map of Oregon identifying the locations of hospitals participating in the Small Rural Hospital Improvement Program (SHIP), whether they are type A or B, and whether they are located in a frontier county.
Date: 09/2023
Sponsoring organization: Oregon Office of Rural Health
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Who's Accountable? Low-Value Care Received By Medicare Beneficiaries Outside Of Their Attributed Health Systems
Examines how much low-volume care and health system spending can be attributed to fee-for-service Medicare beneficiaries aged 65-years-old and older receiving care outside of the health system between 2017-2018. Explores beneficiary and health system factors associated with receiving the thirty most common low-value services, including beneficiaries' rurality and whether the low-value services originated from primary care physicians or specialists.
Author(s): Ishani Ganguli, Maia L. Crawford, Benjamin Usadi, et al.
Citation: Health Affairs, 42(8), 1128-1139
Date: 08/2023
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Examines how much low-volume care and health system spending can be attributed to fee-for-service Medicare beneficiaries aged 65-years-old and older receiving care outside of the health system between 2017-2018. Explores beneficiary and health system factors associated with receiving the thirty most common low-value services, including beneficiaries' rurality and whether the low-value services originated from primary care physicians or specialists.
Author(s): Ishani Ganguli, Maia L. Crawford, Benjamin Usadi, et al.
Citation: Health Affairs, 42(8), 1128-1139
Date: 08/2023
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A Road Map for Asset Based Investing in Central Appalachia
Report highlighting various wellbeing and community asset measures in the Appalachian region in the areas of economics, population health, infrastructure, housing, health facilities, and more. Discusses the associations between wellbeing and community assets as well as the implications for investment.
Date: 08/2023
Sponsoring organizations: Community and Economic Development Initiative of Kentucky, Reinvestment Fund
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Report highlighting various wellbeing and community asset measures in the Appalachian region in the areas of economics, population health, infrastructure, housing, health facilities, and more. Discusses the associations between wellbeing and community assets as well as the implications for investment.
Date: 08/2023
Sponsoring organizations: Community and Economic Development Initiative of Kentucky, Reinvestment Fund
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Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Final Evaluation Report
Describes the results of the Centers for Medicare & Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model, a five-year randomized trial that aimed to reduce the incidence of first-time heart attacks and strokes among Medicare beneficiaries. Covers participant characteristics, including rural or urban status and organization type; changes in cardiovascular disease risk scores; effects of the model on healthcare utilization; intermediate- and long-term impacts on beneficiaries; and the contribution of these findings to the broader literature on cardiovascular disease prevention and value-based care.
Additional links: Findings at a Glance
Date: 08/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica, RAND Corporation
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Describes the results of the Centers for Medicare & Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model, a five-year randomized trial that aimed to reduce the incidence of first-time heart attacks and strokes among Medicare beneficiaries. Covers participant characteristics, including rural or urban status and organization type; changes in cardiovascular disease risk scores; effects of the model on healthcare utilization; intermediate- and long-term impacts on beneficiaries; and the contribution of these findings to the broader literature on cardiovascular disease prevention and value-based care.
Additional links: Findings at a Glance
Date: 08/2023
Sponsoring organizations: Centers for Medicare & Medicaid Services, Mathematica, RAND Corporation
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Association Between Insurer Connectivity in Appalachian Population Health Networks and Preventable Hospitalizations: Evidence from Kentucky
Examines insurer connectivity in community networks across regions in Kentucky, and the association between connectivity and the probability of experiencing a preventable hospitalization. Features statistics with breakdowns by urban, rural non-Appalachian, and Appalachian locations.
Author(s): Rachel Hogg-Graham, Kelsey R. Gatton, Rick Ingram, Glen P. Mays
Citation: Journal of Appalachian Health, 5(2), 15-31
Date: 08/2023
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Examines insurer connectivity in community networks across regions in Kentucky, and the association between connectivity and the probability of experiencing a preventable hospitalization. Features statistics with breakdowns by urban, rural non-Appalachian, and Appalachian locations.
Author(s): Rachel Hogg-Graham, Kelsey R. Gatton, Rick Ingram, Glen P. Mays
Citation: Journal of Appalachian Health, 5(2), 15-31
Date: 08/2023
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DRCHSD Spotlight: Savoy Medical Center in Mamou, Louisiana
Describes how the Delta Region Community Health Systems Development Program helped Savoy Medical Center, a 60-bed hospital in rural Mamou, Louisiana, develop a residential treatment facility to meet the need for local, post-acute care for patients with substance use disorders.
Date: 08/2023
Sponsoring organization: National Rural Health Resource Center
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Describes how the Delta Region Community Health Systems Development Program helped Savoy Medical Center, a 60-bed hospital in rural Mamou, Louisiana, develop a residential treatment facility to meet the need for local, post-acute care for patients with substance use disorders.
Date: 08/2023
Sponsoring organization: National Rural Health Resource Center
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DRCHSD Spotlight: Urgent & Primary Care of Clarksdale in Clarksdale, Mississippi
Discusses how Urgent and Primary Care of Clarksdale in Clarksdale, Mississippi, and community partners constructed a community garden to improve patient and community access to healthy food. Describes how clinic staff used Delta Region Community Health Systems Development Program resources to increase access to care through telehealth, including using technology to provide healthcare services to people incarcerated at the Coahoma County Detention Facility.
Date: 08/2023
Sponsoring organization: National Rural Health Resource Center
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Discusses how Urgent and Primary Care of Clarksdale in Clarksdale, Mississippi, and community partners constructed a community garden to improve patient and community access to healthy food. Describes how clinic staff used Delta Region Community Health Systems Development Program resources to increase access to care through telehealth, including using technology to provide healthcare services to people incarcerated at the Coahoma County Detention Facility.
Date: 08/2023
Sponsoring organization: National Rural Health Resource Center
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Emergency Department Interventions for Opioid Use Disorder: Overview of the Landscape, Key Components, and Analysis of Five Case Studies
Provides an overview of the evidence base for emergency department (ED)-based programs to address and treat opioid use disorders (OUD). Describes factors that motivated the development of these programs, how they are structured and financed, and barriers and facilitators to ED-based OUD treatment. Features case studies of five ED-based programs, including Marshall Medical Center in rural California.
Date: 08/2023
Sponsoring organizations: Brandeis University, HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the evidence base for emergency department (ED)-based programs to address and treat opioid use disorders (OUD). Describes factors that motivated the development of these programs, how they are structured and financed, and barriers and facilitators to ED-based OUD treatment. Features case studies of five ED-based programs, including Marshall Medical Center in rural California.
Date: 08/2023
Sponsoring organizations: Brandeis University, HHS Office of the Assistant Secretary for Planning and Evaluation
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Rural Emergency Hospitals: Legislative and Regulatory Considerations for States
Provides an overview of the Rural Emergency Hospital designation, including licensure and federal requirements for the designation that states must consider before pursuing legislation for REH licensure. Presents a table comparing how 14 states addressed these considerations. Offers legislation to assist states that want to pursue the model.
Additional links: Guide to Legislative and Regulatory Considerations for States
Author(s): Vicki Veltri, Rebekah Falkner
Date: 08/2023
Sponsoring organization: National Academy for State Health Policy
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Provides an overview of the Rural Emergency Hospital designation, including licensure and federal requirements for the designation that states must consider before pursuing legislation for REH licensure. Presents a table comparing how 14 states addressed these considerations. Offers legislation to assist states that want to pursue the model.
Additional links: Guide to Legislative and Regulatory Considerations for States
Author(s): Vicki Veltri, Rebekah Falkner
Date: 08/2023
Sponsoring organization: National Academy for State Health Policy
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