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Rural Health
Resources by Topic: Hospitals

MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2018
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes a chapter on ensuring appropriate access to and use of hospital emergency department (ED) services that provides extensive information on rural access to ED services and identifies examples of rural off-campus emergency departments. Other sections of the report addressing rural concerns focus on post-acute care, quality and value payment programs, and medical device payment policies. Also includes a report on the effects of the Hospital Readmissions Reduction Program.
Additional links: Fact Sheet
Date: 06/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Geographic Variation in Uncompensated Care Between Rural and Urban Hospitals
Findings brief describing how uncompensated hospital care varies across regions of the country, using data from the 2014-2016 Medicare Cost Report Worksheet S-10. Features statistics including breakdowns by Critical Access Hospitals, other rural hospitals, and urban hospitals.
Author(s): Krystal G. Garcia, Kristie Thompson, Hilda A. Howard, George H. Pink
Date: 06/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Ray of Hope Behavioral Health Program: Cottage Hospital – Woodsville, N.H.
Describes Cottage Hospital, a 25-bed Critical Access Hospital that provides healthcare services to a large region of New Hampshire and Vermont, with an additional 10 beds for the Ray of Hope behavioral health program designed for older adults. Discusses the Ray of Hope program and covers impacts, lessons learned, and future goals of the program.
Date: 06/2018
Type: Document
Sponsoring organization: American Hospital Association
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Immigrant Health Policy Paper
Policy position brief about new immigrants in rural areas, in terms of health care access, health disparities, economic contributions, health care facilities and Community Health Workers, and service strategies to benefit immigrants. Includes case studies of immigrants in Minnesota and immigrants employed in the meat-processing industry and in rural farming.
Author(s): Susan Kunz, April Fernandez, Matt Gilleskie, et al.
Date: 05/2018
Type: Document
Sponsoring organization: National Rural Health Association
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MAP 2018: Recommendations for a Core Set of Rural-Relevant Measures for Hospitals and Selected Ambulatory Care Settings and Measuring and Improving Access to Care
Describes selection criteria and processes used to create a draft core set of measures, lists the measures, and describes measurement gap areas identified by the Measures Applications Partnership (MAP) Rural Health Workgroup, a public-private partnership of healthcare stakeholders. Second in a series of 3 reports documenting the Workgroup's continuing efforts.
Date: 05/2018
Type: Document
Sponsoring organization: National Quality Forum MAP Rural Health Workgroup
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Toward Hospital Global Budgeting: State Considerations
Overview of hospital global budgeting, using case studies from Maryland, Pennsylvania, and Vermont. Explores ways in which global budgets can offer some financial stability for rural hospitals.
Author(s): Robert Murray
Date: 05/2018
Type: Document
Sponsoring organization: State Health & Value Strategies
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Stroke Care Quality Improvement Initiatives in Critical Access Hospitals
Highlights successful evidenced-based programs implemented by Critical Access Hospitals (CAHs) and other rural hospitals to improve stroke care. Reviews key program elements, quality improvement stroke data measures, and CAH participation for state-level initiatives and covers national stroke care quality improvement initiatives.
Author(s): Megan Lahr
Date: 05/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Rural Health Care in America: Challenges and Opportunities
Presents the U.S. Senate Committee on Finance full committee hearing on improving rural healthcare across the country. Features testimonies from representatives of the NC Rural Health Research Program Sheps Center for Health Services Research, the RUPRI Center for Rural Health Policy Analysis, San Luis Valley Health, UnityPoint Health, and Geisinger Health.
Additional links: Statement by James E. Mathews, Statement by Orrin G. Hatch, Statement by Ron Wyden, Testimony by George H. Pink, Testimony by Karen M. Murphy, Testimony by Keith J. Mueller, Testimony by Konnie Martin, Testimony by Susan K. Thompson
Date: 05/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance
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Ensuring Access and Improving Population Health Through Collaboration and Patient - Centered Care Columbia Memorial Hospital, Astoria, OR
Describes Columbia Memorial Hospital (CMH), an independent Critical Access Hospital, in Astoria, Oregon that works to ensure access to specialty and primary care for Pacific North Coast and Lower Columbia regions of northwest Oregon. Shares strategies and collaborative efforts to address the community's needs by ensuring access to care, improving population health, and designing consumer driven patient-centered care.
Date: 05/2018
Type: Document
Sponsoring organization: American Hospital Association Section for Small or Rural Hospitals
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Ensuring Access to Care: Wagner Community Memorial Hospital – Avera, Wagner, S.D.
Describes Wagner Community Memorial Hospital – Avera (WCMH-A), a 20-bed Critical Access Hospital (CAH) in Wagner, South Dakota that works to ensure access to care while addressing the social determinants of health for the populations they serve. Shares strategies and collaborative efforts to address the community's needs through the use of telemedicine, housing and economic development, population health, and access to primary care.
Date: 05/2018
Type: Document
Sponsoring organization: American Hospital Association Section for Small or Rural Hospitals
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