Rural Health
Resources by Topic: Hospitals
REH Learning Brief: Obstetric Care in Rural Emergency Hospitals
Describes how three Rural Emergency Hospitals (REHs) approach delivering obstetric-related care. Discusses challenges to providing obstetric services each facility faced prior to their conversion to REH status, and strategies implemented under the REH designation. Identifies common strategies these facilities take to support obstetric care without traditional labor and delivery services.
Author(s): Hope Burch, Candice Talkington, Annette Schnabel, et al.
Date: 02/2026
Sponsoring organization: Rural Health Redesign Center
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Describes how three Rural Emergency Hospitals (REHs) approach delivering obstetric-related care. Discusses challenges to providing obstetric services each facility faced prior to their conversion to REH status, and strategies implemented under the REH designation. Identifies common strategies these facilities take to support obstetric care without traditional labor and delivery services.
Author(s): Hope Burch, Candice Talkington, Annette Schnabel, et al.
Date: 02/2026
Sponsoring organization: Rural Health Redesign Center
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Availability of Higher-Level Neonatal Care in Rural and Urban US Hospitals, 2010-2022
A research letter that discusses the availability of higher-level neonatal care in rural and urban hospitals. Analyzes changes in intermediate or intensive neonatal care availability between 2010 and 2022 in 3,257 U.S. birth hospitals according to rurality.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Clara E. Busse, et al.
Citation: JAMA Network Open, 9(2), e2559680
Date: 02/2026
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A research letter that discusses the availability of higher-level neonatal care in rural and urban hospitals. Analyzes changes in intermediate or intensive neonatal care availability between 2010 and 2022 in 3,257 U.S. birth hospitals according to rurality.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Clara E. Busse, et al.
Citation: JAMA Network Open, 9(2), e2559680
Date: 02/2026
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Improving the Value Proposition of Critical Access Hospitals – Lessons from Federal and State Initiatives
Report details how federal and state initiatives can support Critical Access Hospitals (CAHs) transition to value-based payment models. Provides examples of initiatives that offer models for use by State Flex Programs (SFPs) for supporting CAHs' transformation to value-based care.
Author(s): John Gale, Rebecca Stearns, Bridget Harr
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Report details how federal and state initiatives can support Critical Access Hospitals (CAHs) transition to value-based payment models. Provides examples of initiatives that offer models for use by State Flex Programs (SFPs) for supporting CAHs' transformation to value-based care.
Author(s): John Gale, Rebecca Stearns, Bridget Harr
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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2026 Stability of the Rural Health Safety Net: State and National Data Tables
Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2026 National Rural Health Association Policy Institute.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Provides links to national and state data tables showing the financial impact of federal policies such as sequestration and bad debt reimbursement on rural hospital revenues, jobs, and gross domestic product. Presented at the February 2026 National Rural Health Association Policy Institute.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Chartis Center for Rural Health Research & Resources for the 2026 National Rural Health Association's Rural Health Policy Institute Conference
Offers research and analysis of the stability of the rural healthcare safety net. Includes 2026 Rural State of the State, and presentation slides on this report from the 2026 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Offers research and analysis of the stability of the rural healthcare safety net. Includes 2026 Rural State of the State, and presentation slides on this report from the 2026 National Rural Health Association Policy Institute. Provides links to national and state data tables showing the financial impact of federal policies on rural hospitals.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Rural Healthcare Challenges Deepen as the Rural Health Transformation Program Ramps Up
Examines the impact of the Rural Health Transformation (RHT) program and the ongoing issues of rural hospital closures and financial losses, Medicaid policy, workforce shortages, diminishing access to rural healthcare services, and more. Discusses themes in state RHT applications and how they plan to utilize RHT funding.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Examines the impact of the Rural Health Transformation (RHT) program and the ongoing issues of rural hospital closures and financial losses, Medicaid policy, workforce shortages, diminishing access to rural healthcare services, and more. Discusses themes in state RHT applications and how they plan to utilize RHT funding.
Date: 02/2026
Sponsoring organization: Chartis Center for Rural Health
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Care Delivery Transformation Case Study: Dartmouth Health Connected Care Program
Profiles the Dartmouth Health Connected Care Program, which supports specialty care delivery via telehealth-based partnerships with rural hospitals in New Hampshire and Vermont. Highlights the Connected Care Program's reach, outcomes, and lessons learned.
Date: 02/2026
Sponsoring organization: American Hospital Association
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Profiles the Dartmouth Health Connected Care Program, which supports specialty care delivery via telehealth-based partnerships with rural hospitals in New Hampshire and Vermont. Highlights the Connected Care Program's reach, outcomes, and lessons learned.
Date: 02/2026
Sponsoring organization: American Hospital Association
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Hospital Readmissions for Adult Patients with Sickle Cell Disease, 2016- 2022
Presents statistics on the rate of 30-day all-cause hospital readmissions following an initial hospital stay for sickle cell disease (SCD) among adults between 2016-2022. Examines data by patient and hospital characteristics, including SCD crisis status, patient and hospital rurality, expected payer, and reasons for readmission.
Author(s): Lawrence D. Reid, H. Joanna Jiang
Date: 02/2026
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents statistics on the rate of 30-day all-cause hospital readmissions following an initial hospital stay for sickle cell disease (SCD) among adults between 2016-2022. Examines data by patient and hospital characteristics, including SCD crisis status, patient and hospital rurality, expected payer, and reasons for readmission.
Author(s): Lawrence D. Reid, H. Joanna Jiang
Date: 02/2026
Sponsoring organization: Agency for Healthcare Research and Quality
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From "Rural Bypass" to Regional Capacity: Building CA Hub-and-Spoke Specialty Care
Details how the state of California is implementing a telehealth-based hub-and-spoke model connecting rural hospitals as specialty care providers with local clinics. Discusses implications for providers, including suggestions for Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Centers, and other rural facilities.
Author(s): Sylvia Trujillo, Emilia Ochoa-Ruiz
Date: 01/2026
Sponsoring organization: California Telehealth Resource Center
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Details how the state of California is implementing a telehealth-based hub-and-spoke model connecting rural hospitals as specialty care providers with local clinics. Discusses implications for providers, including suggestions for Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Centers, and other rural facilities.
Author(s): Sylvia Trujillo, Emilia Ochoa-Ruiz
Date: 01/2026
Sponsoring organization: California Telehealth Resource Center
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MBQIP Report Resources
Provides a list of resources for State Flex Programs (SFPs) and Critical Access Hospitals (CAHs) to support them in utilizing quarterly Medicare Beneficiary Quality Improvement Project (MBQIP) reports in quality improvement activities.
Date: 01/2026
Sponsoring organization: Flex Monitoring Team
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Provides a list of resources for State Flex Programs (SFPs) and Critical Access Hospitals (CAHs) to support them in utilizing quarterly Medicare Beneficiary Quality Improvement Project (MBQIP) reports in quality improvement activities.
Date: 01/2026
Sponsoring organization: Flex Monitoring Team
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