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Rural Health Information Hub

Rural Health
Resources by Topic: Hospitals

Quality Improvement Workbook
Outlines seven steps of the quality improvement process. Offers interactive worksheets to help Critical Access Hospitals develop and support quality improvement goals and projects.
Date: 03/2025
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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MBQIP 2025 Measure Core Set Information Guide
Provides an overview of the 2025 Core Measure Set adopted by the Federal Office of Rural Health Policy (FORHP) for use in the Medicare Beneficiary Quality Improvement Project (MBQIP). Offers descriptions, rationales, data elements, data availability, resources, and more for each new and continuing measure.
Date: 03/2025
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Rural Hospital Experiences in the Colorado Hospital Transformation Program
Provides an overview of the Colorado Hospital Transformation Program (CO HTP), a 5-year program that ties Medicaid supplemental payments to hospitals' ability to meet performance targets through September 2026. Describes the experiences of three Critical Access Hospitals (CAHs) and explores how CO HTP impacts rural hospitals. Covers planning and community engagement, quality of care, and healthcare costs.
Date: 03/2025
Sponsoring organization: Rural Health Value
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Rural Hospital Stabilization Program Introduction
A recorded webinar that provides an overview on the Rural Hospital Stabilization Program. Focuses on the program's purpose and services as well as participation eligibility and the application/selection process. Transcript available below description.
Date: 02/2025
Sponsoring organization: National Rural Health Resource Center
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February 2025 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) February 2025 meeting. Covers transitions of care for children and youth with special healthcare needs (CYSHCN), hospital non-disproportionate share hospital supplemental payments and directed payment targeting, improving access to medications for opioid use disorder, healthcare access for children in foster care, and more. Includes rural references throughout.
Additional links: Hospital Non-DSH Supplemental Payment and Directed Payment Targeting Analyses
Date: 02/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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146 Rural Hospitals Closed or Stopped Providing Inpatient Services from 2005 to 2023 in the United States
Line chart showing the number of rural hospital closures and rural inpatient unit closures between 2005 and 2023.
Author(s): Anil Rupasingha, Julie Cho
Date: 02/2025
Sponsoring organization: USDA Economic Research Service
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North Carolina Rural Hospital Program: 2024 Profile
Fact sheet with North Carolina rural hospital-related statistics on grants, return on investment and economic impact, technical assistance, and total program funding. Includes a county-level map showing locations of Critical Access Hospitals and small rural hospitals.
Date: 02/2025
Sponsoring organization: North Carolina Department of Health and Human Services
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National Academy for State Health Policy (NASHP) Hospital Cost Tool
Interactive tool providing information on how much hospitals spend on patient care services, how costs relate to the hospital charges, and actual prices paid by health plans. Presents data on a range of measures for hospital revenue, costs, profitability, and break-even points for over 5,000 hospitals nationwide between 2011 and 2023. Includes the ability to view and compare hospital financial metrics at the hospital, state, and health system levels.
Additional links: Hospital Cost Tool and Resources
Date: 02/2025
Sponsoring organization: National Academy for State Health Policy
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Current Medicare Beneficiary Quality Improvement Project (MBQIP) Measures
Chart outlining the required and optional MBQIP measures. Measures are broken down into two categories, core and additional, and then into five domains: global measures, patient safety, patient engagement, care coordination, and emergency department. MBQIP is a Medicare Rural Hospital Flexibility (Flex) quality improvement grant program for Critical Access Hospitals.
Date: 02/2025
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Federal Assistance and Rural Hospital Closings: The Impact of the USDA Community Facilities Program
Examines how the USDA Rural Development Community Facilities (CF) Program's effects on rural hospital closures. Includes data on rural hospital closures and CF investments by region, and analyzes facility survival probability of hospitals which did or did not receive CF funding.
Additional links: Summary
Author(s): Anil Rupasingha, Julia Cho
Date: 01/2025
Sponsoring organization: USDA Economic Research Service
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