Rural Health
Resources by Topic: Hospitals
"Tweener" Hospital Crisis
Policy position paper addressing the closure of hospitals that are too large to be considered Critical Access Hospitals but too small to be considered rural referral centers, and the challenges these facilities face. Discusses the impact of a hospital closure on the community. Includes policy recommendations to prevent the additional hospitals from closing.
Author(s): Alexandra Bryant, Lauren Canary, SuLynn Mester
Date: 10/2020
Sponsoring organization: National Rural Health Association
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Policy position paper addressing the closure of hospitals that are too large to be considered Critical Access Hospitals but too small to be considered rural referral centers, and the challenges these facilities face. Discusses the impact of a hospital closure on the community. Includes policy recommendations to prevent the additional hospitals from closing.
Author(s): Alexandra Bryant, Lauren Canary, SuLynn Mester
Date: 10/2020
Sponsoring organization: National Rural Health Association
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Rural Hospital CEO Turnover
Policy paper examining CEO turnover in rural hospitals. Discusses factors that contribute to CEO turnover as well as the impact of turnover on hospitals. Offers policy initiatives and recommendations for hospital boards to address CEO turnover.
Author(s): Mellie Bridewell, Matt Shahan
Date: 10/2020
Sponsoring organization: National Rural Health Association
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Policy paper examining CEO turnover in rural hospitals. Discusses factors that contribute to CEO turnover as well as the impact of turnover on hospitals. Offers policy initiatives and recommendations for hospital boards to address CEO turnover.
Author(s): Mellie Bridewell, Matt Shahan
Date: 10/2020
Sponsoring organization: National Rural Health Association
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Health System Affiliation and Characteristics of Inpatient Stays at Rural and Metropolitan Hospitals, 2016
Presents statistics on inpatient stays at rural and metropolitan hospitals. Compares the number of inpatient hospitals stays by metropolitan status, health system affiliation, census region, and selected characteristics of the patients and hospital stays.
Author(s): Zeynal Karaca, Kathryn R. Fingar
Date: 10/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents statistics on inpatient stays at rural and metropolitan hospitals. Compares the number of inpatient hospitals stays by metropolitan status, health system affiliation, census region, and selected characteristics of the patients and hospital stays.
Author(s): Zeynal Karaca, Kathryn R. Fingar
Date: 10/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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MedPAC Comment on CMS's Proposed Rule on Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs for CY 2021
Comments on an August 12, 2020, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2021. Includes comments on payment rates for separately payable non–pass-through drugs obtained through the 340B Drug Pricing Program.
Date: 10/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an August 12, 2020, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2021. Includes comments on payment rates for separately payable non–pass-through drugs obtained through the 340B Drug Pricing Program.
Date: 10/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Supporting CAHs During the COVID-19 Pandemic: Summary Results of a Survey of State Flex Coordinators
Summarizes key findings from a survey of State Flex Programs regarding the impact of COVID-19 on Critical Access Hospitals (CAHs) between May 26 - July 2, 2020. Describes the type of support and assistance requested by CAHs, promising strategies State Flex Programs used to support CAHs, and how State Flex Programs are planning for CAH needs after the pandemic.
Author(s): John Gale, Zachariah Croll, Yvonne Jonk, Sara Kahn-Troster, Karen Pearson
Date: 10/2020
Sponsoring organization: Flex Monitoring Team
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Summarizes key findings from a survey of State Flex Programs regarding the impact of COVID-19 on Critical Access Hospitals (CAHs) between May 26 - July 2, 2020. Describes the type of support and assistance requested by CAHs, promising strategies State Flex Programs used to support CAHs, and how State Flex Programs are planning for CAH needs after the pandemic.
Author(s): John Gale, Zachariah Croll, Yvonne Jonk, Sara Kahn-Troster, Karen Pearson
Date: 10/2020
Sponsoring organization: Flex Monitoring Team
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State Support to Rural Hospitals Fact Sheet
Overview of the Small Rural Hospital Improvement Program (SHIP) and the Medicare Rural Hospital Flexibility (Flex) program supporting rural hospitals and Critical Access Hospitals. Highlights with data the impact of these programs on a national level.
Date: 10/2020
Sponsoring organization: Health Resources and Services Administration
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Overview of the Small Rural Hospital Improvement Program (SHIP) and the Medicare Rural Hospital Flexibility (Flex) program supporting rural hospitals and Critical Access Hospitals. Highlights with data the impact of these programs on a national level.
Date: 10/2020
Sponsoring organization: Health Resources and Services Administration
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Characteristics of US Rural Hospitals by Obstetric Service Availability, 2017
Examines the characteristics of rural hospitals that did not provide obstetric care in 2017. Compares rural hospitals that did and did not have obstetrics services by financial structure, location, and hospital size and emergency department availability and volume. Discusses the public health implications of this analysis.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Mariana S. Tuttle, Carrie Henning-Smith, Lindsay Admon
Citation: American Journal of Public Health, 110(9), 1315-1317
Date: 09/2020
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Examines the characteristics of rural hospitals that did not provide obstetric care in 2017. Compares rural hospitals that did and did not have obstetrics services by financial structure, location, and hospital size and emergency department availability and volume. Discusses the public health implications of this analysis.
Author(s): Katy B. Kozhimannil, Julia D. Interrante, Mariana S. Tuttle, Carrie Henning-Smith, Lindsay Admon
Citation: American Journal of Public Health, 110(9), 1315-1317
Date: 09/2020
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Louisiana Primary Care Needs Assessment: Closing the Gap on Healthcare Disparities and Workforce Shortages
Identifies unmet needs and disparities in health outcomes in Louisiana, explores health workforce concerns, and discusses barriers to accessing healthcare. Includes a section on Health Professional Shortage Areas and mentions rural throughout.
Author(s): Hayley Alexander, Barrie Black, Nicole Coarsey, Kimberly Brent
Date: 09/2020
Sponsoring organization: Well-Ahead Louisiana
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Identifies unmet needs and disparities in health outcomes in Louisiana, explores health workforce concerns, and discusses barriers to accessing healthcare. Includes a section on Health Professional Shortage Areas and mentions rural throughout.
Author(s): Hayley Alexander, Barrie Black, Nicole Coarsey, Kimberly Brent
Date: 09/2020
Sponsoring organization: Well-Ahead Louisiana
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Oregon's Critical Access Hospitals: Fiscal Year 2018 Community Benefit Reporting Highlights
Shows community benefit data for Oregon's 25 Critical Access Hospitals (CAHs), using information from Fiscal Year (FY) 2018. Features an Oregon map showing locations of CAHs, with shadings indicating frontier, rural, and urban areas. Includes a comparison of FY2018 and FY2017 community benefit dollars spent by category, community benefit spending totals, percent of net revenue, and more.
Date: 09/2020
Sponsoring organization: Oregon Office of Rural Health
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Shows community benefit data for Oregon's 25 Critical Access Hospitals (CAHs), using information from Fiscal Year (FY) 2018. Features an Oregon map showing locations of CAHs, with shadings indicating frontier, rural, and urban areas. Includes a comparison of FY2018 and FY2017 community benefit dollars spent by category, community benefit spending totals, percent of net revenue, and more.
Date: 09/2020
Sponsoring organization: Oregon Office of Rural Health
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Understanding Rural Hospital Bypass Among Medicare Fee-for-Service (FFS) Beneficiaries in 2018
Examines the extent to which rural Medicare beneficiaries receive inpatient services at hospitals that are not their nearest rural hospital. Explores which hospital services rural Medicare beneficiaries most often seek locally and at distant hospitals.
Date: 09/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Examines the extent to which rural Medicare beneficiaries receive inpatient services at hospitals that are not their nearest rural hospital. Explores which hospital services rural Medicare beneficiaries most often seek locally and at distant hospitals.
Date: 09/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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