Rural Health
Resources by Topic: Hospitals
Advance Care Planning: New Realities in Times of COVID-19
Examines the challenges of advance care planning, planning for decision-making in times of medical crisis, due to COVID-19. Shares insights from clinicians and others involved in helping rural patients.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 07/2020
Sponsoring organization: Rural Health Information Hub
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Examines the challenges of advance care planning, planning for decision-making in times of medical crisis, due to COVID-19. Shares insights from clinicians and others involved in helping rural patients.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 07/2020
Sponsoring organization: Rural Health Information Hub
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Insights for What Enhances or Undermines Trust in Hospital Settings
Reviews research on the trust populations in rural and underserved areas have in hospitals. Highlights dimensions of patient trust identified by researchers. Profiles a study by the Colorado Hospital Association examining the relationship between patient and family engagement activities and patient trust in rural hospitals. Includes a discussion on the impact of the COVID-19 pandemic on rural hospitals and Critical Access Hospitals.
Author(s): Bonnie Austin Cluxton
Date: 07/2020
Sponsoring organization: AcademyHealth
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Reviews research on the trust populations in rural and underserved areas have in hospitals. Highlights dimensions of patient trust identified by researchers. Profiles a study by the Colorado Hospital Association examining the relationship between patient and family engagement activities and patient trust in rural hospitals. Includes a discussion on the impact of the COVID-19 pandemic on rural hospitals and Critical Access Hospitals.
Author(s): Bonnie Austin Cluxton
Date: 07/2020
Sponsoring organization: AcademyHealth
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2021
Comments on a May 29, 2020, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals to use commercial insurer data to set Medicare severity–diagnosis related group (MS–DRG) relative weights and adopt changes to geographic area delineations to establish hospital wage indexes for the IPPS and LTCH PPS.
Date: 07/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 29, 2020, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals to use commercial insurer data to set Medicare severity–diagnosis related group (MS–DRG) relative weights and adopt changes to geographic area delineations to establish hospital wage indexes for the IPPS and LTCH PPS.
Date: 07/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Pennsylvania Hospital Transitions HRSA-Funded Program to Online Services and Addresses COVID-19 Stress
Features Butler Memorial Hospital and how it adapted to the COVID-19 pandemic. Highlights the switch to online delivery for a chronic disease project funded by a HRSA Rural Health Care Services Outreach grant. Also describes initiatives to address healthcare workforce stress, help patients use tablets to visit with loved ones, and distribute healthy food to the community.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2020
Sponsoring organization: Rural Health Information Hub
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Features Butler Memorial Hospital and how it adapted to the COVID-19 pandemic. Highlights the switch to online delivery for a chronic disease project funded by a HRSA Rural Health Care Services Outreach grant. Also describes initiatives to address healthcare workforce stress, help patients use tablets to visit with loved ones, and distribute healthy food to the community.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2020
Sponsoring organization: Rural Health Information Hub
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RWHC Hospital Trustee Manual
Collection of brief articles covering hospital governance. Includes meeting ground rules, responsibilities and liabilities of non-profit directors, board self-assessment, ensuring quality care, financial stewardship, population health improvement, leadership development, and advocacy for rural health, among other topics.
Date: 06/2020
Sponsoring organization: Rural Wisconsin Health Cooperative
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Collection of brief articles covering hospital governance. Includes meeting ground rules, responsibilities and liabilities of non-profit directors, board self-assessment, ensuring quality care, financial stewardship, population health improvement, leadership development, and advocacy for rural health, among other topics.
Date: 06/2020
Sponsoring organization: Rural Wisconsin Health Cooperative
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Provision of Mental Health Services by Critical Access Hospital-Based Rural Health Clinics
Examines the extent to which Critical Access Hospital (CAH)-based Rural Health Clinics (RHCs) provide mental health services. Describes the characteristics and staffing patterns of CAH-based RHCs that offer these services. Explores challenges of providing mental health services at RHCs and strategies for integrating mental health and primary care services.
Author(s): John Gale, Zachariah Croll, Nathan First, Sara Kahn-Troster
Date: 06/2020
Sponsoring organization: Flex Monitoring Team
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Examines the extent to which Critical Access Hospital (CAH)-based Rural Health Clinics (RHCs) provide mental health services. Describes the characteristics and staffing patterns of CAH-based RHCs that offer these services. Explores challenges of providing mental health services at RHCs and strategies for integrating mental health and primary care services.
Author(s): John Gale, Zachariah Croll, Nathan First, Sara Kahn-Troster
Date: 06/2020
Sponsoring organization: Flex Monitoring Team
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CMS Bundled Payments for Care Improvement Advanced Model: Year 1 Evaluation Annual Report
A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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A formative evaluation of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Urban-Rural Inequities in Acute Stroke Care and In-Hospital Mortality
Examines rural/urban differences and trends in treatment patterns and outcomes for individuals hospitalized for stroke, including mortality rates, length of hospital stay, and discharge rates. Provides data and statistics on patient characteristics, comorbidities, use of thrombolytics and endovascular therapy, and more.
Author(s): Gmerice Hammond, Alina Luke, Lauren Elson, Amytis Towfighi, Karen Joynt Maddox
Citation: Stroke, 51, 2131–2138
Date: 06/2020
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Examines rural/urban differences and trends in treatment patterns and outcomes for individuals hospitalized for stroke, including mortality rates, length of hospital stay, and discharge rates. Provides data and statistics on patient characteristics, comorbidities, use of thrombolytics and endovascular therapy, and more.
Author(s): Gmerice Hammond, Alina Luke, Lauren Elson, Amytis Towfighi, Karen Joynt Maddox
Citation: Stroke, 51, 2131–2138
Date: 06/2020
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Characteristics and Costs of Potentially Preventable Inpatient Stays, 2017
Presents national estimates of potentially preventable inpatient stays among children and adults in 36 states and the costs associated with those stays. Includes data on potentially preventable hospitalization rates by the urban-rural status of patients' residences.
Additional links: Data Visualization
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents national estimates of potentially preventable inpatient stays among children and adults in 36 states and the costs associated with those stays. Includes data on potentially preventable hospitalization rates by the urban-rural status of patients' residences.
Additional links: Data Visualization
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2020
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Sponsoring organization: Medicare Payment Advisory Commission
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