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Rural Health
Resources by Topic: Hospitals

Together We Can Be Bully Free: CAH and Law Enforcement Address Peer Victimization through School-Based Program
Highlights an anti-bullying program developed by Union General Hospital, a Critical Access Hospital (CAH) in Union Parish, Louisiana. Describes how the hospital and local law enforcement collaborate to teach elementary, middle, and high school students about the negative effects bullying and how to model positive social behavior.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 07/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Coronary Artery Disease, Acute Myocardial Infarction, and Ischemic Stroke Rates Among Inpatient Stays, 2001–2014
Examines adult inpatient stays with diagnoses of coronary artery disease, acute myocardial infarction, and ischemic stroke and by procedure for percutaneous transluminal coronary angioplasty and coronary artery bypass graft. Includes data by location of patient residence for rural, micropolitan, small metropolitan, and large metropolitan counties.
Author(s): Quyen Ngo-Metzger, Arlene S. Bierman, Amanda Borsky, et al.
Date: 07/2018
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Drug Discount Program: Characteristics of Hospitals Participating and Not Participating in the 340B Program
Analyzes 2016 cost report data to describe and compare characteristics of 340B participating and non-participating hospitals, specifically examining three hospital types: Critical Access Hospitals (CAHs), Sole Community Hospitals (SCHs), and general acute care hospitals. Discusses trends related to decreased charity care and an increase in Medicaid expansion on 340B hospital participation.
Additional links: Full Report
Date: 07/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Strengthening the Workforce to Improve Pregnancy Outcomes in Rural Areas
Highlights rural workforce initiatives related to maternity and childbirth services and discusses strategies to improve rural pregnancy outcomes. Features a training program at a Critical Access Hospital in Alaska and a rural OB-GYN residency program in Wisconsin.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2018
Type: Document
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Quality Peer Group Indicators for Critical Access Hospitals
Describes the results of a study to identify Critical Access Hospital (CAH) peer groups for the purposes of analyzing quality performance indicators.
Author(s): Michelle Casey, Ira Moscovice, Peiyin Hung
Date: 07/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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At Presentation Medical Center: Culture Impacts Success
Describes Presentation Medical Center's (PMC) progress as part of the Small Rural Hospital Transition (SRHT) Project, completed in 2017, focused on assessing PMC's finances and operations. PMC is a 25-bed Critical Access Hospital (CAH) located in Rolla, North Dakota.
Date: 07/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Estimate of Federal Payment Reductions to Hospitals Following the ACA 2010-2028: Estimates and Methodology
Examines cumulative federal payment reductions to hospitals for 2010-2028. Addresses the impact of sequestration, changes in Medicare payments for bad debt including to Critical Access Hospitals, federal Medicaid Disproportionate Share Hospital (DSH) allotments, and other legislation affecting hospital reimbursement.
Author(s): Allen Dobson, Joan DaVanzo, Randy Haught, Phap-Hoa Luu
Date: 06/2018
Type: Document
Sponsoring organizations: American Hospital Association, Dobson DaVanzo & Associates, Federation of American Hospitals
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Changes in Influenza Vaccination Requirements for Health Care Personnel in US Hospitals
Results of a study comparing proportions of 1,062 hospitals that did or did not require personnel to be vaccinated for influenza between 2013-2017. Features statistics with breakdowns by urban or rural location and Veterans Affairs (VA) or non-VA hospital type.
Author(s): M. Todd Greene, Karen E. Fowler, David Ratz, et al.
Citation: JAMA Network Open 1(2)
Date: 06/2018
Type: Document
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Uvalde Memorial Hospital Strategizes SRHT Implementation
Describes Uvalde Memorial Hospital's (UMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, completed in 2017, that focused on assessing UMH's finances and operations. UMH is a 25-bed county-owned not-for-profit Critical Access Hospital (CAH) located in Uvalde, Texas. Addresses swing bed usage, hospice, population health, cardiac rehabilitation, and staff efficiency.
Date: 06/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Drug Discount Program: Federal Oversight of Compliance at 340B Contract Pharmacies Needs Improvement
Focuses on the 340B Drug Pricing Program, which allows certain facilities such as Disproportionate Share Hospitals (DSHs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs) to purchase prescription and non-prescription medications at reduced cost. Describes financial arrangements participating facilities have with contract pharmacies, the extent to which they provide discounts on 340B drugs dispensed by contract pharmacies to low-income, uninsured patients, and examines the Health Resources and Services Administration's efforts to ensure compliance with 340B Program requirements at contract pharmacies.
Additional links: Full Report
Date: 06/2018
Type: Document
Sponsoring organization: Government Accountability Office
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