Rural Health
Resources by Topic: Hospitals
Telehealth Decreases Rural Emergency Department Wait Times for Behavioral Health Patients in a Group of Critical Access Hospitals
Explores impacts of telehealth on behavioral health patients in rural emergency departments (EDs) at 4 Midwestern Critical Access Hospitals (CAHs). Compares wait time and length of stay (LOS) for 153 patients from 2005-2013 before telehealth implementation and 287 patents from 2015-2017 after telehealth implementation. Provides data on patient demographics, wait time, LOS, behavioral health diagnosis, and total costs of ED visit.
Author(s): Roseanne Moody Fairchild, Shiaw-Fen Ferng-Kuo, Stephanie Laws, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine and e-Health, 25(12), 1154-1164
Date: 12/2019
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Explores impacts of telehealth on behavioral health patients in rural emergency departments (EDs) at 4 Midwestern Critical Access Hospitals (CAHs). Compares wait time and length of stay (LOS) for 153 patients from 2005-2013 before telehealth implementation and 287 patents from 2015-2017 after telehealth implementation. Provides data on patient demographics, wait time, LOS, behavioral health diagnosis, and total costs of ED visit.
Author(s): Roseanne Moody Fairchild, Shiaw-Fen Ferng-Kuo, Stephanie Laws, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine and e-Health, 25(12), 1154-1164
Date: 12/2019
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The Rural Hospital Stabilization Program: A Comprehensive Report
Provides an overview of the first three years of the Rural Hospital Stabilization Grant Program for rural Georgia hospitals. Describes grant-funded projects and evaluates the sustainability of these projects after funding ceased. Includes a financial analysis of participating hospitals before and after receiving grant funds.
Date: 12/2019
Sponsoring organizations: Georgia Department of Community Health, Georgia State Office of Rural Health
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Provides an overview of the first three years of the Rural Hospital Stabilization Grant Program for rural Georgia hospitals. Describes grant-funded projects and evaluates the sustainability of these projects after funding ceased. Includes a financial analysis of participating hospitals before and after receiving grant funds.
Date: 12/2019
Sponsoring organizations: Georgia Department of Community Health, Georgia State Office of Rural Health
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Access, Quality, and Financial Performance of Rural Hospitals Following Health System Affiliation
Examines the impact of health system affiliation on rural hospitals' quality and financial performance, as well as patients' access to care. Compares rural hospitals affiliated with a health system between 2008-2017 with those that did not affiliate with a health system.
Author(s): Claire E. O'Hanlon, Ashley M. Kranz, Maria DeYoreo, Ammarah Mahmud, Cheryl L. Damberg, Justin W. Timbie
Citation: Health Affairs, 38(12), 2095-2104
Date: 12/2019
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Examines the impact of health system affiliation on rural hospitals' quality and financial performance, as well as patients' access to care. Compares rural hospitals affiliated with a health system between 2008-2017 with those that did not affiliate with a health system.
Author(s): Claire E. O'Hanlon, Ashley M. Kranz, Maria DeYoreo, Ammarah Mahmud, Cheryl L. Damberg, Justin W. Timbie
Citation: Health Affairs, 38(12), 2095-2104
Date: 12/2019
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340B Drug Discount Program: Increased Oversight Needed to Ensure Nongovernmental Hospitals Meet Eligibility Requirements
Provides an overview of the Government Accountability Office's (GAO) review of 258 nongovernmental hospitals that participate in the 340B Drug Pricing Program and their contracts with state and local governments. Evaluates the contracts to determine if they meet the eligibility requirement to serve low-income individuals. Outlines weaknesses in the Health Resources and Services Administration's review of the hospital contracts and offers six recommendations to improve the contract review process.
Additional links: Full Report
Date: 12/2019
Sponsoring organization: Government Accountability Office
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Provides an overview of the Government Accountability Office's (GAO) review of 258 nongovernmental hospitals that participate in the 340B Drug Pricing Program and their contracts with state and local governments. Evaluates the contracts to determine if they meet the eligibility requirement to serve low-income individuals. Outlines weaknesses in the Health Resources and Services Administration's review of the hospital contracts and offers six recommendations to improve the contract review process.
Additional links: Full Report
Date: 12/2019
Sponsoring organization: Government Accountability Office
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The Value Initiative Members in Action: Dartmouth-Hitchcock Medical Center - Lebanon, N.H
Describes how the Dartmouth-Hitchcock Medical Center partners with rural and community hospitals to provide telehealth specialty care services across northern New England through the Dartmouth-Hitchcock Connected Care program. Discusses clinical outcomes and patient satisfaction with the telehealth programs. Examines how telehealth services impact staffing and services offered in small and rural hospitals.
Date: 12/2019
Sponsoring organization: American Hospital Association
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Describes how the Dartmouth-Hitchcock Medical Center partners with rural and community hospitals to provide telehealth specialty care services across northern New England through the Dartmouth-Hitchcock Connected Care program. Discusses clinical outcomes and patient satisfaction with the telehealth programs. Examines how telehealth services impact staffing and services offered in small and rural hospitals.
Date: 12/2019
Sponsoring organization: American Hospital Association
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Partial Psychiatric Hospitalization Program Availability in Non-Metropolitan and Metropolitan Hospitals Nationally
Describes the purpose of partial psychiatric hospitalization programs (PPHPs), and compares 2016 American Hospital Association (AHA) Annual Survey of Hospitals data on the availability and the characteristics of PPHPs among non-metropolitan and metropolitan hospitals in the U.S.
Author(s): Timothy Williams, Tyrone F. Borders, Lindsey Jasinski
Date: 12/2019
Sponsoring organization: Rural and Underserved Health Research Center
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Describes the purpose of partial psychiatric hospitalization programs (PPHPs), and compares 2016 American Hospital Association (AHA) Annual Survey of Hospitals data on the availability and the characteristics of PPHPs among non-metropolitan and metropolitan hospitals in the U.S.
Author(s): Timothy Williams, Tyrone F. Borders, Lindsey Jasinski
Date: 12/2019
Sponsoring organization: Rural and Underserved Health Research Center
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R3 Report: National Patient Safety Goal for Suicide Prevention
Establishes safety goals and practices for suicide prevention in Joint Commission-accredited hospitals. This 2019 update highlights specific requirements for accredited Critical Access Hospitals.
Date: 11/2019
Sponsoring organization: Joint Commission
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Establishes safety goals and practices for suicide prevention in Joint Commission-accredited hospitals. This 2019 update highlights specific requirements for accredited Critical Access Hospitals.
Date: 11/2019
Sponsoring organization: Joint Commission
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Evaluation of the Maryland All-Payer Model: Volume I - Final Report
Evaluation of the All-Payer Model operating under an agreement with the Centers for Medicare & Medicaid Services (CMS) for hospitals in rural and urban settings implemented in Maryland in 2014. This model shifted the state's hospital payment structure to an annual, global hospital budget that includes both inpatient and outpatient hospital services. Report covers 4.5 years of implementation, and compares outcomes by rural and urban residency.
Author(s): Susan Haber, Heather Beil, Marisa Morrison, et al.
Date: 11/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluation of the All-Payer Model operating under an agreement with the Centers for Medicare & Medicaid Services (CMS) for hospitals in rural and urban settings implemented in Maryland in 2014. This model shifted the state's hospital payment structure to an annual, global hospital budget that includes both inpatient and outpatient hospital services. Report covers 4.5 years of implementation, and compares outcomes by rural and urban residency.
Author(s): Susan Haber, Heather Beil, Marisa Morrison, et al.
Date: 11/2019
Sponsoring organization: Centers for Medicare and Medicaid Services
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Severe Maternal Morbidity and Hospital Transfer Among Rural Residents
Examines hospital transfer rates for rural and urban residents before and after childbirth and the relationship of transfer status and severe maternal morbidity and mortality.
Author(s): Katy Kozhimannil, Julia D. Interrante, Alexandria Kristensen-Cabrera, Carrie Henning-Smith, Regan Theiler
Date: 11/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines hospital transfer rates for rural and urban residents before and after childbirth and the relationship of transfer status and severe maternal morbidity and mortality.
Author(s): Katy Kozhimannil, Julia D. Interrante, Alexandria Kristensen-Cabrera, Carrie Henning-Smith, Regan Theiler
Date: 11/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Hospitals: Here Today, Gone Tomorrow
Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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Describes the conditions facing rural hospitals and their communities contributing to the high rate of rural hospital closure. Discusses state and federal legislation, policies, and programs developed to support rural hospitals. Provides data for 15 Southern states including their state and rural populations, percentage of population uninsured, Medicaid expansion status, percentage at high financial risk, and number of rural hospital closures.
Author(s): Nick Bowman
Date: 11/2019
Sponsoring organization: Southern Legislative Conference of The Council of State Governments
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