Rural Health
Resources by Topic: Hospitals
Metropolitan/Nonmetropolitan COVID-19 Confirmed Cases and General and ICU Beds
Policy brief analyzing the number of hospital beds and cases of COVID-19 during the period from April 13, 2020, to April 19, 2020, to assess what impact the disease might have on rural facilities. Features statistics for counties with and without general and intensive care unit (ICU) beds, with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): Fred Ullrich, Keith Mueller
Date: 05/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief analyzing the number of hospital beds and cases of COVID-19 during the period from April 13, 2020, to April 19, 2020, to assess what impact the disease might have on rural facilities. Features statistics for counties with and without general and intensive care unit (ICU) beds, with breakdowns by metropolitan and nonmetropolitan areas.
Author(s): Fred Ullrich, Keith Mueller
Date: 05/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Urban and Rural Differences in Coronavirus Pandemic Preparedness
Examines the variation in hospital bed capacity by region in the U.S. and by metro and nonmetro status. Discusses urban and rural differences in hospital resources, including hospital and ICU beds per capita. Provides an interactive map displaying hospital beds per capita and select demographic characteristics of metro and nonmetro areas of each state and by hospital referral region.
Author(s): Kendal Orgera, Daniel McDermott, Matthew Rae, et al.
Date: 04/2020
Sponsoring organizations: KFF, Peterson Center on Healthcare
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Examines the variation in hospital bed capacity by region in the U.S. and by metro and nonmetro status. Discusses urban and rural differences in hospital resources, including hospital and ICU beds per capita. Provides an interactive map displaying hospital beds per capita and select demographic characteristics of metro and nonmetro areas of each state and by hospital referral region.
Author(s): Kendal Orgera, Daniel McDermott, Matthew Rae, et al.
Date: 04/2020
Sponsoring organizations: KFF, Peterson Center on Healthcare
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Hospital Access in the Fifth District and COVID-19
Examines hospital access in West Virginia, Virginia, North Carolina, South Carolina, Maryland, and Washington D.C. Discusses concerns raised by the COVID-19 pandemic and provides state- and county-level statistics and data on number of hospital beds per capita, average distance to nearest hospitals, and more.
Author(s): Surekha Carpenter, Tim Sablik
Date: 04/2020
Sponsoring organization: Federal Reserve Bank of Richmond
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Examines hospital access in West Virginia, Virginia, North Carolina, South Carolina, Maryland, and Washington D.C. Discusses concerns raised by the COVID-19 pandemic and provides state- and county-level statistics and data on number of hospital beds per capita, average distance to nearest hospitals, and more.
Author(s): Surekha Carpenter, Tim Sablik
Date: 04/2020
Sponsoring organization: Federal Reserve Bank of Richmond
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Health Care Professional Workforce Composition Before and After Rural Hospital Closure
Policy brief examining the change in numbers of local healthcare providers before and after rural hospital closures from 2010-2018, to examine associations with eliminating inpatient services in rural areas. Features statistics with breakdowns by advanced practice providers, primary care providers, and specialists.
Author(s): Erin Mobley, Fred Ullrich, Redwan Bin Abdul Baten, Mina Shrestha, Keith Mueller
Date: 04/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief examining the change in numbers of local healthcare providers before and after rural hospital closures from 2010-2018, to examine associations with eliminating inpatient services in rural areas. Features statistics with breakdowns by advanced practice providers, primary care providers, and specialists.
Author(s): Erin Mobley, Fred Ullrich, Redwan Bin Abdul Baten, Mina Shrestha, Keith Mueller
Date: 04/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Best Practices from 14 CAH Executives Operating in Challenging Environments
Summarizes findings from interviews with Critical Access Hospital (CAH) chief executive officers about daily operations, forecasting, and community health outcomes. Identifies best practices of leaders of CAHs with low financial risk despite operating in challenging environments.
Author(s): Shartia R. Thomas, Kristin Reiter, George H. Pink
Date: 04/2020
Sponsoring organization: Flex Monitoring Team
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Summarizes findings from interviews with Critical Access Hospital (CAH) chief executive officers about daily operations, forecasting, and community health outcomes. Identifies best practices of leaders of CAHs with low financial risk despite operating in challenging environments.
Author(s): Shartia R. Thomas, Kristin Reiter, George H. Pink
Date: 04/2020
Sponsoring organization: Flex Monitoring Team
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Four Stages of Planning and Implementation During COVID-19: One Rural Hospital's Preparations
Highlights a rural California hospital's four stage plan in preparing for a potential patient surge related to the COVID-19 pandemic and addresses actions achieved to ensure quality in the current care and treatment of patients. Discusses the steps taken to provide care through community outreach and to maintain financial support.
Date: 04/2020
Sponsoring organization: American Hospital Association
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Highlights a rural California hospital's four stage plan in preparing for a potential patient surge related to the COVID-19 pandemic and addresses actions achieved to ensure quality in the current care and treatment of patients. Discusses the steps taken to provide care through community outreach and to maintain financial support.
Date: 04/2020
Sponsoring organization: American Hospital Association
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Patterns of Hospital Bypass and Inpatient Care‐Seeking by Rural Residents
Analyzes state inpatient data from 2014-2016 across 16 states to determine how inpatient hospital bypass behavior – rural residents utilizing a hospital other than their local hospital – is motivated by patient and hospital characteristics. Compares hospital characteristics, including Critical Access Hospitals (CAHs), by rural bypass level and compares patient demographics by rural bypass status.
Author(s): Tyler Malone, Mark Holmes
Date: 04/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Analyzes state inpatient data from 2014-2016 across 16 states to determine how inpatient hospital bypass behavior – rural residents utilizing a hospital other than their local hospital – is motivated by patient and hospital characteristics. Compares hospital characteristics, including Critical Access Hospitals (CAHs), by rural bypass level and compares patient demographics by rural bypass status.
Author(s): Tyler Malone, Mark Holmes
Date: 04/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Hospital Participation in Medicare Accountable Care Organizations
Report explores the rates of rural hospital participation in Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs). Details some of the factors that correspond to participation and compares rates by region and by rural status.
Date: 04/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Report explores the rates of rural hospital participation in Medicare Shared Savings Program (SSP) Accountable Care Organizations (ACOs). Details some of the factors that correspond to participation and compares rates by region and by rural status.
Date: 04/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Impact of CAH Participation in Flex Financial and Operations Improvement Activities on Hospital Financial Indicators
Explores the association between Critical Access Hospitals' (CAH) participation in financial and operational improvement activities between 2015 and 2018 with improved financial indicators. Compares CAH financial indicators and other variables including Rural Health Clinic operation, ownership type, and census region, by the number of years of participation in CAH improvement activities.
Author(s): Kathleen Knocke, Kristin Reiter, George H. Pink
Date: 04/2020
Sponsoring organization: Flex Monitoring Team
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Explores the association between Critical Access Hospitals' (CAH) participation in financial and operational improvement activities between 2015 and 2018 with improved financial indicators. Compares CAH financial indicators and other variables including Rural Health Clinic operation, ownership type, and census region, by the number of years of participation in CAH improvement activities.
Author(s): Kathleen Knocke, Kristin Reiter, George H. Pink
Date: 04/2020
Sponsoring organization: Flex Monitoring Team
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Geographic Variation in the 2018 Profitability of Urban and Rural Hospitals
Compares the profitability of Critical Access Hospitals, other rural hospitals, and urban hospitals in 2018 by census region, census division, and state. Examines the reasons for geographic variation in the profitability of urban and rural hospitals.
Additional links: 2016‐18 Profitability of Urban and Rural Hospitals by Medicare Payment Classification, Rural Hospitals with Long‐Term Unprofitability, Understanding the Broader Context of Rural Hospitals and Profitability
Author(s): Andrew W. Maxwell, Ann Howard, George H. Pink
Date: 04/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Compares the profitability of Critical Access Hospitals, other rural hospitals, and urban hospitals in 2018 by census region, census division, and state. Examines the reasons for geographic variation in the profitability of urban and rural hospitals.
Additional links: 2016‐18 Profitability of Urban and Rural Hospitals by Medicare Payment Classification, Rural Hospitals with Long‐Term Unprofitability, Understanding the Broader Context of Rural Hospitals and Profitability
Author(s): Andrew W. Maxwell, Ann Howard, George H. Pink
Date: 04/2020
Sponsoring organization: North Carolina Rural Health Research Program
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