Rural Health
Resources by Topic: Hospitals
Collaborative Solutions to Antibiotic Stewardship in Small Community and Critical Access Hospitals
Examines the issue of antibiotic resistance and the purpose of antibiotic stewardship programs (ASPs). Discusses barriers to ASP adoption in small community hospitals and Critical Access Hospitals (CAHs) as well as potential solutions.
Author(s): Jay Bhatt, Brian Smith, Melinda M. Neuhauser, et al.
Citation: Academic Medicine, 94(10), 1419-1421
Date: 10/2019
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Examines the issue of antibiotic resistance and the purpose of antibiotic stewardship programs (ASPs). Discusses barriers to ASP adoption in small community hospitals and Critical Access Hospitals (CAHs) as well as potential solutions.
Author(s): Jay Bhatt, Brian Smith, Melinda M. Neuhauser, et al.
Citation: Academic Medicine, 94(10), 1419-1421
Date: 10/2019
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Urban and Rural Hospitalizations in Mississippi: Overview and Trend Analyses, 2014-2018
Results of a rural health surveillance system established by the Mississippi State Department of Health to monitor and report on the health status of rural residents and the capacity of the local healthcare systems serving this population. Features county-level maps and statistics from 2014-2018 on inpatient care, numbers of hospitals, hospital beds, percent of hospitalizations, and payment models, with breakdowns by metropolitan, micropolitan, and rural areas.
Date: 10/2019
Sponsoring organization: Mississippi State Department of Health
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Results of a rural health surveillance system established by the Mississippi State Department of Health to monitor and report on the health status of rural residents and the capacity of the local healthcare systems serving this population. Features county-level maps and statistics from 2014-2018 on inpatient care, numbers of hospitals, hospital beds, percent of hospitalizations, and payment models, with breakdowns by metropolitan, micropolitan, and rural areas.
Date: 10/2019
Sponsoring organization: Mississippi State Department of Health
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Quality Measures for Critical Access Hospital Swing-Bed Patients
Policy brief describing a study to identify quality measures for Critical Access Hospital (CAH) swing-bed patients, focused on outcome and functional status measures. Includes information from key informant interviews on discharge disposition and 30-day follow-up status.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 10/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief describing a study to identify quality measures for Critical Access Hospital (CAH) swing-bed patients, focused on outcome and functional status measures. Includes information from key informant interviews on discharge disposition and 30-day follow-up status.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 10/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Estimate of Federal Payment Reductions to Hospitals Following the ACA: 2010-2029: Estimates and Methodology
Estimates the reduction in Medicare hospital payments due to sequestration from 2010 to 2029, not including reductions enacted under the Affordable Care Act (ACA). Demonstrates how other legislative acts and regulatory changes by the Centers for Medicare and Medicaid Services (CMS) reduced federal payments to hospitals over the same period. Highlights how reductions in Medicare payments for bad debt impacted Critical Access Hospitals (CAHs).
Date: 10/2019
Sponsoring organizations: American Hospital Association, Federation of American Hospitals
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Estimates the reduction in Medicare hospital payments due to sequestration from 2010 to 2029, not including reductions enacted under the Affordable Care Act (ACA). Demonstrates how other legislative acts and regulatory changes by the Centers for Medicare and Medicaid Services (CMS) reduced federal payments to hospitals over the same period. Highlights how reductions in Medicare payments for bad debt impacted Critical Access Hospitals (CAHs).
Date: 10/2019
Sponsoring organizations: American Hospital Association, Federation of American Hospitals
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Inpatient Hospital Stays and Emergency Department Visits Involving Influenza, 2006–2016
Examines inpatient stays and treat-and-release emergency department visits with an influenza diagnosis from the 2006–2007 flu season through the 2015–2016 flu season. Covers in-hospital mortality rates, average stay length, and cost. Includes data by patient location for metropolitan areas, rural adjacent to metro, and rural remote areas.
Author(s): Kathryn R. Fingar, Lan Liang, Carol Stocks
Date: 10/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines inpatient stays and treat-and-release emergency department visits with an influenza diagnosis from the 2006–2007 flu season through the 2015–2016 flu season. Covers in-hospital mortality rates, average stay length, and cost. Includes data by patient location for metropolitan areas, rural adjacent to metro, and rural remote areas.
Author(s): Kathryn R. Fingar, Lan Liang, Carol Stocks
Date: 10/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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CAH Participation in Flex Financial and Operational Improvement Activities, 2015–2018
Examines patterns of Critical Access Hospital (CAH) participation in activities funded by the Medicare Rural Hospital Flexibility (Flex) Program. Looks at CAHs' participation in financial and operational improvement activities, with information by various hospital characteristics including risk of financial distress.
Author(s): Kathleen Knocke, Kristin Reiter, George H. Pink
Date: 10/2019
Sponsoring organization: Flex Monitoring Team
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Examines patterns of Critical Access Hospital (CAH) participation in activities funded by the Medicare Rural Hospital Flexibility (Flex) Program. Looks at CAHs' participation in financial and operational improvement activities, with information by various hospital characteristics including risk of financial distress.
Author(s): Kathleen Knocke, Kristin Reiter, George H. Pink
Date: 10/2019
Sponsoring organization: Flex Monitoring Team
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Antibiotic Stewardship Implementation: Suggested Strategies from High Performing Critical Access Hospitals
Describes antibiotic stewardship (AS) best practices identified through focus groups of 34 high performing Critical Access Hospitals across 25 states. Provides an overview of focus group findings on the seven core elements of hospital AS and identifies recurring themes.
Date: 09/2019
Sponsoring organization: Stratis Health
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Describes antibiotic stewardship (AS) best practices identified through focus groups of 34 high performing Critical Access Hospitals across 25 states. Provides an overview of focus group findings on the seven core elements of hospital AS and identifies recurring themes.
Date: 09/2019
Sponsoring organization: Stratis Health
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National Advisory Committee on Rural Health and Human Services Meeting Summary, Washington, D.C., September 9-12, 2019
Summarizes the 86th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Washington, D.C. Presents an overview of national perspectives on several topics, including issues impacting rural children, youth, and families; the priorities of federal agencies regarding rural health; the implications of federal policy changes on rural providers; and challenges and opportunities affecting older rural Americans. Features perspectives from national stakeholder groups.
Date: 09/2019
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Summarizes the 86th meeting of the National Advisory Committee on Rural Health and Human Services (NACRHHS), which was held in Washington, D.C. Presents an overview of national perspectives on several topics, including issues impacting rural children, youth, and families; the priorities of federal agencies regarding rural health; the implications of federal policy changes on rural providers; and challenges and opportunities affecting older rural Americans. Features perspectives from national stakeholder groups.
Date: 09/2019
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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America's Care of Serious Illness: A State-by-State Report Card on Access to Palliative Care in Our Nation's Hospitals
Examines access to palliative care services in hospitals. Includes some data on access to palliative care in rural hospitals with 50 or more beds and in hospitals with fewer than 50 beds, many of which are in rural areas.
Date: 09/2019
Sponsoring organizations: Center to Advance Palliative Care, National Palliative Care Research Center
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Examines access to palliative care services in hospitals. Includes some data on access to palliative care in rural hospitals with 50 or more beds and in hospitals with fewer than 50 beds, many of which are in rural areas.
Date: 09/2019
Sponsoring organizations: Center to Advance Palliative Care, National Palliative Care Research Center
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Russell County Hospital Listens to their Community to Improve Transitions of Care
Highlights quality improvement activities underway at a 25-bed Critical Access Hospital (CAH) in rural Kentucky. Discusses community collaboration efforts, expansion of specialty services, renovations, a focus on staff satisfaction, and care coordination activities.
Date: 09/2019
Sponsoring organization: National Rural Health Resource Center
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Highlights quality improvement activities underway at a 25-bed Critical Access Hospital (CAH) in rural Kentucky. Discusses community collaboration efforts, expansion of specialty services, renovations, a focus on staff satisfaction, and care coordination activities.
Date: 09/2019
Sponsoring organization: National Rural Health Resource Center
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