Rural Health
Resources by Topic: Hospitals
Val Verde Regional Medical Center Implements SMART ER
Describes Val Verde Regional Medical Center's (VVRMC) progress as part of the Small Rural Hospital Transition (SRHT) Project focused on care transitions and healthcare quality. VVRMC is a 47-bed hospital in Del Rio, Texas. Discusses how VVRMC collected data and implemented protocols to improve patient satisfaction.
Date: 02/2020
Sponsoring organization: National Rural Health Resource Center
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Describes Val Verde Regional Medical Center's (VVRMC) progress as part of the Small Rural Hospital Transition (SRHT) Project focused on care transitions and healthcare quality. VVRMC is a 47-bed hospital in Del Rio, Texas. Discusses how VVRMC collected data and implemented protocols to improve patient satisfaction.
Date: 02/2020
Sponsoring organization: National Rural Health Resource Center
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Safety in Numbers: Hospital Performance on Leapfrog's Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital Survey
Compares hospital and surgeon volume for 8 high-risk procedures to Leapfrog's minimum volume standards. Identifies the percent of rural hospitals that meet Leapfrog's volume standard for each procedure, as well as the percent of rural hospitals that do not electively perform these procedures.
Date: 02/2020
Sponsoring organization: Leapfrog Group
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Compares hospital and surgeon volume for 8 high-risk procedures to Leapfrog's minimum volume standards. Identifies the percent of rural hospitals that meet Leapfrog's volume standard for each procedure, as well as the percent of rural hospitals that do not electively perform these procedures.
Date: 02/2020
Sponsoring organization: Leapfrog Group
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Medicare: Information on Medicare-Dependent Hospitals
Provides an overview of the Medicare-dependent hospital (MDH) program, how the MDH designation differs from other rural hospital designations, and how MDH hospitals have changed over time. Discusses the decrease in the number of MDHs over time. Examines a variety of operational and financial metrics across MDHs over time.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Provides an overview of the Medicare-dependent hospital (MDH) program, how the MDH designation differs from other rural hospital designations, and how MDH hospitals have changed over time. Discusses the decrease in the number of MDHs over time. Examines a variety of operational and financial metrics across MDHs over time.
Additional links: Full Report
Date: 02/2020
Sponsoring organization: Government Accountability Office
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Impact of Medicaid Work Requirements on Hospital Finances
Explores the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 16 states. Provides a fact sheet on each state, including a section comparing the potential impact of Medicaid work requirements on rural hospitals' operating margins to all hospitals in the state.
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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Explores the potential financial impact of approved or pending Medicaid Section 1115 demonstration waivers that include work requirements on hospitals in 16 states. Provides a fact sheet on each state, including a section comparing the potential impact of Medicaid work requirements on rural hospitals' operating margins to all hospitals in the state.
Date: 02/2020
Sponsoring organization: Commonwealth Fund
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Patient and Hospital Factors Associated With Unexpected Newborn Complications Among Term Neonates in US Hospitals
Results of a study to examine the rates of severe, unexpected complications in full term newborns in 576 hospitals from January 2015 - December 2017. Explores whether rates vary significantly among hospitals and looks at risk factors and possible causes of variation. Features statistics on characteristics of mothers, hospitals, and delivery types, and median percentage of rural population in the counties where deliveries occurred.
Author(s): Mark A. Clapp, Kaitlyn E. James, Sara V. Bates, Anjali J. Kaimal
Citation: JAMA Network Open, 3(2)
Date: 02/2020
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Results of a study to examine the rates of severe, unexpected complications in full term newborns in 576 hospitals from January 2015 - December 2017. Explores whether rates vary significantly among hospitals and looks at risk factors and possible causes of variation. Features statistics on characteristics of mothers, hospitals, and delivery types, and median percentage of rural population in the counties where deliveries occurred.
Author(s): Mark A. Clapp, Kaitlyn E. James, Sara V. Bates, Anjali J. Kaimal
Citation: JAMA Network Open, 3(2)
Date: 02/2020
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Options for Rural Health Care Delivery in Maryland
Presents a high-level overview of rural health care delivery options and considerations for future access to health services in Kent and upper Queen Anne's Counties and other rural Maryland communities. Features demographics and statistics on inpatient discharges from 2014-2018.
Date: 01/2020
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Presents a high-level overview of rural health care delivery options and considerations for future access to health services in Kent and upper Queen Anne's Counties and other rural Maryland communities. Features demographics and statistics on inpatient discharges from 2014-2018.
Date: 01/2020
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Trends in Mortality for Medicare Beneficiaries Treated in the Emergency Department From 2009 to 2016
Examines mortality rates during and after emergency department (ED) visits among Medicare beneficiaries between 2009-2016. Explores mortality trends by differences in disposition from the ED, the severity of ED visit, and hospital characteristics. Includes a discussion of ED outcomes in rural settings.
Author(s): Laura G. Burke, Stephen K. Epstein, Ryan C. Burke, E. John Orav, Ashish K. Jha
Citation: JAMA Internal Medicine, 180(1), 80-88
Date: 01/2020
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Examines mortality rates during and after emergency department (ED) visits among Medicare beneficiaries between 2009-2016. Explores mortality trends by differences in disposition from the ED, the severity of ED visit, and hospital characteristics. Includes a discussion of ED outcomes in rural settings.
Author(s): Laura G. Burke, Stephen K. Epstein, Ryan C. Burke, E. John Orav, Ashish K. Jha
Citation: JAMA Internal Medicine, 180(1), 80-88
Date: 01/2020
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National Hospital Ambulatory Medical Care Survey: 2017 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location, Table 2 includes metro/nonmetro ED visit data by location of patient residence, and Table 14 has metro/nonmetro injury visit data based on hospital location.
Date: 01/2020
Sponsoring organization: National Center for Health Statistics
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Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location, Table 2 includes metro/nonmetro ED visit data by location of patient residence, and Table 14 has metro/nonmetro injury visit data based on hospital location.
Date: 01/2020
Sponsoring organization: National Center for Health Statistics
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Patients' Experiences in CAHs: HCAHPS Results, 2018
Provides results from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for calendar year 2018. Summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Mariah Quick, Megan Lahr, Tongtan Chantarat, Ira Moscovice
Date: 01/2020
Sponsoring organization: Flex Monitoring Team
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Provides results from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for calendar year 2018. Summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Mariah Quick, Megan Lahr, Tongtan Chantarat, Ira Moscovice
Date: 01/2020
Sponsoring organization: Flex Monitoring Team
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Texas Rural Acute Care Hospital Closures
Identifies rural hospital closures by year and county for Texas between 1965-2019. Includes notes on whether they later reopened with full or partial services.
Date: 01/2020
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Identifies rural hospital closures by year and county for Texas between 1965-2019. Includes notes on whether they later reopened with full or partial services.
Date: 01/2020
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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