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Rural Health Information Hub

Rural Health
Resources by Topic: Hospitals

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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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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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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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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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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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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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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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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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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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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