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Rural Health Information Hub

Rural Health
Resources by Topic: Hospitals

Utah Critical Access Hospital Community Profiles
Provides an overview of the 30 Critical Access Hospitals (CAHs) in Utah. Reports on 30 health indicators for the communities and surrounding areas served by each CAH.
Date: 08/2019
Sponsoring organization: Utah Office of Primary Care and Rural Health
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Mercy Health - Marcum and Wallace Hospital Invests in Swing Bed Program
Highlights the Marcum and Wallace Hospital's work to implement the Small Rural Hospital Transition (SRHT) project recommendations with the goal of expanding the swing bed program to reduce readmission rates. Marcum and Wallace Hospital is a 25-bed Critical Access Hospital in Irvine, Kentucky.
Date: 08/2019
Sponsoring organization: National Rural Health Resource Center
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A Flexible Solution: How Critical Access Hospitals Reshaped Rural Health
Brief video overview describing how the Balanced Budget Act of 1997 created the Critical Access Hospital designation to reduce rural hospital closures. Discusses the role of the Senate Finance Committee and Federal Office of Rural Health Policy in developing the related policies, the transition of rural hospitals to critical access status, and the creation and impact of the Medicare Rural Hospital Flexibility Program (Flex Program).
Date: 07/2019
Sponsoring organization: Rural Health Information Hub
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Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2017
Details a study on Critical Access Hospitals (CAHs) economic and healthcare benefit to rural communities. Looks at services provided, economic health of CAHs, and the effect this has on their communities broadly. Compares CAHs to other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale, Jeremy Zuckero
Date: 07/2019
Sponsoring organization: Flex Monitoring Team
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Critical Crossroads: Pediatric Mental Health Care in the Emergency Department: A Care Pathway Resource Toolkit
Toolkit designed to support hospitals that provide high-quality, effective emergency care to pediatric patients in psychiatric distress. Includes case stories from rural emergency departments in various states.
Date: 07/2019
Sponsoring organizations: Health Resources and Services Administration, Maternal and Child Health Bureau
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Medicaid: States' Use and Distribution of Supplemental Payments to Hospitals
Examines the use of disproportionate share hospital (DSH) payments given to hospitals with more Medicaid and uninsured patients. Addresses differences in state Medicaid expansion status, uninsured percentage, and uncompensated care in relation to DSH payments. Includes state data on DSH payments and uncompensated care costs by rural/urban hospital location, as well as data on Critical Access Hospital (CAH) and Sole Community Hospital DSH payments by state.
Additional links: Full Report
Date: 07/2019
Sponsoring organization: Government Accountability Office
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IHS Needs to Improve Oversight of Its Hospitals' Opioid Prescribing and Dispensing Practices and Consider Centralizing Its Information Technology Functions
Reports on a review of Indian Health Service (IHS) hospitals with a focus on opioid prescriptions and dispensing, information technology (IT), and cybersecurity. Identifies deficiencies related to opioid policies and procedures and supports centralizing IHS IT systems.
Date: 07/2019
Sponsoring organization: Office of Inspector General (HHS)
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Rosebud Hospital: Indian Health Service Management of Emergency Department Closure and Reopening, A Case Study
Examines management of Indian Health Services (IHS) closure of Rosebud Hospital in South Dakota and its reopening to identify lessons learned. Addresses reasons for hospital closure, the impact of the closure, corrective actions taken following its reopening, and issues with sustaining improvements and compliance. Supports developing procedures for temporary emergency department closures and investing in rural workforce recruitment, retention, and training, among other recommendations.
Date: 07/2019
Sponsoring organization: Office of Inspector General (HHS)
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Utilization of the 340B Drug Pricing Program in Rural Practices Policy Paper
Policy brief describing the 340B Drug Pricing Program with a focus on rural hospitals. Discusses the challenges with measuring its impact on rural hospitals and the program's benefits for rural communities.
Author(s): Austin Gillard, Dennis Shelby, Karen White
Date: 07/2019
Sponsoring organization: National Rural Health Association
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Oregon Critical Access Hospitals
Shows a county-level map of Oregon identifying the locations of Critical Access Hospitals (CAHs), their names, and the rural or frontier designation of each county.
Date: 07/2019
Sponsoring organization: Oregon Office of Rural Health
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