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Rural Health Information Hub

Rural Health
Resources by Topic: Hospitals

All Texas Rural Hospitals and Clinics
Offers Texas maps showing counties with Critical Access Hospitals, Prospective Payment System Hospitals, and Rural Health Clinics as well as which rural counties offer labor and delivery services.
Date: 06/2019
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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A Rural Health Crisis: The Changing Landscape of the 1980s and Beyond
Brief video overview of issues in the 1980s that resulted in a wave of rural hospital closures, including an economic shift from manufacturing, farm closures, and changes in the Medicare payment system.
Date: 06/2019
Sponsoring organization: Rural Health Information Hub
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The Rural Hospital Problem
Provides a perspective on rural hospital closures, summarizing literature on contributing factors and impacts on healthcare access and rural economies. Also discusses hospital quality and hospital competition.
Author(s): Austin B. Frankt
Citation: JAMA, 321(23), 2271-2272
Date: 06/2019
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The Role of Hospitals in Population Health: Findings from National Conversations, Statewide Survey and Local Perspectives
Reviews the literature on population health and the role of hospitals and health systems in advancing population health. Discusses efforts by hospitals to address population health at a national level based on interviews with key informants, and in Kansas based on an online survey and discussions with hospitals. Offers recommendations for organizations interested in engaging with population health efforts.
Additional links: Executive Summary
Author(s): Tatiana Y. Lin, Carlie Houchen
Date: 06/2019
Sponsoring organization: Kansas Health Institute
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How the Federal Government Supports State and Local Efforts to Improve Rural Health: A Q&A with Tom Morris
Provides a Q&A with Tom Morris, associate administrator of rural health policy at the Health Resources and Services Administration (HRSA). Focuses on how government agencies are addressing rural hospital closures, population health, rural workforce development, and the opioid epidemic.
Date: 06/2019
Sponsoring organization: Milbank Memorial Fund
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Community-Clinical Linkages Within Health Care in Hawai'i
Special issue of the Hawaii Journal of Medicine and Public Health focusing on collaborations between the community and healthcare facilities to improve health in Hawaii. Covers community health workers, health systems-based programs, community health-center based programs, and provider-based programs. Addresses rural throughout.
Citation: Hawai'i Journal of Medicine and Public Health, 78(6 Suppl 1)
Date: 06/2019
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient Prospective Payment System and the Long-term Care Hospital Prospective Payment System for FY 2020
Comments on a May 3, 2019, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Addresses proposed changes to the hospital wage index, including rural floor calculations, uncompensated care measurements that affect disproportionate share (DSH) payments, inpatient and outpatient proposals related to drugs and devices, and the LTCH prospective payment system.
Date: 06/2019
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Skilled Nursing Facility PPS for FY 2020
Comments on an April 25, 2019, Federal Register proposed rule updating payments for Skilled Nursing Facilities (SNFs) and SNF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2020
Comments on an April 24, 2019, Federal Register proposed rule updating payments for Inpatient Rehabilitation Facilities (IRFs) and IRF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Sponsoring organization: Medicare Payment Advisory Commission
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Coteau des Prairies (CDP) Health System: Improving Quality of Care
Features a Critical Access Hospital (CAH) in Sisseton, South Dakota that worked with the Small Rural Hospital Transition (SRHT) project on care transitions and quality improvement. Highlights their successes improving finances, internal communication, patient satisfaction, physician documentation, and quality improvement infrastructure.
Date: 06/2019
Sponsoring organization: National Rural Health Resource Center
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