Rural Health
Resources by Topic: Hospitals
Medicaid Financing Cliff: Implications for the Health Care Systems in Puerto Rico and USVI
Issue brief providing an overview of the status of healthcare systems and Medicaid programs in Puerto Rico and the U.S. Virgin Islands (USVI) a year and a half after hurricanes hit the islands in September 2017. Focuses on challenges and includes an analysis of the implications for the islands' Medicaid finances, as most of the temporary disaster relief funding is set to expire in September 2019. Features statistics on the two territories' past and projected Medicaid spending.
Author(s): Robin Rudowitz, Cornelia Hall, Barbara Lyons
Date: 05/2019
Sponsoring organization: KFF
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Issue brief providing an overview of the status of healthcare systems and Medicaid programs in Puerto Rico and the U.S. Virgin Islands (USVI) a year and a half after hurricanes hit the islands in September 2017. Focuses on challenges and includes an analysis of the implications for the islands' Medicaid finances, as most of the temporary disaster relief funding is set to expire in September 2019. Features statistics on the two territories' past and projected Medicaid spending.
Author(s): Robin Rudowitz, Cornelia Hall, Barbara Lyons
Date: 05/2019
Sponsoring organization: KFF
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Rural/Urban and Regional Variation in the 2019 CMS Hospital Wage Index
Findings brief describing the geographic variation in the 2019 Centers for Medicare and Medicaid Services (CMS) hospital wage index by rural and urban definitions. Includes data comparisons for rural and urban definitions by Census region, frontier and remote (FAR) codes, and state.
Author(s): Kristie W. Thompson, Ann Howard, George H. Pink
Date: 05/2019
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief describing the geographic variation in the 2019 Centers for Medicare and Medicaid Services (CMS) hospital wage index by rural and urban definitions. Includes data comparisons for rural and urban definitions by Census region, frontier and remote (FAR) codes, and state.
Author(s): Kristie W. Thompson, Ann Howard, George H. Pink
Date: 05/2019
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Success: Abrom Kaplan Memorial Hospital, LA
Highlights the success of a Critical Access Hospital in Louisiana in receiving high cleanliness scores and care transitions scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Discusses their initiative to reduce C. difficile infections, strategies for communication and cleaning, emergency department transitions, and teamwork recognition.
Citation: MBQIP Monthly, 1-2
Date: 05/2019
Sponsoring organization: Stratis Health
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Highlights the success of a Critical Access Hospital in Louisiana in receiving high cleanliness scores and care transitions scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Discusses their initiative to reduce C. difficile infections, strategies for communication and cleaning, emergency department transitions, and teamwork recognition.
Citation: MBQIP Monthly, 1-2
Date: 05/2019
Sponsoring organization: Stratis Health
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Isolated, Small, and Large Hospitals Have Fewer Nursing Resources than Urban Hospitals: Implications for Rural Health Policy
Describes the nurse work environment, nurse education, nursing skill mix, and patient-to-registered nurse (RN) ratios across hospitals in California, Florida, and Pennsylvania. Examines how the findings differ by urban, large, small, and isolated hospitals, and discusses the potential impact on patient outcomes.
Author(s): Jessica G. Smith, Colin M. Plover, Moira C. McChesney, Eileen T. Lake
Citation: Public Health Nursing, 36(4), 469-477
Date: 04/2019
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Describes the nurse work environment, nurse education, nursing skill mix, and patient-to-registered nurse (RN) ratios across hospitals in California, Florida, and Pennsylvania. Examines how the findings differ by urban, large, small, and isolated hospitals, and discusses the potential impact on patient outcomes.
Author(s): Jessica G. Smith, Colin M. Plover, Moira C. McChesney, Eileen T. Lake
Citation: Public Health Nursing, 36(4), 469-477
Date: 04/2019
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Rural Public Health Workforce Training and Development: The Performance of an Undergraduate Internship Programme in a Rural Hospital and Healthcare Centre
Examines a year-long undergraduate internship for public health at a rural hospital and health center in the Midwest. Addresses internships and learning effectiveness, feedback from trainees, the implications for rural recruitment, and potential revisions to the model.
Author(s): Luis Miguel Dos Santos
Citation: International Journal of Environmental Research and Public Health, 16(7), 1259
Date: 04/2019
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Examines a year-long undergraduate internship for public health at a rural hospital and health center in the Midwest. Addresses internships and learning effectiveness, feedback from trainees, the implications for rural recruitment, and potential revisions to the model.
Author(s): Luis Miguel Dos Santos
Citation: International Journal of Environmental Research and Public Health, 16(7), 1259
Date: 04/2019
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Overview of HCUP
Documents all aspects of the Healthcare Cost and Utilization Project (HCUP), a national resource of hospital inpatient, ambulatory surgery and services, and emergency department data. Describes HCUP online resources for accessing data and related reports. Includes a list of data elements, with information on which are available by urban/rural location.
Date: 04/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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Documents all aspects of the Healthcare Cost and Utilization Project (HCUP), a national resource of hospital inpatient, ambulatory surgery and services, and emergency department data. Describes HCUP online resources for accessing data and related reports. Includes a list of data elements, with information on which are available by urban/rural location.
Date: 04/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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Trends in Risk of Financial Distress among Rural Hospitals from 2015 to 2019
Details the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) reimbursement type from 2015 to 2019.
Author(s): Sharita R. Thomas, George H. Pink, Kristin Reiter
Date: 04/2019
Sponsoring organization: North Carolina Rural Health Research Program
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Details the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) reimbursement type from 2015 to 2019.
Author(s): Sharita R. Thomas, George H. Pink, Kristin Reiter
Date: 04/2019
Sponsoring organization: North Carolina Rural Health Research Program
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Hospitals' Use of Electronic Health Records Data, 2015-2017
Analyzes 2015 to 2017 data from the American Hospital Association Information Technology Survey to determine trends in how electronic health records (EHR) data is used to inform clinical practices and hospital processes. Includes information on EHR data use in small, rural, and Critical Access Hospitals (CAHs).
Author(s): Sonal Parasrampuria, Jawanna Henry
Date: 04/2019
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Analyzes 2015 to 2017 data from the American Hospital Association Information Technology Survey to determine trends in how electronic health records (EHR) data is used to inform clinical practices and hospital processes. Includes information on EHR data use in small, rural, and Critical Access Hospitals (CAHs).
Author(s): Sonal Parasrampuria, Jawanna Henry
Date: 04/2019
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Hospital Compare Quality Measure Results for CAHs, 2017
Examines Hospital Compare inpatient and outpatient process of care and structural measures among Critical Access Hospitals (CAHs) in 2017. Includes data on reporting rates and performance for specific quality measures, and state-by-state comparison of CAH reporting rates for inpatient and outpatient measures.
Author(s): Megan Lahr, Tongtan Chantarat, Mariah Quick, Ashleigh Norris, Ira Moscovice
Date: 04/2019
Sponsoring organization: Flex Monitoring Team
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Examines Hospital Compare inpatient and outpatient process of care and structural measures among Critical Access Hospitals (CAHs) in 2017. Includes data on reporting rates and performance for specific quality measures, and state-by-state comparison of CAH reporting rates for inpatient and outpatient measures.
Author(s): Megan Lahr, Tongtan Chantarat, Mariah Quick, Ashleigh Norris, Ira Moscovice
Date: 04/2019
Sponsoring organization: Flex Monitoring Team
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Electronic Capabilities for Patient Engagement among U.S. Non-Federal Acute Care Hospitals: 2013-2017
Describes hospital trends regarding patients' ability to view, download, and transmit (VDT) electronic health information and other capabilities related to online patient engagement. Provides data and analysis by hospital type, including Critical Access Hospitals (CAHs) and rural hospitals, on the percent of: hospitals where patients can VDT their health data electronically; active patient portals; and hospitals offering electronic capabilities to their patients, such as refill requests, bill pay, and other services.
Author(s): JaWanna Henry, Wes Barker, Lolita Kachay
Date: 04/2019
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Describes hospital trends regarding patients' ability to view, download, and transmit (VDT) electronic health information and other capabilities related to online patient engagement. Provides data and analysis by hospital type, including Critical Access Hospitals (CAHs) and rural hospitals, on the percent of: hospitals where patients can VDT their health data electronically; active patient portals; and hospitals offering electronic capabilities to their patients, such as refill requests, bill pay, and other services.
Author(s): JaWanna Henry, Wes Barker, Lolita Kachay
Date: 04/2019
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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