Rural Health
Resources by Topic: Hospitals
Redesigning Care: A How-to Guide for Hospitals and Health Systems Seeking to Implement, Strengthen and Sustain Telebehavioral Health
Describes strategies and actions for hospitals and health systems that want to start, strengthen, and sustain telebehavioral health programs. Details six elements for successful telebehavioral health implementation: leadership commitment; organizational policies and clinical workflows; staff education and training; patient, family, and caregiver engagement; measurement; and community partnerships. Provides tools and resources for each element of success.
Date: 03/2019
Sponsoring organizations: American Hospital Association, National Quality Forum
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Describes strategies and actions for hospitals and health systems that want to start, strengthen, and sustain telebehavioral health programs. Details six elements for successful telebehavioral health implementation: leadership commitment; organizational policies and clinical workflows; staff education and training; patient, family, and caregiver engagement; measurement; and community partnerships. Provides tools and resources for each element of success.
Date: 03/2019
Sponsoring organizations: American Hospital Association, National Quality Forum
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Is Duration of Hospital Participation in Meaningful Use Associated with Value in Medicare?
Analyzes hospital participation in Medicare's meaningful use (MU) of electronic health records (EHRs) to determine the extent of their use of value-based initiatives in order to evaluate whether the duration of participation was linked with lower Medicare inpatient spending and lower readmission rates. Data was extracted from CMS sources including the Hospital Compare Website. Hospital-level data for analysis included inpatient spending, accreditation status, hospital location (urban/rural), ownership status, and hospital size.
Author(s): Yanick N. Brice, Karen E. Joynt Maddox
Citation: Journal of the American Medical Informatics Association (JAMIA) Open, 2(2), 238-245
Date: 03/2019
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Analyzes hospital participation in Medicare's meaningful use (MU) of electronic health records (EHRs) to determine the extent of their use of value-based initiatives in order to evaluate whether the duration of participation was linked with lower Medicare inpatient spending and lower readmission rates. Data was extracted from CMS sources including the Hospital Compare Website. Hospital-level data for analysis included inpatient spending, accreditation status, hospital location (urban/rural), ownership status, and hospital size.
Author(s): Yanick N. Brice, Karen E. Joynt Maddox
Citation: Journal of the American Medical Informatics Association (JAMIA) Open, 2(2), 238-245
Date: 03/2019
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National Hospital Ambulatory Medical Care Survey: 2016 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: 03/2019
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: 03/2019
Sponsoring organization: National Center for Health Statistics
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Facility-Based Ambulatory Care Provided to Rural Medicare Beneficiaries in 2014
Chartbook describing claims, costs, and common diagnoses in facility-based ambulatory care provided to rural Medicare patients. Features statistics in various categories with breakdowns by Federally Qualified Health Centers in rural and urban areas, Rural Health Clinics, Critical Access Hospitals, and Prospective Payment Systems in rural and urban areas.
Author(s): Alex R. Schulte, Denise A. Kirk, Kristie W. Thompson, George H. Pink
Date: 03/2019
Sponsoring organization: North Carolina Rural Health Research Program
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Chartbook describing claims, costs, and common diagnoses in facility-based ambulatory care provided to rural Medicare patients. Features statistics in various categories with breakdowns by Federally Qualified Health Centers in rural and urban areas, Rural Health Clinics, Critical Access Hospitals, and Prospective Payment Systems in rural and urban areas.
Author(s): Alex R. Schulte, Denise A. Kirk, Kristie W. Thompson, George H. Pink
Date: 03/2019
Sponsoring organization: North Carolina Rural Health Research Program
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Inpatient Stays Involving Mental and Substance Use Disorders, 2016
Examines inpatient stays involving mental and substance use disorders at community hospitals among patients 5 years old or older. Provides data on costs, length of stay, discharge status, patient demographics, primary expected payer, and hospital region. Table 2 includes data by location of patient residence for rural and urban areas.
Author(s): Pamela L. Owens, Kathryn R. Fingar, Kimberly W. McDermott, Pradip K. Muhuri, Kevin C. Heslin
Date: 03/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines inpatient stays involving mental and substance use disorders at community hospitals among patients 5 years old or older. Provides data on costs, length of stay, discharge status, patient demographics, primary expected payer, and hospital region. Table 2 includes data by location of patient residence for rural and urban areas.
Author(s): Pamela L. Owens, Kathryn R. Fingar, Kimberly W. McDermott, Pradip K. Muhuri, Kevin C. Heslin
Date: 03/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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MedPAC Report to the Congress: Medicare Payment Policy: Hospital Inpatient and Outpatient Services: Chapter 3
Examines the adequacy of Medicare payments to hospitals in 2017 and offers recommendations for changes. Includes a discussion of rural hospital closures and provides rural/urban breakdowns for hospital occupancy rates, Medicare inpatient discharges, and Medicare margins.
Date: 03/2019
Sponsoring organization: Medicare Payment Advisory Commission
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Examines the adequacy of Medicare payments to hospitals in 2017 and offers recommendations for changes. Includes a discussion of rural hospital closures and provides rural/urban breakdowns for hospital occupancy rates, Medicare inpatient discharges, and Medicare margins.
Date: 03/2019
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2019
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses opioids, Medicare Part D, Medicare Advantage, Medicare's quality incentive program for hospitals, and payment adequacy for healthcare facilities and services.
Date: 03/2019
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses opioids, Medicare Part D, Medicare Advantage, Medicare's quality incentive program for hospitals, and payment adequacy for healthcare facilities and services.
Date: 03/2019
Sponsoring organization: Medicare Payment Advisory Commission
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Report to Congress on Medicaid and CHIP, March 2019
Reports on three aspects of Medicaid: improving the structure of Disproportionate Share Hospital (DSH) payment reductions, oversight of upper payment limits for supplemental payments to hospitals, and Disproportionate Share Hospital (DSH) payments to states. Chapter 3 includes the annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 3-1 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2019
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid: improving the structure of Disproportionate Share Hospital (DSH) payment reductions, oversight of upper payment limits for supplemental payments to hospitals, and Disproportionate Share Hospital (DSH) payments to states. Chapter 3 includes the annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 3-1 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2019
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Pender Community Hospital Uses SRHT Project to Propel Forward
Highlights a Critical Access Hospital in Nebraska that participated in a Small Rural Hospital Transition (SRHT) project focused on discharge issues, electronic health record improvements, and Patient Centered Medical Home (PCMH) status for system clinics. Discusses project implementation, hospital culture, and project outcomes.
Date: 03/2019
Sponsoring organization: National Rural Health Resource Center
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Highlights a Critical Access Hospital in Nebraska that participated in a Small Rural Hospital Transition (SRHT) project focused on discharge issues, electronic health record improvements, and Patient Centered Medical Home (PCMH) status for system clinics. Discusses project implementation, hospital culture, and project outcomes.
Date: 03/2019
Sponsoring organization: National Rural Health Resource Center
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Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report
Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Sponsoring organization: Flex Monitoring Team
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Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Sponsoring organization: Flex Monitoring Team
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