Rural Health
Resources by Topic: Hospitals
Rural Hospital Closures Reduce Access to Emergency Care
Recognizes the importance of hospital and emergency care services in providing healthcare in rural communities, and discusses the current hospital closure rate. Uses federal data to compare the financial viability of rural and urban hospitals, and the availability of emergency care in rural communities. Suggests policy recommendations for improving access to healthcare and emergency care for rural populations.
Author(s): Tarun Ramesh, Emily Gee
Date: 09/2019
Sponsoring organization: Center for American Progress
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Recognizes the importance of hospital and emergency care services in providing healthcare in rural communities, and discusses the current hospital closure rate. Uses federal data to compare the financial viability of rural and urban hospitals, and the availability of emergency care in rural communities. Suggests policy recommendations for improving access to healthcare and emergency care for rural populations.
Author(s): Tarun Ramesh, Emily Gee
Date: 09/2019
Sponsoring organization: Center for American Progress
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Hospital Merger Benefits: Views from Hospital Leaders and Econometric Analysis - An Update
Revisits a study from 2016 on the effects of hospital acquisitions in terms of cost, care quality, and revenue. Highlights data by hospital type, including rural status, as well as several performance measures.
Author(s): Monica Noether, Sean May, Ben Stearns
Date: 09/2019
Sponsoring organization: American Hospital Association
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Revisits a study from 2016 on the effects of hospital acquisitions in terms of cost, care quality, and revenue. Highlights data by hospital type, including rural status, as well as several performance measures.
Author(s): Monica Noether, Sean May, Ben Stearns
Date: 09/2019
Sponsoring organization: American Hospital Association
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Characteristics of Inpatient Hospital Stays Involving Sickle Cell Disease, 2000–2016
Examines inpatient stays among patients with sickle cell disease (SCD), with trends by patient age from 2000-2016. Also reports on characteristics of inpatient stays in 2016, including data on the location of patient residence for metropolitan, rural metro-adjacent, and rural remote areas. Includes data by patient location for Black patients with SCD-related stays compared to Black U.S. residents as a whole. Also reports on SCD-related stays by hospital location for metropolitan, rural metro-adjacent, and rural remote areas.
Author(s): Kathryn R. Fingar, Pamela L. Owens, Lawrence D. Reid, et al.
Date: 09/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines inpatient stays among patients with sickle cell disease (SCD), with trends by patient age from 2000-2016. Also reports on characteristics of inpatient stays in 2016, including data on the location of patient residence for metropolitan, rural metro-adjacent, and rural remote areas. Includes data by patient location for Black patients with SCD-related stays compared to Black U.S. residents as a whole. Also reports on SCD-related stays by hospital location for metropolitan, rural metro-adjacent, and rural remote areas.
Author(s): Kathryn R. Fingar, Pamela L. Owens, Lawrence D. Reid, et al.
Date: 09/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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Texas Rural Hospital Closures Since January 2013
A map identifying the location of rural hospital closures in Texas along with whether they later reopened or now provide limited services.
Date: 09/2019
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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A map identifying the location of rural hospital closures in Texas along with whether they later reopened or now provide limited services.
Date: 09/2019
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Texas Map of Rural Hospitals
Map identifying the location of rural hospitals in Texas.
Date: 09/2019
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Map identifying the location of rural hospitals in Texas.
Date: 09/2019
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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2019 Rural Emergency Care Integration Summit: Flex Program Support for Rural EMS: Moving from Loaded Miles to Value-Based Models
Provides an overview of the March 2019 Rural Emergency Care Summit convened by the National Rural Health Resource Center. Explores the role of emergency medical services (EMS) as the healthcare system transitions from volume-based to value-based care. Addresses challenges to EMS and hospital collaboration and strategies for future integration. Discusses how Flex Programs could support rural EMS improvements.
Date: 08/2019
Sponsoring organization: National Rural Health Resource Center
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Provides an overview of the March 2019 Rural Emergency Care Summit convened by the National Rural Health Resource Center. Explores the role of emergency medical services (EMS) as the healthcare system transitions from volume-based to value-based care. Addresses challenges to EMS and hospital collaboration and strategies for future integration. Discusses how Flex Programs could support rural EMS improvements.
Date: 08/2019
Sponsoring organization: National Rural Health Resource Center
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The Evolving Policy Landscape of Telehealth Services Delivered in the Home and Other Nonclinical Settings
Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Sponsoring organization: Milbank Memorial Fund
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Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Sponsoring organization: Milbank Memorial Fund
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Small Rural Hospital Transition (SRHT) Project Guide: A Rural Hospital Guide to Improving Care Management: 2019 Update
A guide for rural hospital leadership that identifies best practices in care management. Addresses care management roles and staffing needs and covers utilization review and discharge planning. Helps identify opportunities for process improvement. Also discusses competencies needed to transition to a value-based reimbursement environment focused on population health.
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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A guide for rural hospital leadership that identifies best practices in care management. Addresses care management roles and staffing needs and covers utilization review and discharge planning. Helps identify opportunities for process improvement. Also discusses competencies needed to transition to a value-based reimbursement environment focused on population health.
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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Organizational Challenges to Improving Quality of Care in Indian Health Service Hospitals
Identifies organizational issues hindering the Indian Health Service (IHS) from improving the management of IHS hospitals. Discusses concerns related to formal structure, policies and roles; awareness of hospital performance and problems; and IHS officials' confidence in the agency's ability to make sustained improvements. Recommends strategies for improvement.
Author(s): Suzanne Murrin
Date: 08/2019
Sponsoring organization: Office of Inspector General (HHS)
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Identifies organizational issues hindering the Indian Health Service (IHS) from improving the management of IHS hospitals. Discusses concerns related to formal structure, policies and roles; awareness of hospital performance and problems; and IHS officials' confidence in the agency's ability to make sustained improvements. Recommends strategies for improvement.
Author(s): Suzanne Murrin
Date: 08/2019
Sponsoring organization: Office of Inspector General (HHS)
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Impact of Rural and Urban Hospital Closures on Inpatient Mortality
Examines the impact of California's hospital closures from 1995-2011 on adjusted inpatient mortality for sepsis, stroke, asthma/chronic obstructive pulmonary disease, and acute myocardial infarction. Features statistics including the number of closures by year, patient demographics with breakdowns by urban or rural location, and differential impacts of rural and urban closures with breakdowns by condition.
Author(s): Kritee Gujral, Anirban Basu
Citation: NBER Working Paper Series, Working Paper 26182
Date: 08/2019
Sponsoring organization: National Bureau of Economic Research
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Examines the impact of California's hospital closures from 1995-2011 on adjusted inpatient mortality for sepsis, stroke, asthma/chronic obstructive pulmonary disease, and acute myocardial infarction. Features statistics including the number of closures by year, patient demographics with breakdowns by urban or rural location, and differential impacts of rural and urban closures with breakdowns by condition.
Author(s): Kritee Gujral, Anirban Basu
Citation: NBER Working Paper Series, Working Paper 26182
Date: 08/2019
Sponsoring organization: National Bureau of Economic Research
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