Rural Health
Resources by Topic: Hospitals
Worsening Rural-Urban Gap in Hospital Mortality
Results of a study of nonmaternal, nonneonatal hospitalizations in 2008 and 2013, showing the association between rural or urban residence and hospital mortality. Features statistics on hospital mortality by condition in 2013 and hospital deaths among rural patients by year and payer status.
Author(s): Nicole Villapiano, Theodore J. Iwashyna, Matthew M. Davis
Citation: Journal of the American Board of Family Medicine, 30(6), 816-823
Date: 11/2017
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Results of a study of nonmaternal, nonneonatal hospitalizations in 2008 and 2013, showing the association between rural or urban residence and hospital mortality. Features statistics on hospital mortality by condition in 2013 and hospital deaths among rural patients by year and payer status.
Author(s): Nicole Villapiano, Theodore J. Iwashyna, Matthew M. Davis
Citation: Journal of the American Board of Family Medicine, 30(6), 816-823
Date: 11/2017
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Rural Hospital Stabilization Committee Pilot Program Report
Reports on the initial results of using a "hub and spoke" model in Georgia to help address rural hospital financial pressures and emergency department overuse. Highlights the progress made by the initial four hub hospitals and the spokes, which included school-based healthcare and Federally Qualified Health Centers. Additional link provides performance metrics for the pilot.
Additional links: Profile for Rural Hospital Stabilization Committee (Data from SFY 2016 Phase 1 Pilot Program)
Date: 11/2017
Sponsoring organization: Georgia State Office of Rural Health
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Reports on the initial results of using a "hub and spoke" model in Georgia to help address rural hospital financial pressures and emergency department overuse. Highlights the progress made by the initial four hub hospitals and the spokes, which included school-based healthcare and Federally Qualified Health Centers. Additional link provides performance metrics for the pilot.
Additional links: Profile for Rural Hospital Stabilization Committee (Data from SFY 2016 Phase 1 Pilot Program)
Date: 11/2017
Sponsoring organization: Georgia State Office of Rural Health
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Emerging Strategies to Ensure Access to Health Care Services: Emergency Medical Center
Provides an overview of the emergency medical center (EMC) model, which would allow struggling hospitals to convert to EMC status and provide emergency and outpatient services, without having to provide inpatient acute care services. Also outlines rural-specific federal policy proposals that seek to create similar hospital designations, with the goal of improving access to and the delivery of care in underserved communities.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Provides an overview of the emergency medical center (EMC) model, which would allow struggling hospitals to convert to EMC status and provide emergency and outpatient services, without having to provide inpatient acute care services. Also outlines rural-specific federal policy proposals that seek to create similar hospital designations, with the goal of improving access to and the delivery of care in underserved communities.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Emerging Strategies to Ensure Access to Health Care Services: Frontier Health System
Discusses the challenges of providing care in frontier communities and offers solutions for improving access to and delivery of care. Proposes the creation of a frontier-specific accountable care organization (ACO), the Frontier Health System (FHS), that provides traditional ACO services along with transportation, swing beds, home-based care, expanded visiting nurse services, and more.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Discusses the challenges of providing care in frontier communities and offers solutions for improving access to and delivery of care. Proposes the creation of a frontier-specific accountable care organization (ACO), the Frontier Health System (FHS), that provides traditional ACO services along with transportation, swing beds, home-based care, expanded visiting nurse services, and more.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Scanning the Headlines: Small or Rural Hospitals
Provides a bibliographic list of articles and reports published in 2016 and 2017 concerning small and rural hospitals.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Provides a bibliographic list of articles and reports published in 2016 and 2017 concerning small and rural hospitals.
Date: 11/2017
Sponsoring organization: American Hospital Association
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State Flex Program Rural Emergency Medical Services Assessment Strategies
Policy brief describing the emergency medical service (EMS) assessment projects and tools implemented by five State Flex Programs in Arizona, California, Minnesota, Nebraska, and Wisconsin to improve the integration of EMS into rural systems of care. Identifies differences in EMS focused State Flex activities and collaborations to improve local and regional EMS capacity and performance.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster, Andrew Coburn
Date: 11/2017
Sponsoring organization: Flex Monitoring Team
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Policy brief describing the emergency medical service (EMS) assessment projects and tools implemented by five State Flex Programs in Arizona, California, Minnesota, Nebraska, and Wisconsin to improve the integration of EMS into rural systems of care. Identifies differences in EMS focused State Flex activities and collaborations to improve local and regional EMS capacity and performance.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster, Andrew Coburn
Date: 11/2017
Sponsoring organization: Flex Monitoring Team
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Meadville Medical Center: Care Coordination for Adults and Children
Describes the Meadville Medical Center Community Care Network (CCN), an interdisciplinary team of clinicians who focus on using care coordination to help patients manage chronic conditions and achieve their health and wellness goals. CCN's goal is to engage patients and encourage them to take ownership of their health, thereby reducing hospital readmissions, conserving resources, and improving the health of the population.
Date: 11/2017
Sponsoring organization: American Hospital Association Rural Health Services
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Describes the Meadville Medical Center Community Care Network (CCN), an interdisciplinary team of clinicians who focus on using care coordination to help patients manage chronic conditions and achieve their health and wellness goals. CCN's goal is to engage patients and encourage them to take ownership of their health, thereby reducing hospital readmissions, conserving resources, and improving the health of the population.
Date: 11/2017
Sponsoring organization: American Hospital Association Rural Health Services
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Ensuring Access with a Hospital's Conversion to a Freestanding Emergency Department
Outlines Ellijay, Georgia-based North Georgia Medical Center's transition from a traditional community hospital to a freestanding emergency department (ED). Shares administrative, legal, and logistical challenges that, once overcome, resulted in Piedmont Mountainside Hospital Emergency Services - a successful, community-focused, freestanding ED.
Date: 11/2017
Sponsoring organization: American Hospital Association Rural Health Services
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Outlines Ellijay, Georgia-based North Georgia Medical Center's transition from a traditional community hospital to a freestanding emergency department (ED). Shares administrative, legal, and logistical challenges that, once overcome, resulted in Piedmont Mountainside Hospital Emergency Services - a successful, community-focused, freestanding ED.
Date: 11/2017
Sponsoring organization: American Hospital Association Rural Health Services
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Comparing the Affordable Care Act's Financial Impact on Safety-Net Hospitals in States That Expanded Medicaid and Those That Did Not
Examines how Medicaid expansion affected the financial health of safety-net hospitals, and compares hospitals in expansion states with hospitals in non-expansion states. Addresses changes in operating margins, Medicaid inpatient days, Medicaid revenues and costs, and uncompensated care costs. Findings are based on data from Medicare's fiscal year 2012-2015 hospital cost reports.
Author(s): Allen Dobson, Joan E. DaVanzo, Randy Haught, Phap-Hoa Luu
Date: 11/2017
Sponsoring organization: Commonwealth Fund
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Examines how Medicaid expansion affected the financial health of safety-net hospitals, and compares hospitals in expansion states with hospitals in non-expansion states. Addresses changes in operating margins, Medicaid inpatient days, Medicaid revenues and costs, and uncompensated care costs. Findings are based on data from Medicare's fiscal year 2012-2015 hospital cost reports.
Author(s): Allen Dobson, Joan E. DaVanzo, Randy Haught, Phap-Hoa Luu
Date: 11/2017
Sponsoring organization: Commonwealth Fund
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Social Determinants of Health Series: Transportation and the Role of Hospitals
Presents a report on the role of hospitals in providing health-based transportation services. Features case studies of 4 different hospital programs' approach to addressing their patients' lack of access to reliable transit.
Date: 11/2017
Sponsoring organization: American Hospital Association
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Presents a report on the role of hospitals in providing health-based transportation services. Features case studies of 4 different hospital programs' approach to addressing their patients' lack of access to reliable transit.
Date: 11/2017
Sponsoring organization: American Hospital Association
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