Rural Health
Resources by Topic: Hospitals
Medicaid Outpatient Payment Policy
Provides an overview of Medicaid payment policies for outpatient hospital services. Attached Excel sheet includes details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Outpatient Hospital Services
Date: 07/2016
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of Medicaid payment policies for outpatient hospital services. Attached Excel sheet includes details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Outpatient Hospital Services
Date: 07/2016
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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The Grant Project Life Cycle: A Grant Subcontract Management Guide
Presents a guide for State Office of Rural Health (SORH) Directors and Medicare Rural Hospital Flexibility (FLEX) Program Coordinators to establish the scope of work for consultants, vendors, and other subcontractors on FLEX grants. Includes subcontractor selection criteria and considers the role of the subcontractor at the initiation, planning, closure, and execution phase of the project.
Additional links: Guide PDF, Webinar Slides, September 2016
Date: 07/2016
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
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Presents a guide for State Office of Rural Health (SORH) Directors and Medicare Rural Hospital Flexibility (FLEX) Program Coordinators to establish the scope of work for consultants, vendors, and other subcontractors on FLEX grants. Includes subcontractor selection criteria and considers the role of the subcontractor at the initiation, planning, closure, and execution phase of the project.
Additional links: Guide PDF, Webinar Slides, September 2016
Date: 07/2016
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
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Health Outside Hospital Walls
Outlines how Chadron Community Hospital and Health Services (CCHHS) in Chadron, Nebraska, is leveraging the changing healthcare environment to prioritize population health and fill needed service gaps within the community. As part of the focus on overall community health, CCHHS took leadership in an assisted living facility, funded a large scholarship fund to help cultivate a skilled local workforce, and assumed management of the community action agency.
Date: 07/2016
Type: Document
Sponsoring organization: Rural Health Value
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Outlines how Chadron Community Hospital and Health Services (CCHHS) in Chadron, Nebraska, is leveraging the changing healthcare environment to prioritize population health and fill needed service gaps within the community. As part of the focus on overall community health, CCHHS took leadership in an assisted living facility, funded a large scholarship fund to help cultivate a skilled local workforce, and assumed management of the community action agency.
Date: 07/2016
Type: Document
Sponsoring organization: Rural Health Value
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Alternative Models to Preserving Access to Emergency Care
Explores proposals for maintaining timely access to emergency and other basic healthcare services in rural communities that may not be able to support a full-service hospital, including frontier extended stay clinics and free-standing emergency departments. Identifies models of care and various ideologies for the Secretary and the Department of Health and Human Services to consider when evaluating policy options.
Date: 07/2016
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Explores proposals for maintaining timely access to emergency and other basic healthcare services in rural communities that may not be able to support a full-service hospital, including frontier extended stay clinics and free-standing emergency departments. Identifies models of care and various ideologies for the Secretary and the Department of Health and Human Services to consider when evaluating policy options.
Date: 07/2016
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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APNP Hospitalists: Sustainability of Rural Hospitals
Video of a meeting at Rusk County Memorial Hospital in Ladysmith, Wisconsin. Includes discussion on how Advanced Practice Nurse Prescriber Hospitalists can help to sustain rural hospitals as a solution to workforce challenges. Hosted by Charisse Oland, CEO, Rusk County Memorial Hospital. Length: 3:41:21
Date: 07/2016
Type: Video/Multimedia
Sponsoring organization: Rural Wisconsin Health Cooperative
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Video of a meeting at Rusk County Memorial Hospital in Ladysmith, Wisconsin. Includes discussion on how Advanced Practice Nurse Prescriber Hospitalists can help to sustain rural hospitals as a solution to workforce challenges. Hosted by Charisse Oland, CEO, Rusk County Memorial Hospital. Length: 3:41:21
Date: 07/2016
Type: Video/Multimedia
Sponsoring organization: Rural Wisconsin Health Cooperative
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Oregon Acute Care Hospitals: Annual Financials Reporting Highlights, 2015
Reports on the extent to which hospitals in Oregon, both rural and urban, meet the need for healthcare services in their communities and continue to operate as financially viable organizations. Results for this report were drawn from financial data collected annually from acute care hospitals by the Oregon Health Authority.
Date: 07/2016
Type: Document
Sponsoring organization: Oregon Health Authority
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Reports on the extent to which hospitals in Oregon, both rural and urban, meet the need for healthcare services in their communities and continue to operate as financially viable organizations. Results for this report were drawn from financial data collected annually from acute care hospitals by the Oregon Health Authority.
Date: 07/2016
Type: Document
Sponsoring organization: Oregon Health Authority
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Variation in Interoperability among U.S. Non-Federal Acute Care Hospitals in 2015
Discusses how health information is shared between hospitals, includes a review of the methods used and the rate of exchange between providers and health systems. Includes data and statistics on electronic health records (EHR), Health Information Exchange (HIE), and specific information about lower rates of EHR and HIE use of both in small, rural, and Critical Access Hospitals (CAHs).
Author(s): Vaishali Patel, JaWanna Henry, Yuriy Pylypchuk, Talisha Searcy
Date: 07/2016
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Discusses how health information is shared between hospitals, includes a review of the methods used and the rate of exchange between providers and health systems. Includes data and statistics on electronic health records (EHR), Health Information Exchange (HIE), and specific information about lower rates of EHR and HIE use of both in small, rural, and Critical Access Hospitals (CAHs).
Author(s): Vaishali Patel, JaWanna Henry, Yuriy Pylypchuk, Talisha Searcy
Date: 07/2016
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Vulnerable Rural Counties: The Changing Rural Landscape, 2000-2010
Examined how rural counties were impacted by the 2008 recession, specifically focused on an increase in poverty levels, shifts in population, and loss or reduction of healthcare services and facilities. Includes county-by-county maps with data such as poverty and unemployment rates, elderly population, educational level, non-White population, health insurance coverage, availability of primary care and other specialties, and change in number of hospitals and other healthcare facilities. Appendices include tables comparing urban and rural/remote county statistics.
Additional links: Fact Sheet
Author(s): Kevin J. Bennett, Yu-Hsiu Lin, Matthew Yuen, Deshia Leonhirth, Janice C. Probst
Date: 07/2016
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Examined how rural counties were impacted by the 2008 recession, specifically focused on an increase in poverty levels, shifts in population, and loss or reduction of healthcare services and facilities. Includes county-by-county maps with data such as poverty and unemployment rates, elderly population, educational level, non-White population, health insurance coverage, availability of primary care and other specialties, and change in number of hospitals and other healthcare facilities. Appendices include tables comparing urban and rural/remote county statistics.
Additional links: Fact Sheet
Author(s): Kevin J. Bennett, Yu-Hsiu Lin, Matthew Yuen, Deshia Leonhirth, Janice C. Probst
Date: 07/2016
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Hospitals Largely Reported Addressing Requirements for EHR Contingency Plans
Results of a study using self-reported data from 400 hospitals that received Medicare incentive payments for using a certified electronic health record (EHR) system as of September 2014. Information includes EHR contingency plans related to HIPAA requirements, practices for contingency planning recommended by two federal agencies, and hospitals' experiences with EHR disruptions. Features statistics with breakdowns by large or small hospitals, with small hospitals defined as those with 50 or fewer beds.
Date: 07/2016
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Results of a study using self-reported data from 400 hospitals that received Medicare incentive payments for using a certified electronic health record (EHR) system as of September 2014. Information includes EHR contingency plans related to HIPAA requirements, practices for contingency planning recommended by two federal agencies, and hospitals' experiences with EHR disruptions. Features statistics with breakdowns by large or small hospitals, with small hospitals defined as those with 50 or fewer beds.
Date: 07/2016
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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2016 Financial Leadership Summit Report: Strategies for Rural Hospitals Transitioning to Value-based Purchasing and Population Health
Provides rural hospital administrators strategies for meeting the challenges of a changing healthcare environment. Includes discussion on alternative payment models, the impact of market forces, successful examples. and lessons learned. Offers information for developing tools to support hospitals and networks as they transition to value-based purchasing and population health.
Additional links: Webinar Playback: Rural Strategies for Transitioning to Value-based Purchasing and Population Health, Webinar Slides: Rural Strategies for Transitioning to Value-based Purchasing and Population Health
Author(s): Mark Chustz
Date: 07/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Provides rural hospital administrators strategies for meeting the challenges of a changing healthcare environment. Includes discussion on alternative payment models, the impact of market forces, successful examples. and lessons learned. Offers information for developing tools to support hospitals and networks as they transition to value-based purchasing and population health.
Additional links: Webinar Playback: Rural Strategies for Transitioning to Value-based Purchasing and Population Health, Webinar Slides: Rural Strategies for Transitioning to Value-based Purchasing and Population Health
Author(s): Mark Chustz
Date: 07/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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