Rural Health
Resources by Topic: Hospitals
Medicare Copayments for Critical Access Hospital Outpatient Services - Update
Estimates the impact of Medicare Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals (CAHs), and identifies the Medicare fee-for-service (FFS) proportion of key services provided in CAHs.
Author(s): Allison Briggs, Matthew Toth, Sara Freeman
Date: 06/2016
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Estimates the impact of Medicare Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals (CAHs), and identifies the Medicare fee-for-service (FFS) proportion of key services provided in CAHs.
Author(s): Allison Briggs, Matthew Toth, Sara Freeman
Date: 06/2016
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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2016 Oregon Rural Areas Above Rural Mean Travel Time To Nearest Hospital (23 Minutes)
Shows a county-level map of Oregon identifying areas within the state where the travel time to the nearest hospital is above the rural average of 23 minutes.
Date: 06/2016
Type: Map/Mapping System
Sponsoring organization: Oregon Office of Rural Health
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Shows a county-level map of Oregon identifying areas within the state where the travel time to the nearest hospital is above the rural average of 23 minutes.
Date: 06/2016
Type: Map/Mapping System
Sponsoring organization: Oregon Office of Rural Health
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Global Budgets for Rural Hospitals
Discusses the financial and budgetary challenges faced by rural hospitals, explains how some rural hospitals have responded, and presents the case for using global budgets as an alternative payment model. Includes information on some of the proposed policy solutions such as Maryland's all-payer system and the Save Rural Hospitals Act.
Author(s): Joshua M. Sharfstein
Citation: The Milbank Quarterly, 94(2), 255-259
Date: 06/2016
Type: Document
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Discusses the financial and budgetary challenges faced by rural hospitals, explains how some rural hospitals have responded, and presents the case for using global budgets as an alternative payment model. Includes information on some of the proposed policy solutions such as Maryland's all-payer system and the Save Rural Hospitals Act.
Author(s): Joshua M. Sharfstein
Citation: The Milbank Quarterly, 94(2), 255-259
Date: 06/2016
Type: Document
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Hospital Compare Quality Measure Results for CAHs, Q2 2014 - Q1 2015
Discusses the reporting rates and performance of U.S. Critical Access Hospitals (CAHs) on CMS Hospital Compare quality measures. Includes data and statistics comparing inpatient and outpatient CAH participation, state rankings, process of care, median time to receiving care, and structural quality measures. Also includes links to state-specific reports for 45 states.
Author(s): Michelle Casey, Tami Swenson, Alex Evenson
Date: 06/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Discusses the reporting rates and performance of U.S. Critical Access Hospitals (CAHs) on CMS Hospital Compare quality measures. Includes data and statistics comparing inpatient and outpatient CAH participation, state rankings, process of care, median time to receiving care, and structural quality measures. Also includes links to state-specific reports for 45 states.
Author(s): Michelle Casey, Tami Swenson, Alex Evenson
Date: 06/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Does ACA Insurance Coverage Expansion Improve the Financial Performance of Rural Hospitals?
Findings brief discussing perceptions of rural hospital administrators, state hospital associations, and State Offices of Rural Health, concerning changes in payer mix, changes in uncompensated care and unreimbursed cost, and financial performance in their respective hospitals or states.
Author(s): Kristie Thompson, Kristin Reiter, Rebecca Whitaker, Sharita Thomas
Date: 06/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief discussing perceptions of rural hospital administrators, state hospital associations, and State Offices of Rural Health, concerning changes in payer mix, changes in uncompensated care and unreimbursed cost, and financial performance in their respective hospitals or states.
Author(s): Kristie Thompson, Kristin Reiter, Rebecca Whitaker, Sharita Thomas
Date: 06/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Impact of a Rural Regional Myocardial Infarction System of Care in Wyoming
Study of time-to-treatment for patients experiencing ST-segment elevation myocardial infarction heart attacks in Wyoming, a rural, frontier state. Examines data from 11 hospitals capable of providing primary percutaneous coronary intervention (PCI), 4 of which are in Wyoming and 7 in surrounding states, looking at rates of PCI and other treatment strategies. Discusses cooperation between hospitals and emergency medical services and implications for statewide efforts in rural areas.
Author(s): James R. Langabeer II, Derek T. Smith, Marylou Cardenas-Turanzas, et al.
Citation: Journal of the American Heart Association, 5(5), e003392
Date: 05/2016
Type: Document
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Study of time-to-treatment for patients experiencing ST-segment elevation myocardial infarction heart attacks in Wyoming, a rural, frontier state. Examines data from 11 hospitals capable of providing primary percutaneous coronary intervention (PCI), 4 of which are in Wyoming and 7 in surrounding states, looking at rates of PCI and other treatment strategies. Discusses cooperation between hospitals and emergency medical services and implications for statewide efforts in rural areas.
Author(s): James R. Langabeer II, Derek T. Smith, Marylou Cardenas-Turanzas, et al.
Citation: Journal of the American Heart Association, 5(5), e003392
Date: 05/2016
Type: Document
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Association Between the Value-Based Purchasing Pay for Performance Program and Patient Mortality in US Hospitals: Observational Study
Examines the impact of Medicare's Hospital Value-Based Purchasing (HVBP) program on mortality for pneumonia, heart failure, and acute myocardial infarction by comparing data from acute care hospitals participating in the program to data from over 1,300 Critical Access Hospitals (CAHs) and 44 hospitals in Maryland not in the program.
Author(s): Jose F. Figueroa, Yusuke Tsugawa, Jie Zheng, E. John Orav, Ashish K. Jha
Citation: BMJ, 9(353), i2214
Date: 05/2016
Type: Document
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Examines the impact of Medicare's Hospital Value-Based Purchasing (HVBP) program on mortality for pneumonia, heart failure, and acute myocardial infarction by comparing data from acute care hospitals participating in the program to data from over 1,300 Critical Access Hospitals (CAHs) and 44 hospitals in Maryland not in the program.
Author(s): Jose F. Figueroa, Yusuke Tsugawa, Jie Zheng, E. John Orav, Ashish K. Jha
Citation: BMJ, 9(353), i2214
Date: 05/2016
Type: Document
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Illinois Critical Access Hospital Network (ICAHN)
Highlights the Illinois Critical Access Hospital Network (ICAHN) and services it provides to meet the needs of rural hospitals across its state. Describes how ICAHN has helped 54 hospitals transition from competition to collaboration.
Date: 05/2016
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Highlights the Illinois Critical Access Hospital Network (ICAHN) and services it provides to meet the needs of rural hospitals across its state. Describes how ICAHN has helped 54 hospitals transition from competition to collaboration.
Date: 05/2016
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Pender Community Hospital Surpassing Project Goals
Explains how Pender Community Hospital (PCH), a 21-bed Critical Access Hospital (CAH) located in Pender, Nebraska, improved its financial and operational performance through the Small Rural Hospital Transition (SRHT) Project. Focuses discussion on relocating the clinic, enhancing retail pharmacy and swing bed services, increasing marketing efforts, and restructuring therapy programs.
Date: 05/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Explains how Pender Community Hospital (PCH), a 21-bed Critical Access Hospital (CAH) located in Pender, Nebraska, improved its financial and operational performance through the Small Rural Hospital Transition (SRHT) Project. Focuses discussion on relocating the clinic, enhancing retail pharmacy and swing bed services, increasing marketing efforts, and restructuring therapy programs.
Date: 05/2016
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Proactively Pursuing Value-Based Payment
Profiles a program developed at a Critical Access Hospital (CAH) located in rural Washington that is transitioning from volume- to value-based care. The CEO of the hospital is working with payers to design a value-based payment contract to help the facility fund the continued transition to value-based care and hopefully create a payment model other CAHs in the state can adopt.
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Value
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Profiles a program developed at a Critical Access Hospital (CAH) located in rural Washington that is transitioning from volume- to value-based care. The CEO of the hospital is working with payers to design a value-based payment contract to help the facility fund the continued transition to value-based care and hopefully create a payment model other CAHs in the state can adopt.
Date: 05/2016
Type: Document
Sponsoring organization: Rural Health Value
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