Rural Health
Resources by Topic: Hospitals
Impact of Early Do-Not-Attempt-Resuscitation Orders on Procedures and Outcomes of Severe Sepsis
Examines the impact of early Do-Not-Attempt-Resuscitation (DNAR) orders on in-hospital mortality and interventional procedures among severe sepsis hospitalizations. Determines patient characteristics among the sepsis DNAR population that affect outcomes. Includes statistics of severe sepsis visits with and without early DNAR orders by various demographics, primary payer, urban and rural hospital locations, and other clinical indicators.
Author(s): Neza N. Sarkari, Sarah M. Perman, Adit A. Ginde
Citation: Journal of Critical Care, 36, 134-139
Date: 12/2016
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Examines the impact of early Do-Not-Attempt-Resuscitation (DNAR) orders on in-hospital mortality and interventional procedures among severe sepsis hospitalizations. Determines patient characteristics among the sepsis DNAR population that affect outcomes. Includes statistics of severe sepsis visits with and without early DNAR orders by various demographics, primary payer, urban and rural hospital locations, and other clinical indicators.
Author(s): Neza N. Sarkari, Sarah M. Perman, Adit A. Ginde
Citation: Journal of Critical Care, 36, 134-139
Date: 12/2016
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National Hospital Ambulatory Medical Care Survey: 2013 Emergency Department Summary Tables
Provides data on ambulatory care emergency department hospital visits. Table 1 includes brief metro/non-metro overview information, and Table 14 has metro/non-metro injury visit data.
Date: 12/2016
Sponsoring organization: National Center for Health Statistics
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Provides data on ambulatory care emergency department hospital visits. Table 1 includes brief metro/non-metro overview information, and Table 14 has metro/non-metro injury visit data.
Date: 12/2016
Sponsoring organization: National Center for Health Statistics
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Newborn Screening Timeliness: Most States Had Not Met Screening Goals, but Some Are Developing Strategies to Address Barriers
Discusses the processes, strategies, and organizations involved in testing newborns for heritable diseases. Uses data provided by 38 states from 2012 to 2015 addressing how well states are meeting the recommended time frames. Examines barriers to timely testing and how courier services are helping some rural hospitals shorten specimen transport times, thereby reducing the time it takes to obtain full test results.
Additional links: Full Report
Date: 12/2016
Sponsoring organization: Government Accountability Office
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Discusses the processes, strategies, and organizations involved in testing newborns for heritable diseases. Uses data provided by 38 states from 2012 to 2015 addressing how well states are meeting the recommended time frames. Examines barriers to timely testing and how courier services are helping some rural hospitals shorten specimen transport times, thereby reducing the time it takes to obtain full test results.
Additional links: Full Report
Date: 12/2016
Sponsoring organization: Government Accountability Office
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Burn-Related Hospital Inpatient Stays and Emergency Department Visits, 2013
Provides data on burn-related hospital inpatient stays and emergency department (ED) visits. Figure 3 lists data on ED visits by location of patient's residence for metropolitan areas and for micropolitan and noncore (rural) areas.
Author(s): Kimberly W. McDermott, Audrey J. Weiss, Anne Elixhauser
Date: 12/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides data on burn-related hospital inpatient stays and emergency department (ED) visits. Figure 3 lists data on ED visits by location of patient's residence for metropolitan areas and for micropolitan and noncore (rural) areas.
Author(s): Kimberly W. McDermott, Audrey J. Weiss, Anne Elixhauser
Date: 12/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Improving Community Health through Hospital Community Benefit Spending: Charting a Path to Reform
Provides background on the origin and importance of nonprofit hospital community benefit spending, and explains the difference between community building and community benefit activities. Examines policy options that the IRS could use to enhance community benefit spending focused on improving social determinants of health community-wide. Includes rural-specific statistics and multiple comparisons of items identified in community health needs assessments (CHNAs).
Author(s): Sara Rosenbaum, Maureen Byrnes, Sara Rothenberg, Rachel Gunsalus
Date: 12/2016
Sponsoring organizations: George Washington University Milken Institute School of Public Health Department of Health Policy and Management, Milken Institute School of Public Health
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Provides background on the origin and importance of nonprofit hospital community benefit spending, and explains the difference between community building and community benefit activities. Examines policy options that the IRS could use to enhance community benefit spending focused on improving social determinants of health community-wide. Includes rural-specific statistics and multiple comparisons of items identified in community health needs assessments (CHNAs).
Author(s): Sara Rosenbaum, Maureen Byrnes, Sara Rothenberg, Rachel Gunsalus
Date: 12/2016
Sponsoring organizations: George Washington University Milken Institute School of Public Health Department of Health Policy and Management, Milken Institute School of Public Health
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Evaluation of Hospital-Setting HCIA Awards: Third Annual Report, Final
Third and final report evaluating 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Presents awardee-specific information on program impact and lessons learned. Includes projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Additional links: Addendum, March 2017
Date: 11/2016
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Third and final report evaluating 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Presents awardee-specific information on program impact and lessons learned. Includes projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Additional links: Addendum, March 2017
Date: 11/2016
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Arizona Critical Access Hospital Designation Manual
Identifies and describes the requirements for becoming a federally designated Critical Access Hospital (CAH)in Arizona. Includes technical assistance and contact information for help completing the CAH application. Appendix provides sample agreements and templates.
Author(s): Joyce A. Hospodar
Date: 11/2016
Sponsoring organization: Arizona Center for Rural Health
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Identifies and describes the requirements for becoming a federally designated Critical Access Hospital (CAH)in Arizona. Includes technical assistance and contact information for help completing the CAH application. Appendix provides sample agreements and templates.
Author(s): Joyce A. Hospodar
Date: 11/2016
Sponsoring organization: Arizona Center for Rural Health
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MBQIP Quality Measure Trends, 2011-2016
Examines trends in 37 Medicare Beneficiary Quality Improvement Project (MBQIP) quality measures from 2011 to 2016. Groups Critical Access Hospitals (CAHs) within 45 State Flex Programs into five regions, and organizes data into tables and figures which allow in-depth comparisons of the national, regional, and state trends for each MBQIP measure. Presents findings across five quality measure domains: patient engagement, care transitions, outpatient, inpatient, and patient safety.
Author(s): Tami Swenson, Michelle Casey
Date: 11/2016
Sponsoring organization: Flex Monitoring Team
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Examines trends in 37 Medicare Beneficiary Quality Improvement Project (MBQIP) quality measures from 2011 to 2016. Groups Critical Access Hospitals (CAHs) within 45 State Flex Programs into five regions, and organizes data into tables and figures which allow in-depth comparisons of the national, regional, and state trends for each MBQIP measure. Presents findings across five quality measure domains: patient engagement, care transitions, outpatient, inpatient, and patient safety.
Author(s): Tami Swenson, Michelle Casey
Date: 11/2016
Sponsoring organization: Flex Monitoring Team
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Federal Requirement for Physician Supervision of CRNAs
Discusses the federal requirement affecting participation in the Medicare program by Critical Access Hospitals (CAHs) or Ambulatory Surgical Centers (ASCs) regarding physician supervision of Certified Registered Nurse Anesthetists (CRNAs). Addresses the conditions for states to opt out of the physician supervision Medicare rule if they meet certain conditions and the research comparing the outcomes between states that opt-out and those that do not.
Author(s): Steve Barnett, John H Everett, Pat Schou
Date: 11/2016
Sponsoring organization: National Rural Health Association
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Discusses the federal requirement affecting participation in the Medicare program by Critical Access Hospitals (CAHs) or Ambulatory Surgical Centers (ASCs) regarding physician supervision of Certified Registered Nurse Anesthetists (CRNAs). Addresses the conditions for states to opt out of the physician supervision Medicare rule if they meet certain conditions and the research comparing the outcomes between states that opt-out and those that do not.
Author(s): Steve Barnett, John H Everett, Pat Schou
Date: 11/2016
Sponsoring organization: National Rural Health Association
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Comparing the Community Benefit Spending of Critical Access, Other Rural, and Urban Hospitals
Examines the levels and types of community benefit spending by Critical Access, rural, and urban hospitals. Compares the spending by percentage of total expenses, as well as by category, direct patient care versus community-building activities.
Author(s): John Gale, Zach Croll, Andrew Coburn, Jamar Croom
Date: 11/2016
Sponsoring organization: Flex Monitoring Team
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Examines the levels and types of community benefit spending by Critical Access, rural, and urban hospitals. Compares the spending by percentage of total expenses, as well as by category, direct patient care versus community-building activities.
Author(s): John Gale, Zach Croll, Andrew Coburn, Jamar Croom
Date: 11/2016
Sponsoring organization: Flex Monitoring Team
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