Rural Health
Resources by Topic: Hospitals
Is Bigger Better? Exploring the Impact of System Membership on Rural Hospitals
Describes how system membership affects financial performance and transfer patterns of rural hospitals in California. Shows what financial benefits are involved and examines whether membership increases or decreases likelihood of closure. Includes appendices with lists of system and nonsystem hospitals by county, and rural hospital intercompany transfer statistics from 2011-2015.
Author(s): Glenn Melnick, Katya Fonkych
Date: 05/2018
Sponsoring organization: California Health Care Foundation
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Describes how system membership affects financial performance and transfer patterns of rural hospitals in California. Shows what financial benefits are involved and examines whether membership increases or decreases likelihood of closure. Includes appendices with lists of system and nonsystem hospitals by county, and rural hospital intercompany transfer statistics from 2011-2015.
Author(s): Glenn Melnick, Katya Fonkych
Date: 05/2018
Sponsoring organization: California Health Care Foundation
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Rural Post-Acute Care: Improving Transitions to Enhance Patient Recovery
Highlights approaches that are improving patient transitions from acute care to post-acute care (PAC) in rural settings. Features a tertiary facility's communication with skilled nursing facilities in Tennessee and Kentucky, a Nebraska Critical Access Hospital's swing bed program, and a home health agency serving rural Maine.
Author(s): Jenn Lukens
Date: 05/2018
Sponsoring organization: Rural Health Information Hub
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Highlights approaches that are improving patient transitions from acute care to post-acute care (PAC) in rural settings. Features a tertiary facility's communication with skilled nursing facilities in Tennessee and Kentucky, a Nebraska Critical Access Hospital's swing bed program, and a home health agency serving rural Maine.
Author(s): Jenn Lukens
Date: 05/2018
Sponsoring organization: Rural Health Information Hub
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Changes in Hospital Utilization Three Years into Maryland's Global Budget Program for Rural Hospitals
Examines the impact of Maryland's global budget program for acute care hospitals, with a focus on Medicare beneficiaries served by rural hospitals. Compares changes in hospital use and hospital spending between the rural hospitals participating in the global budget program and a control group during a 3-year period. Discusses the policy implications for other states considering alternate payment models.
Author(s): Eric T. Roberts, Laura A. Hatfield, J. Michael McWilliams, et al.
Citation: Health Affairs, 37(4), 644-653
Date: 04/2018
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Examines the impact of Maryland's global budget program for acute care hospitals, with a focus on Medicare beneficiaries served by rural hospitals. Compares changes in hospital use and hospital spending between the rural hospitals participating in the global budget program and a control group during a 3-year period. Discusses the policy implications for other states considering alternate payment models.
Author(s): Eric T. Roberts, Laura A. Hatfield, J. Michael McWilliams, et al.
Citation: Health Affairs, 37(4), 644-653
Date: 04/2018
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Market Characteristics Associated with Rural Hospitals' Provision of Post-Acute Care
Findings brief summarizing hospital- and market-level factors related to post-acute care (PAC) provided in rural hospitals from 2012-2015. Features statistics from 2012-2015 rural Medicare cost reports, PAC provision by census region in 2015, and percent of hospitals in frontier and remote areas in 2015 with breakdowns by type and PAC provision.
Author(s): Abby F. Hoffman, Randy K. Randolph, Alex R. Schulte, George H. Pink
Date: 04/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief summarizing hospital- and market-level factors related to post-acute care (PAC) provided in rural hospitals from 2012-2015. Features statistics from 2012-2015 rural Medicare cost reports, PAC provision by census region in 2015, and percent of hospitals in frontier and remote areas in 2015 with breakdowns by type and PAC provision.
Author(s): Abby F. Hoffman, Randy K. Randolph, Alex R. Schulte, George H. Pink
Date: 04/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Rural and Urban Provider Market Share of Inpatient Post-Acute Care Services Provided to Rural Medicare Beneficiaries
Findings brief examining rural patients' access to rehabilitation and skilled nursing care, using claims data from January 2013 through March 2014. Features statistics including numbers of patient days and discharges and average length of stay, with breakdowns by type and location of facility and type of care.
Author(s): Alex R. Schulte, Denise A. Kirk, Randy K. Randolph, George H. Pink
Date: 04/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief examining rural patients' access to rehabilitation and skilled nursing care, using claims data from January 2013 through March 2014. Features statistics including numbers of patient days and discharges and average length of stay, with breakdowns by type and location of facility and type of care.
Author(s): Alex R. Schulte, Denise A. Kirk, Randy K. Randolph, George H. Pink
Date: 04/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Atmore Community Hospital: Consistent Implementation Leads to Results
Describes the success of Atmore Community Hospital, located in Atmore, Alabama, after participating in the Small Rural Hospital Transition project. During the project, the 49-bed short-term acute care hospital focused on maximizing the influence from leadership rounds, increasing marketing to communicate accomplishments to the community, and tracking patient satisfaction scores to improve clinic operations.
Date: 04/2018
Sponsoring organization: National Rural Health Resource Center
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Describes the success of Atmore Community Hospital, located in Atmore, Alabama, after participating in the Small Rural Hospital Transition project. During the project, the 49-bed short-term acute care hospital focused on maximizing the influence from leadership rounds, increasing marketing to communicate accomplishments to the community, and tracking patient satisfaction scores to improve clinic operations.
Date: 04/2018
Sponsoring organization: National Rural Health Resource Center
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Critical Access Hospital Swing-Bed Quality Measures: Findings from Key Informant Interviews
Results of a study to examine how Critical Access Hospitals (CAHs) are assessing the quality of care given to swing bed patients. Uses data from interviews with representatives from CAH networks, consultants, and staff members responsible for swing bed services at 10 CAHs and 2 rural PPS hospitals in 10 states.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 04/2018
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a study to examine how Critical Access Hospitals (CAHs) are assessing the quality of care given to swing bed patients. Uses data from interviews with representatives from CAH networks, consultants, and staff members responsible for swing bed services at 10 CAHs and 2 rural PPS hospitals in 10 states.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 04/2018
Sponsoring organization: University of Minnesota Rural Health Research Center
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Promising Practice: Michigan Center for Rural Health Plays Unique Role in Hospital Quality Improvement
Details the unique role the Michigan Center for Rural Health (MCRH) plays as a liaison between the state's 21 Critical Access Hospitals (CAHs) and the Michigan Hospital Association (MHA) to facilitate quality of care, reduce patient readmission rates, and improve patient safety throughout the state.
Author(s): Beth Blevins
Date: 03/2018
Sponsoring organization: National Organization of State Offices of Rural Health
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Details the unique role the Michigan Center for Rural Health (MCRH) plays as a liaison between the state's 21 Critical Access Hospitals (CAHs) and the Michigan Hospital Association (MHA) to facilitate quality of care, reduce patient readmission rates, and improve patient safety throughout the state.
Author(s): Beth Blevins
Date: 03/2018
Sponsoring organization: National Organization of State Offices of Rural Health
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Illinois Rural Community Care Organization – Princeton, IL: Statewide Rural Accountable Care Organization
Provides an overview of the work and impact of the Illinois Rural Community Care Organization (IRCCO), a Medicare shared savings Accountable Care Organization (ACO). IRCCO includes 24 Critical Access Hospitals and rural hospitals and associated physician practices and clinics.
Date: 03/2018
Sponsoring organization: American Hospital Association
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Provides an overview of the work and impact of the Illinois Rural Community Care Organization (IRCCO), a Medicare shared savings Accountable Care Organization (ACO). IRCCO includes 24 Critical Access Hospitals and rural hospitals and associated physician practices and clinics.
Date: 03/2018
Sponsoring organization: American Hospital Association
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Geographic Variation in the 2016 Profitability of Urban and Rural Hospitals
Findings brief describing differences in profitability of Critical Access Hospitals, other rural hospitals, and urban Prospective Payment Systems hospitals, with breakdowns by census region, census division, and state.
Author(s): George H. Pink, Kristie Thompson, H. Ann Howard, Mark Holmes
Date: 03/2018
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief describing differences in profitability of Critical Access Hospitals, other rural hospitals, and urban Prospective Payment Systems hospitals, with breakdowns by census region, census division, and state.
Author(s): George H. Pink, Kristie Thompson, H. Ann Howard, Mark Holmes
Date: 03/2018
Sponsoring organization: North Carolina Rural Health Research Program
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