Rural Health
Resources by Topic: Hospitals
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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Task Force on Ensuring Access in Vulnerable Communities
Report from a task force created by the American Hospital Association (AHA) charged with identifying access-related challenges facing vulnerable communities and examining ways in which hospitals can ensure access is maintained. Includes sections identifying characteristics of vulnerable rural and underserved communities, essential healthcare services to be maintained, emerging strategies, barriers to implementation, policy and advocacy issues, and more. Includes examples of emerging strategies and best practices from around the U.S.
Additional links: Executive Summary, Rural Chart Pack, Video
Date: 11/2016
Sponsoring organization: American Hospital Association
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Report from a task force created by the American Hospital Association (AHA) charged with identifying access-related challenges facing vulnerable communities and examining ways in which hospitals can ensure access is maintained. Includes sections identifying characteristics of vulnerable rural and underserved communities, essential healthcare services to be maintained, emerging strategies, barriers to implementation, policy and advocacy issues, and more. Includes examples of emerging strategies and best practices from around the U.S.
Additional links: Executive Summary, Rural Chart Pack, Video
Date: 11/2016
Sponsoring organization: American Hospital Association
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Freestanding Emergency Departments: An Alternative Model for Rural Communities
Describes the freestanding emergency department (FSED) model as an option for rural communities that can no longer support inpatient services. Looks at both hospital-based and independent FSEDs, examines financial viability of the model, and features rural FSEDs in Illinois and Arizona.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2016
Sponsoring organization: Rural Health Information Hub
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Describes the freestanding emergency department (FSED) model as an option for rural communities that can no longer support inpatient services. Looks at both hospital-based and independent FSEDs, examines financial viability of the model, and features rural FSEDs in Illinois and Arizona.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2016
Sponsoring organization: Rural Health Information Hub
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Reassessing Financial Peer Groups for Critical Access Hospitals
Policy brief analyzing the influence of hospital, geographic, and community characteristics on the financial performance and conditions of Critical Access Hospitals (CAHs). Discusses the current factors of net patient revenue, government ownership, provision of long-term care, and operation of a Rural Health Clinic (RHC), which are used to determine peer groups for the Critical Access Hospital Financial Indicators Report (CAHFIR).
Author(s): Walter L. Hawkins, Kristin L. Reiter, George H. Pink
Date: 11/2016
Sponsoring organization: Flex Monitoring Team
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Policy brief analyzing the influence of hospital, geographic, and community characteristics on the financial performance and conditions of Critical Access Hospitals (CAHs). Discusses the current factors of net patient revenue, government ownership, provision of long-term care, and operation of a Rural Health Clinic (RHC), which are used to determine peer groups for the Critical Access Hospital Financial Indicators Report (CAHFIR).
Author(s): Walter L. Hawkins, Kristin L. Reiter, George H. Pink
Date: 11/2016
Sponsoring organization: Flex Monitoring Team
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Pennsylvania Mobile Team Addresses Substance Use Disorders
Features the Addiction Recovery Mobile Outreach Team (ARMOT) program, which supports patients in the recovery process and educates medical staff on addiction and recovery. ARMOT is a collaboration of three hospitals, two substance abuse providers, and the Armstrong-Indiana-Clarion Drug and Alcohol Commission.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2016
Sponsoring organization: Rural Health Information Hub
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Features the Addiction Recovery Mobile Outreach Team (ARMOT) program, which supports patients in the recovery process and educates medical staff on addiction and recovery. ARMOT is a collaboration of three hospitals, two substance abuse providers, and the Armstrong-Indiana-Clarion Drug and Alcohol Commission.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2016
Sponsoring organization: Rural Health Information Hub
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Early Elective Delivery and Vaginal Birth After Cesarean in Rural US Maternity Hospitals
Results of a telephone survey of 263 rural hospitals in nine states, describing policies related to early elective delivery and vaginal birth after cesarean procedures. Includes statistics with breakdowns by birth volume, types and numbers of clinicians delivering babies, and types of operating rooms for cesareans.
Author(s): Demetra Heinrich, Rachel Vogel, Katy Kozhimannil
Citation: Rural and Remote Health, 16(4), 3956
Date: 11/2016
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Results of a telephone survey of 263 rural hospitals in nine states, describing policies related to early elective delivery and vaginal birth after cesarean procedures. Includes statistics with breakdowns by birth volume, types and numbers of clinicians delivering babies, and types of operating rooms for cesareans.
Author(s): Demetra Heinrich, Rachel Vogel, Katy Kozhimannil
Citation: Rural and Remote Health, 16(4), 3956
Date: 11/2016
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Emergency Department Telemedicine Is Used for More Severely Injured Rural Trauma Patients, but Does Not Decrease Transfer: A Cohort Study
Examines the use of telemedicine consultation in Critical Access Hospital (CAH) emergency departments in North Dakota. Focuses on whether telemedicine was used more frequently based on severity of injury or illness and whether telemedicine use decreased hospital transfers.
Author(s): Nicholas M. Mohr, Karisa K. Harland, Elizabeth A. Chrischilles, et al.
Citation: Academic Emergency Medicine, 24(2), 177-185
Date: 10/2016
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Examines the use of telemedicine consultation in Critical Access Hospital (CAH) emergency departments in North Dakota. Focuses on whether telemedicine was used more frequently based on severity of injury or illness and whether telemedicine use decreased hospital transfers.
Author(s): Nicholas M. Mohr, Karisa K. Harland, Elizabeth A. Chrischilles, et al.
Citation: Academic Emergency Medicine, 24(2), 177-185
Date: 10/2016
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Trends in Hospital Inpatient Drug Costs: Issues and Challenges
Examines recent increases in inpatient drug prices and presents trends in hospital inpatient drug prices and spending. Discusses how drug prices affect hospitals' ability to manage the overall cost of patient care. Analysis use information from several types of hospitals, including rural hospitals, and focuses on price changes between fiscal years 2013-2015.
Date: 10/2016
Sponsoring organizations: American Hospital Association, Federation of American Hospitals, NORC at the University of Chicago
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Examines recent increases in inpatient drug prices and presents trends in hospital inpatient drug prices and spending. Discusses how drug prices affect hospitals' ability to manage the overall cost of patient care. Analysis use information from several types of hospitals, including rural hospitals, and focuses on price changes between fiscal years 2013-2015.
Date: 10/2016
Sponsoring organizations: American Hospital Association, Federation of American Hospitals, NORC at the University of Chicago
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Union General Hospital "It's a Girl Thing: Making Proud Choices"
Outlines Union General Hospital's "It's a Girl Thing: Making Proud Choices" program, which seeks to curb sexually transmitted diseases and teenage pregnancy in Farmerville, Louisiana. The program focuses on educating high school girls on topics such as self-esteem, dating and violence, finances, the consequences of teen pregnancy, and more. Also includes a brief discussion with one of the program developers.
Date: 10/2016
Sponsoring organization: National Rural Health Resource Center
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Outlines Union General Hospital's "It's a Girl Thing: Making Proud Choices" program, which seeks to curb sexually transmitted diseases and teenage pregnancy in Farmerville, Louisiana. The program focuses on educating high school girls on topics such as self-esteem, dating and violence, finances, the consequences of teen pregnancy, and more. Also includes a brief discussion with one of the program developers.
Date: 10/2016
Sponsoring organization: National Rural Health Resource Center
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Economic Impact of a Critical Access Hospital on a Rural Community
Estimates the economic impact of a Critical Access Hospital (CAH) on a rural community. Uses data collected from 2012 to 2016, representing 91 CAHs across 18 states. Discusses direct impacts, such as employee wages and benefits, as well as secondary benefits such as construction activity and retail spending.
Author(s): Gerald A. Doeksen, Cheryl F. St. Clair, Fred C. Eilrich
Date: 10/2016
Sponsoring organization: National Center for Rural Health Works
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Estimates the economic impact of a Critical Access Hospital (CAH) on a rural community. Uses data collected from 2012 to 2016, representing 91 CAHs across 18 states. Discusses direct impacts, such as employee wages and benefits, as well as secondary benefits such as construction activity and retail spending.
Author(s): Gerald A. Doeksen, Cheryl F. St. Clair, Fred C. Eilrich
Date: 10/2016
Sponsoring organization: National Center for Rural Health Works
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