Rural Health
Resources by Topic: Hospitals
Health Information Technology in the United States, 2015: Transition to a Post-HITECH World
Reports on health information technology (HIT) adoption over an 8-year period, and includes the results of programs supported by the HITECH Act. Exhibit 19 provides information on adoption of electronic health records (EHRs) and achievement of meaningful use for rural hospitals, Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), and others who received technical assistance from the Regional Extension Centers.
Date: 2015
Sponsoring organization: Robert Wood Johnson Foundation
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Reports on health information technology (HIT) adoption over an 8-year period, and includes the results of programs supported by the HITECH Act. Exhibit 19 provides information on adoption of electronic health records (EHRs) and achievement of meaningful use for rural hospitals, Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), and others who received technical assistance from the Regional Extension Centers.
Date: 2015
Sponsoring organization: Robert Wood Johnson Foundation
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Meaningful Use Attestations Among U.S. Hospitals: The Growing Rural-Urban Divide
Provides an analysis of the Electronic Health Record Incentive Program adoption in metropolitan, micropolitan, and rural hospitals in the U.S. Compares rural and urban hospitals that were attesting to meaningful use and receiving federal incentive payments.
Author(s): Ryan H. Sandefer, David T. Marc, Paul Kleeberg
Citation: Perspectives in Health Information Management, 2015 (Spring), 1-10
Date: 2015
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Provides an analysis of the Electronic Health Record Incentive Program adoption in metropolitan, micropolitan, and rural hospitals in the U.S. Compares rural and urban hospitals that were attesting to meaningful use and receiving federal incentive payments.
Author(s): Ryan H. Sandefer, David T. Marc, Paul Kleeberg
Citation: Perspectives in Health Information Management, 2015 (Spring), 1-10
Date: 2015
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Utilization of Intensive Care Services, 2011
Provides data on utilization of intensive care services across 29 states. Table 3 provides information on ICU utilization by hospital characteristics, including metropolitan or nonmetropolitan location and hospital designation (Critical Access or teaching).
Author(s): Marguerite L. Barrett, Mark W. Smith, Anne Elixhauser, Leah S. Honigman, Jesse M. Pines
Date: 12/2014
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides data on utilization of intensive care services across 29 states. Table 3 provides information on ICU utilization by hospital characteristics, including metropolitan or nonmetropolitan location and hospital designation (Critical Access or teaching).
Author(s): Marguerite L. Barrett, Mark W. Smith, Anne Elixhauser, Leah S. Honigman, Jesse M. Pines
Date: 12/2014
Sponsoring organization: Agency for Healthcare Research and Quality
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The Obstetric Care Workforce in Critical Access Hospitals (CAHs) and Rural Non-CAHs
Examines current obstetric practice models in Critical Access Hospitals (CAHs) and other rural hospitals to understand obstetric care services and obstetric workforce issues. Reports on the types of clinicians providing obstetric care in rural hospitals, including obstetricians, family physicians, certified nurse midwives, and general surgeons.
Author(s): Katy Kozhimannil, Michelle Casey, Peiyin Hung, Shailendra Prasad, Ira Moscovice
Date: 11/2014
Sponsoring organization: University of Minnesota Rural Health Research Center
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Examines current obstetric practice models in Critical Access Hospitals (CAHs) and other rural hospitals to understand obstetric care services and obstetric workforce issues. Reports on the types of clinicians providing obstetric care in rural hospitals, including obstetricians, family physicians, certified nurse midwives, and general surgeons.
Author(s): Katy Kozhimannil, Michelle Casey, Peiyin Hung, Shailendra Prasad, Ira Moscovice
Date: 11/2014
Sponsoring organization: University of Minnesota Rural Health Research Center
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Successful Health Insurance Outreach, Education, and Enrollment Strategies for Rural Hospitals
Shares best practices for hospitals to use in health insurance outreach and enrollment efforts based on interviews with administrators, staff, and community representatives at 11 small rural hospitals in 9 states. Also discusses certified application counselors, who help individuals enroll in health insurance, and the importance of using collaborative community partnerships to conduct insurance enrollment outreach and education.
Author(s): Walter Gregg, Alex Evenson, Adeniyi Togun
Date: 11/2014
Sponsoring organization: University of Minnesota Rural Health Research Center
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Shares best practices for hospitals to use in health insurance outreach and enrollment efforts based on interviews with administrators, staff, and community representatives at 11 small rural hospitals in 9 states. Also discusses certified application counselors, who help individuals enroll in health insurance, and the importance of using collaborative community partnerships to conduct insurance enrollment outreach and education.
Author(s): Walter Gregg, Alex Evenson, Adeniyi Togun
Date: 11/2014
Sponsoring organization: University of Minnesota Rural Health Research Center
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A Retrospective Evaluation of Remote Pharmacist Interventions in a Telepharmacy Service Model Using a Conceptual Framework
Examines a telepharmacy service in Nebraska using a conceptual framework to compare documented telepharmacy interventions by year, hospital, and remote pharmacist and across rural hospitals with or without an on-site pharmacist. Includes data on rural hospitals using the telepharmacy service, levels and categories for care interventions, and the documented telepharmacy interventions.
Author(s): Jayashri Sankaranarayanan, Lori J. Murante, Lisa M. Moffett
Citation: Telemedicine Journal and e-Health, 20(10), 893-901
Date: 10/2014
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Examines a telepharmacy service in Nebraska using a conceptual framework to compare documented telepharmacy interventions by year, hospital, and remote pharmacist and across rural hospitals with or without an on-site pharmacist. Includes data on rural hospitals using the telepharmacy service, levels and categories for care interventions, and the documented telepharmacy interventions.
Author(s): Jayashri Sankaranarayanan, Lori J. Murante, Lisa M. Moffett
Citation: Telemedicine Journal and e-Health, 20(10), 893-901
Date: 10/2014
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Characteristics of Medicaid and Uninsured Hospitalizations, 2012
Provides data on hospital stays in 2012 where the payer was Medicaid or the patient was uninsured. Table 2 provides data on rural versus urban hospitals and Table 3 provides data for patients who were residents of rural areas.
Author(s): Lorena Lopez-Gonzalez, Gary T. Pickens, Raynard Washington, Audrey J. Weiss
Date: 10/2014
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides data on hospital stays in 2012 where the payer was Medicaid or the patient was uninsured. Table 2 provides data on rural versus urban hospitals and Table 3 provides data for patients who were residents of rural areas.
Author(s): Lorena Lopez-Gonzalez, Gary T. Pickens, Raynard Washington, Audrey J. Weiss
Date: 10/2014
Sponsoring organization: Agency for Healthcare Research and Quality
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Does Rurality Affect Observation Care Services Use in CAHs for Medicare Beneficiaries?
Describes the use of observation services across levels of rurality by Medicare beneficiaries in Critical Access Hospitals (CAHs), the demographics and health status of patients receiving these services, and the characteristics of their observation stays.
Author(s): Yvonne Jonk, Heidi O'Connor, Walter Gregg
Date: 10/2014
Sponsoring organization: University of Minnesota Rural Health Research Center
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Describes the use of observation services across levels of rurality by Medicare beneficiaries in Critical Access Hospitals (CAHs), the demographics and health status of patients receiving these services, and the characteristics of their observation stays.
Author(s): Yvonne Jonk, Heidi O'Connor, Walter Gregg
Date: 10/2014
Sponsoring organization: University of Minnesota Rural Health Research Center
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Observation Care Services for Medicare Beneficiaries in Rural Hospitals: Policy Issues and Stakeholder Perspectives
Seeks to provide a greater understanding of rural-specific issues surrounding hospital outpatient observation status and the related implications for rural hospitals, skilled nursing facilities (SNFs), and Medicare beneficiaries. Results are based on a multi-state, qualitative analysis of input from three respondent groups: state hospital associations, long-term care ombudsman offices, and Quality Improvement Organizations (QIOs). Analysis focuses on the use of observation status by Medicare beneficiaries from 2010-2013.
Author(s): Walter Gregg, Samantha Mills, Yvonne Jonk
Date: 10/2014
Sponsoring organization: University of Minnesota Rural Health Research Center
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Seeks to provide a greater understanding of rural-specific issues surrounding hospital outpatient observation status and the related implications for rural hospitals, skilled nursing facilities (SNFs), and Medicare beneficiaries. Results are based on a multi-state, qualitative analysis of input from three respondent groups: state hospital associations, long-term care ombudsman offices, and Quality Improvement Organizations (QIOs). Analysis focuses on the use of observation status by Medicare beneficiaries from 2010-2013.
Author(s): Walter Gregg, Samantha Mills, Yvonne Jonk
Date: 10/2014
Sponsoring organization: University of Minnesota Rural Health Research Center
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Medicare Beneficiaries Paid Nearly Half of the Costs for Outpatient Services at Critical Access Hospitals
Compares the system Medicare used to calculate outpatient coinsurance amounts for patients who receive services at Critical Access Hospitals (CAHs) with the system used for acute-care hospital patients. Recommends that the Centers for Medicare and Medicaid Services seek legislative authority to modify the coinsurance calculation.
Date: 10/2014
Sponsoring organization: Office of Inspector General (HHS)
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Compares the system Medicare used to calculate outpatient coinsurance amounts for patients who receive services at Critical Access Hospitals (CAHs) with the system used for acute-care hospital patients. Recommends that the Centers for Medicare and Medicaid Services seek legislative authority to modify the coinsurance calculation.
Date: 10/2014
Sponsoring organization: Office of Inspector General (HHS)
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