Rural Health
Resources by Topic: Hospitals
Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care
Explores concerns about inadequate healthcare quality provided in Indian Health Service (IHS) hospitals. Makes recommendations for implementing several oversight measures and identifies problem areas that will need to be addressed in order to improve healthcare quality in IHS hospitals. See companion report: Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care. Focuses on challenges related to quality reporting, Area Office vacancies, and health information technology.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Explores concerns about inadequate healthcare quality provided in Indian Health Service (IHS) hospitals. Makes recommendations for implementing several oversight measures and identifies problem areas that will need to be addressed in order to improve healthcare quality in IHS hospitals. See companion report: Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care. Focuses on challenges related to quality reporting, Area Office vacancies, and health information technology.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Trends in Risk of Financial Distress among Rural Hospitals
Illustrates the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) payment type for the 2013-2016 period.
Author(s): Brystana G. Kaufman, Randy Randolph, George H. Pink, Mark Holmes
Date: 10/2016
Sponsoring organization: North Carolina Rural Health Research Program
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Illustrates the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) payment type for the 2013-2016 period.
Author(s): Brystana G. Kaufman, Randy Randolph, George H. Pink, Mark Holmes
Date: 10/2016
Sponsoring organization: North Carolina Rural Health Research Program
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Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care
Study completed in response to concerns over inadequate quality of care being provided in Indian Health Service (IHS) hospitals. Included in the report are findings from a series of leadership and staff interviews, questionnaires, and document reviews. Recommendations for improving quality of care are made to IHS and the Office of the Secretary of Health and Human Services. Additional recommendations for improving quality through oversight measures can be found in the companion report: Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care Addresses healthcare access difficulties, health workforce challenges, and more.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Study completed in response to concerns over inadequate quality of care being provided in Indian Health Service (IHS) hospitals. Included in the report are findings from a series of leadership and staff interviews, questionnaires, and document reviews. Recommendations for improving quality of care are made to IHS and the Office of the Secretary of Health and Human Services. Additional recommendations for improving quality through oversight measures can be found in the companion report: Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care Addresses healthcare access difficulties, health workforce challenges, and more.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Task Force on Ensuring Access in Vulnerable Communities, Rural and Frontier: Executive Summary and Report
Reviews characteristics of South Dakota's rural and frontier communities. Identifies innovative healthcare delivery and payment models and makes state and federal policy recommendations to improve rural health. Highlights the importance of Critical Access Hospitals (CAHs). Linked map includes locations of South Dakota CAHs, Rural Health Clinics, and more.
Date: 09/2016
Sponsoring organization: South Dakota Association of Healthcare Organizations
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Reviews characteristics of South Dakota's rural and frontier communities. Identifies innovative healthcare delivery and payment models and makes state and federal policy recommendations to improve rural health. Highlights the importance of Critical Access Hospitals (CAHs). Linked map includes locations of South Dakota CAHs, Rural Health Clinics, and more.
Date: 09/2016
Sponsoring organization: South Dakota Association of Healthcare Organizations
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North Sunflower Medical Center Successfully Addressing Chronic Care Management
Documents North Sunflower Medical Center's (NSMC) progress as part of the Small Rural Hospital Transition (SRHT) project, particularly in the areas of discharge planning and follow-up, placing patients in the correct level of care, and chronic disease management. NSMC is a 25-bed Critical Access Hospital located in Ruleville, Mississippi.
Date: 09/2016
Sponsoring organization: National Rural Health Resource Center
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Documents North Sunflower Medical Center's (NSMC) progress as part of the Small Rural Hospital Transition (SRHT) project, particularly in the areas of discharge planning and follow-up, placing patients in the correct level of care, and chronic disease management. NSMC is a 25-bed Critical Access Hospital located in Ruleville, Mississippi.
Date: 09/2016
Sponsoring organization: National Rural Health Resource Center
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Patient, Hospital, and Local Health System Characteristics Associated With the Use of Observation Stays in Veterans Health Administration Hospitals, 2005 to 2012
Analyzes patient, hospital, and local healthcare system characteristics to determine the extent of their influence on the variation in the length of observation stays in Veterans Health Administration (VHA) hospitals. Includes breakdowns by Rural Urban Community Area (RUCA) categories.
Author(s): Brad Wright, Amy M.J. O'Shea, Justin M. Glasgow, Padmaja Ayyagari, Mary Vaughan-Sarrazin
Citation: Medicine (Baltimore), 95(36), e4802
Date: 09/2016
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Analyzes patient, hospital, and local healthcare system characteristics to determine the extent of their influence on the variation in the length of observation stays in Veterans Health Administration (VHA) hospitals. Includes breakdowns by Rural Urban Community Area (RUCA) categories.
Author(s): Brad Wright, Amy M.J. O'Shea, Justin M. Glasgow, Padmaja Ayyagari, Mary Vaughan-Sarrazin
Citation: Medicine (Baltimore), 95(36), e4802
Date: 09/2016
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Variation in the Rate of Cesarean Section Across U.S. Hospitals, 2013
Provides data on the rate of total and low-risk C-sections across U.S. hospitals in 2013, looking at variations in C-section rates by hospital characteristics. Figure 3 provides data for metropolitan, micropolitan, and rural hospitals.
Author(s): Kamila Mistry, Kathryn R. Fingar, Anne Elixhauser
Date: 09/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides data on the rate of total and low-risk C-sections across U.S. hospitals in 2013, looking at variations in C-section rates by hospital characteristics. Figure 3 provides data for metropolitan, micropolitan, and rural hospitals.
Author(s): Kamila Mistry, Kathryn R. Fingar, Anne Elixhauser
Date: 09/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Telemedicine Penetration and Consultation Among Rural Trauma Patients in Critical Access Hospital Emergency Departments in North Dakota
Discusses the use of telemedicine in rural Critical Access Hospital (CAH) emergency departments in North Dakota and how the availability of those services changed outcomes for trauma patients. Includes data and statistics regarding use.
Author(s): Nicholas M. Mohr, Karisa K. Harland, Elizabeth Chrischilles, et al.
Date: 09/2016
Sponsoring organization: Rural Telehealth Research Center
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Discusses the use of telemedicine in rural Critical Access Hospital (CAH) emergency departments in North Dakota and how the availability of those services changed outcomes for trauma patients. Includes data and statistics regarding use.
Author(s): Nicholas M. Mohr, Karisa K. Harland, Elizabeth Chrischilles, et al.
Date: 09/2016
Sponsoring organization: Rural Telehealth Research Center
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Why Are Obstetric Units in Rural Hospitals Closing Their Doors?
Examines factors associated with obstetric unit closure based on a mixed methods study of rural hospitals in 9 states between 2010 and 2014. Addresses hospital characteristics such as accreditation, ownership, and Critical Access Hospital status; distance to next closest hospital with obstetric services; and county-level characteristics including health workforce supply.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Ira S. Moscovice
Citation: Health Services Research, 51(4), 1546-1560
Date: 08/2016
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Examines factors associated with obstetric unit closure based on a mixed methods study of rural hospitals in 9 states between 2010 and 2014. Addresses hospital characteristics such as accreditation, ownership, and Critical Access Hospital status; distance to next closest hospital with obstetric services; and county-level characteristics including health workforce supply.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Ira S. Moscovice
Citation: Health Services Research, 51(4), 1546-1560
Date: 08/2016
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Surgical Care Improvement Project Measures among Rural and Urban Hospitals in West Virginia
Reviews data from the Centers for Medicare and Medicaid Services Surgical Care Improvement Project (SCIP) from 10 rural community hospitals in West Virginia to determine the quality of surgical care given by rural providers. Data reported was compared to a set of process measures demonstrating the rates of surgical morbidity and mortality, surgical site infections, and other complications following surgery.
Author(s): Yuya K. Kudo, Linda V. Davis, Dustin M. Long, John C. Honaker, Don K. Nakayama
Citation: American Surgeon, 82(1), E20-E22
Date: 08/2016
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Reviews data from the Centers for Medicare and Medicaid Services Surgical Care Improvement Project (SCIP) from 10 rural community hospitals in West Virginia to determine the quality of surgical care given by rural providers. Data reported was compared to a set of process measures demonstrating the rates of surgical morbidity and mortality, surgical site infections, and other complications following surgery.
Author(s): Yuya K. Kudo, Linda V. Davis, Dustin M. Long, John C. Honaker, Don K. Nakayama
Citation: American Surgeon, 82(1), E20-E22
Date: 08/2016
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