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Rural Health
Resources by Topic: Hospitals

Geographic Adjustment in Medicare Payment Phase I: Improving Accuracy, Second Edition
Report brief that expands on recommendations made in an earlier report for improving how the Medicare program calculates geographic practice cost indexes that result in payments to hospitals, physicians, and other clinical practitioners based on their geographic locations.
Additional links: Read Online
Date: 2012
Type: Document
Sponsoring organization: Institute of Medicine
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Medicare Copayments for Critical Access Hospital Outpatient Services - 2009 Update
Discusses the impact of Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals.
Author(s): Sara Freeman, Kathleen Dalton
Date: 12/2011
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Evidence-Based Falls Prevention in Critical Access Hospitals
Identifies and assesses evidence-based patient safety and quality improvement interventions for state Flex Programs and Critical Access Hospitals to help them implement falls prevention programs.
Author(s): Karen B. Pearson, Andrew F. Coburn
Date: 12/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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2011 National EMS Assessment
Provides a comprehensive description of emergency medical services (EMS), EMS emergency preparedness, and 911 systems at state and national levels. Chapters 9, 10, 158, and 194 discuss rural EMS, including rural status, rural patient transports, and Critical Access Hospitals.
Author(s): Greg Mears, Beth Armstrong, Antonio R. Fernandez, et al.
Date: 12/2011
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Effect of Swing Bed Use on Medicare Average Daily Cost and Reimbursement in Critical Access Hospitals
Estimates the average net cost to Medicare of a skilled nursing facility swing day by simulating the elimination of all Medicare skilled nursing facility swing bed days in Critical Access Hospitals in 2009.
Author(s): Kristin L. Reiter, George M. Holmes, George H. Pink, Victoria A. Freeman
Date: 12/2011
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Hospital Ownership: Medical Service Provision, Market Mix, and Spillover Effects
Compares nonprofit, for-profit, and government-owned rural hospitals and the effect of ownership on the services offered.
Author(s): Jill R. Horwitz, Austin Nichols
Citation: Health Services Research, 46(5), 1452-1472
Date: 10/2011
Type: Document
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Rural-Urban Disparities in Child Abuse Management Resources in the Emergency Department
Outlines rural and urban differences in Oregon concerning child abuse management in emergency departments by merging survey and hospital-level data.
Author(s): Esther K. Choo, David M. Spiro, Robert A. Lowe, et al.
Citation: Journal of Rural Health, 26(4), 361-365
Date: 10/2011
Type: Document
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Developing Regional STEMI Systems of Care: A Review of the Evidence and the Role of the Flex Program
Discusses the evidence base for the development of regional systems of care for patients presenting with ST-segment elevation myocardial infarction (STEMI). Places special emphasis on the role of Critical Access Hospitals (CAHs) and emergency medical services (EMS) providers, and is designed to act as a guide for State Flex Programs as they develop these local and regional systems of care.
Author(s): John A. Gale
Date: 10/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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Value-Based Purchasing Demonstrations for Critical Access and Small PPS Hospitals
White paper discussing the expanded quality reporting programs for Critical Access Hospitals (CAHs) and hospitals excluded from the inpatient Value-Based Purchasing (VBP) program due to a low number of cases. Includes recommendations to the Secretary of Health and Human Services on the rural implications from the Affordable Care Act (ACA) provision on inpatient hospital VBP program.
Date: 09/2011
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Will Bundling Work in Rural America? Analysis of the Feasibility and Consequences of Bundled Payments for Rural Health Providers and Patients
Assesses how bundled payments may affect both healthcare quality and access among rural providers, and explains the financial and operational challenges associated with implementing bundled payments in low-volume providers such as Critical Access Hospitals (CAHs).
Author(s): Robert Town, Walter Gregg, Ira Moscovice, Shailendra Prasad, Jill Klingner
Date: 09/2011
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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