Rural Health
Resources by Topic: Hospitals
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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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: Remote Care & 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: Remote Care & 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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Population Health Strategies of Critical Access Hospitals
Provides examples of population health strategies developed by Critical Access Hospitals (CAHs) from 8 different rural communities that have significantly contributed to the improvement of population health and the health of their community.
Author(s): John Gale, Andrew Coburn, Karen Pearson, Zachariah Croll, George Shaler
Date: 08/2016
Sponsoring organization: Flex Monitoring Team
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Provides examples of population health strategies developed by Critical Access Hospitals (CAHs) from 8 different rural communities that have significantly contributed to the improvement of population health and the health of their community.
Author(s): John Gale, Andrew Coburn, Karen Pearson, Zachariah Croll, George Shaler
Date: 08/2016
Sponsoring organization: Flex Monitoring Team
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Medicaid Outpatient Payment Policy
Provides an overview of Medicaid payment policies for outpatient hospital services. Attached Excel sheet includes details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Outpatient Hospital Services
Date: 07/2016
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of Medicaid payment policies for outpatient hospital services. Attached Excel sheet includes details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Outpatient Hospital Services
Date: 07/2016
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Alternative Models to Preserving Access to Emergency Care
Explores proposals for maintaining timely access to emergency and other basic healthcare services in rural communities that may not be able to support a full-service hospital, including frontier extended stay clinics and freestanding emergency departments. Identifies models of care and various ideologies for the Secretary and the Department of Health and Human Services to consider when evaluating policy options.
Date: 07/2016
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Explores proposals for maintaining timely access to emergency and other basic healthcare services in rural communities that may not be able to support a full-service hospital, including frontier extended stay clinics and freestanding emergency departments. Identifies models of care and various ideologies for the Secretary and the Department of Health and Human Services to consider when evaluating policy options.
Date: 07/2016
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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APNP Hospitalists: Sustainability of Rural Hospitals
Video of a meeting at Rusk County Memorial Hospital in Ladysmith, Wisconsin. Includes discussion on how Advanced Practice Nurse Prescriber Hospitalists can help to sustain rural hospitals as a solution to workforce challenges. Hosted by Charisse Oland, CEO, Rusk County Memorial Hospital. Length: 3:41:21
Date: 07/2016
Sponsoring organization: Rural Wisconsin Health Cooperative
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Video of a meeting at Rusk County Memorial Hospital in Ladysmith, Wisconsin. Includes discussion on how Advanced Practice Nurse Prescriber Hospitalists can help to sustain rural hospitals as a solution to workforce challenges. Hosted by Charisse Oland, CEO, Rusk County Memorial Hospital. Length: 3:41:21
Date: 07/2016
Sponsoring organization: Rural Wisconsin Health Cooperative
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