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Rural Health
Resources by Topic: Hospitals

Geographic Differences in Potentially Preventable Readmission Rates in Rural and Urban Hospitals
Presents results from a study that estimated potentially preventable hospital readmissions (PPRs) in three types of acute care hospitals: urban prospective payment system (PPS) hospitals, rural PPS hospitals, and Critical Access Hospitals (CAHs). Focuses on rural/urban differences and whether patient demographics or health condition severity affects PPR rates.
Author(s): Marilyn G. Klug, Alana Knudson, Kyle Muus
Date: 11/2010
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Emergency Department Visits for Adults in Community Hospitals, 2008
Uses statistics from the 2008 Nationwide Emergency Department Sample to analyze rates of emergency room visits. Compares data by demographics, acute vs. chronic care, rural vs. urban, high-income vs. low-income, and admissions vs. treat-and-release.
Author(s): Pamela L. Owens, Ryan Mutter
Date: 11/2010
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Factors Influencing Rural Residents' Utilization of Urban Hospitals
Examines which patient, hospital, and county characteristics influence rural residents' use of urban hospitals.
Author(s): Margaret Jean Hall, Jill Marsteller, Maria Owings
Date: 11/2010
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Critical Access Hospital Replacement Process: The Manual
Describes the facility replacement process, including the phases, actions, and involved parties that are needed. Offers guidance on the facility replacement process, including assessing the Critical Access Hospital's physical and financial situation, gaining community support, identifying and obtaining financing, working with lenders and Federal enhancement programs, and completing the design and construction process.
Date: 10/2010
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Critical Access Hospital Replacement Process: The Roadmap
Provides a visual overview of the entire facility replacement process. Divided into four phases including Planning, Design and Financing, Endorsement, and Construction. Each phase is further described by events, actions, duration, costs/fees, and involved parties.
Date: 10/2010
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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The Impact of Freestanding Ambulatory Surgery Centers on Rural Community Hospital Performance, 1997–2006
Describes the impact of ambulatory surgery centers (ASCs) on rural hospital markets. Includes a comparison of urban and rural freestanding ASC services.
Additional links: Policy Brief
Author(s): Walter Gregg, Douglas Wholey, Ira Moscovice
Date: 10/2010
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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A Comparison of Rural Hospitals with Special Medicare Payment Provisions to Urban and Rural Hospitals Paid Under Prospective Payment
Compares the financial performance and condition of rural hospitals with special Medicare payment provisions - Critical Access Hospitals (CAHs), Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), and Rural Referral Centers (RRCs) - to urban and rural hospitals paid under prospective payment.
Additional links: Findings Brief: A Financial Comparison of Rural Hospitals With Special Medicare Payment Provisions to Hospitals Paid Under Prospective Payment, 4/2010, Findings Brief: Profitability of Rural Hospitals Paid Under Prospective Payment Compared to Rural Hospitals with Special Medicare Payment Provisions, 9/2010
Author(s): G. Mark Holmes, George H. Pink, Sarah A. Friedman, Hilda A. Howard
Date: 08/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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A National View of Rural Health Workforce Issues in the USA
Findings from a nationwide survey of rural hospital chief executive officers (CEOs). Topics addressed include their assessments of health workforce shortages and perceptions about factors influencing recruitment and retention.
Author(s): MacDowell M., Glasser M., Fitts M., Nielsen K., Hunsaker M.
Citation: Rural and Remote Health, 10(3), 1531
Date: 07/2010
Type: Document
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Is Your Hospital's Board Prepared to Govern? Rural Acute Care Hospital Boards of Directors: Education and Development Needed
Examines the structural, leadership, and educational needs of rural hospital boards, as viewed by rural hospital board chairs and chief executive officers (CEOs).
Additional links: Fact Sheet
Author(s): Janice C. Probst, Royce Adams, Amy B. Martin
Date: 06/2010
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Patient Assessments and Quality of Care in Rural Hospitals
Analyzes the relationships between rural patients' perspectives of hospital quality of care and key hospital characteristics that may influence patients' experiences of hospital care. Includes some breakdowns for Critical Access Hospitals (CAHs). Uses data from the Consumer Assessment of Health Providers and Systems (HCAHPS) survey.
Additional links: Policy Brief
Author(s): Michelle M. Casey, Gestur Davidson
Date: 06/2010
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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