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Rural Health
Resources by Topic: Hospitals

Exploring the Community Impact of Critical Access Hospitals
Reports on a series of site visits to six diverse rural communities and Critical Access Hospitals (CAHs) to assess the experiences and impact of these hospitals in responding to their community's health infrastructure needs.
Additional links: Policy Brief: The Community Impact of Critical Access Hospitals, February 2007
Author(s): John Gale, Andrew Coburn, Walt Gregg, Rebecca Slifkin, Victoria Freeman
Date: 01/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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340B Drug Pricing Program: Results of a Survey of Eligible but Non-Participating Rural Hospitals
Summarizes the results of a survey of pharmacy directors at rural hospitals eligible to participate in the 340B program but identified as not participating at the time of the survey. Examines why rural hospitals eligible for the program were not participating and if there were barriers to participation.
Author(s): Andrea Radford, Rebecca Slifkin, Marianne Baernholdt, Claudia Schur, Karen Cheung
Date: 01/2007
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, North Carolina Rural Health Research Program
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Partnering to Achieve Rural Emergency Preparedness: A Workbook for Healthcare Providers in Rural Communities
Provides a tool to help Rural Health Clinics (RHCs), community health centers, migrant health centers, and hospitals develop effective community emergency preparedness plans. Encourages a collaborative approach with coordination between community leaders and healthcare facilities.
Author(s): Texas A&M Health Science Center School of Public Health
Date: 2007
Type: Document
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Future of Emergency Care Series: Hospital-Based Emergency Care: At the Breaking Point
Part three in a series of three reports from the Committee on the Future of Emergency Care in the United States Health System. Examines hospital-based emergency and trauma care. Includes information on issues facing rural hospitals related to emergency care and the emergency care workforce.
Additional links: Read Online
Date: 2007
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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MedPAC Report to the Congress: Rural Payment Provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Examines the impact of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) provisions on rural hospital payments. Present the effect of eight MMA provisions on Medicare inpatient and outpatient payments to traditional (non-CAH) hospitals. Summarizes the MMA changes to Critical Access Hospital (CAH) payment policies discussed in MedPAC's interim report. Examines the effects of higher payments on hospital costs.
Date: 12/2006
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Impact of Conversion to Critical Access Hospital Status on Hospital Financial Performance and Condition
Policy brief analyzing financial ratios associated with Critical Access Hospitals' profitability, liquidity, and capital structure.
Author(s): Mark Holmes, George H. Pink, Rebecca T. Slifkin
Date: 11/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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The Implementation of Pay-For-Performance in Rural Hospitals: Lessons from the Hospital Quality Incentive Demonstration Project
Reports the findings of a national study designed to identify institutional, organizational, and environmental factors that influence the experience of rural hospitals in the Hospital Quality Incentive Demonstration Project.
Author(s): Walter Gregg, Ira Moscovice, Denise Remus
Date: 09/2006
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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A Primer on the Occupational Mix Adjustment to the Medicare Hospital Wage Index
Focuses on the occupational mix adjustment (OMA) to the labor-related share in the hospital inpatient prospective payment system. Explains what the OMA is, why it is needed, and how it has been calculated. Discusses reasons the effect of the OMA has been less than some rural advocates anticipated.
Author(s): Kristin Reiter, Rebecca Slifkin, Mark Holmes
Date: 09/2006
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Quality and Performance Improvement Grant Activities Under the Flex Program
Describes quality and performance improvement activities proposed by states during the 2005 grant year under the Medicare Rural Health Flexibility Program (Flex Program).
Date: 08/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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The Current Status of Health Information Technology Use in CAHs
Examines the use of health information technology (HIT) in Critical Access Hospitals (CAHs). Includes information on HIT infrastructure and the computerization of different functions within CAHs.
Author(s): Michelle Casey, Jill Klingner, Walt Gregg, et al.
Date: 05/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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