Rural Health
Resources by Topic: Hospitals

Balanced Scorecards for Small Rural Hospitals: Concept Overview and Implementation Guidance
Describes the process of implementing a Balanced Scorecard (BSC) initiative in a small rural hospital setting. Includes a Balanced Scorecard example. Lists common terminology with definitions.
Date: 2005
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Comparing Patient Safety in Rural Hospitals by Bed Count
Examines how patient safety rates, offered services, and patient mix vary by bed count among rural hospitals.
Author(s): Stephenie L. Loux, Susan M.C. Payne, Astrid Knott
Date: 2005
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Quality Improvement Activities in Critical Access Hospitals: Results of the 2004 National CAH Survey
Describes quality improvement efforts in Critical Access Hospitals (CAHs) based on a 2004 survey of 474 CAH administrators. Includes data on the use of clinical guidelines and quality measures in CAHs, and the role of Medicare Quality Improvement Organizations (QIOs).
Author(s): Michelle Casey, Ira Moscovice, Jill Klingner
Date: 09/2004
Type: Document
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospital Patient Safety Priorities and Initiatives: Results of the 2004 National CAH Survey
Describes patient safety activities at Critical Access Hospitals (CAHs) based on a 2004 survey of 474 CAH administrators. Includes information on patient safety priorities, challenges CAHs face in implementing patient safety interventions, and pharmacy staffing and computer systems to prevent medication errors.
Author(s): Michelle Casey, Ira Moscovice, Jill Klingner
Date: 09/2004
Type: Document
Sponsoring organization: Flex Monitoring Team
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Medicare: Information Needed to Assess Adequacy of Rate-Setting Methodology for Payments for Hospital Outpatient Services
Examines whether the outpatient prospective payment system (OPPS) rate-setting methodology results in payment rates that uniformly reflect hospitals' costs for providing drugs and devices. Includes information specific to rural hospitals and the OPPS.
Additional links: Full Report
Date: 09/2004
Type: Document
Sponsoring organization: Government Accountability Office
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2004 CAH Survey National Data
Presents key results from on a national telephone survey of 500 Critical Access Hospital (CAH) administrators between January and April 2004. Topics addressed include CAH scope of services and any changes in services during the previous two years; organizational relationships and their impact on CAH operations; quality improvement and patient safety activities; and community impact.
Author(s): Michelle Casey, Jill Klingner
Date: 08/2004
Type: Document
Sponsoring organization: Flex Monitoring Team
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Exploring the Impact of Medicare's Post-Acute Care Transfer Payment Policy on Rural Hospitals
Describes a change in Medicare post-acute transfer payment policy and its impact on rural and urban hospitals. Includes data on the financial impact and hospital discharge behavior before and after the change.
Author(s): Julie A. Schoenman
Date: 07/2004
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Rural Implications of Medicare's Post-Acute Care Transfer Payment Policy
Reports results of a study that examines the behavioral and financial impacts of a change in Medicare payment to pay acute-care hospital cases in 10 DRGs as transfers instead of discharges when the patient is discharged to a targeted post-acute care (PAC) provider after a short inpatient stay. Also projects the likely financial impact of extending the policy to cover additional DRGs or discharges to swing beds.
Author(s): Julie A. Schoenman
Date: 06/2004
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Delta States Initiative Report
Provides a summary of FORHP's Delta States Initiative and details activities conducted by the Delta States Rural Development Network Grant Program and the Delta Rural Hospital Performance Improvement Project.
Date: 05/2004
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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An Analysis of the Agreement of Financial Data Between the Medicare Cost Report and the Audited Hospital Financial Statement
Describes the results of a study of rural hospital financial measures, comparing Medicare Cost Reports with audited hospital financial statements.
Author(s): Li-Wu Chen, Julie Stoner, Catherine Makhanu, Kathy Minikus, Keith J. Mueller
Date: 05/2004
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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