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Rural Health
Resources by Topic: Hospitals

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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A Synthesis of State Flex Program Plans 2003-2004
Describes trends in state activities for the Medicare Rural Hospital Flexibility Program (Flex Program). Includes an overview and specific state examples for different aspects of the Flex program, including rural health planning, Critical Access Hospital designation, EMS, quality improvement, and health information technology.
Date: 05/2004
Type: Document
Sponsoring organization: Flex Monitoring Team
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Perspectives of Rural Hospitals on Bioterrorism Preparedness Planning
Overview of rural hospital preparedness, addressing topics like workforce and training, physical capacity and supplies, communication, and coordination. Includes policy recommendations. Based on a meeting of rural hospital representatives responsible for bioterrorism preparedness planning.
Author(s): Claudia L. Schur, Marc L. Berk, Curt D. Mueller
Date: 04/2004
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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