Rural Health
Resources by Topic: Hospitals
Growth of Health IT-Enabled Patient Engagement Capabilities Among U.S. Hospitals: 2021-2024
Describes hospital trends regarding the adoption of capabilities that enable patient access to their electronic health information, including the ability to view, download, transmit, and import data from other organizations into their patient portal; view clinical notes; and access information through apps between 2021-2024. Presents data and analysis by hospital type, including Critical Access Hospitals (CAHs) and rural hospitals, on the percent of hospitals that app-based and Fast Healthcare Interoperability Resource® (FHIR)-enabled patient engagement capabilities.
Author(s): Meghan Hufstader Gabriel, Chelsea Richwine, Priscilla Owusu-Mensah, Catherine Strawley
Date: 08/2025
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Describes hospital trends regarding the adoption of capabilities that enable patient access to their electronic health information, including the ability to view, download, transmit, and import data from other organizations into their patient portal; view clinical notes; and access information through apps between 2021-2024. Presents data and analysis by hospital type, including Critical Access Hospitals (CAHs) and rural hospitals, on the percent of hospitals that app-based and Fast Healthcare Interoperability Resource® (FHIR)-enabled patient engagement capabilities.
Author(s): Meghan Hufstader Gabriel, Chelsea Richwine, Priscilla Owusu-Mensah, Catherine Strawley
Date: 08/2025
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Trends in Hospital Administrative Costs: Urban–Rural Disparities, Barriers, and Reduction Strategies
Compares Medicare cost report data from 2011 and 2022 for over 4,400 rural and urban short-term acute care hospitals to identify shifts in administrative and general (A&G) spending. Discusses 3 themes related to cost growth, barriers in reporting, and strategies to manage and reduce costs. Describes implications for hospital policy.
Author(s): Lauree Handlon, Kit Simpson, Larry Leaming, Dunc Williams
Citation: Health Affairs Scholar, 3(8)
Date: 08/2025
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Compares Medicare cost report data from 2011 and 2022 for over 4,400 rural and urban short-term acute care hospitals to identify shifts in administrative and general (A&G) spending. Discusses 3 themes related to cost growth, barriers in reporting, and strategies to manage and reduce costs. Describes implications for hospital policy.
Author(s): Lauree Handlon, Kit Simpson, Larry Leaming, Dunc Williams
Citation: Health Affairs Scholar, 3(8)
Date: 08/2025
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Hospital Health Information Exchange Participation and Heart Failure Discharges to Skilled Nursing Facilities: A Cohort Study
Examines the correlation of health information exchange (HIE) participation and admission to skilled nursing facilities (SNF) following a heart failure (HF) hospital discharge. Utilizes 2018 Medicare Provider Analysis and Review (MedPar) file data to analyze 385,895 HF discharges according to SNF admission and HIE participation. Includes breakdowns by patient demographics, urban/rural status, hospital ownership, hospital type and bed size, length of stay, and more.
Author(s): Sara D. Turbow, Camille P. Vaughan, Mohammed K. Ali, Steven D. Culler
Citation: BMC Health Services Research, 25, 1079
Date: 08/2025
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Examines the correlation of health information exchange (HIE) participation and admission to skilled nursing facilities (SNF) following a heart failure (HF) hospital discharge. Utilizes 2018 Medicare Provider Analysis and Review (MedPar) file data to analyze 385,895 HF discharges according to SNF admission and HIE participation. Includes breakdowns by patient demographics, urban/rural status, hospital ownership, hospital type and bed size, length of stay, and more.
Author(s): Sara D. Turbow, Camille P. Vaughan, Mohammed K. Ali, Steven D. Culler
Citation: BMC Health Services Research, 25, 1079
Date: 08/2025
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Dental Care in Crisis: Tracking the Cost and Prevalence of Emergency Department Visits for Non-Traumatic Dental Conditions
Report explores non-traumatic emergency department visits for dental conditions. Tracks the cost and prevalence of incidents from 2019 to 2022. Includes a breakdown of incidents in rural, small or medium metro, fringe metro, and central metro counties.
Date: 08/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Report explores non-traumatic emergency department visits for dental conditions. Tracks the cost and prevalence of incidents from 2019 to 2022. Includes a breakdown of incidents in rural, small or medium metro, fringe metro, and central metro counties.
Date: 08/2025
Sponsoring organization: CareQuest Institute for Oral Health
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Time is Tissue: How CommonSpirit Mercy Hospital is Revolutionizing Rural Cardiac Care
Podcast episode discussing how CommonSpirit Mercy Hospital in Durango, Colorado, uses a communications platform that connects emergency medical services and pre-hospital providers with patients who are having chest pain and cardiac-related issues with on-call cardiologists.
Date: 08/2025
Sponsoring organization: American Hospital Association
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Podcast episode discussing how CommonSpirit Mercy Hospital in Durango, Colorado, uses a communications platform that connects emergency medical services and pre-hospital providers with patients who are having chest pain and cardiac-related issues with on-call cardiologists.
Date: 08/2025
Sponsoring organization: American Hospital Association
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Arizona Rural Health Transformation Program (RHTP)
Details the process for Arizona's participation in the Rural Health Transformation Program (RHTP), which provides funding for rural health access, rural health outcomes, and improve the financial stability and operations of rural hospitals and other rural health facilities in each state.
Author(s): Dan Derksen, Bryna Koch
Date: 08/2025
Sponsoring organization: Arizona Center for Rural Health
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Details the process for Arizona's participation in the Rural Health Transformation Program (RHTP), which provides funding for rural health access, rural health outcomes, and improve the financial stability and operations of rural hospitals and other rural health facilities in each state.
Author(s): Dan Derksen, Bryna Koch
Date: 08/2025
Sponsoring organization: Arizona Center for Rural Health
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CAH Quality Inventory & Assessment - State Flex Program Resources
Provides ancillary materials related to the 2025 Critical Access Hospital (CAH) Quality Inventory & Assessment (Assessment) for State Flex Programs (SFPs). Includes resources on the background and components of the Assessment for State Flex Programs, a template email that State Flex Programs can use to send to CAHs regarding the Assessment, and instructions for State Flex Programs detailing how to use the Assessment Data Tool for 2024 Assessment.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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Provides ancillary materials related to the 2025 Critical Access Hospital (CAH) Quality Inventory & Assessment (Assessment) for State Flex Programs (SFPs). Includes resources on the background and components of the Assessment for State Flex Programs, a template email that State Flex Programs can use to send to CAHs regarding the Assessment, and instructions for State Flex Programs detailing how to use the Assessment Data Tool for 2024 Assessment.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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CAH Quality Inventory & Assessment Resources
Provides a list of resources for Critical Access Hospitals (CAHs) to use to complete the 2025 CAH Quality Inventory and Assessment (Assessment). Includes resources regarding the background and components of the Assessment and instructions for each question.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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Provides a list of resources for Critical Access Hospitals (CAHs) to use to complete the 2025 CAH Quality Inventory and Assessment (Assessment). Includes resources regarding the background and components of the Assessment and instructions for each question.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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HCAHPS Toolkit for Critical Access Hospitals
Designed to assist Critical Access Hospitals (CAHs) in reporting and utilizing Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data. Provides a detailed description of HCAHPS as a Medicare Beneficiary Quality Improvement Project (MBQIP) core measure, strategies for improving HCAHPS survey response rates, and answers to common HCAHPS questions. Offers recommendations for utilizing HCAHPS data reports from vendors and the Flex Monitoring Team (FMT) and improving HCAHPS scores.
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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Designed to assist Critical Access Hospitals (CAHs) in reporting and utilizing Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data. Provides a detailed description of HCAHPS as a Medicare Beneficiary Quality Improvement Project (MBQIP) core measure, strategies for improving HCAHPS survey response rates, and answers to common HCAHPS questions. Offers recommendations for utilizing HCAHPS data reports from vendors and the Flex Monitoring Team (FMT) and improving HCAHPS scores.
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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The Impact of Rural Hospital Closures and Mergers on Health System Ecologies: A Scoping Review
Examines 46 studies on rural hospital closures and mergers between 2010 to 2023, with a focus on understanding health system impacts, finances, workforce, utilization, access to facilities and services, and community and economic well-being.
Author(s): Alison Coates, Janice Probst, Kanika Sarwal, Suhaib Riaz, Agnes Grudniewicz
Citation: Medical Care Research and Review, 82(5)
Date: 07/2025
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Examines 46 studies on rural hospital closures and mergers between 2010 to 2023, with a focus on understanding health system impacts, finances, workforce, utilization, access to facilities and services, and community and economic well-being.
Author(s): Alison Coates, Janice Probst, Kanika Sarwal, Suhaib Riaz, Agnes Grudniewicz
Citation: Medical Care Research and Review, 82(5)
Date: 07/2025
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