Rural Health
Resources by Topic: Hospitals
The Future of Acute Hospital Care at Home
Describes the Acute Hospital Care at Home (AHCAH) model and explores barriers to participation including rural-specific concerns. Offers current and future policy reform recommendations related to rural hospital participation and flexibilities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 07/2024
Sponsoring organization: Bipartisan Policy Center
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Describes the Acute Hospital Care at Home (AHCAH) model and explores barriers to participation including rural-specific concerns. Offers current and future policy reform recommendations related to rural hospital participation and flexibilities.
Author(s): Lisa Harootunian, Kamryn Perry, Allison Buffett, et al.
Date: 07/2024
Sponsoring organization: Bipartisan Policy Center
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Illinois Homelessness Mortality and Morbidity Report 2017-2022
Provides a statistical overview of homelessness in Illinois from 2017-2022, with a focus on mortality, morbidity, and hospital utilization. Includes data by Illinois region and rural versus urban county, as well as by population groups, such as veterans, widows, rural residents, and more.
Additional links: Executive Summary
Author(s): Dana Madigan, Hannah Matzke, Lee Friedman
Date: 07/2024
Sponsoring organization: Illinois Department of Public Health
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Provides a statistical overview of homelessness in Illinois from 2017-2022, with a focus on mortality, morbidity, and hospital utilization. Includes data by Illinois region and rural versus urban county, as well as by population groups, such as veterans, widows, rural residents, and more.
Additional links: Executive Summary
Author(s): Dana Madigan, Hannah Matzke, Lee Friedman
Date: 07/2024
Sponsoring organization: Illinois Department of Public Health
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Economic Role of Oklahoma Hospitals: Industry Profile & Economic Impacts
Reports on the economic impact of hospitals in Oklahoma, including data on revenue, hospital-supported jobs, direct wages, and more. See pages 10-11 for discussion of rural hospital access disparities.
Date: 07/2024
Sponsoring organization: Oklahoma Hospital Association
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Reports on the economic impact of hospitals in Oklahoma, including data on revenue, hospital-supported jobs, direct wages, and more. See pages 10-11 for discussion of rural hospital access disparities.
Date: 07/2024
Sponsoring organization: Oklahoma Hospital Association
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The Low-Volume Hospital Adjustment Before and During COVID-19
Describes characteristics of rural low-volume hospitals (LVHs) between April 2018 and March 2022. Compares the characteristics and profitability of rural LVHs with other rural prospective payment system (PPS) hospitals before and during the COVID-19 pandemic. Presents data on LVH profitability margins with and without the LVH payment adjustment.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 07/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Describes characteristics of rural low-volume hospitals (LVHs) between April 2018 and March 2022. Compares the characteristics and profitability of rural LVHs with other rural prospective payment system (PPS) hospitals before and during the COVID-19 pandemic. Presents data on LVH profitability margins with and without the LVH payment adjustment.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 07/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Interactive Maps to Improve Stroke Systems of Care in Wisconsin
Analyzes transfer patterns of stroke patients, including driving time and distance, from small rural hospitals to large tertiary hospitals in Wisconsin. Describes the development of interactive stroke transfer maps and discusses the use of mapping to identify gaps in systems of care, improve the efficiency of emergency services, and better understand hospital capacity.
Author(s): Ka Z. Xiong, Lena Swander, Dot Bluma, et al.
Citation: Preventing Chronic Disease, 21, 230166
Date: 07/2024
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Analyzes transfer patterns of stroke patients, including driving time and distance, from small rural hospitals to large tertiary hospitals in Wisconsin. Describes the development of interactive stroke transfer maps and discusses the use of mapping to identify gaps in systems of care, improve the efficiency of emergency services, and better understand hospital capacity.
Author(s): Ka Z. Xiong, Lena Swander, Dot Bluma, et al.
Citation: Preventing Chronic Disease, 21, 230166
Date: 07/2024
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TEFCA Awareness and Planned Participation Among U.S. Hospitals: 2023
Evaluates survey data to determine non-federal acute care hospitals' awareness of and participation in the Trusted Exchange Framework and Common Agreement (TEFCA). Includes comparisons by rural and urban status as well as for Critical Access Hospitals (CAHs) and non-CAHs, among other factors.
Author(s): Wei Chang, Meghan Hufstader Gabriel, Jordan Everson
Date: 07/2024
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Evaluates survey data to determine non-federal acute care hospitals' awareness of and participation in the Trusted Exchange Framework and Common Agreement (TEFCA). Includes comparisons by rural and urban status as well as for Critical Access Hospitals (CAHs) and non-CAHs, among other factors.
Author(s): Wei Chang, Meghan Hufstader Gabriel, Jordan Everson
Date: 07/2024
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Understanding and Responding to Registered Nursing Shortages in Acute Care Hospitals in New York
Identifies factors that contribute to persistent registered nurse (RN) shortages, based on interviews with chief nursing officers or executives, nurse recruiters, and human resources staff from more than 50 New York hospitals. Describes promising strategies to improve the recruitment and retention of patient care RNs, with an emphasis on rural and safety-net hospitals.
Author(s): R. Martiniano, S. Shirey, J. Moore
Date: 07/2024
Sponsoring organizations: Center for Health Workforce Studies, Mother Cabrini Health Foundation
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Identifies factors that contribute to persistent registered nurse (RN) shortages, based on interviews with chief nursing officers or executives, nurse recruiters, and human resources staff from more than 50 New York hospitals. Describes promising strategies to improve the recruitment and retention of patient care RNs, with an emphasis on rural and safety-net hospitals.
Author(s): R. Martiniano, S. Shirey, J. Moore
Date: 07/2024
Sponsoring organizations: Center for Health Workforce Studies, Mother Cabrini Health Foundation
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Changes in Maternity Care Policies and Practices that Support Breastfeeding as Measured by the Ten Steps to Successful Breastfeeding — United States, 2018–2022
Evaluates hospitals' implementation of the Ten Steps to Successful Breastfeeding, a set of evidence-based policies and practices to improve breastfeeding outcomes. Utilizes Maternity Practices in Infant Nutrition and Care data from 2018, 2020, and 2022. Includes data on changes in implementation over time, comparisons by state, and hospital characteristics including rural versus urban location.
Author(s): Kristin J. Marks, Lucas Gosdin, Lauren E. O'Connor, Heather C. Hamner, Daurice A. Grossniklaus
Citation: BMC Pregnancy and Childbirth, 24, 475
Date: 07/2024
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Evaluates hospitals' implementation of the Ten Steps to Successful Breastfeeding, a set of evidence-based policies and practices to improve breastfeeding outcomes. Utilizes Maternity Practices in Infant Nutrition and Care data from 2018, 2020, and 2022. Includes data on changes in implementation over time, comparisons by state, and hospital characteristics including rural versus urban location.
Author(s): Kristin J. Marks, Lucas Gosdin, Lauren E. O'Connor, Heather C. Hamner, Daurice A. Grossniklaus
Citation: BMC Pregnancy and Childbirth, 24, 475
Date: 07/2024
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How a Rural Health System Continues to Provide Essential Obstetric Services
Podcast episode describing how Kittitas Valley Healthcare in rural Washington State worked to continue to provide obstetric services at its Critical Access Hospital (CAH) amid the departure of its full-time obstetric providers. Discusses the involvement of the governing board and recruitment and retention efforts.
Date: 07/2024
Sponsoring organization: American Hospital Association
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Podcast episode describing how Kittitas Valley Healthcare in rural Washington State worked to continue to provide obstetric services at its Critical Access Hospital (CAH) amid the departure of its full-time obstetric providers. Discusses the involvement of the governing board and recruitment and retention efforts.
Date: 07/2024
Sponsoring organization: American Hospital Association
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How Payment Caps Can Reduce Hospital Prices and Spending: Lessons from the Oregon State Employee Plan
Report discusses how policy changes to state employee insurance plans affected healthcare costs in Oregon. Details Oregon's plan to place payment caps tied to Medicare reimbursement rates and exceptions for rural and Critical Access Hospitals.
Author(s): Roslyn C. Murray, Christopher M. Whaley, Erin C. Fuse Brown, Andrew M. Ryan
Date: 07/2024
Sponsoring organization: Milbank Memorial Fund
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Report discusses how policy changes to state employee insurance plans affected healthcare costs in Oregon. Details Oregon's plan to place payment caps tied to Medicare reimbursement rates and exceptions for rural and Critical Access Hospitals.
Author(s): Roslyn C. Murray, Christopher M. Whaley, Erin C. Fuse Brown, Andrew M. Ryan
Date: 07/2024
Sponsoring organization: Milbank Memorial Fund
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