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Rural Health Information Hub

Rural Health
Resources by Topic: Hospitals

Structural Determinants of Health: Hospitals' Unequal Capital Investments Drive Health Inequities
Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Sponsoring organization: Center for Economic and Policy Research (CEPR)
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Health Care Artificial Intelligence Toolkit
Guide designed to help community health clinics and rural hospitals navigate information regarding artificial intelligence (AI) in healthcare. Discusses foundational considerations, governance for AI applications, and steps to assess and mitigate discriminatory impacts of AI systems in healthcare. Includes an AI tool vendor evaluation checklist for community health clinics and Critical Access Hospitals (CAHs).
Date: 07/2024
Sponsoring organization: California Telehealth Resource Center
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An REH Conversion Story: Harper County Hospital
Profiles Oklahoma's Harper County Hospital and its transition from a Critical Access Hospital (CAH) to a Rural Emergency Hospital (REH). Summarizes an interview with Kevin O'Brien, Chief Executive Officer (CEO) of Harper County Hospital, regarding the experience of converting to REH status. Covers the hospital's financial position before conversion, including limitations to being a county-owned hospital; the exploration of the REH designation; and the financial and operational impacts of the REH designation, including services added by the hospital after the conversion.
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
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An REH Conversion Story: Mercy Hospital
Profiles Mercy Hospital, in Moundridge, Kansas, and its transition from a prospective payment system (PPS) hospital to a Rural Emergency Hospital (REH). Summarizes an interview with Aaron Herbel, Chief Executive Officer (CEO) of Mercy Hospital, regarding the experience of converting to REH status. Covers the conversion timeline, the involvement of hospital and community stakeholders, and the opening of a walk-in clinic that coincided with the REH conversion.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
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An REH Conversion Story: Helena Regional Medical Center
Profiles Helena Regional Medical Center, in Phillips County, Arkansas, and its transition from a prospective payment system (PPS) hospital to a Rural Emergency Hospital (REH). Summarizes the perspective of the hospital's former Chief Executive Officer (CEO) as the facility navigated the change in status, including obstacles, financial and operational impacts, and advantages to operating as an REH.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
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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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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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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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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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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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