Improving Hospital Transfers: A Step Toward Equitable, Patient-Centered Acute Care
Discuss emergency department (ED) transfers, including the importance of timely transfers, where patients transferred from the ED are more likely to initially present, and how transferred patients are considered in hospital quality metrics. Identifies three ways to incentivize hospital coordination to improve patient-centered care for transfer patients.
Author(s): Charleen Hsuan Citation: Health Affairs Forefront Date: 09/2023 Type: Document view details
Optimizing Inpatient Bed Management in a Rural Community-Based Hospital: A Quality Improvement Initiative
Provides an overview of a project aimed at maintaining appropriate hospital bed capacity within a hub-and-spoke healthcare system in rural, southwest Minnesota. Discusses project phases of discovery, planning, and implementation, as well as the strategy to increase capacity at the tertiary/hub medical center by utilizing beds at partner/spoke hospitals for less complex or acute inpatient stays.
Author(s): Brian N. Bartlett, Nadine N. Vanhoudt, Hanyin Wang, et al. Citation: BMC Health Services Research, 23, 1000 Date: 09/2023 Type: Document view details
The Pennsylvania Rural Health Model (PARHM): Third Annual Evaluation Report
Evaluates the third performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2021. Includes three case studies discussing three themes: the recruitment and retention of system-affiliated hospitals, engagement and coordination with community organizations and providers, and exploring service line changes.
Appendix, Findings at a Glance
Date: 09/2023 Type: Document Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago view details
MedPAC Comment on CMS's Proposed Rule on the Outpatient Prospective Payment System for FY 2024
Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023 Type: Document Sponsoring organization: Medicare Payment Advisory Commission view details
Rural Health Value Summit: Driving Value Through Community-Based Partnerships
Provides an overview of a June 2023 summit regarding the intersection of rural providers and communities, value-based care and payment models, and social determinants of health (SDOH). Describes the efforts of Arkansas, Michigan, Oregon, and South Carolina communities that had representatives at the summit. Discusses opportunities for policymakers, payers, and health system leaders to build and support infrastructure to address social determinants of health in rural communities and offers possible next steps.
Date: 09/2023 Type: Document Sponsoring organization: Rural Health Value view details
Characteristics of Short-Term Acute Care Hospitals That Experienced a Ransomware Attack from 2016 to 2021
Analyzed short-term acute care hospitals experiencing a ransomware attack between 2016 and 2019 to identify characteristics associated with an attack. Considered variables such as rurality, various financial characteristics, information technology infrastructure, and more. Includes recommendation for future research regarding rural impacts.
Author(s): Claire C. McGlave, Sayeh S. Nikpay, Carrie Henning-Smith, Katie Rydberg, Hannah T. Neprash Citation: Health Affairs Scholar, 1(3) Date: 09/2023 Type: Document view details
Pediatric Hospitalizations at Rural and Urban Teaching and Nonteaching Hospitals in the US, 2009-2019
Describes changes in the number and proportion of pediatric hospitalizations and costs at urban teaching, urban nonteaching, and rural hospitals versus freestanding children's hospitals from 2009-2019. Estimates the number and proportion of hospitals providing inpatient pediatric care and characterizes changes in clinical complexity. Features statistics including sociodemographic, clinical, and hospital characteristics of pediatric hospitalizations, with breakdowns by urban and rural location.
Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, David C. Goodman, A. James O'Malley Citation: JAMA Network Open, 6(9) Date: 09/2023 Type: Document view details
Quality Time: Sharing PIE – Improving Swing Bed Quality
Podcast episode discussing how two Critical Access Hospital (CAH) quality improvement leaders in Mississippi and Nevada used proactive approaches to improve their swing bed programs. Describes efforts in reducing healthcare-associated infections with pneumonia and improving the documentation and coordination of swing bed patients.
Date: 09/2023 Type: Audio Sponsoring organization: Stratis Health view details
Improving Maternal and Infant Services in Rural Iowa
Podcast episode discussing how St. Anthony Regional Hospital in Carroll, Iowa, responded to decreasing access to maternal health care in rural Iowa. Discusses the hospital's Center for Excellence pilot program that aims to expand access to obstetric services and improve maternal and infant health outcomes.
Date: 09/2023 Type: Audio Sponsoring organization: American Hospital Association view details
2022 Annual Report - Washington Rural Health Collaborative
Includes 2022 strategic goals and accomplishments for the 24 member hospitals, and features statistics including number of emergency room visits, clinic visits, net patient services revenue, and total patients served per day.
Date: 08/2023 Type: Document Sponsoring organization: The Rural Collaborative view details