Rural Health
Resources by Topic: Hospitals
Factors Predicting Swing Bed Versus Skilled Nursing Facility Use
Examines differences between patients discharged to swing beds versus skilled nursing facilities (SNFs). Features statistics on discharge disposition of people from rural Critical Access Hospital (CAH) and Prospective Payment System (PPS) hospitals, characteristics of people discharged to swing beds or SNFs, with breakdowns by rural CAH discharges and rural PPS discharges, and hospitalization type for discharges to swing beds or SNFs. Includes the 10 most common diagnostic categories for discharges to swing beds or SNFs.
Author(s): Tyler Malone, Mark Holmes
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Examines differences between patients discharged to swing beds versus skilled nursing facilities (SNFs). Features statistics on discharge disposition of people from rural Critical Access Hospital (CAH) and Prospective Payment System (PPS) hospitals, characteristics of people discharged to swing beds or SNFs, with breakdowns by rural CAH discharges and rural PPS discharges, and hospitalization type for discharges to swing beds or SNFs. Includes the 10 most common diagnostic categories for discharges to swing beds or SNFs.
Author(s): Tyler Malone, Mark Holmes
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Key Considerations for a Rural Hospital Assessing Conversion to Rural Emergency Hospital
Offers a conceptual framework of key considerations for rural hospitals contemplating conversion to a rural emergency hospital (REH). Covers financial feasibility, workforce, community impact, partnerships, and regulatory considerations.
Author(s): Kristin Reiter, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Offers a conceptual framework of key considerations for rural hospitals contemplating conversion to a rural emergency hospital (REH). Covers financial feasibility, workforce, community impact, partnerships, and regulatory considerations.
Author(s): Kristin Reiter, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Use of Leading Practices in US Hospital Antimicrobial Stewardship Programs
Highlights a study exploring the portion of acute-care hospitals that have implemented best practices in their antimicrobial stewardship programs. Features data compiled from electronic questionnaires to program leaders on the implementation of 6 leading antimicrobial practices. Breaks down data by hospital size, teaching status, and whether the hospital is located in a rural or urban location, among other measures.
Author(s): Edward A. Stenehjem, Barbara I. Braun, Salome O. Chitavi, et al.
Citation: Infection Control and Hospital Epidemiology, 1-8
Date: 10/2022
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Highlights a study exploring the portion of acute-care hospitals that have implemented best practices in their antimicrobial stewardship programs. Features data compiled from electronic questionnaires to program leaders on the implementation of 6 leading antimicrobial practices. Breaks down data by hospital size, teaching status, and whether the hospital is located in a rural or urban location, among other measures.
Author(s): Edward A. Stenehjem, Barbara I. Braun, Salome O. Chitavi, et al.
Citation: Infection Control and Hospital Epidemiology, 1-8
Date: 10/2022
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Small Rural Hospitals with Low-Volume Emergency Departments that May Convert to a Rural Emergency Hospital (REH)
Explores a variety of characteristics of Critical Access Hospitals (CAHs) and rural hospitals eligible to convert to the Rural Emergency Hospital (REH) designation, including patient volume, services and technology, EMS, and clinical staffing characteristics. Compares eligible hospitals by emergency department volume in 2019. Summarizes observations made by emergency department physician advisers regarding this data and REH implementation concerns.
Author(s): Margaret Greenwood-Ericksen, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Explores a variety of characteristics of Critical Access Hospitals (CAHs) and rural hospitals eligible to convert to the Rural Emergency Hospital (REH) designation, including patient volume, services and technology, EMS, and clinical staffing characteristics. Compares eligible hospitals by emergency department volume in 2019. Summarizes observations made by emergency department physician advisers regarding this data and REH implementation concerns.
Author(s): Margaret Greenwood-Ericksen, TJ Grant, Susie Gurzenda, et al.
Date: 10/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Changes in Emergency Department Visits in the Initial Period of the COVID-19 Pandemic (April–December 2020), 29 States
Presents data from 29 states on the difference between the number of emergency department (ED) visits and ED admission rates between April and December 2020 and compares this data to the same time period in 2019. Includes data by patient characteristics, including urban-rural status and race/ethnicity.
Date: 10/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 29 states on the difference between the number of emergency department (ED) visits and ED admission rates between April and December 2020 and compares this data to the same time period in 2019. Includes data by patient characteristics, including urban-rural status and race/ethnicity.
Date: 10/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Safety Assurance Factors for EHR Resilience (SAFER) Guides Requirements
Infographic displaying the differences in the Safety Assurance Factors for EHR Resilience (SAFER) Guide requirements for hospitals and Critical Access Hospitals (CAHs) participating in the Medicare Promoting Interoperability Program and eligible clinicians participating in the Merit-based Incentive Payment System (MIPS) Promoting Interoperability performance category for eligible clinicians.
Date: 10/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Infographic displaying the differences in the Safety Assurance Factors for EHR Resilience (SAFER) Guide requirements for hospitals and Critical Access Hospitals (CAHs) participating in the Medicare Promoting Interoperability Program and eligible clinicians participating in the Merit-based Incentive Payment System (MIPS) Promoting Interoperability performance category for eligible clinicians.
Date: 10/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Suicide and Self-Harm in Youth Presenting to a US Rural Hospital During COVID-19
Presents a study on rural emergency department utilization and hospital admission for suicide or self-harm in children ages 5 to 17 during the COVID-19 pandemic. Analyzes hospital data from January 2017 to May 2021. Breaks down data by demographic factors, such as sex and rurality, as well as length of stay and visit type, among other measures.
Author(s): Mary Arakelyan, Jennifer A. Emond, JoAnna K. Leyenaar
Citation: Hospital Pediatrics, 12(10), e336–e342
Date: 10/2022
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Presents a study on rural emergency department utilization and hospital admission for suicide or self-harm in children ages 5 to 17 during the COVID-19 pandemic. Analyzes hospital data from January 2017 to May 2021. Breaks down data by demographic factors, such as sex and rurality, as well as length of stay and visit type, among other measures.
Author(s): Mary Arakelyan, Jennifer A. Emond, JoAnna K. Leyenaar
Citation: Hospital Pediatrics, 12(10), e336–e342
Date: 10/2022
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Using Z Codes to Improve Health Equity in Rural Indiana
Describes how Cameron Memorial Community Hospital, a Critical Access Hospital in Indiana, used ICD-10-CM Z codes to detect and address patients' social needs as part of its health equity strategy.
Date: 10/2022
Sponsoring organization: American Hospital Association
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Describes how Cameron Memorial Community Hospital, a Critical Access Hospital in Indiana, used ICD-10-CM Z codes to detect and address patients' social needs as part of its health equity strategy.
Date: 10/2022
Sponsoring organization: American Hospital Association
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Health Workforce Implications for the Rural Emergency Hospital Model
Describes workforce challenges hospitals converting to Rural Emergency Hospital status may experience. Discusses flexible staffing models, utilization of behavioral health providers, colocation of health and human services providers and team-based care, and recruitment and retention.
Author(s): Jacob Rains
Citation: Health Affairs Forefront
Date: 10/2022
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Describes workforce challenges hospitals converting to Rural Emergency Hospital status may experience. Discusses flexible staffing models, utilization of behavioral health providers, colocation of health and human services providers and team-based care, and recruitment and retention.
Author(s): Jacob Rains
Citation: Health Affairs Forefront
Date: 10/2022
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Hospital Capabilities to Enable Patient Electronic Access to Health Information, 2021
Data brief examining 2021 national estimates of rates of U.S. hospitals enabling patient electronic access to health information, presenting findings for small, Critical Access, rural, and independent hospitals. Analyzes data from the 2021 AHA Annual Survey Information Technology Supplement.
Author(s): Wesley Barker, Dustin Charles
Date: 10/2022
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Data brief examining 2021 national estimates of rates of U.S. hospitals enabling patient electronic access to health information, presenting findings for small, Critical Access, rural, and independent hospitals. Analyzes data from the 2021 AHA Annual Survey Information Technology Supplement.
Author(s): Wesley Barker, Dustin Charles
Date: 10/2022
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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