Rural Health
Resources by Topic: Hospitals
Trauma and Emergency Surgical Care at Rural Emergency Hospital-Eligible Facilities: Interstate Variation and Policy Implications for Rural Health Systems
Explores trauma and emergency general surgery volumes at hospitals eligible to become Rural Emergency Hospitals (REHs). Analyzes 2021 Healthcare Cost and Utilization Project data from California, Florida, Iowa, Maryland, and Wisconsin, to describe the volume of emergency general surgery and trauma care performed at REH-eligible hospitals. Examines the characteristics of the populations and communities served by hospitals eligible for REH designation compared with those served by REH-ineligible hospitals. Discusses the potential impact of converting to the REH designation on access to trauma and emergency general surgery.
Author(s): Nina M. Clark, Alexandra H. Hernandez, Cody L. Mullens, et al.
Citation: Journal of Trauma and Acute Care Surgery, 100(5), 768-776
Date: 01/2026
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Explores trauma and emergency general surgery volumes at hospitals eligible to become Rural Emergency Hospitals (REHs). Analyzes 2021 Healthcare Cost and Utilization Project data from California, Florida, Iowa, Maryland, and Wisconsin, to describe the volume of emergency general surgery and trauma care performed at REH-eligible hospitals. Examines the characteristics of the populations and communities served by hospitals eligible for REH designation compared with those served by REH-ineligible hospitals. Discusses the potential impact of converting to the REH designation on access to trauma and emergency general surgery.
Author(s): Nina M. Clark, Alexandra H. Hernandez, Cody L. Mullens, et al.
Citation: Journal of Trauma and Acute Care Surgery, 100(5), 768-776
Date: 01/2026
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Transforming Rural Hospitals Through Telehealth Partnerships: Strategic Playbook
Provides hospital leaders with strategies to foster telehealth partnerships within health systems to improve rural hospital financial sustainability, clinical capacity, and long-term viability. Discusses rural hospital strain as well as the economic, community, and population health value of rural hospitals and how telehealth partnerships can mitigate financial issues and create sustainability. Includes a telehealth partnership maturity model, practical framework, and rural hospital implementation considerations.
Author(s): E. Warr, B. Buquez, R. Kruis, J. Augenstein, J. McElligott
Date: 01/2026
Sponsoring organization: Medical University of South Carolina (MUSC) - Telehealth Center of Excellence
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Provides hospital leaders with strategies to foster telehealth partnerships within health systems to improve rural hospital financial sustainability, clinical capacity, and long-term viability. Discusses rural hospital strain as well as the economic, community, and population health value of rural hospitals and how telehealth partnerships can mitigate financial issues and create sustainability. Includes a telehealth partnership maturity model, practical framework, and rural hospital implementation considerations.
Author(s): E. Warr, B. Buquez, R. Kruis, J. Augenstein, J. McElligott
Date: 01/2026
Sponsoring organization: Medical University of South Carolina (MUSC) - Telehealth Center of Excellence
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REH: Service Line Development
Summarizes an educational session regarding how a Rural Emergency Hospital can evaluate service line opportunities. Identifies building blocks for effective service line development, best practices, and key takeaways for leaders.
Date: 01/2026
Sponsoring organization: Rural Health Redesign Center
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Summarizes an educational session regarding how a Rural Emergency Hospital can evaluate service line opportunities. Identifies building blocks for effective service line development, best practices, and key takeaways for leaders.
Date: 01/2026
Sponsoring organization: Rural Health Redesign Center
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From "Rural Bypass" to Regional Capacity: Building CA Hub-and-Spoke Specialty Care
Details how the state of California is implementing a telehealth-based hub-and-spoke model connecting rural hospitals as specialty care providers with local clinics. Discusses implications for providers, including suggestions for Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Centers, and other rural facilities.
Author(s): Sylvia Trujillo, Emilia Ochoa-Ruiz
Date: 01/2026
Sponsoring organization: California Telehealth Resource Center
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Details how the state of California is implementing a telehealth-based hub-and-spoke model connecting rural hospitals as specialty care providers with local clinics. Discusses implications for providers, including suggestions for Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Centers, and other rural facilities.
Author(s): Sylvia Trujillo, Emilia Ochoa-Ruiz
Date: 01/2026
Sponsoring organization: California Telehealth Resource Center
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MBQIP Report Resources
Provides a list of resources for State Flex Programs (SFPs) and Critical Access Hospitals (CAHs) to support them in utilizing quarterly Medicare Beneficiary Quality Improvement Project (MBQIP) reports in quality improvement activities.
Date: 01/2026
Sponsoring organization: Flex Monitoring Team
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Provides a list of resources for State Flex Programs (SFPs) and Critical Access Hospitals (CAHs) to support them in utilizing quarterly Medicare Beneficiary Quality Improvement Project (MBQIP) reports in quality improvement activities.
Date: 01/2026
Sponsoring organization: Flex Monitoring Team
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Prepublication Requirements: Requirement Revisions Related to NFPA Codes and CMS CoPs
Outlines new and revised Joint Commission requirements for Critical Access Hospitals (CAHs) effective March 1, 2026. Changes clarify elements of performance (EPs) based on National Fire Protection Association (NFPA) requirements and further align Joint Commission standards with Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs).
Date: 01/2026
Sponsoring organization: Joint Commission
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Outlines new and revised Joint Commission requirements for Critical Access Hospitals (CAHs) effective March 1, 2026. Changes clarify elements of performance (EPs) based on National Fire Protection Association (NFPA) requirements and further align Joint Commission standards with Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs).
Date: 01/2026
Sponsoring organization: Joint Commission
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Bridging the Gap: A Mixed-Methods Evaluation of a New Rural Maternity Care Center Amid Nationwide Closures
Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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Financial Assistance Policy, Hospital Charity Care, and Medical Debt in Collections
Explores whether Oregon's state-level financial assistance policy (FAP) was associated with a lower percentage of the population with medical debt in collections, increase in hospital charity care, and decrease in bad debt in the first 3 years after implementation. Compares county- and hospital-level data from Oregon with data from a sample of hospitals that expanded Medicaid in 2014 but had not implemented a state-level FAP by 2022. Supplemental content includes data by metropolitan and non-metropolitan status.
Author(s): Tatiane Santos, Richard C. Lindrooth, Gary J. Young, Shoou-Yih Lee
Citation: JAMA Network Open, 9(1), e2555698
Date: 01/2026
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Explores whether Oregon's state-level financial assistance policy (FAP) was associated with a lower percentage of the population with medical debt in collections, increase in hospital charity care, and decrease in bad debt in the first 3 years after implementation. Compares county- and hospital-level data from Oregon with data from a sample of hospitals that expanded Medicaid in 2014 but had not implemented a state-level FAP by 2022. Supplemental content includes data by metropolitan and non-metropolitan status.
Author(s): Tatiane Santos, Richard C. Lindrooth, Gary J. Young, Shoou-Yih Lee
Citation: JAMA Network Open, 9(1), e2555698
Date: 01/2026
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Rural Emergency Hospital Educational Webinar and Fireside Chat
Recording of a January 8, 2026, webinar for Critical Access Hospitals (CAHs) and other small rural hospitals exploring the Rural Emergency Hospital (REH) designation. Describes the REH designation, policy and regulatory requirements, and REH Technical Assistance Center (TAC) services and resources. Features a discussion with two hospital executives that led their facilities through the conversion to REH status. Transcript available in the video description.
Date: 01/2026
Sponsoring organization: Rural Health Redesign Center
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Recording of a January 8, 2026, webinar for Critical Access Hospitals (CAHs) and other small rural hospitals exploring the Rural Emergency Hospital (REH) designation. Describes the REH designation, policy and regulatory requirements, and REH Technical Assistance Center (TAC) services and resources. Features a discussion with two hospital executives that led their facilities through the conversion to REH status. Transcript available in the video description.
Date: 01/2026
Sponsoring organization: Rural Health Redesign Center
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Update: The Expanding Maternity Care Desert in Pennsylvania
Provides an overview of labor and delivery services in rural Pennsylvania and implications of limited access to maternity care. Features county-level maps showing locations of Pennsylvania hospitals with labor and delivery units and areas that are a 20-minute drive from a labor and delivery unit, as of 2026.
Date: 01/2026
Sponsoring organization: Center for Rural Pennsylvania
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Provides an overview of labor and delivery services in rural Pennsylvania and implications of limited access to maternity care. Features county-level maps showing locations of Pennsylvania hospitals with labor and delivery units and areas that are a 20-minute drive from a labor and delivery unit, as of 2026.
Date: 01/2026
Sponsoring organization: Center for Rural Pennsylvania
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