Rural Health
Resources by Topic: Hospitals
Quality of Care Before and After Mergers and Acquisitions of Rural Hospitals
Examines the quality of care provided in 172 rural hospitals that merged or were acquired between 2009-2016. Compares the in-hospital mortality rates for patients with several conditions compared admitted to merged or acquired hospitals to patients admitted to 266 rural hospitals that remained independent.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel M. Henke, Teresa P. Gibson
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Examines the quality of care provided in 172 rural hospitals that merged or were acquired between 2009-2016. Compares the in-hospital mortality rates for patients with several conditions compared admitted to merged or acquired hospitals to patients admitted to 266 rural hospitals that remained independent.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel M. Henke, Teresa P. Gibson
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Evaluation of the Rural Community Hospital Demonstration: Report Covering 2005-2017 (Interim Report 1)
Provides an overview of the Rural Community Hospital Demonstration (RCHD). Describes the characteristics of RCHD participants that entered the demonstration between 2005-2012, the Medicare payments received under program, and the impact of the RCHD on hospital finances between 2005-2017.
Additional links: Findings at a Glance
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Rural Community Hospital Demonstration (RCHD). Describes the characteristics of RCHD participants that entered the demonstration between 2005-2012, the Medicare payments received under program, and the impact of the RCHD on hospital finances between 2005-2017.
Additional links: Findings at a Glance
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Comment on CMS's Proposed Rule on Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs for CY 2022
Comments on an August 4, 2021, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2022. Includes considerations for Rural Emergency Hospital payments and emergency department staffing requirements.
Date: 09/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an August 4, 2021, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2022. Includes considerations for Rural Emergency Hospital payments and emergency department staffing requirements.
Date: 09/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Changes in Hospitalizations and In-Hospital Deaths for Adults Aged 65 Years and Older in the Initial Period of the COVID-19 Pandemic (April-September 2020), 13 States
Presents data from 13 states on the number of all-cause hospitalizations and in-hospital deaths among adults aged 65 years old and over between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Pamela L. Owens
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 13 states on the number of all-cause hospitalizations and in-hospital deaths among adults aged 65 years old and over between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Pamela L. Owens
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Changes in Hospitalizations and In-Hospital Deaths for Adults Aged 18-64 Years in the Initial Period of the COVID-19 Pandemic (April-September 2020), 13 States
Presents data from 13 states on the number of all-cause hospitalizations and in-hospital deaths among adults aged 18-64 years old between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Marc Roemer
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 13 states on the number of all-cause hospitalizations and in-hospital deaths among adults aged 18-64 years old between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Marc Roemer
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Changes in Pediatric Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April-September 2020), 13 States
Presents data from 13 states on the number of pediatric hospitalizations and in-hospital deaths between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of pediatric hospitalizations related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 13 states on the number of pediatric hospitalizations and in-hospital deaths between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of pediatric hospitalizations related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Changes in Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April-September 2020), 13 States
Presents data from 13 states on the number of all-cause hospitalizations and in-hospital deaths between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 13 states on the number of all-cause hospitalizations and in-hospital deaths between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Challenges to Public Health Reporting Experienced by Non-Federal Acute Care Hospitals, 2019
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs). Outlines challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Compares challenges faced by hospitals by size, CAH status, rural/urban, and independent/system affiliated and offers state-level maps of percent of hospitals reporting specific challenges.
Author(s): Chelsea Richwine, Carmelita Marshall, Christian Johnson, Vaishali Patel
Date: 09/2021
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs). Outlines challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Compares challenges faced by hospitals by size, CAH status, rural/urban, and independent/system affiliated and offers state-level maps of percent of hospitals reporting specific challenges.
Author(s): Chelsea Richwine, Carmelita Marshall, Christian Johnson, Vaishali Patel
Date: 09/2021
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Medicare Covers a Lower Percentage of Outpatient Costs in Hospitals Located in Rural Areas
Policy brief describing differences in Medicare Outpatient Prospective Payment System (OPPS) payments between urban and rural hospitals. Features statistics on OPPS payments as a percent of total net patient revenue, as a percent of Medicare outpatient cost by hospital payment classification, and as a percent of Medicare outpatient cost by number of acute beds, with breakdowns by urban and rural location.
Author(s): Pranathi Sana, George H. Pink
Date: 09/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Policy brief describing differences in Medicare Outpatient Prospective Payment System (OPPS) payments between urban and rural hospitals. Features statistics on OPPS payments as a percent of total net patient revenue, as a percent of Medicare outpatient cost by hospital payment classification, and as a percent of Medicare outpatient cost by number of acute beds, with breakdowns by urban and rural location.
Author(s): Pranathi Sana, George H. Pink
Date: 09/2021
Sponsoring organization: North Carolina Rural Health Research Program
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Keeping the Doors Open: Vulnerable Rural Hospitals Benefit from Federally Funded Technical Assistance
Features the work of Texas A&M's Center for Optimizing Rural Health (CORH), which provides technical assistance through a federally funded program for vulnerable hospitals. Highlights the experiences of a participating Oklahoma hospital.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2021
Sponsoring organization: Rural Health Information Hub
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Features the work of Texas A&M's Center for Optimizing Rural Health (CORH), which provides technical assistance through a federally funded program for vulnerable hospitals. Highlights the experiences of a participating Oklahoma hospital.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2021
Sponsoring organization: Rural Health Information Hub
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