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Rural Health Information Hub

Rural Health
Resources by Topic: Hospitals

Building on the Evidence Base: Studies on the Effects of Medicaid Expansion, February 2020 to March 2021
Summarizes the results of a review of 200 studies published between February 2020 and March 2021 on the impact of state Medicaid expansions under the Patient Protection and Affordable Care Act (ACA). Highlights findings on mortality; cancer, chronic disease, and disabilities; sexual and reproductive health; behavioral health; economic impacts on states and providers, including rural providers; disparities; and social determinants of health. Builds on a literature review that examined studies published between January 2014 and January 2020.
Author(s): Madeline Guth, Meghana Ammula
Date: 05/2021
Sponsoring organization: KFF
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Mid-Level Leaders and the Transition to Value Video Series
A 6-part video series on healthcare leadership for mid-level Critical Access Hospital (CAH) leaders. Provides information and strategies on leading a team through the shift to value-based payment with training modules on strategic and systems thinking, collaborative and change leadership, healthcare finance, and talent development.
Additional links: Action Plan, Discussion Questions and Recommended Activities, Resource Guide
Date: 05/2021
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
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Physician Workforce: Caps on Medicare-funded Graduate Medical Education at Teaching Hospitals
Provides an overview of Medicare physician graduate medical education (GME) funding to teaching hospitals. Describes the extent to which hospitals were over or under their Medicare GME caps in 2018, including their urban or rural status. Summarizes stakeholder views on extending the time frame for hospitals with new GME programs to establish their caps.
Additional links: Full Report
Date: 05/2021
Sponsoring organization: Government Accountability Office
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Vaccine Hesitancy among Rural Hospitals: The Arrival of a Challenging "New Normal"
Summarizes the results of a survey of rural hospital leaders between March 12-April 15, 2021, regarding COVID-19 vaccination among rural hospital personnel. Explores the percentage of rural hospital employees that have declined a vaccine, are partially vaccinated, and are fully vaccinated; reasons for declining the vaccine; and changing attitudes toward the vaccine.
Date: 05/2021
Sponsoring organization: The Chartis Group
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AHA Future of Rural Health Care Task Force: Final Recommendations
Presents the recommendations of the American Hospital Association Future of Rural Health Care Task Force, including innovation-based solutions and promising practices. Solutions include public-private funding changes for core services, flexible rural hospital infrastructure funding programs, creating a rural design center, and supporting grant writing services. Explores promising rural initiatives such as telemedicine, strategic partnerships, maternal health efforts, broadband investment, and rural philanthropy.
Date: 05/2021
Sponsoring organization: American Hospital Association
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Identifying & Prioritizing Factors that Influence Missed Appointments in a Rural American Indian HCF
Video describing a study in which de-identified electronic health records from the Tsehootsooi Medical Center in Arizona were analyzed to predict factors that influenced missed appointments in a rural Navajo Nation hospital. Transcript available by clicking the 3 dots above the Subscribe button.
Author(s): Dominic Clichee
Date: 04/2021
Sponsoring organization: Western Region Public Health Training Center
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The Effect of the COVID-19 Pandemic on the Economics of United States Emergency Care
Examines how the COVID-19 pandemic affected the economics of emergency departments (ED) from January through September 2020. Discusses the impact of the pandemic on ED visit volumes and complexity, clinical revenues and expenses, and clinician hours and compensation. Includes data for large, medium, small, and freestanding EDs.
Author(s): Jesse M. Pines, Mark S. Zocchi, Bernard S. Black, et al.
Citation: Annals of Emergency Medicine
Date: 04/2021
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Medicaid and Rural Health
Provides an overview of rural residents, including socioeconomic characteristics, insurance status, and health status. Explores the availability of healthcare providers in rural areas, with a focus on primary care providers and hospitals. Discusses the role of Medicaid in rural health, as well as Medicaid policies and services that are important for providing healthcare in rural communities.
Date: 04/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Supporting and Sustaining Rural Hospitals
Describes state and federal actions to support and safeguard rural hospitals. Discusses appropriated funding opportunities for struggling hospitals, Medicaid coverage and eligibility, alternative payment models, and technical assistance programs.
Author(s): Noah Cruz
Date: 04/2021
Sponsoring organization: National Conference of State Legislatures
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Place and Population Matter in General Surgeon Location and Practice Structure
Examines ways in which population changes over time in different geographical regions of the United States have affected the availability of general surgeons and quality of care. Explores the implications of hospital mergers on the viability of rural hospitals.
Author(s): Thomas C. Ricketts
Citation: JAMA Network Open, 4(4)
Date: 04/2021
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