Rural Health
Resources by Topic: Hospitals
Incidence of Adverse Events in Indian Health Service Hospitals
Explores the occurrence of harm events in Indian Health Service (IHS) hospitals. Discusses the rates of adverse harm events, or those leading to prolonged or permanent patient harm, and temporary harm events. Breaks down data by hospital size and patient age and reason for admission. Makes recommendations regarding quality control and oversight.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Explores the occurrence of harm events in Indian Health Service (IHS) hospitals. Discusses the rates of adverse harm events, or those leading to prolonged or permanent patient harm, and temporary harm events. Breaks down data by hospital size and patient age and reason for admission. Makes recommendations regarding quality control and oversight.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Instances of IHS Labor and Delivery Care Not Following National Clinical Guidelines or Best Practices
Evaluates the labor and delivery practices of Indian Health Service (IHS) hospitals and highlights instances when they deviate from national clinical guidelines. Discusses the negative patient outcomes from deviating from national guidelines and makes recommendations regarding site visits and training.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Evaluates the labor and delivery practices of Indian Health Service (IHS) hospitals and highlights instances when they deviate from national clinical guidelines. Discusses the negative patient outcomes from deviating from national guidelines and makes recommendations regarding site visits and training.
Date: 12/2020
Sponsoring organization: Office of Inspector General (HHS)
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Drug Pricing Program: HHS Uses Multiple Mechanisms to Help Ensure Compliance with 340B Requirements
Examines the Health Services and Research Administration's (HRSA) oversight of covered entities' compliance with 340B Program requirements. Describes the 340B Program, the HRSA audit process, and findings from audits conducted between 2012-2019. Discusses additional efforts by HRSA to promote compliance and identify noncompliance.
Additional links: Full Report
Date: 12/2020
Sponsoring organization: Government Accountability Office
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Examines the Health Services and Research Administration's (HRSA) oversight of covered entities' compliance with 340B Program requirements. Describes the 340B Program, the HRSA audit process, and findings from audits conducted between 2012-2019. Discusses additional efforts by HRSA to promote compliance and identify noncompliance.
Additional links: Full Report
Date: 12/2020
Sponsoring organization: Government Accountability Office
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Quality Time: Sharing PIE - Engaging the Whole Team
Podcast episode discussing how to engage Critical Access Hospital (CAH) staff, including frontline providers and quality team members, in quality improvement activities. Highlights the experiences of two CAH quality improvement professionals.
Date: 12/2020
Sponsoring organization: Stratis Health
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Podcast episode discussing how to engage Critical Access Hospital (CAH) staff, including frontline providers and quality team members, in quality improvement activities. Highlights the experiences of two CAH quality improvement professionals.
Date: 12/2020
Sponsoring organization: Stratis Health
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Re-imagining Leadership: A Pathway for Rural Health to Thrive in a COVID-19 World
A COVID-19 emergency response playbook for rural healthcare delivery systems. Designed to build rural hospital and primary care leadership capacities around strategic thinking and local problem solving. Distills insights from rural hospital administrators, clinicians, and public health experts. Includes an assessment tool to help rural communities examine governance and leadership, community engagement, financial health, clinical care, and emergency preparedness and resilience.
Author(s): Lauren S. Hughes, Benjamin D. Anderson, Darlene B. Tad-y, et al.
Date: 12/2020
Sponsoring organizations: Colorado Hospital Association, Eugene S. Farley, Jr. Health Policy Center
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A COVID-19 emergency response playbook for rural healthcare delivery systems. Designed to build rural hospital and primary care leadership capacities around strategic thinking and local problem solving. Distills insights from rural hospital administrators, clinicians, and public health experts. Includes an assessment tool to help rural communities examine governance and leadership, community engagement, financial health, clinical care, and emergency preparedness and resilience.
Author(s): Lauren S. Hughes, Benjamin D. Anderson, Darlene B. Tad-y, et al.
Date: 12/2020
Sponsoring organizations: Colorado Hospital Association, Eugene S. Farley, Jr. Health Policy Center
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An Observational Study of Telemental Care Delivery and the Context for Involuntary Commitment for Mental Health Patients in a Group of Rural Emergency Departments
Examines telemental healthcare delivery in Critical Access Hospital (CAH) emergency departments (ED) in 4 Indiana counties, with a focus on the context surrounding subsequent psychiatric involuntary commitment (IC) or noninvoluntary commitment (non-IC) of mental health patients who presented to the participating EDs. Provides information on patient demographics, ED wait time and length of stay, ED costs and reimbursement, and telehealth parity laws.
Author(s): Roseanne Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine Reports, 1(1), 22-35
Date: 11/2020
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Examines telemental healthcare delivery in Critical Access Hospital (CAH) emergency departments (ED) in 4 Indiana counties, with a focus on the context surrounding subsequent psychiatric involuntary commitment (IC) or noninvoluntary commitment (non-IC) of mental health patients who presented to the participating EDs. Provides information on patient demographics, ED wait time and length of stay, ED costs and reimbursement, and telehealth parity laws.
Author(s): Roseanne Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine Reports, 1(1), 22-35
Date: 11/2020
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Implementation of Antibiotic Stewardship Activities in Critical Access Hospitals
Recording of a November 18, 2020, webinar that covers the implementation of antibiotic stewardship (AS) activities. Discusses the 2019 National Healthcare Safety Network Survey results and examines challenges Critical Access Hospitals (CAH) face reporting and implementing AS measures. Provides practical suggestions for improving AS activities in CAHs. Transcript available in the video description.
Date: 11/2020
Sponsoring organizations: Centers for Disease Control and Prevention, Federal Office of Rural Health Policy
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Recording of a November 18, 2020, webinar that covers the implementation of antibiotic stewardship (AS) activities. Discusses the 2019 National Healthcare Safety Network Survey results and examines challenges Critical Access Hospitals (CAH) face reporting and implementing AS measures. Provides practical suggestions for improving AS activities in CAHs. Transcript available in the video description.
Date: 11/2020
Sponsoring organizations: Centers for Disease Control and Prevention, Federal Office of Rural Health Policy
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Frontier Community Health Integration Project (FCHIP) Demonstration Evaluation: Final Evaluation Report
Presents findings from an evaluation of the Frontier Community Health Integration Project (FCHIP) Demonstration. Describes the three possible interventions, including their impact, progress and accomplishments, challenges, and lessons learned. Identifies commonalities that emerged across the FCHIP interventions that may inform future demonstrations among rural healthcare providers.
Additional links: Findings At-A-Glance
Date: 11/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Presents findings from an evaluation of the Frontier Community Health Integration Project (FCHIP) Demonstration. Describes the three possible interventions, including their impact, progress and accomplishments, challenges, and lessons learned. Identifies commonalities that emerged across the FCHIP interventions that may inform future demonstrations among rural healthcare providers.
Additional links: Findings At-A-Glance
Date: 11/2020
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Listening to Rural Stories: Q&A with Alisa Druzba
An interview with Alisa Druzba, director of the New Hampshire's Office of Rural Health and Primary Care, who discusses her journey to becoming a State Office of Rural Health (SORH) director, the impact of the COVID-19 pandemic on her state, and the work her office focuses on to support rural New Hampshire.
Author(s): Allee Mead
Date: 11/2020
Sponsoring organization: Rural Health Information Hub
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An interview with Alisa Druzba, director of the New Hampshire's Office of Rural Health and Primary Care, who discusses her journey to becoming a State Office of Rural Health (SORH) director, the impact of the COVID-19 pandemic on her state, and the work her office focuses on to support rural New Hampshire.
Author(s): Allee Mead
Date: 11/2020
Sponsoring organization: Rural Health Information Hub
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Emergency Obstetric Training Needed in Rural Hospitals without Obstetric Units
Results of a survey of 47 nurse managers and emergency department administrators from rural hospitals without obstetric care. Examines the types of trainings and resources that would better prepare these hospitals to handle obstetric emergencies.
Author(s): Mary Gilbertson, Mariana Story Tuttle, Kristin DeArruda Wharton, Katy Backes Kozhimannil
Date: 11/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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Results of a survey of 47 nurse managers and emergency department administrators from rural hospitals without obstetric care. Examines the types of trainings and resources that would better prepare these hospitals to handle obstetric emergencies.
Author(s): Mary Gilbertson, Mariana Story Tuttle, Kristin DeArruda Wharton, Katy Backes Kozhimannil
Date: 11/2020
Sponsoring organization: University of Minnesota Rural Health Research Center
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