Rural Health
Resources by Topic: Hospitals
Monitoring State Flex Program Financial and Operational Improvement Activities
Presents the results of a qualitative evaluation of State Flex Program interventions implemented under Program Area 2: Financial and Operational Improvement (FOI). Describes the type of projects proposed by a subset of 14 State Flex Programs, key themes, and challenges faced to monitoring and documenting these interventions on financial and operational performance. Includes an inventory of all 45 State Flex Program FOI initiatives.
Author(s): John Gale, Sara Kahn-Troster, Zachariah Croll, Nathan First
Date: 03/2021
Sponsoring organization: Flex Monitoring Team
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Presents the results of a qualitative evaluation of State Flex Program interventions implemented under Program Area 2: Financial and Operational Improvement (FOI). Describes the type of projects proposed by a subset of 14 State Flex Programs, key themes, and challenges faced to monitoring and documenting these interventions on financial and operational performance. Includes an inventory of all 45 State Flex Program FOI initiatives.
Author(s): John Gale, Sara Kahn-Troster, Zachariah Croll, Nathan First
Date: 03/2021
Sponsoring organization: Flex Monitoring Team
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Rural Initiatives Addressing Community Social Needs
Describes the role of Critical Access Hospitals (CAHs) in improving population health and addressing social needs in their communities. Profiles two Critical Access Hospital social needs programs: Lakewood Health System's food access initiatives in Minnesota, and Northeastern Vermont Regional Hospital's NEK Prosper. Provides an overview of both programs and highlights best practices of each.
Author(s): Madeleine Pick, Megan Lahr, Ira Moscovice
Date: 03/2021
Sponsoring organization: Flex Monitoring Team
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Describes the role of Critical Access Hospitals (CAHs) in improving population health and addressing social needs in their communities. Profiles two Critical Access Hospital social needs programs: Lakewood Health System's food access initiatives in Minnesota, and Northeastern Vermont Regional Hospital's NEK Prosper. Provides an overview of both programs and highlights best practices of each.
Author(s): Madeleine Pick, Megan Lahr, Ira Moscovice
Date: 03/2021
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospital Requirements: CMS Emergency Preparedness Final Rule
Provides a reference source for Critical Access Hospital (CAH) requirements related to the final rule from the Centers for Medicare & Medicaid Services (CMS), "Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers." Includes excerpts from the final rule as well as related CMS interpretive guidelines for CAHs. Addresses the development of an emergency plan, related policies and procedures, communications, training, and more.
Date: 03/2021
Sponsoring organization: Administration for Strategic Preparedness and Response
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Provides a reference source for Critical Access Hospital (CAH) requirements related to the final rule from the Centers for Medicare & Medicaid Services (CMS), "Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers." Includes excerpts from the final rule as well as related CMS interpretive guidelines for CAHs. Addresses the development of an emergency plan, related policies and procedures, communications, training, and more.
Date: 03/2021
Sponsoring organization: Administration for Strategic Preparedness and Response
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Rural Hospital Patient and Family Engagement - 2021 Toolkit
Toolkit provides guidance for rural hospitals to foster effective communication between patients, staff, and leadership. Discusses communication strategies in a number of domains, such as data collection, community engagement, and workforce development, among others.
Date: 02/2021
Sponsoring organization: Colorado Hospital Association
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Toolkit provides guidance for rural hospitals to foster effective communication between patients, staff, and leadership. Discusses communication strategies in a number of domains, such as data collection, community engagement, and workforce development, among others.
Date: 02/2021
Sponsoring organization: Colorado Hospital Association
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Opioid and Substance Use Strategies for Critical Access Hospitals
Recording of a February 26, 2021, webinar discussing the role of Critical Access Hospitals (CAHs) in addressing opioid use disorders (OUDs) and substance use disorders (SUDs) in local systems of care. Provides a framework to support CAH opioid and substance use initiatives. Highlights examples of OUD and SUD activities taken by CAHs and offers lessons learned.
Additional links: Presentation Slides
Date: 02/2021
Sponsoring organization: Flex Monitoring Team
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Recording of a February 26, 2021, webinar discussing the role of Critical Access Hospitals (CAHs) in addressing opioid use disorders (OUDs) and substance use disorders (SUDs) in local systems of care. Provides a framework to support CAH opioid and substance use initiatives. Highlights examples of OUD and SUD activities taken by CAHs and offers lessons learned.
Additional links: Presentation Slides
Date: 02/2021
Sponsoring organization: Flex Monitoring Team
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Partnering to Improve Birth Outcomes in a Rural Community: Kearny County Hospital, Lakin, KS
Highlights the Pioneer Baby program, a partnership between Kearny County Hospital, a Critical Access Hospital in rural Lakin, Kansas, and the University of Kansas School of Medicine-Wichita. Discusses how funding from grants and local employers enhanced the obstetrics program. Describes how the partnership worked to improve pregnancy and birth outcomes and presents lessons learned.
Date: 02/2021
Sponsoring organization: American Hospital Association
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Highlights the Pioneer Baby program, a partnership between Kearny County Hospital, a Critical Access Hospital in rural Lakin, Kansas, and the University of Kansas School of Medicine-Wichita. Discusses how funding from grants and local employers enhanced the obstetrics program. Describes how the partnership worked to improve pregnancy and birth outcomes and presents lessons learned.
Date: 02/2021
Sponsoring organization: American Hospital Association
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Medicare Reimbursement in Rural America
Policy brief discussing Medicare reimbursement for services provided at rural hospitals and how it impacts hospital finances. Provides policy recommendations for rural health reimbursement, and identifies and other considerations for addressing rural healthcare sustainability.
Author(s): Eric Schlidt, Cody Wilkinson
Date: 02/2021
Sponsoring organization: National Rural Health Association
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Policy brief discussing Medicare reimbursement for services provided at rural hospitals and how it impacts hospital finances. Provides policy recommendations for rural health reimbursement, and identifies and other considerations for addressing rural healthcare sustainability.
Author(s): Eric Schlidt, Cody Wilkinson
Date: 02/2021
Sponsoring organization: National Rural Health Association
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Rural Obstetric Unit Closures and Maternal and Infant Health
Policy paper examining the discontinuation of obstetric services in rural communities. Discusses factors contributing to obstetric unit closures, including hospital financial constraints, Medicaid reimbursement rates, and maternal health workforce concerns. Offers policy recommendations to prevent additional obstetric unit closures in rural areas.
Author(s): Lindsay Corcoran, Catherine Clary, Sarah Brinkman
Date: 02/2021
Sponsoring organization: National Rural Health Association
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Policy paper examining the discontinuation of obstetric services in rural communities. Discusses factors contributing to obstetric unit closures, including hospital financial constraints, Medicaid reimbursement rates, and maternal health workforce concerns. Offers policy recommendations to prevent additional obstetric unit closures in rural areas.
Author(s): Lindsay Corcoran, Catherine Clary, Sarah Brinkman
Date: 02/2021
Sponsoring organization: National Rural Health Association
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COVID Relief Funding for Medicaid Providers
Analyzes the distribution of COVID-19 provider relief funds to Medicaid and State Children's Health Insurance Plan (CHIP) providers. Discusses barriers Medicaid providers experience in applying for COVID relief funding. Presents data on the share of potentially eligible providers who received funding by enrollment in Medicare and provider type. Includes information on the distribution of funding to hospitals by hospital type, urban or rural status, and deemed DSH status.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Analyzes the distribution of COVID-19 provider relief funds to Medicaid and State Children's Health Insurance Plan (CHIP) providers. Discusses barriers Medicaid providers experience in applying for COVID relief funding. Presents data on the share of potentially eligible providers who received funding by enrollment in Medicare and provider type. Includes information on the distribution of funding to hospitals by hospital type, urban or rural status, and deemed DSH status.
Date: 02/2021
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Opioid-Related Visits to Rural Emergency Departments
Explores the impact of the opioid crisis on rural emergency departments (EDs) by analyzing 2006 and 2013 Nationwide Emergency Department Sample (NEDS) data. Compares opioid-related ED visits in rural and urban hospitals by type of opioid involved and year. Breaks down data by patient characteristics, comorbid diagnosis at admission, and outcome of ED visit.
Author(s): Erika C. Ziller, Jean A. Talbot, Deborah Thayer, Carly Milkowski
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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Explores the impact of the opioid crisis on rural emergency departments (EDs) by analyzing 2006 and 2013 Nationwide Emergency Department Sample (NEDS) data. Compares opioid-related ED visits in rural and urban hospitals by type of opioid involved and year. Breaks down data by patient characteristics, comorbid diagnosis at admission, and outcome of ED visit.
Author(s): Erika C. Ziller, Jean A. Talbot, Deborah Thayer, Carly Milkowski
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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