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Rural Health
Resources by Topic: Inpatient care

MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2021
Comments on a May 29, 2020, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals to use commercial insurer data to set Medicare severity–diagnosis related group (MS–DRG) relative weights and adopt changes to geographic area delineations to establish hospital wage indexes for the IPPS and LTCH PPS.
Date: 07/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Social Determinants of Health and County Population Rates of Opioid-Related Inpatient Stays and Emergency Department Visits, 2016
Examines characteristics of U.S. counties, comparing counties with high and low rates of opioid-related inpatient stays and treat-and-release emergency department (ED) visits among patients 15 years and older. Includes data for metro, rural adjacent to metro, and rural remote counties, as well as by urban-rural location and poverty rate.
Additional links: Appendix
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett, Lawrence D. Reid
Date: 06/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Hospital Burden of Opioid-Related Inpatient Stays: Metropolitan and Rural Hospitals, 2016
Examines burden on hospitals of opioid-related hospitalizations for metropolitan, rural-adjacent to metro, and rural remote hospitals. Includes data by region. Provides detailed information by urban-rural location, including information on the distribution of opioid-related stays, bed size, and occupancy level.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett
Date: 05/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2021
Comments on an April 21, 2020, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2021. Includes comments on the adoption of the Office of Management and Budget's geographic area delineations to determine wage index values.
Date: 05/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Treating COVID‐19 in Rural America
Explores the challenges of treating COVID-19 in rural hospitals. Highlights the difficulty of conducting clinical trials to identify an effective treatment for COVID-19 in small rural hospitals.
Author(s): Dima Dandachi, Rebecca Reece, Elizabeth W. Wang, et al.
Citation: Journal of Rural Health
Date: 05/2020
Type: Document
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Health Care Professional Workforce Composition Before and After Rural Hospital Closure
Policy brief examining the change in numbers of local healthcare providers before and after rural hospital closures from 2010-2018, to examine associations with eliminating inpatient services in rural areas. Features statistics with breakdowns by advanced practice providers, primary care providers, and specialists.
Author(s): Erin Mobley, Fred Ullrich, Redwan Bin Abdul Baten, Mina Shrestha, Keith Mueller
Date: 04/2020
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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COVID-19 Critical Care and Pulmonary Management Updates from the Frontlines
April 14, 2020 webinar recording providing rural providers and hospitals in Kansas and Colorado with information needed to address COVID-19. Describes the clinical presentation of the virus, current methods of treatment, strategies for avoiding respiratory emergencies, and more. Offers information on establishing criteria for transferring patients from rural to urban facilities.
Additional links: Presentation Slides and Other Resources
Date: 04/2020
Type: Video/Multimedia
Sponsoring organizations: High Plains Research Network, Kansas Patients and Providers Engaged in Prevention Research (KPPEPR)
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Hospital Inpatient Stays Related to Opioid Use Disorder and Endocarditis, 2016
Examines inpatient stays for adults 18 years and older related to opioid use disorder (OUD) and endocarditis, stays related to OUD but not endocarditis, and stays related to endocarditis but not OUD. Includes data by patient location for metropolitan, rural adjacent to metro, and rural remote areas.
Author(s): Audrey J. Weiss, Kevin C. Heslin, Carol Stocks, Pamela L. Owens
Date: 04/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Inpatient Stays and Emergency Department Visits Involving Traumatic Brain Injury, 2017
Examines initial and subsequent traumatic brain injury (TBI) related inpatient stays and treat-and-release emergency department (ED) visits. Includes data by location of patient residence for metropolitan, rural adjacent to metro, and rural remote areas.
Author(s): Lawrence D. Reid, Kathryn R. Fingar
Date: 03/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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MedPAC Report to the Congress: Medicare Payment Policy, 2020
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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