Rural Health
Resources by Topic: Inpatient care
Understanding Rural Hospital Bypass Among Medicare Fee-for-Service (FFS) Beneficiaries in 2018
Examines the extent to which rural Medicare beneficiaries receive inpatient services at hospitals that are not their nearest rural hospital. Explores which hospital services rural Medicare beneficiaries most often seek locally and at distant hospitals.
Date: 09/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Examines the extent to which rural Medicare beneficiaries receive inpatient services at hospitals that are not their nearest rural hospital. Explores which hospital services rural Medicare beneficiaries most often seek locally and at distant hospitals.
Date: 09/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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A Comparison of Rural and Urban Specialty Hospitals
Results of a study examining differences in long-term acute care hospitals, inpatient psychiatric hospitals, and inpatient rehabilitation facilities in urban and rural areas. Features statistics on ownership type, location, number of beds, percent of inpatient days for rural residents, percent of inpatient days for Medicare beneficiaries, operating expenses, percent of Medicaid days, and profitability.
Author(s): George H. Pink, Andrew Osgood, Pranathi Sana
Date: 09/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Results of a study examining differences in long-term acute care hospitals, inpatient psychiatric hospitals, and inpatient rehabilitation facilities in urban and rural areas. Features statistics on ownership type, location, number of beds, percent of inpatient days for rural residents, percent of inpatient days for Medicare beneficiaries, operating expenses, percent of Medicaid days, and profitability.
Author(s): George H. Pink, Andrew Osgood, Pranathi Sana
Date: 09/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Urban Hospitals with a High Percentage of Inpatient Days for Rural Patients
Results of a study evaluating differences in urban hospitals with high and low percentages of rural inpatient days. Features a map showing locations of urban hospitals with greater than 40% rural inpatient days and statistics on urban hospitals with breakdowns by rural inpatient day percentage categories and Medicare payment classifications.
Author(s): Randall John, Kathleen Knocke, George H. Pink
Date: 09/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Results of a study evaluating differences in urban hospitals with high and low percentages of rural inpatient days. Features a map showing locations of urban hospitals with greater than 40% rural inpatient days and statistics on urban hospitals with breakdowns by rural inpatient day percentage categories and Medicare payment classifications.
Author(s): Randall John, Kathleen Knocke, George H. Pink
Date: 09/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Alcohol Use Disorder: Addressing Stigma and Treatment Access in Rural America
Examines alcohol use and misuse in rural America. Features the work of healthcare providers in Pennsylvania, Louisiana, Texas, and New Mexico. Discusses stigma, treatment access, and recovery. Addresses the impact of COVID-19 on treatment access, including the use of telehealth.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2020
Sponsoring organization: Rural Health Information Hub
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Examines alcohol use and misuse in rural America. Features the work of healthcare providers in Pennsylvania, Louisiana, Texas, and New Mexico. Discusses stigma, treatment access, and recovery. Addresses the impact of COVID-19 on treatment access, including the use of telehealth.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2020
Sponsoring organization: Rural Health Information Hub
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Medicare Advantage Versus the Traditional Medicare Program: Costs of Inpatient Stays, 2009–2017
Examines the costs of hospital inpatient stays among patients 65 years of age and older with a primary expected payer of Medicare Advantage compared to traditional Medicare, based on data from 18 states. Includes data by location of patient residence for rural, micropolitan, small metropolitan, and large metropolitan areas.
Author(s): Brian J. Moore, Lan Liang
Date: 08/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the costs of hospital inpatient stays among patients 65 years of age and older with a primary expected payer of Medicare Advantage compared to traditional Medicare, based on data from 18 states. Includes data by location of patient residence for rural, micropolitan, small metropolitan, and large metropolitan areas.
Author(s): Brian J. Moore, Lan Liang
Date: 08/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Demographics, Comorbidities and Outcomes in Hospitalized Covid-19 Patients in Rural Southwest Georgia
Study of hospitalizations due to COVID-19 in rural southwest Georgia, including demographics, comorbidities, and mortality. Presents data for 522 patients and examines comorbidities including hypertension, coronary artery disease, congestive heart failure, asthma, diabetes, immunosuppression, and others.
Author(s): Priyank Shah, Jack Owens, James Franklin, et al.
Citation: Annals of Medicine, 52(7), 354-360
Date: 07/2020
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Study of hospitalizations due to COVID-19 in rural southwest Georgia, including demographics, comorbidities, and mortality. Presents data for 522 patients and examines comorbidities including hypertension, coronary artery disease, congestive heart failure, asthma, diabetes, immunosuppression, and others.
Author(s): Priyank Shah, Jack Owens, James Franklin, et al.
Citation: Annals of Medicine, 52(7), 354-360
Date: 07/2020
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Rural Healthcare Surge Readiness
Resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 07/2020
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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Resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 07/2020
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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Changes in Care-Seeking after Rural Hospitals Merge
Describes changes to inpatient services in 15 rural hospitals in the 15 months before and after the hospitals' merger with another hospital or health system from 2014-2016. Features statistics on changes in visit type and percent bypass by diagnostic category and discharge date relative to merger.
Author(s): Tyler Malone, Denise Kirk, Randy Randolph, George Pink, Mark Holmes
Date: 07/2020
Sponsoring organization: North Carolina Rural Health Research Program
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Describes changes to inpatient services in 15 rural hospitals in the 15 months before and after the hospitals' merger with another hospital or health system from 2014-2016. Features statistics on changes in visit type and percent bypass by diagnostic category and discharge date relative to merger.
Author(s): Tyler Malone, Denise Kirk, Randy Randolph, George Pink, Mark Holmes
Date: 07/2020
Sponsoring organization: North Carolina Rural Health Research Program
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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
Sponsoring organization: Medicare Payment Advisory Commission
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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
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.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett, Lawrence D. Reid
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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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.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett, Lawrence D. Reid
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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