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Rural Health
Resources by Topic: Outpatient care

Medicare Payment Basics: Outpatient Hospital Services Payment System
Outlines Medicare's payments for outpatient hospital services. Features considerations for rural sole community hospitals.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Outpatient Dialysis Services Payment System
Provides an overview of how Medicare pays for the outpatient dialysis services of beneficiaries with end-stage renal disease (ESRD). Includes information about the facility-level rural adjustment.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MAP 2018: Recommendations for a Core Set of Rural-Relevant Measures for Hospitals and Selected Ambulatory Care Settings and Measuring and Improving Access to Care
Describes selection criteria and processes used to create a draft core set of measures, lists the measures, and describes measurement gap areas identified by the Measures Applications Partnership (MAP) Rural Health Workgroup, a public-private partnership of healthcare stakeholders. Second in a series of 3 reports documenting the Workgroup's continuing efforts.
Date: 05/2018
Type: Document
Sponsoring organization: National Quality Forum MAP Rural Health Workgroup
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National Hospital Ambulatory Medical Care Survey: 2015 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location, Table 2 includes metro/nonmetro ED visit data by location of patient residence, and Table 15 has metro/nonmetro injury visit data based on hospital location.
Date: 03/2018
Type: Document
Sponsoring organization: National Center for Health Statistics
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MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Hospital Compare Quality Measure Results for CAHs, 2016
Examines Hospital Compare inpatient and outpatient process of care and structural measures among Critical Access Hospitals (CAHs) in 2016. Includes data on reporting rates and performance for specific quality measures, and state-by-state comparison of CAH reporting rates for inpatient and outpatient measures.
Additional links: State-Specific Reports
Author(s): Megan Lahr, Alex Evenson, Tongtan Chantarat, Michelle Casey
Date: 03/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Pediatric Medicaid Patients' Utilization of Outpatient and Emergency Department Services in New York State
Research brief using data from 614,249 unique patients ages 0-20 years who had at least one Medicaid visit to an emergency department (ED) in New York during 2014. Features statistics with breakdowns by urban or rural residence and outpatient settings, and a map showing rates of pediatric avoidable ED visits in rural and urban New York counties.
Author(s): Simona Surdu, Nafin Harun, Robert Martiniano
Date: 02/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Electronic Health Record "Super-Users" and "Under-Users" in Ambulatory Care Practices
Describes a study on Electronic Health Record (EHR) use in ambulatory care practices. Analyzes data by rural versus urban location, practice size, practice type, and other factors. Presents county-level data.
Author(s): Juliet Rumball-Smith, Paul Shekelle, Cheryl L. Damberg
Citation: The American Journal of Managed Care, 24(1), 26-31
Date: 01/2018
Type: Document
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Emerging Strategies to Ensure Access to Health Care Services: Emergency Medical Center
Provides an overview of the emergency medical center (EMC) model, which would allow struggling hospitals to convert to EMC status and provide emergency and outpatient services, without having to provide inpatient acute care services. Also outlines rural-specific federal policy proposals that seek to create similar hospital designations, with the goal of improving access to and the delivery of care in underserved communities.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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National Ambulatory Medical Care Survey: 2015 State and National Summary Tables
Provides data on outpatient visits to physician offices, with information on physician practices, patient, and visit characteristics. Table 1 and Table 31 include data by the metropolitan status of the physician for metro and nonmetro areas.
Date: 10/2017
Type: Document
Sponsoring organization: National Center for Health Statistics
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