Rural Health
Resources by Topic: Rural-urban differences
COVID-19 and Rural Hospital Struggles
Recording of a May 14, 2020, webinar on healthcare delivery and financial challenges facing rural hospitals as a result of the COVID-19 pandemic. Features leaders from health systems in Iowa, New Hampshire, Pennsylvania, and Wisconsin. Transcript available in the video description.
Date: 05/2020
Sponsoring organization: Bipartisan Policy Center
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Recording of a May 14, 2020, webinar on healthcare delivery and financial challenges facing rural hospitals as a result of the COVID-19 pandemic. Features leaders from health systems in Iowa, New Hampshire, Pennsylvania, and Wisconsin. Transcript available in the video description.
Date: 05/2020
Sponsoring organization: Bipartisan Policy Center
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Availability of Hospice in Rural Pennsylvania
Compares the distribution and number of hospices in rural and urban Pennsylvania counties, provides a descriptive profile of rural Pennsylvania's hospice users, and projects the number of future Pennsylvania hospice users. Includes information from interviews with hospice providers and administrators to help understand challenges and opportunities for stakeholders. Features statistics with breakdowns by rural and urban location and nonprofit or for-profit status, and a county-level map showing locations of Pennsylvania hospices as of 2019.
Additional links: Executive Summary
Author(s): Lisa Kitko, Joel Segel, Elizabeth Thiede
Date: 05/2020
Sponsoring organization: Center for Rural Pennsylvania
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Compares the distribution and number of hospices in rural and urban Pennsylvania counties, provides a descriptive profile of rural Pennsylvania's hospice users, and projects the number of future Pennsylvania hospice users. Includes information from interviews with hospice providers and administrators to help understand challenges and opportunities for stakeholders. Features statistics with breakdowns by rural and urban location and nonprofit or for-profit status, and a county-level map showing locations of Pennsylvania hospices as of 2019.
Additional links: Executive Summary
Author(s): Lisa Kitko, Joel Segel, Elizabeth Thiede
Date: 05/2020
Sponsoring organization: Center for Rural Pennsylvania
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Washington State's 2019 Licensed Practical Nurse Workforce
Highlights the licensed practical nurse (LPN) workforce supply in the state of Washington in 2019. Explores the demographics, distribution, education, and work setting of LPNs using data collected from a survey conducted by the National Council of State Boards of Nursing (NCSBN) and from state license renewals.
Additional links: Supplemental Report
Author(s): Benjamin A. Stubbs, Susan M. Skillman
Date: 05/2020
Sponsoring organization: UW Center for Health Workforce Studies
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Highlights the licensed practical nurse (LPN) workforce supply in the state of Washington in 2019. Explores the demographics, distribution, education, and work setting of LPNs using data collected from a survey conducted by the National Council of State Boards of Nursing (NCSBN) and from state license renewals.
Additional links: Supplemental Report
Author(s): Benjamin A. Stubbs, Susan M. Skillman
Date: 05/2020
Sponsoring organization: UW Center for Health Workforce Studies
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Integrating Rural into the New Reality of Healthcare
Discusses service consolidations implemented by healthcare systems to control costs, and examines the resulting cuts to rural healthcare services, especially in Minnesota. Offers recommendations to help policymakers respond to the negative effects of healthcare acquisitions and mergers on healthcare access in rural communities. Includes rural/urban comparisons on profit margins for hospitals, patient demographics, miles traveled for inpatient and outpatient services, and more.
Additional links: Webinar Recording
Author(s): Kelly Asche, Marnie Werner
Date: 05/2020
Sponsoring organization: Center for Rural Policy and Development
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Discusses service consolidations implemented by healthcare systems to control costs, and examines the resulting cuts to rural healthcare services, especially in Minnesota. Offers recommendations to help policymakers respond to the negative effects of healthcare acquisitions and mergers on healthcare access in rural communities. Includes rural/urban comparisons on profit margins for hospitals, patient demographics, miles traveled for inpatient and outpatient services, and more.
Additional links: Webinar Recording
Author(s): Kelly Asche, Marnie Werner
Date: 05/2020
Sponsoring organization: Center for Rural Policy and Development
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National Trends in the Safety Performance of Electronic Health Record Systems From 2009 to 2018
Evaluates safety performance of electronic health records (EHRs) to prevent potential adverse drug effects (ADEs), assesses hospital EHR safety performance for specific subcategories of potential ADEs, and examines the associations of EHR vendors with safety performance. Features statistics including characteristics of surveyed hospitals, such as hospital size and urban or rural location.
Author(s): David C. Classen, A. Jay Holmgren, Zoe Co, et al.
Citation: JAMA Network Open, 3(5), e205547
Date: 05/2020
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Evaluates safety performance of electronic health records (EHRs) to prevent potential adverse drug effects (ADEs), assesses hospital EHR safety performance for specific subcategories of potential ADEs, and examines the associations of EHR vendors with safety performance. Features statistics including characteristics of surveyed hospitals, such as hospital size and urban or rural location.
Author(s): David C. Classen, A. Jay Holmgren, Zoe Co, et al.
Citation: JAMA Network Open, 3(5), e205547
Date: 05/2020
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Fact Sheet: Rural Community Hospital (RCH) Demonstration
Provides an overview of the Rural Community Hospital demonstration program. Describes reimbursement challenges that rural hospitals face and the early results of the program.
Date: 05/2020
Sponsoring organization: American Hospital Association
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Provides an overview of the Rural Community Hospital demonstration program. Describes reimbursement challenges that rural hospitals face and the early results of the program.
Date: 05/2020
Sponsoring organization: American Hospital Association
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Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic
Explores the prevalence of infection prevention and control deficiencies in nursing homes prior to the COVID-19 pandemic. Examines the percentage of nursing homes that had deficiencies cited in multiple years. Provides charts noting the number of nursing homes with an infection prevention and control deficiency by state. Includes a chart that presents the data by urban and rural status.
Additional links: Full Report
Date: 05/2020
Sponsoring organization: Government Accountability Office
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Explores the prevalence of infection prevention and control deficiencies in nursing homes prior to the COVID-19 pandemic. Examines the percentage of nursing homes that had deficiencies cited in multiple years. Provides charts noting the number of nursing homes with an infection prevention and control deficiency by state. Includes a chart that presents the data by urban and rural status.
Additional links: Full Report
Date: 05/2020
Sponsoring organization: Government Accountability Office
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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
Sponsoring organization: Agency for Healthcare Research and Quality
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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
Sponsoring organization: Agency for Healthcare Research and Quality
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Access to Medicare Part D Plans: A Comparison of Metropolitan and Nonmetropolitan Areas
Policy brief focusing on the types of Medicare Part D plans offered in metropolitan, micropolitan, and noncore locations. Offers comparisons between stand-alone plans and Medicare Advantage plans, in terms of premiums, benefits, and the manner in which these plans are offered.
Author(s): Mochamad Nataliansyah, Abiodun Salako, Fred Ullrich, Keith Mueller
Date: 05/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Policy brief focusing on the types of Medicare Part D plans offered in metropolitan, micropolitan, and noncore locations. Offers comparisons between stand-alone plans and Medicare Advantage plans, in terms of premiums, benefits, and the manner in which these plans are offered.
Author(s): Mochamad Nataliansyah, Abiodun Salako, Fred Ullrich, Keith Mueller
Date: 05/2020
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Rural Connections: Challenges and Opportunities in America's Heartland
Examines rural transportation challenges, including decreased state transportation revenues brought on by the COVID-19 pandemic, higher traffic fatality rates compared to urban settings, poor road and bridge conditions, and more. Comments on the importance of rural transportation for the nation's economy, emphasizing its role in transferring goods and helping rural communities access healthcare, education, job opportunities, and social services.
Date: 05/2020
Sponsoring organization: National Transportation Research Nonprofit (TRIP)
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Examines rural transportation challenges, including decreased state transportation revenues brought on by the COVID-19 pandemic, higher traffic fatality rates compared to urban settings, poor road and bridge conditions, and more. Comments on the importance of rural transportation for the nation's economy, emphasizing its role in transferring goods and helping rural communities access healthcare, education, job opportunities, and social services.
Date: 05/2020
Sponsoring organization: National Transportation Research Nonprofit (TRIP)
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