Rural Health
Resources by Topic: Surgery
MedPAC Comment on CMS's Proposed Rule on the Outpatient Prospective Payment System for FY 2024
Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Comment on the July 31, 2023, Federal Register proposed rule revising the physician fee schedule to improve Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payments for calendar year 2024. Includes discussions on extending the use of the hospital market basket to update ASC payment rates, a proposed quality measure for emergency department visits in Rural Emergency Hospitals (REHs), and more.
Date: 09/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Council on Graduate Medical Education (COGME) Recruitment and Retention of General Surgeons in Rural Areas Support Letter
Letter from the Council on Graduate Medical Education (COGME) regarding two pieces of legislation: 1) the Ensuring Access to General Surgery Act of 2023, which would require a report from the Health Resources and Services Administration (HRSA) on "access by underserved populations to general surgeons"; and 2) the Specialty Physicians Advancing Rural Care (SPARC) Act, which would provide financial incentives to encourage more specialty clinicians, including general surgeons, to serve in rural areas. Also proposes a new general surgery scholarship and loan repayment program based on the National Health Service Corps (NHSC) model and the establishment of a rural graduate medical education (GME) program. Provides an overview of access to general surgeons in rural areas, the legislation and proposed programs, and how these programs could help meet the need for surgeons in rural areas and improve health outcomes.
Date: 07/2023
Sponsoring organization: Council on Graduate Medical Education
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Letter from the Council on Graduate Medical Education (COGME) regarding two pieces of legislation: 1) the Ensuring Access to General Surgery Act of 2023, which would require a report from the Health Resources and Services Administration (HRSA) on "access by underserved populations to general surgeons"; and 2) the Specialty Physicians Advancing Rural Care (SPARC) Act, which would provide financial incentives to encourage more specialty clinicians, including general surgeons, to serve in rural areas. Also proposes a new general surgery scholarship and loan repayment program based on the National Health Service Corps (NHSC) model and the establishment of a rural graduate medical education (GME) program. Provides an overview of access to general surgeons in rural areas, the legislation and proposed programs, and how these programs could help meet the need for surgeons in rural areas and improve health outcomes.
Date: 07/2023
Sponsoring organization: Council on Graduate Medical Education
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FY 2022 Mississippi State Health Plan
Offers criteria and standards for health-related activities in Mississippi which require Certificate of Need review. Features sections on workforce, long-term care, mental health, perinatal care, acute care, rehabilitation services, and other services. Mentions rural throughout.
Date: 04/2023
Sponsoring organization: Mississippi State Department of Health
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Offers criteria and standards for health-related activities in Mississippi which require Certificate of Need review. Features sections on workforce, long-term care, mental health, perinatal care, acute care, rehabilitation services, and other services. Mentions rural throughout.
Date: 04/2023
Sponsoring organization: Mississippi State Department of Health
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Promoting Disposal of Left-Over Opioids After Surgery in Rural Communities: A Qualitative Description Study
Evaluates factors influencing opioid disposal after surgery among 30 patients in rural communities in Arizona, Idaho, Montana, Nevada, Oregon, Utah, and Wyoming. Identifies barriers and facilitators of opioid disposal, including awareness and engagement, perceived risks of keeping left-over opioids, convenience of disposal, and motivators of intentional nondisposal.
Author(s): Lyen C. Huang, Jordan E. Johnson, Josh Bleicher, et al.
Citation: Health Education & Behavior, 50(2), 281-289
Date: 04/2023
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Evaluates factors influencing opioid disposal after surgery among 30 patients in rural communities in Arizona, Idaho, Montana, Nevada, Oregon, Utah, and Wyoming. Identifies barriers and facilitators of opioid disposal, including awareness and engagement, perceived risks of keeping left-over opioids, convenience of disposal, and motivators of intentional nondisposal.
Author(s): Lyen C. Huang, Jordan E. Johnson, Josh Bleicher, et al.
Citation: Health Education & Behavior, 50(2), 281-289
Date: 04/2023
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Effect of Rurality and Travel Distance on Contralateral Prophylactic Mastectomy for Unilateral Breast Cancer
Analyzes the relationship between travel time and rurality for breast cancer patients seeking contralateral prophylactic mastectomy (CPM). Utilizes 2007-2017 National Cancer Database data to examine demographic factors, patient rurality, surgery characteristics, and more.
Author(s): Madison M. Wahlen, Ingrid M. Lizarraga, Amanda R. Kahl, et al.
Citation: Cancer Causes & Control, 34, 171-186
Date: 04/2023
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Analyzes the relationship between travel time and rurality for breast cancer patients seeking contralateral prophylactic mastectomy (CPM). Utilizes 2007-2017 National Cancer Database data to examine demographic factors, patient rurality, surgery characteristics, and more.
Author(s): Madison M. Wahlen, Ingrid M. Lizarraga, Amanda R. Kahl, et al.
Citation: Cancer Causes & Control, 34, 171-186
Date: 04/2023
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Rewards and Frustrations of Rural Surgery Practice
Discusses challenges in rural surgery practice, such as demographic trends, workforce shortages, issues with surgical training, rural hospital closures, and economic pressures. Includes a link to video featuring Michael Sarap and Alisha D. Reiss, of the American College of Surgeons.
Author(s): Michael Sarap, Alisha D. Reiss
Date: 04/2023
Sponsoring organization: American College of Surgeons
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Discusses challenges in rural surgery practice, such as demographic trends, workforce shortages, issues with surgical training, rural hospital closures, and economic pressures. Includes a link to video featuring Michael Sarap and Alisha D. Reiss, of the American College of Surgeons.
Author(s): Michael Sarap, Alisha D. Reiss
Date: 04/2023
Sponsoring organization: American College of Surgeons
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Use of Telemedicine among Office-Based Physicians, 2021
Details the usage of telemedicine by physicians who are office-based, self-employed or employed by a health system, including their specialty, participation in payment models, satisfaction with telemedicine, and continued use post-pandemic. Provides data on rural and urban physician use of telemedicine tools and platforms integrated with electronic health records (EHR).
Author(s): Yuriy Pylypchuk, Wesley Barker
Citation: ONC Data Brief, 65
Date: 03/2023
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Details the usage of telemedicine by physicians who are office-based, self-employed or employed by a health system, including their specialty, participation in payment models, satisfaction with telemedicine, and continued use post-pandemic. Provides data on rural and urban physician use of telemedicine tools and platforms integrated with electronic health records (EHR).
Author(s): Yuriy Pylypchuk, Wesley Barker
Citation: ONC Data Brief, 65
Date: 03/2023
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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The Influence of Rural Healthcare Systems and Communities on Surgery and Recovery: A Qualitative Study
Examines the experiences of rural patients during the recovery process following a surgery. Utilizes interview feedback from 30 patients and discusses issues such as community and family support, healthcare access, quality of care, and privacy, trust, and stigma within rural medical contexts.
Author(s): Jordan E. Johnson, Josh Bleicher, Allison N. Blumling, et al.
Citation: Journal of Surgical Research, 281, 155-163
Date: 01/2023
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Examines the experiences of rural patients during the recovery process following a surgery. Utilizes interview feedback from 30 patients and discusses issues such as community and family support, healthcare access, quality of care, and privacy, trust, and stigma within rural medical contexts.
Author(s): Jordan E. Johnson, Josh Bleicher, Allison N. Blumling, et al.
Citation: Journal of Surgical Research, 281, 155-163
Date: 01/2023
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Rural Communities in the United States Face Persistent Disparities in Access to Orthopaedic Surgical Care
Examines trends in the proportion of orthopedic surgeons practicing in rural areas between 2013 to 2018 using data from the Centers for Medicare & Medicaid Services (CMS) Physician Compare National Downloadable File (PC-NDF). Identifies the proportion of rural U.S. counties with access to orthopedic surgeons. Describes the characteristics associated with surgeons practicing in a rural setting.
Author(s): Victoria S. Wu, Jenna E. Schmidt, Tarun K. Jella, et al.
Citation: The Iowa Orthopaedic Journal, 431(1), 15-21
Date: 2023
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Examines trends in the proportion of orthopedic surgeons practicing in rural areas between 2013 to 2018 using data from the Centers for Medicare & Medicaid Services (CMS) Physician Compare National Downloadable File (PC-NDF). Identifies the proportion of rural U.S. counties with access to orthopedic surgeons. Describes the characteristics associated with surgeons practicing in a rural setting.
Author(s): Victoria S. Wu, Jenna E. Schmidt, Tarun K. Jella, et al.
Citation: The Iowa Orthopaedic Journal, 431(1), 15-21
Date: 2023
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Total Knee Arthroplasty in the Outpatient vs Inpatient Settings: Impact of Site of Care on Early Postoperative Economic and Clinical Outcomes
Compares inpatient and outpatient outcomes of total knee arthroplasty adult patients treated with the Attune Knee System implant between October 1, 2015 and December 2020. Table 1 shows comparison of rural patients to urban patients among other demographic characteristics. Discusses the difference in both clinical and financial outcomes when the procedure occurs at rural hospitals as compared to urban hospitals.
Author(s): Jack Mantel, Jill W. Ruppenkamp, Maricruz Cantu, Chantal E. Holy
Citation: Journal of Orthopaedic Surgery and Research, 2023(18), 273
Date: 2023
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Compares inpatient and outpatient outcomes of total knee arthroplasty adult patients treated with the Attune Knee System implant between October 1, 2015 and December 2020. Table 1 shows comparison of rural patients to urban patients among other demographic characteristics. Discusses the difference in both clinical and financial outcomes when the procedure occurs at rural hospitals as compared to urban hospitals.
Author(s): Jack Mantel, Jill W. Ruppenkamp, Maricruz Cantu, Chantal E. Holy
Citation: Journal of Orthopaedic Surgery and Research, 2023(18), 273
Date: 2023
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