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Rural Health
Resources by Topic: Swing bed services

Quality Measures for Critical Access Hospital Swing-Bed Patients
Policy brief describing a study to identify quality measures for Critical Access Hospital (CAH) swing-bed patients, focused on outcome and functional status measures. Includes information from key informant interviews on discharge disposition and 30-day follow-up status.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 10/2019
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Medicare Payment Basics: Skilled Nursing Facility Services Payment System
Overview of Medicare payments for skilled nursing and rehabilitation services and discusses changes to the payment rates as of October, 2019 based on components of care. Describes what constitutes a skilled nursing facility and how with CMS approval small, rural hospitals and critical access hospitals may be used to provide these services. Compares Medicare daily base rates for urban and rural skilled nursing facilities.
Date: 10/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Mercy Health - Marcum and Wallace Hospital Invests in Swing Bed Program
Highlights the Marcum and Wallace Hospital's work to implement the Small Rural Hospital Transition (SRHT) project recommendations with the goal of expanding the swing bed program to reduce readmission rates. Marcum and Wallace Hospital is a 25-bed Critical Access Hospital in Irvine, Kentucky.
Date: 08/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Illinois Critical Access Hospitals: Exploring the Financial Impacts of the Swing Bed Program
Examines the swing bed program in 30 Illinois Critical Access Hospitals (CAHs) by analyzing financial indicators, patient outcomes, and community benefits. Includes background information on the swing bed program and data on rural Illinois. Covers demographic statistics for metro and nonmetro counties in 2010 and 2016.
Author(s): Melissa Henriksen, Brian Richard, Jeanna Ballard
Date: 02/2019
Type: Document
Sponsoring organizations: Illinois Critical Access Hospital Network, Northern Illinois University Center for Governmental Studies
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HCR95 SD1 Report on Availability of Long-Term Care Beds and its Impact on Wait Times for Acute Care Hospital Beds
Responds to a resolution from the Hawaii legislature requesting an examination of the impact of long-term care bed availability on acute care bed wait times. Reports regionally on challenges from community hospitals across the state, including Critical Access Hospitals and sole community hospitals. Identifies social, economic, and psychiatric factors impacting the ability of hospitals to discharge patients to long-term care and discusses the effects on hospital capacity. Highlights a pilot project planned for the Oahu Region.
Date: 12/2018
Type: Document
Sponsoring organization: Hawaii Health Systems Corporation
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Assessing the Unintended Consequences of Health Policy on Rural Populations and Places
Explores health policies that have affected, or could potentially have affected, rural people, places, and providers, in ways that ran counter to policy intent. Examines 6 historical health policies and their effect on rural health systems. Includes a framework for analyzing policy impact on rural populations and places.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 12/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nebraska. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Quality Measures for CAH Swing Bed Patients
Slides presented at the 2018 NRHA Annual Conference identifying quality measures to assess the quality of care provided to swing-bed patients in Critical Access Hospitals (CAHs). Also discusses the implementation of a field test of the quality measures.
Author(s): Ira Moscovice, Michelle Casey, Henry Stabler
Date: 05/2018
Type: Presentation Slides
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Post-Acute Care: Healthcare Leaders Offer Practical Solutions to Workforce Challenges
Describes methods for preparing and supporting healthcare workers who provide post-acute care in rural areas. Highlights programs that empower and train staff, maximize community partnerships, involve community health workers, and use telemonitoring.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Post-Acute Care: Improving Transitions to Enhance Patient Recovery
Highlights approaches that are improving patient transitions from acute care to post-acute care (PAC) in rural settings. Features a tertiary facility's communication with skilled nursing facilities in Tennessee and Kentucky, a Nebraska Critical Access Hospital's swing bed program, and a home health agency serving rural Maine.
Author(s): Jenn Lukens
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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