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Rural Health
Resources by Topic: Swing bed services

Keeping the Doors Open: Vulnerable Rural Hospitals Benefit from Federally Funded Technical Assistance
Features the work of Texas A&M's Center for Optimizing Rural Health (CORH), which provides technical assistance through a federally funded program for vulnerable hospitals. Highlights the experiences of a participating Oklahoma hospital.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Swing Bed Program: Impacting Patients, Providers, and Community
Brief video overview of the swing bed program, which helps rural hospitals provide patient- and community-centric post-acute healthcare. Describes the history, related policy issues, early implementation, and evolution of the program.
Date: 08/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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History of the Swing Bed: A Look Through the Rural Rearview Mirror
Reviews the history of the swing bed program, which helps rural hospitals serve patients and the community through provision of post-acute care. Shares insights from experts who describe early implementation and key program elements that have contributed to the program's success.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Understanding the Rural Swing Bed: More than Just a Reimbursement Policy
Provides an overview of the swing bed program and its role as a patient-centric post-acute care solution that helps rural hospitals serve their communities. Discusses the impact of the program, reimbursement, quality measures, and more.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Effect of Medicare Payment Standardization Methods on the Perceived Cost of Post-Acute Swing Bed Care in Critical Access Hospitals
Discusses the different payment systems the Centers for Medicare and Medicaid Services (CMS) uses to reimburse for post-acute care in Critical Access Hospitals (CAHs), prospective payment system (IPPS) hospitals, and skilled nursing facilities (SNFs). Describes how the payment standardization methods may influence post-acute care discharge patterns and access to care for rural residents. Examines the effects of these payment methods on the perceived cost of CAH swing bed care as it relates to the Medicare Spending per Beneficiary performance measure.
Author(s): Tyler Malone, Denise Kirk, Kristin Reiter
Date: 03/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Customizable Communications Toolkit
Provides a catalog of internal and external communications resources to support rural hospitals and clinics. Includes customizable print and digital resources, scripts, and talking points to promote community trust, preventive screenings, swing bed services, and telehealth.
Date: 01/2021
Type: Website
Sponsoring organizations: Legato Healthcare Marketing, National Rural Health Resource Center
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Frontier Community Health Integration Project (FCHIP) Demonstration Evaluation: Final Evaluation Report
Presents findings from an evaluation of the Frontier Community Health Integration Project (FCHIP) Demonstration. Describes the three possible interventions, including their impact, progress and accomplishments, challenges, and lessons learned. Identifies commonalities that emerged across the FCHIP interventions that may inform future demonstrations among rural healthcare providers.
Additional links: Findings At-A-Glance
Date: 12/2020
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Medicare Payment Basics: Skilled Nursing Facility Services Payment System
Overview of Medicare payments for skilled nursing and rehabilitation services. Describes what constitutes a skilled nursing facility and how small, rural hospitals and critical access hospitals may be used to provide these services with CMS approval. Compares Medicare daily base rates for urban and rural skilled nursing facilities.
Date: 10/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Post-Acute Skilled Nursing Care Availability in Rural United States
Policy brief focusing on availability of post-acute skilled nursing care in rural areas, through swing bed programs in Critical Access Hospitals, short-term general hospitals, and skilled nursing facilities. Examines characteristics of counties with and without post-acute skilled nursing care, and what factors are associated with counties without this type of care. Features statistics with breakdowns by micropolitan, noncore, and all rural county locations.
Author(s): Darcy McMaughan, Ifedioranma O. Anikpo, Scott Horel, Jennifer Ozmetin
Date: 07/2020
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Estimated Reduction in CAH Profitability from Loss of Cost-Based Reimbursement for Swing Beds
Examines the impact of proposed legislation recommending changes to swing bed reimbursements for Critical Access Hospitals (CAHs) from cost-based to the Skilled Nursing Facility Prospective Payment System (SNF PPS). Estimates CAH profitability using reimbursement formulas from Medicare cost reports and discusses the characteristics of CAHs most affected by a change in swing bed reimbursement.
Author(s): Drake M. Broussard, Kristin L. Reiter
Date: 05/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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