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Rural Health
Resources by Topic: Swing bed services

Rural and Urban Provider Market Share of Inpatient Post-Acute Care Services Provided to Rural Medicare Beneficiaries
Findings brief examining rural patients' access to rehabilitation and skilled nursing care, using claims data from January 2013 through March 2014. Features statistics including numbers of patient days and discharges and average length of stay, with breakdowns by type and location of facility and type of care.
Author(s): Alex R. Schulte, Denise A. Kirk, Randy K. Randolph, George H. Pink
Date: 04/2018
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Critical Access Hospital Swing-Bed Quality Measures: Findings from Key Informant Interviews
Results of a study to examine how Critical Access Hospitals (CAHs) are assessing the quality of care given to swing bed patients. Uses data from interviews with representatives from CAH networks, consultants, and staff members responsible for swing bed services at 10 CAHs and 2 rural PPS hospitals in 10 states.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 04/2018
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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North Dakota Nursing Facility Workforce Survey Chartbook: 2016
Analyzes the survey results from 78 nursing facility chief executive officers in North Dakota. Describes characteristics of the nursing facility workforce. Includes rural versus urban comparisons for multiple measures, such as registered nurse (RN) vacancy rates, number of nurse full-time equivalents (FTEs), level of difficulty in filling staff positions, most important problem in recruiting RNs, and many others.
Author(s): Gary Hart, Robin Besse, Mandi-Leigh Peterson
Date: 09/2017
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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The Financial Importance of Medicare Post-Acute and Hospice Care to Rural Hospitals
Findings brief describing variation in the number of hospitals in rural areas providing Medicare post-acute care (PAC) and hospice care, average amount of revenue generated for these services, and financial importance to rural hospitals. Includes statistics on 2015 Medicare PAC and hospice care revenue as percentage of patient revenue in 1,205 Critical Access Hospitals and 964 Prospective Payment System hospitals.
Author(s): Alex Schulte, H. Ann Howard, George H. Pink
Date: 07/2017
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Impact of Swing Beds
Policy brief describes the current value of swing beds as a critical healthcare service that provides quality care and can help reduce readmission rates. Discusses how swing beds can create additional revenue for small rural hospitals at risk of experiencing financial challenges.
Author(s): Jim Parrish, Ann Turner, Margaret Woeppel
Date: 02/2016
Type: Document
Sponsoring organization: National Rural Health Association
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A Critique of the Office of the Inspector General's Report on Swing Beds in Critical Access Hospitals
Evaluates the methods and data of a March 2015 report from the Office of the Inspector General (OIG), U.S. Department of Health and Human Services, commenting on Medicare reimbursement policy for swing bed services in Critical Access Hospitals (CAHs).
Author(s): Kristin L. Reiter, G. Mark Holmes
Date: 03/2015
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Medicare Could Have Saved Billions at Critical Access Hospitals If Swing-Bed Services Were Reimbursed Using the Skilled Nursing Facility Prospective Payment System Rates
Reports the Inspector General's findings from a study of swing bed services and reimbursement at Critical Access Hospitals (CAHs). Addresses changes in swing bed usage over time and examines the potential impact to Medicare of reimbursing swing bed services at skilled nursing facility (SNF) prospective payment system (PPS) rates.
Date: 03/2015
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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New Models for Rural Post-Acute Care: Critical Access Hospitals Optimize Patient Outcomes, Value, and Financial Stability
Reports on the Transitional and Ventilator Care Model, which provided transitional Ventilator Care and increased utilization of swing beds in Critical Access Hospitals, helping them expand their service offerings, reduce readmissions, and improve their finances. Addresses the program's initial success and expansion to 11 CAHs in Minnesota, Iowa, and Wisconsin.
Author(s): Mark Lindsay, Karl Palmer, Terry Hill, et al.
Date: 05/2014
Type: Document
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Discharge to Swing Bed or Skilled Nursing Facility: Who Goes Where?
Examines health conditions of patients discharged from rural Prospective Payment System (PPS) hospitals and Critical Access Hospitals (CAHs) to swing beds and skilled nursing facilities (SNFs).
Author(s): Victoria A. Freeman, Randy K. Randolph, Mark Holmes
Date: 02/2014
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Why Do Some Critical Access Hospitals Close Their Skilled Nursing Facility Services While Others Retain Them?
Examines the factors related to the operation of skilled nursing services by Critical Access Hospitals (CAHs) and specifically the factors related to closure of skilled nursing units by some CAHs and the continued provision of these services by others. Addresses the impact of swing beds.
Author(s): John A. Gale, Zachariah T. Croll, Andrew F. Coburn, Walter R. Gregg
Date: 11/2012
Type: Document
Sponsoring organization: Flex Monitoring Team
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