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Rural Health
Resources by Type: Document

Medicare Hospice Care: Modifications to Payment Methodology May Be Warranted
Discusses proposed adjustments to Medicare payments for hospice services. Includes some information on rural aspects of hospice and Medicare reimbursement.
Additional links: Full Report
Date: 10/2004
Sponsoring organization: Government Accountability Office
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Broken Promises: Evaluating the Native American Health Care System
Describes the health disparities facing the Native American community, contributing barriers to healthcare access, and recommendations for improvement.
Date: 09/2004
Sponsoring organization: U.S. Commission on Civil Rights
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Critical Access Hospital Patient Safety Priorities and Initiatives: Results of the 2004 National CAH Survey
Describes patient safety activities at Critical Access Hospitals (CAHs) based on a 2004 survey of 474 CAH administrators. Includes information on patient safety priorities, challenges CAHs face in implementing patient safety interventions, and pharmacy staffing and computer systems to prevent medication errors.
Author(s): Michelle Casey, Ira Moscovice, Jill Klingner
Date: 09/2004
Sponsoring organization: Flex Monitoring Team
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Welfare Reform: Rural TANF Programs Have Developed Many Strategies to Address Rural Challenges
Describes the rural caseload for the Temporary Assistance for Needy Families (TANF) program and how the caseload has changed over time. Includes data on rural-urban TANF cases for each state. Describes challenges facing rural TANF programs, including health-related challenges, and strategies used to address these challenges.
Additional links: Full Report
Date: 09/2004
Sponsoring organization: Government Accountability Office
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Quality Improvement Activities in Critical Access Hospitals: Results of the 2004 National CAH Survey
Describes quality improvement efforts in Critical Access Hospitals (CAHs) based on a 2004 survey of 474 CAH administrators. Includes data on the use of clinical guidelines and quality measures in CAHs, and the role of Medicare Quality Improvement Organizations (QIOs).
Author(s): Michelle Casey, Ira Moscovice, Jill Klingner
Date: 09/2004
Sponsoring organization: Flex Monitoring Team
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Medicare: Information Needed to Assess Adequacy of Rate-Setting Methodology for Payments for Hospital Outpatient Services
Examines whether the outpatient prospective payment system (OPPS) rate-setting methodology results in payment rates that uniformly reflect hospitals' costs for providing drugs and devices. Includes information specific to rural hospitals and the OPPS.
Additional links: Full Report
Date: 09/2004
Sponsoring organization: Government Accountability Office
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2004 CAH Survey National Data
Presents key results from on a national telephone survey of 500 Critical Access Hospital (CAH) administrators between January and April 2004. Topics addressed include CAH scope of services and any changes in services during the previous two years; organizational relationships and their impact on CAH operations; quality improvement and patient safety activities; and community impact.
Author(s): Michelle Casey, Jill Klingner
Date: 08/2004
Sponsoring organization: Flex Monitoring Team
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Toolkit for Rural Community Coordinated Transportation Services
Provides information, instructions, and lessons learned from rural communities that have implemented coordinated transportation services. Includes details on who needs to be involved in coordinated transportation, how it operates, and its benefits.
Author(s): Jon E. Burkhardt, Charles A. Nelson, Gail Murray, David Koffman
Date: 08/2004
Sponsoring organization: Transportation Research Board
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Transportation-Disadvantaged Seniors: Efforts to Enhance Senior Mobility Could Benefit from Additional Guidance and Information
Identifies federal programs that address mobility issues for transportation-disadvantaged seniors, the extent to which those programs meet their needs, and attributes of senior-friendly transportation programs in rural and urban areas. Includes examples of successful programs throughout the country.
Additional links: Full Report
Date: 08/2004
Sponsoring organization: Government Accountability Office
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Exploring the Impact of Medicare's Post-Acute Care Transfer Payment Policy on Rural Hospitals
Describes a change in Medicare post-acute transfer payment policy and its impact on rural and urban hospitals. Includes data on the financial impact and hospital discharge behavior before and after the change.
Author(s): Julie A. Schoenman
Date: 07/2004
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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