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Rural Health Information Hub

Rural Health
Resources by Type: Document

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
Sponsoring organization: University of Minnesota Rural Health Research Center
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Cascades of Care After Incidental Findings in a US National Survey of Physicians
Results of a study estimating the national frequency and consequences of cascades of testing and treatment after incidental findings on screening and diagnostic tests. Features statistics including physician characteristics associated with self-reported harm from cascades, with breakdowns by practice location in urban, suburban, or rural areas.
Author(s): Ishani Ganguli, Arabella L. Simpkin, Claire Lupo
Citation: JAMA Network Open, 2(10)
Date: 10/2019
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Estimate of Federal Payment Reductions to Hospitals Following the ACA: 2010-2029: Estimates and Methodology
Estimates the reduction in Medicare hospital payments due to sequestration from 2010 to 2029, not including reductions enacted under the Affordable Care Act (ACA). Demonstrates how other legislative acts and regulatory changes by the Centers for Medicare and Medicaid Services (CMS) reduced federal payments to hospitals over the same period. Highlights how reductions in Medicare payments for bad debt impacted Critical Access Hospitals (CAHs).
Date: 10/2019
Sponsoring organizations: American Hospital Association, Federation of American Hospitals
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Understanding Technical Assistance Needs for Delivering Telehealth Services in New York State
Discusses the use of telehealth services in New York State. Highlights the responses to a survey of providers regarding telehealth usage and technical assistance issues.
Date: 10/2019
Sponsoring organization: Center for Health Workforce Studies
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Rural First Responder Access to Mental Health Care: A National Crisis
Explores mental health challenges experienced by first responders and increased risk of suicide. Describes barriers to accessing adequate mental healthcare within the scope of their employment, especially in rural areas where services remain limited and stigma may be associated with the need for assistance.
Author(s): Jeffrey Hintz, Carrie Hintz
Date: 10/2019
Sponsoring organization: Journal of Emergency Medical Services
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Inpatient Hospital Stays and Emergency Department Visits Involving Influenza, 2006–2016
Examines inpatient stays and treat-and-release emergency department visits with an influenza diagnosis from the 2006–2007 flu season through the 2015–2016 flu season. Covers in-hospital mortality rates, average stay length, and cost. Includes data by patient location for metropolitan areas, rural adjacent to metro, and rural remote areas.
Author(s): Kathryn R. Fingar, Lan Liang, Carol Stocks
Date: 10/2019
Sponsoring organization: Agency for Healthcare Research and Quality
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States' Medicaid Fee-for-Service Nursing Facility Payment Policies
Spreadsheet outlining each state's Medicaid fee-for-service (FFS) nursing facility payment policy. Lists how each state sets the payment rate and any adjustments and supplemental payments. Includes information on rural/urban aspects of setting or adjustment to the payment in each state.
Date: 10/2019
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Arizona Primary Care Physician Workforce Report
Features data, using Rural Urban Commuting Areas (RUCA) codes, to assess the distribution of the physician workforce in Arizona, and highlights differences in the distribution by training location and physician specialty. To be used as a guide in the development of policies and programs addressing the healthcare needs of all communities within the state.
Date: 10/2019
Sponsoring organization: Arizona Center for Rural Health
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Enhancing Services for Deaf, Hard of Hearing, and Deafblind Patients in Rural America
Discusses the barriers to care that rural patients who are deaf, hard of hearing, or deafblind face, including lack of accommodations and inadequate clinician training. Features a Michigan clinic with American Sign Language-fluent staff, a New Jersey state division providing deaf sensitivity training, and a Colorado program that brings interpreters to rural communities.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2019
Sponsoring organization: Rural Health Information Hub
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Peer‐adult Network Structure and Suicide Attempts in 38 High Schools: Implications for Network‐informed Suicide Prevention
Presents a study on a school-based, youth-adult network as an intervention to prevent youth suicide in rural and micropolitan communities. Measures rates of suicidal ideation and suicide attempts in 38 high schools in New York and North Dakota.
Author(s): Peter A. Wyman, Trevor A. Pickering, Anthony R. Pisani, et al.
Citation: The Journal of Child Psychology and Psychiatry, 60(10), 1065-1075
Date: 10/2019
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