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Rural Health Information Hub

Critical Access Hospitals (CAHs) – Resources

Selected recent or important resources focusing on Critical Access Hospitals (CAHs).

Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2020
Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale
Date: 06/2022
Type: Document
Sponsoring organization: Flex Monitoring Team
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Supporting Critical Access Hospital Staff during COVID-19
Presents summaries of initiatives taken in three Critical Access Hospitals (CAHs) to support staff during the COVID-19 pandemic with regard to child care, stress and well-being, and work flexibility. Discusses similarities across these programs and offers considerations for CAHs interested in implementing similar initiatives.
Author(s): Madeleine Pick, Megan Lahr, Shehrose Charania, Ira Moscovice
Date: 06/2022
Type: Document
Sponsoring organization: Flex Monitoring Team
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CAH Financial Indicators Report: Summary of Indicator Medians by State
Presents state and national median values of 23 financial indicators included in the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Provides an overview of each measurement, and reports mean values by state. Indicators represent six areas of financial performance: profitability, liquidity, capital structure, revenue, cost, and utilization.
Date: 05/2022
Type: Document
Sponsoring organization: Flex Monitoring Team
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Year Two Evaluation of the Flex EMS Supplemental Funding Projects: Building an Evidence Base Through Outcome Measurement Not Shown
Examines the outcome management strategies of four of the Flex Program's Emergency Medical Services (EMS) Supplemental funding grant recipients. Describes the outcome measures selected, the timing of those measures, and data sources used to support their outcome measures. Identifies strengths and challenges to the outcome management strategies and offers recommendations to refine these strategies.
Author(s): John Gale, Karen Pearson, Sara Kahn-Troster
Date: 04/2022
Type: Document
Sponsoring organization: Flex Monitoring Team
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Impact of Cost Report on CAH Decision Making
Webinar recording discussing cost-based reimbursement and the implications of the Medicare cost report for Critical Access Hospitals (CAHs). Describes opportunities for CAHs to maximize reimbursement using the cost report. Part of a series of webinars directed toward rural hospital CEOs and CFOs.
Date: 04/2022
Type: Document
Sponsoring organizations: Oklahoma Office of Rural Health, Stroudwater Associates
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Medicare Beneficiary Quality Improvement Project (MBQIP) Quality Reporting Guide
Offers Flex Coordinators, Critical Access Hospital staff, and others who are working with the Medicare Beneficiary Quality Improvement Project (MBQIP) information to better understand the measure reporting process. Discusses how to register for the reporting site, which measures are to be reported to the site, and how to submit measures. Groups measures by how and where the data is to be reported.
Date: 04/2022
Type: Document
Sponsoring organization: Stratis Health
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Location of Critical Access Hospitals
U.S. map showing Critical Access Hospitals (CAHs). Updated quarterly.
Date: 04/2022
Type: Map/Mapping System
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospitals (CAHs)
Printable map that shows the location of Critical Access Hospitals (CAHs) nationwide by state. Data source: data.HRSA.gov, U.S. Department of Health and Human Services
Date: 04/2022
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Report to Congress on Medicaid and CHIP, March 2022
Reports on five aspects of Medicaid: 1) transitioning Medicaid beneficiaries out of institutions and back into the community under the Money Follows the Person (MFP) demonstration program, 2) improving access to vaccines and vaccination rates for adults enrolled in Medicaid, and 3) reviewing hospital payment policy for the nation's safety-net hospitals. Chapter 3 examines the relationship between disproportionate share hospital (DSH) allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 3-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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An Inventory of State Flex Program Population Health Initiatives for Fiscal Years 2019-2023
Provides an overview of Medicare Rural Hospital Flexibility (Flex) Program funding for initiatives to improve rural population health under Program Area 3: Population Health Improvement. Offers a state-by-state summary of State Flex Program (SFP) population health initiatives between fiscal years 2019 and 2021. Details output and process measures, outcome measures, and SFP partners for each initiative.
Author(s): Celia Jewell, Sara Kahn-Troster, Zachariah Croll, John Gale
Date: 03/2022
Type: Document
Sponsoring organization: Flex Monitoring Team
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Last Updated: 6/30/2022