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Rural Health Information Hub

Critical Access Hospitals (CAHs) – Resources

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

Understanding COPD and Pulmonary Rehabilitation
Provides an overview of chronic obstructive pulmonary disease (COPD) symptoms and causes, and explains how rural-based pulmonary rehabilitation services help to restore independence and quality of life in COPD patients. Highlights the prevalence of COPD in rural communities and the steps that Critical Access Hospitals and other small rural hospitals can take to improve access to much-needed pulmonary rehabilitation services. Includes transcript.
Date: 02/2024
Type: Video/Multimedia
Sponsoring organization: National Rural Health Resource Center
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Critical Access Hospital Telehealth Guide
Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, enhance care coordination, and address health inequity. Focuses on Medicare outpatient telehealth services, but also includes information on Medicaid coverage and remote services that may not strictly be considered telehealth.
Date: 02/2024
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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The State of Rural Healthcare: Research Report and Outlook for 2024
Presents results of a survey of 106 rural healthcare organizations across 25 states regarding their financial health and strategic priorities. Identifies the top challenges identified by the surveyed organizations. Discusses how providers are addressing three strategic priorities in 2024, including people management, revenue capture, and digital capabilities.
Date: 01/2024
Type: Document
Sponsoring organization: Wipfli, LLP
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CAH Staff Perspectives on use of EHRs for Quality Measure Activities
Summarizes interviews with eight Critical Access Hospitals (CAHs) regarding electronic health record (EHR) use for quality measurement and improvement activities. Describes strengths and challenges for CAHs using EHRs for quality-related activities. Discusses the CAHs' readiness for, and concerns about, new health equity and social drivers of health quality measures.
Author(s): Madeleine Pick, Megan Lahr, Abigail Wenninger, Dori Cross, Ben C.D. Weideman
Date: 01/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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EHR Capabilities and Interoperability in Critical Access Hospitals
Explores the electronic health record (EHR) and interoperable health information exchange capabilities among Critical Access Hospitals (CAHs) in 2019. Analyzes 2019 American Hospital Association Information Technology Supplement (AHAIT) survey data, which includes data from nearly 700 CAHs. Compares EHR capabilities and the use of electronic methods for four interoperability domains by CAH status and system affiliation. Discusses how to support CAHs in advancing information sharing and using comprehensive EHRs.
Author(s): Madeleine Pick, Alyssa Furukawa, Megan Lahr, Dori Cross
Date: 01/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospital-Local Health Department Partnerships to Address Rural Community Needs
Explores Critical Access Hospital (CAH) involvement in collaborative community health networks that include local public health departments (LHDs), other healthcare organizations, social service agencies, and other community organizations. Uses survey data from the American Hospital Association (AHA) to describe the collaborative partnerships CAHs are engaged in, the organizations with which they partner, and the activities these partnerships undertake. Presents findings from qualitative interviews with four pairs of CAH and LHD leaders regarding challenges and lessons learned from these local-level collaborations. Identifies three areas of activity - community health needs assessments, emergency preparedness planning, and emergent public health crises - that provide an opportunity to encourage collaboration between CAHs and LHDs and address priority needs
Author(s): Zachariah Croll, Celia Jewell, John Gale
Date: 01/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Medicare Claims Processing Manual Chapter 4 - Part B Hospital (Including Inpatient Hospital Part B and OPPS)
Outlines rules and regulations for processing Medicare Part B hospital claims. Covers special rules for Critical Access Hospital outpatient billing, hospital-based Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) billing for non-RHC/FQHC services, and payment adjustments for Rural Emergency Hospitals (REHs).
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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: 01/2024
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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MBQIP 2025 Measure Core Set Information Guide
Provides an overview of the 2025 Core Measure Set adopted by the Federal Office of Rural Health Policy (FORHP) for use in the Medicare Beneficiary Quality Improvement Project (MBQIP). Offers descriptions, rationales, data elements, data availability, resources, and more for each new and continuing measure.
Date: 12/2023
Type: Document
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Location of Critical Access Hospitals
U.S. map showing Critical Access Hospitals (CAHs). Updated quarterly.
Date: 12/2023
Type: Map/Mapping System
Sponsoring organization: Flex Monitoring Team
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Last Updated: 3/21/2024