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Rural Hospitals – Resources

Selected recent or important resources focusing on Rural Hospitals.

Availability of Hospital-Based Cancer Services Before and After Rural Hospital Closure, 2008–2017
Explores the effect rural hospital closures have had on rural cancer care. Draws from American Hospital Association data from 2008 to 2017 and explores the differing outcomes hospital closures had on oncology care, radiation services, and cancer screening in rural areas.
Author(s): Whitney E. Zahnd, Peiyin Hung, Sylvia Kewei Shi, et al.
Citation: Journal of Rural Health
Date: 09/2022
Type: Document
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Review of Rural U.S. Economic and Health Care Trends
Reviews recent literature and publicly available data to explore important issues at the nexus of healthcare and local economic vibrancy, and explores the economic implications associated with COVID-19. Includes sections on rural hospitals, the rural healthcare workforce, emergency medical services, insurance, and telehealth. Features statistics with breakdowns by 6 levels of population density and county-level maps showing Health Professional Shortage Areas and rural counties without obstetrical services.
Author(s): Alison Davis
Date: 09/2022
Type: Document
Sponsoring organization: Center for Economic Analysis of Rural Health
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Availability of Hospital-Based Emergency Department and Trauma Services in Minoritized Racial/Ethnic Group Areas
Explores the availability of hospital-based emergency department and trauma services nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the median distance to the nearest emergency department and trauma service by rurality in minoritized and non-minoritized ZCTA and the percent of ZCTAs more than 30 miles from emergency department and trauma services by Census region.
Author(s): Nabil Natafgi, Peiyin Hung, Whitney E. Zahnd, et al.
Date: 09/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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MedPAC Comment on CMS's Proposed Rule on the Payment Systems for Hospital Outpatient Departments and Ambulatory Surgical Centers for 2023
Comments on a July 26, 2022, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023. Includes considerations for payment for 340B drugs, additional facility payments for Rural Emergency Hospitals, telehealth rehabilitation services beyond the COVID-19 public health emergency, and efforts for measuring equity and healthcare quality disparities.
Date: 09/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Hospital Closures Threaten Access: Solutions to Preserve Care in Local Communities
Provides an overview of rural hospital closures between 2010-2021. Discusses rural demographics and outlines trends affecting rural hospital financial sustainability, including patient volume and health, reimbursement, staffing shortages, COVID-19, new models of care, and more.
Date: 09/2022
Type: Document
Sponsoring organization: American Hospital Association
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COVID-19 Hospital Encounters by Urban-Rural Location of the Hospital by Week From Selected Hospitals
Line chart showing hospitals' percentage of confirmed COVID-19 encounters among all emergency department or inpatient encounters. Includes data from March 2020 through May 2022 for large central and fringe metro areas, medium and small metro areas, and rural areas.
Date: 09/2022
Type: Chart/Graph
Sponsoring organization: National Center for Health Statistics
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Providing High-Quality Support to Pregnant People and Their Families in Racially Diverse Rural Communities
Presents a series of case studies of how hospitals and health systems with obstetric units in racially diverse rural communities work to meet patient needs and provide evidence-based, supportive services during pregnancy, childbirth, and the postpartum period. Highlights communities in Colorado, Alaska, and Texas and discusses key features of programs at hospitals or health systems in each area.
Date: 08/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Rural Emergency Hospitals
Provides an overview of the Rural Emergency Hospital (REH) program and the statutory requirements for facilities seeking REH designation. Outlines state laws that established REH licensure.
Date: 08/2022
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Changes in the Provision of Health Care Services by Rural Critical Access Hospitals and Prospective Payment System Hospitals in 2009 compared to 2017
Findings brief exploring changes in the availability and provision of different health care services among rural Critical Access Hospitals and Prospective Payment System hospitals from 2009 to 2017, using data from the American Hospital Association Annual Survey Database. Features statistics with breakdowns by types of services offered, type of hospital, and percentage-point change from 2009 to 2017.
Author(s): Randall John, Kathleen Knocke, Sharita Thomas, et al.
Date: 08/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Public Health Preparedness: COVID-19 Medical Surge Experiences and Related HHS Efforts
Discusses the medical surge challenges of eight hospitals in response to the COVID-19 pandemic and how healthcare coalitions have supported the hospitals' efforts. Identifies challenges related to staffing, supplies, space, and information, as well as challenges unique to rural hospitals. Describes Administration for Strategic Preparedness and Response (ASPR) programs and activities to support medical surge readiness.
Additional links: Full Report
Date: 08/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Last Updated: 9/21/2022