Rural Health
Resources by Topic: Closures of healthcare facilities and services
Alabama General Hospital Closures Since 1980
County-level map showing general hospitals that closed and were not replaced within two years.
Date: 03/2016
Type: Map/Mapping System
Sponsoring organization: Alabama Rural Health Association
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County-level map showing general hospitals that closed and were not replaced within two years.
Date: 03/2016
Type: Map/Mapping System
Sponsoring organization: Alabama Rural Health Association
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Geographic Variation in Risk of Financial Distress among Rural Hospitals
Discusses the geographic variation in the number of rural hospitals predicted to be at high risk for closure in 2015 as assigned by the Financial Distress Index (FDI) model. The FDI model uses existing hospital financial performance, government reimbursement, and organizational and market characteristics to determine risk levels associated with financial distress.
Author(s): Brystana Kaufman, Regina Rutledge, George Pink, Mark Holmes
Date: 01/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Discusses the geographic variation in the number of rural hospitals predicted to be at high risk for closure in 2015 as assigned by the Financial Distress Index (FDI) model. The FDI model uses existing hospital financial performance, government reimbursement, and organizational and market characteristics to determine risk levels associated with financial distress.
Author(s): Brystana Kaufman, Regina Rutledge, George Pink, Mark Holmes
Date: 01/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Prediction of Financial Distress among Rural Hospitals
Explains the concept of the Financial Distress Index (FDI), which seeks to predict and analyze financial distress among rural hospitals. Examines the predictive ability of the FDI by scoring rural hospitals using financial data from previous years' cost reports.
Author(s): Brystana Kaufman, George Pink, Mark Holmes
Date: 01/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Explains the concept of the Financial Distress Index (FDI), which seeks to predict and analyze financial distress among rural hospitals. Examines the predictive ability of the FDI by scoring rural hospitals using financial data from previous years' cost reports.
Author(s): Brystana Kaufman, George Pink, Mark Holmes
Date: 01/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Estimated Costs of Rural Freestanding Emergency Departments
Provides an overview of the rural freestanding emergency department (RFED) model as a feasible alternative for hospitals at risk of closure, or preparing for closure, to keep emergency services within the rural community.
Author(s): J. Dunc Williams, Paula H. Song, George H. Pink
Date: 11/2015
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Provides an overview of the rural freestanding emergency department (RFED) model as a feasible alternative for hospitals at risk of closure, or preparing for closure, to keep emergency services within the rural community.
Author(s): J. Dunc Williams, Paula H. Song, George H. Pink
Date: 11/2015
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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The Economic Impact of Recent Hospital Closures on Rural Communities
Estimates the direct and secondary economic impacts of hospital closures on rural communities, focusing on labor (wages, salaries, benefits) and employment (jobs) income. Uses data collected from 16 hospitals representing 13 states that have closed since 2010, of which 9 were designated as Critical Access Hospitals.
Author(s): Fred C Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 07/2015
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Estimates the direct and secondary economic impacts of hospital closures on rural communities, focusing on labor (wages, salaries, benefits) and employment (jobs) income. Uses data collected from 16 hospitals representing 13 states that have closed since 2010, of which 9 were designated as Critical Access Hospitals.
Author(s): Fred C Eilrich, Gerald A. Doeksen, Cheryl F. St. Clair
Date: 07/2015
Type: Document
Sponsoring organization: National Center for Rural Health Works
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The Business of Rural Hospital Closures
Discusses how rural hospitals can stay viable in difficult times, with insights from Charles Owens, executive director of the Georgia Department of Community Health, State Office of Rural Health.
Author(s): Kate Menzies
Citation: Rural Monitor
Date: 05/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses how rural hospitals can stay viable in difficult times, with insights from Charles Owens, executive director of the Georgia Department of Community Health, State Office of Rural Health.
Author(s): Kate Menzies
Citation: Rural Monitor
Date: 05/2015
Type: Document
Sponsoring organization: Rural Health Information Hub
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Statement by Tim Wolters, Citizens Memorial Hospital and Lake Regional Health System, before the Committee on Appropriations Subcommittee on Labor, Health and Human Services, and Education and Related Agencies
Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Discusses the impact rural hospitals have on their communities and the challenges rural Prospective Payment System (PPS) hospitals face that make them vulnerable to cuts in Medicare reimbursement.
Author(s): Tim Wolters
Date: 05/2015
Type: Document
Sponsoring organization: Senate Committee on Appropriations
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Testimony presented at a May 7, 2015 Labor-HHS Subcommittee hearing on rural health. Discusses the impact rural hospitals have on their communities and the challenges rural Prospective Payment System (PPS) hospitals face that make them vulnerable to cuts in Medicare reimbursement.
Author(s): Tim Wolters
Date: 05/2015
Type: Document
Sponsoring organization: Senate Committee on Appropriations
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A Comparison of Closed Rural Hospitals and Perceived Impact
Compares characteristics of rural hospitals that have closed or have converted to provide a mix of health services but no inpatient care. Measures perceived impact of rural hospital closures.
Author(s): Sharita R. Thomas, Brystana G. Kaufman, Randy K. Randolph, et al.
Date: 04/2015
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Compares characteristics of rural hospitals that have closed or have converted to provide a mix of health services but no inpatient care. Measures perceived impact of rural hospital closures.
Author(s): Sharita R. Thomas, Brystana G. Kaufman, Randy K. Randolph, et al.
Date: 04/2015
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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MedPAC Report to the Congress: Medicare Payment Policy, 2015
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2015
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2015
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Financially Fragile Rural Hospitals: Mergers and Closures
Highlights a national trend of financial stress on rural hospitals that have led to facility and service closures and mergers in recent years. Discusses the causes of the financial stress, including the implementation of the Affordable Care Act, the lack of Medicaid expansion in some states, and operational challenges in transitioning to value-based care.
Author(s): Mark Holmes
Citation: North Carolina Medical Journal, 76(1), 37-40
Date: 01/2015
Type: Document
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Highlights a national trend of financial stress on rural hospitals that have led to facility and service closures and mergers in recent years. Discusses the causes of the financial stress, including the implementation of the Affordable Care Act, the lack of Medicaid expansion in some states, and operational challenges in transitioning to value-based care.
Author(s): Mark Holmes
Citation: North Carolina Medical Journal, 76(1), 37-40
Date: 01/2015
Type: Document
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