Rural Health
Resources by Topic: Closures of healthcare facilities and services
Disruptors, Essential Services, and Reflections on a Career in Rural Health, with John Supplitt
An episode of the Exploring Rural Health podcast featuring John Supplitt, Senior Director of Rural Health Services for the American Hospital Association. Focuses on the importance of maintaining rural essential services, along with insights from Supplitt's long career in rural health.
Date: 07/2024
Type: Audio
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring John Supplitt, Senior Director of Rural Health Services for the American Hospital Association. Focuses on the importance of maintaining rural essential services, along with insights from Supplitt's long career in rural health.
Date: 07/2024
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Travel Time to Delivery Facilities for Arkansas Mothers
Infographic presenting findings on county-level travel times to maternal care services in Arkansas. Includes data on travel times in 2016 versus 2022 at the state level, and discusses the impact of labor and delivery unit closures on rural access to care.
Date: 06/2024
Type: Document
Sponsoring organization: Arkansas Center for Health Improvement
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Infographic presenting findings on county-level travel times to maternal care services in Arkansas. Includes data on travel times in 2016 versus 2022 at the state level, and discusses the impact of labor and delivery unit closures on rural access to care.
Date: 06/2024
Type: Document
Sponsoring organization: Arkansas Center for Health Improvement
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Nursing Home Closures Did Not Increase in 2020 and 2021, Despite Financial Challenges Caused by the COVID-19 Pandemic
Provides an overview of the financial challenges and closures experienced by nursing homes during the COVID-19 pandemic. Analyzes 2011-2021 data from 16,361 nursing homes, with breakdowns according to number of closures, staff shortages, COVID-19 infections, vaccination rates, closures by state and rural versus urban location, and more.
Author(s): Micah Segelman, Kristie A. Porter, Kelly Hughes, et al.
Date: 05/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Provides an overview of the financial challenges and closures experienced by nursing homes during the COVID-19 pandemic. Analyzes 2011-2021 data from 16,361 nursing homes, with breakdowns according to number of closures, staff shortages, COVID-19 infections, vaccination rates, closures by state and rural versus urban location, and more.
Author(s): Micah Segelman, Kristie A. Porter, Kelly Hughes, et al.
Date: 05/2024
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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A Picture of the Loss of Rural Obstetrical Service in Alabama 1980 to 2024
County-level maps showing counties with hospitals offering obstetrical service in 1980 and those offering service as of May 2024.
Date: 05/2024
Type: Map/Mapping System
Sponsoring organization: Alabama Office of Primary Care and Rural Health
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County-level maps showing counties with hospitals offering obstetrical service in 1980 and those offering service as of May 2024.
Date: 05/2024
Type: Map/Mapping System
Sponsoring organization: Alabama Office of Primary Care and Rural Health
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Rural Health Care: Supporting Lives and Improving Communities
Presents the U.S. Senate Committee on Finance May 16, 2024, hearing on rural healthcare. Discusses the financial vulnerability of rural hospitals, the rural healthcare workforce and graduate medical education (GME), access to maternal healthcare, health information technology and telehealth, and more. Features testimony from the Chartis Center for Rural Health; Grande Ronde Hospital, a Critical Access Hospital in Oregon; the Wisconsin Collaborative for Rural Graduate Medical Education; and the Rural Policy Research Institute.
Additional links: Jeremy P. Davis, Grande Ronde Hospital - Testimony, Keith J. Mueller, Rural Policy Research Institute - Testimony, Lori Rodefeld, Wisconsin Collaborative for Rural Graduate Medical Education - Testimony, Michael Topchik, Chartis Center for Rural Health - Testimony
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance
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Presents the U.S. Senate Committee on Finance May 16, 2024, hearing on rural healthcare. Discusses the financial vulnerability of rural hospitals, the rural healthcare workforce and graduate medical education (GME), access to maternal healthcare, health information technology and telehealth, and more. Features testimony from the Chartis Center for Rural Health; Grande Ronde Hospital, a Critical Access Hospital in Oregon; the Wisconsin Collaborative for Rural Graduate Medical Education; and the Rural Policy Research Institute.
Additional links: Jeremy P. Davis, Grande Ronde Hospital - Testimony, Keith J. Mueller, Rural Policy Research Institute - Testimony, Lori Rodefeld, Wisconsin Collaborative for Rural Graduate Medical Education - Testimony, Michael Topchik, Chartis Center for Rural Health - Testimony
Date: 05/2024
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Finance
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Using the Updated Financial Distress Index to Describe Relative Risk of Hospital Financial Distress
Describes the relative risk of rural hospitals and selected urban hospitals experiencing financial distress in 2023. Provides an overview of an updated Financial Distress Index (FDI), which incorporates variables reflecting changes to operational environments since the publication of the 2017 FDI to predict and analyze financial distress and risk of rural hospital closure. Presents data on the characteristics of hospitals by relative risk of financial distress in 2023 and the number of hospitals in each state across in category of relative risk of financial distress.
Author(s): Tyler Malone, George Pink, Kristie Thompson, Mark Holmes
Date: 04/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Describes the relative risk of rural hospitals and selected urban hospitals experiencing financial distress in 2023. Provides an overview of an updated Financial Distress Index (FDI), which incorporates variables reflecting changes to operational environments since the publication of the 2017 FDI to predict and analyze financial distress and risk of rural hospital closure. Presents data on the characteristics of hospitals by relative risk of financial distress in 2023 and the number of hospitals in each state across in category of relative risk of financial distress.
Author(s): Tyler Malone, George Pink, Kristie Thompson, Mark Holmes
Date: 04/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Ten Things to Know About Consolidation in Health Care Provider Markets
Discusses consolidation in healthcare provider markets, including different types of consolidation, trends, benefits and harms for patients and other consumers, key research findings, policy options for increasing competition, and more. Highlights impacts on rural and underserved communities throughout.
Author(s): Zachary Levinson, Jamie Godwin, Scott Hulver, Tricia Neuman
Date: 04/2024
Type: Document
Sponsoring organization: KFF
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Discusses consolidation in healthcare provider markets, including different types of consolidation, trends, benefits and harms for patients and other consumers, key research findings, policy options for increasing competition, and more. Highlights impacts on rural and underserved communities throughout.
Author(s): Zachary Levinson, Jamie Godwin, Scott Hulver, Tricia Neuman
Date: 04/2024
Type: Document
Sponsoring organization: KFF
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MedPAC Report to the Congress: Medicare Payment Policy: Mandated Report: Rural Emergency Hospitals: Chapter 15
Provides an overview of the Rural Emergency Hospital (REH) designation. Discusses the evolution of Medicare's support for rural hospitals through payment policies and the impact of declining inpatient volumes on rural hospitals' financial sustainability. Describes the characteristics of hospitals that converted to REH status in 2023, the first year of the designation.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Provides an overview of the Rural Emergency Hospital (REH) designation. Discusses the evolution of Medicare's support for rural hospitals through payment policies and the impact of declining inpatient volumes on rural hospitals' financial sustainability. Describes the characteristics of hospitals that converted to REH status in 2023, the first year of the designation.
Date: 03/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Health Research Recap: Post-Acute Care in Rural Areas: The Role of Swing Beds and Nursing Homes
Offers statistics on availability of post-acute care in rural areas through skilled nursing facilities, home health agencies, hospice, inpatient rehabilitation facilities, and swing beds. Includes sections on prospective payment system and cost-based reimbursement, and provides statistics on the proportion of nursing home closures in metropolitan and nonmetropolitan areas from 2008-2018.
Author(s): Per Ostmo
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Offers statistics on availability of post-acute care in rural areas through skilled nursing facilities, home health agencies, hospice, inpatient rehabilitation facilities, and swing beds. Includes sections on prospective payment system and cost-based reimbursement, and provides statistics on the proportion of nursing home closures in metropolitan and nonmetropolitan areas from 2008-2018.
Author(s): Per Ostmo
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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The Impact of Rural General Hospital Closures on Communities—A Systematic Review of the Literature
Presents a literature review of studies on the health and economic effects hospital closures have had on rural communities. Analyzes 21 studies completed in the previous 8 years and details the economic and healthcare access outcomes identified.
Author(s): Carol A. Mills, Valerie A. Yeager, Kathleen T. Unroe, et al.
Citation: Journal of Rural Health, 40(2), 238-248
Date: 03/2024
Type: Document
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Presents a literature review of studies on the health and economic effects hospital closures have had on rural communities. Analyzes 21 studies completed in the previous 8 years and details the economic and healthcare access outcomes identified.
Author(s): Carol A. Mills, Valerie A. Yeager, Kathleen T. Unroe, et al.
Citation: Journal of Rural Health, 40(2), 238-248
Date: 03/2024
Type: Document
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