Rural Health
Resources by Topic: Critical Access Hospitals
Value-Based Care and North Dakota
Slides presented to the North Dakota legislature on January 30, 2024, providing an overview of an initiative assisting rural North Dakota Critical Access Hospitals (CAHs) in preparing for value-based care and payment. Discusses principles of the transition from volume-based to value-based payment. Outlines the technical assistance the initiative provides to five core CAHs in the state and a summary of a high-level financial analysis.
Author(s): Clint MacKinney
Date: 01/2024
Sponsoring organization: Rural Health Value
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Slides presented to the North Dakota legislature on January 30, 2024, providing an overview of an initiative assisting rural North Dakota Critical Access Hospitals (CAHs) in preparing for value-based care and payment. Discusses principles of the transition from volume-based to value-based payment. Outlines the technical assistance the initiative provides to five core CAHs in the state and a summary of a high-level financial analysis.
Author(s): Clint MacKinney
Date: 01/2024
Sponsoring organization: Rural Health Value
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Closing the Gap: How a Community Effort Can Improve Rural Maternity Care
Case study of a Critical Access Hospital (CAH) that increased access to maternal healthcare in rural North Carolina by opening a maternity care center. Discusses recruitment and retention of healthcare professionals and collaboration among healthcare organizations in the community.
Author(s): Jesus Ruiz
Citation: Annals of Family Medicine, 22(1), 68
Date: 01/2024
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Case study of a Critical Access Hospital (CAH) that increased access to maternal healthcare in rural North Carolina by opening a maternity care center. Discusses recruitment and retention of healthcare professionals and collaboration among healthcare organizations in the community.
Author(s): Jesus Ruiz
Citation: Annals of Family Medicine, 22(1), 68
Date: 01/2024
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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
Sponsoring organization: Flex Monitoring Team
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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
Sponsoring organization: Flex Monitoring Team
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A Comparison of 2017-19 Uncompensated Care of Rural and Urban Hospitals by Net Patient Revenue, System Affiliation, and Ownership
Examines the association between uncompensated care and three factors - net patient revenue, system affiliation, and ownership - using Medicare Cost Report data from 2017-2019. Compares rates of uncompensated care as a percentage of operating expenses across Critical Access Hospitals (CAHs), rural prospective payment system (PPS) hospitals, and urban PPS hospitals.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 01/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the association between uncompensated care and three factors - net patient revenue, system affiliation, and ownership - using Medicare Cost Report data from 2017-2019. Compares rates of uncompensated care as a percentage of operating expenses across Critical Access Hospitals (CAHs), rural prospective payment system (PPS) hospitals, and urban PPS hospitals.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George Pink
Date: 01/2024
Sponsoring organization: North Carolina Rural Health Research Program
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Frontline Presence, Building Trust, Emergency Preparedness, and Lessons Learned: Q&A with Dr. Tim Putnam
An interview with Tim Putnam sharing rural health leadership insights from his experiences as a rural hospital CEO, a member of a White House task force, and in an academic healthcare policy position.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2024
Sponsoring organization: Rural Health Information Hub
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An interview with Tim Putnam sharing rural health leadership insights from his experiences as a rural hospital CEO, a member of a White House task force, and in an academic healthcare policy position.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2024
Sponsoring organization: Rural Health Information Hub
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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
Sponsoring organization: Flex Monitoring Team
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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
Sponsoring organization: Flex Monitoring Team
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Florida Rural Health Clinics, Rural Hospitals, and Rural Hospitals that are Critical Access Hospitals, 2024
Map of Florida's Rural Health Clinics and rural hospitals, including Critical Access Hospitals.
Date: 2024
Sponsoring organization: Florida Rural Health Association
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Map of Florida's Rural Health Clinics and rural hospitals, including Critical Access Hospitals.
Date: 2024
Sponsoring organization: Florida Rural Health Association
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Overall Hospital Quality Star Rating: Overview for Flex Programs, Critical Access Hospitals and Rural Stakeholders
Provides an overview of the Centers for Medicare and Medicaid Services (CMS) Overall Hospital Star Ratings posted on the CMS Care Compare website. Describes the methodology for the Overall Hospital Star Ratings, including information on measure selection, measure grouping, measure group scores and hospital scoring, and peer grouping and star rating assignment. Discusses the implications these ratings have on Critical Access Hospitals and other small rural hospitals.
Date: 2024
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Provides an overview of the Centers for Medicare and Medicaid Services (CMS) Overall Hospital Star Ratings posted on the CMS Care Compare website. Describes the methodology for the Overall Hospital Star Ratings, including information on measure selection, measure grouping, measure group scores and hospital scoring, and peer grouping and star rating assignment. Discusses the implications these ratings have on Critical Access Hospitals and other small rural hospitals.
Date: 2024
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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The University of Arizona Center for Rural Health Annual Report FY 2023-2024
Highlights the Center for Rural Health's accomplishments, and describes challenges and opportunities for improving the health of rural Arizonans in the upcoming year. Discusses the State Office of Rural Health, Arizona Health Improvement Plan (AzHIP), Arizona Rural Hospital Flexibility program (AzFLEX), Arizona Small Rural Hospital Improvement Program (AzSHIP), and other programs.
Date: 2024
Sponsoring organization: Arizona Center for Rural Health
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Highlights the Center for Rural Health's accomplishments, and describes challenges and opportunities for improving the health of rural Arizonans in the upcoming year. Discusses the State Office of Rural Health, Arizona Health Improvement Plan (AzHIP), Arizona Rural Hospital Flexibility program (AzFLEX), Arizona Small Rural Hospital Improvement Program (AzSHIP), and other programs.
Date: 2024
Sponsoring organization: Arizona Center for Rural Health
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California Critical Access Hospitals Map
County-level map of Critical Access Hospitals (CAHs) in California.
Date: 2024
Sponsoring organization: California Critical Access Hospital Network
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County-level map of Critical Access Hospitals (CAHs) in California.
Date: 2024
Sponsoring organization: California Critical Access Hospital Network
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