Rural Health
Resources by Topic: Critical Access Hospitals
Provision of Hospice Services by Critical Access Hospitals: Strengths and Challenges
Describes the characteristics of Critical Access Hospitals (CAHs) that report providing hospice services by analyzing data from the 2021 American Hospital Association (AHA) annual survey. Presents findings from qualitative interviews with seven CAHs who report providing hospice care, including how CAHs provide hospice services, the advantages CAHs may have when providing end-of-life care, and what CAH-specific barriers exist in providing such care.
Author(s): Robert Barclay, Megan Lahr, Hannah MacDougall, Abigail Wenninger
Date: 10/2023
Sponsoring organization: Flex Monitoring Team
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Describes the characteristics of Critical Access Hospitals (CAHs) that report providing hospice services by analyzing data from the 2021 American Hospital Association (AHA) annual survey. Presents findings from qualitative interviews with seven CAHs who report providing hospice care, including how CAHs provide hospice services, the advantages CAHs may have when providing end-of-life care, and what CAH-specific barriers exist in providing such care.
Author(s): Robert Barclay, Megan Lahr, Hannah MacDougall, Abigail Wenninger
Date: 10/2023
Sponsoring organization: Flex Monitoring Team
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Recovering from a Cybersecurity Attack and Protecting the Future in Small, Rural Health Organizations
Discusses the impact cyber-attacks can have on rural healthcare facilities. Features two Critical Access Hospital leaders describing attacks at their organizations. Shares insights from an information technology compliance expert, including actions organizations can take to protect themselves.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 10/2023
Sponsoring organization: Rural Health Information Hub
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Discusses the impact cyber-attacks can have on rural healthcare facilities. Features two Critical Access Hospital leaders describing attacks at their organizations. Shares insights from an information technology compliance expert, including actions organizations can take to protect themselves.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 10/2023
Sponsoring organization: Rural Health Information Hub
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The Pennsylvania Rural Health Model (PARHM): Third Annual Evaluation Report
Evaluates the third performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2021. Includes three case studies discussing three themes: the recruitment and retention of system-affiliated hospitals, engagement and coordination with community organizations and providers, and exploring service line changes.
Additional links: Appendix, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the third performance year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes from 2016, the model's baseline, through 2021. Includes three case studies discussing three themes: the recruitment and retention of system-affiliated hospitals, engagement and coordination with community organizations and providers, and exploring service line changes.
Additional links: Appendix, Findings at a Glance
Date: 09/2023
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Characteristics of Short-Term Acute Care Hospitals That Experienced a Ransomware Attack from 2016 to 2021
Analyzed short-term acute care hospitals experiencing a ransomware attack between 2016 and 2019 to identify characteristics associated with an attack. Considered variables such as rurality, various financial characteristics, information technology infrastructure, and more. Includes recommendation for future research regarding rural impacts.
Author(s): Claire C. McGlave, Sayeh S. Nikpay, Carrie Henning-Smith, Katie Rydberg, Hannah T. Neprash
Citation: Health Affairs Scholar, 1(3)
Date: 09/2023
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Analyzed short-term acute care hospitals experiencing a ransomware attack between 2016 and 2019 to identify characteristics associated with an attack. Considered variables such as rurality, various financial characteristics, information technology infrastructure, and more. Includes recommendation for future research regarding rural impacts.
Author(s): Claire C. McGlave, Sayeh S. Nikpay, Carrie Henning-Smith, Katie Rydberg, Hannah T. Neprash
Citation: Health Affairs Scholar, 1(3)
Date: 09/2023
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Quality Time: Sharing PIE – Improving Swing Bed Quality
Podcast episode discussing how two Critical Access Hospital (CAH) quality improvement leaders in Mississippi and Nevada used proactive approaches to improve their swing bed programs. Describes efforts in reducing healthcare-associated infections with pneumonia and improving the documentation and coordination of swing bed patients.
Date: 09/2023
Sponsoring organization: Stratis Health
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Podcast episode discussing how two Critical Access Hospital (CAH) quality improvement leaders in Mississippi and Nevada used proactive approaches to improve their swing bed programs. Describes efforts in reducing healthcare-associated infections with pneumonia and improving the documentation and coordination of swing bed patients.
Date: 09/2023
Sponsoring organization: Stratis Health
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Quality Time: Sharing PIE – Preventing Readmissions
Podcast episode discussing the varied approaches used by quality leaders from three Critical Access Hospitals to reduce readmissions. Covers community partnerships and collaboration with local health and human services providers, including emergency medical services (EMS).
Date: 08/2023
Sponsoring organization: Stratis Health
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Podcast episode discussing the varied approaches used by quality leaders from three Critical Access Hospitals to reduce readmissions. Covers community partnerships and collaboration with local health and human services providers, including emergency medical services (EMS).
Date: 08/2023
Sponsoring organization: Stratis Health
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FY 2024 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule — CMS-1785-F and CMS-1788-F Fact Sheet
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2024 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the low-wage index hospital policy, Rural Emergency Hospitals (REHs) being allowed to receive Medicare Graduate Medical Education (GME) payments, changes to the rural wage index calculation methodology, and more.
Date: 08/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2024 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the low-wage index hospital policy, Rural Emergency Hospitals (REHs) being allowed to receive Medicare Graduate Medical Education (GME) payments, changes to the rural wage index calculation methodology, and more.
Date: 08/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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2023 Community Health Needs Assessment Community Analysis: Analysis of Health Priorities for Rural Michigan Counties
Reports on community health needs in the 61 rural counties in Michigan as a reference guide for rural non‐profit hospitals in the state, as required by the Patient Protection and Affordable Care Act for all non‐profit hospitals. Lists priorities and health ranking for each county.
Author(s): Kristina Kaput
Date: 07/2023
Sponsoring organization: Michigan Center for Rural Health
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Reports on community health needs in the 61 rural counties in Michigan as a reference guide for rural non‐profit hospitals in the state, as required by the Patient Protection and Affordable Care Act for all non‐profit hospitals. Lists priorities and health ranking for each county.
Author(s): Kristina Kaput
Date: 07/2023
Sponsoring organization: Michigan Center for Rural Health
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North Dakota's Significant Rural Health Needs as Identified by Critical Access Hospital Community Health Needs Assessments: 2020-2022 Aggregate Results for Rural North Dakota Hospitals
Report highlights the results of community health needs assessments of North Dakota's Critical Access Hospitals (CAHs) from 2020 to 2022. Identifies the most pressing healthcare needs in ND's rural communities.
Author(s): Kylie Nissen, Holly Long
Date: 07/2023
Sponsoring organization: University of North Dakota Center for Rural Health
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Report highlights the results of community health needs assessments of North Dakota's Critical Access Hospitals (CAHs) from 2020 to 2022. Identifies the most pressing healthcare needs in ND's rural communities.
Author(s): Kylie Nissen, Holly Long
Date: 07/2023
Sponsoring organization: University of North Dakota Center for Rural Health
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Social Needs Screening among Non-Federal Acute Care Hospitals, 2022
Examines the extent to which non-federal acute care hospitals collect and receive data on individual patients' health-related social needs using data from the 2022 American Hospital Association (AHA) Information Technology (IT) supplement. Describes how these data are used to promote patient and population health. Includes data on the routine collection of social needs and use of structured screening tools or diagnosis codes by hospital characteristics, including rural location, Critical Access Hospital designation, and size.
Author(s): Wei Chang, Chelsea Richwine
Date: 07/2023
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Examines the extent to which non-federal acute care hospitals collect and receive data on individual patients' health-related social needs using data from the 2022 American Hospital Association (AHA) Information Technology (IT) supplement. Describes how these data are used to promote patient and population health. Includes data on the routine collection of social needs and use of structured screening tools or diagnosis codes by hospital characteristics, including rural location, Critical Access Hospital designation, and size.
Author(s): Wei Chang, Chelsea Richwine
Date: 07/2023
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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