Rural Health
Resources by Topic: Critical Access Hospitals
Critical Access Hospitals' Initial Response to COVID-19 by System Affiliation
Summarizes results of a survey of Critical Access Hospital (CAH) executives in eight states regarding the initial response to COVID-19 through August 2020. Presents data by system-affiliated and independent CAH status. Discusses COVID-19 case volume, personal protective equipment (PPE) supply, and the perceived impact of system affiliation status on facilities' overall response to COVID-19.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Summarizes results of a survey of Critical Access Hospital (CAH) executives in eight states regarding the initial response to COVID-19 through August 2020. Presents data by system-affiliated and independent CAH status. Discusses COVID-19 case volume, personal protective equipment (PPE) supply, and the perceived impact of system affiliation status on facilities' overall response to COVID-19.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Association of Rural and Critical Access Hospital Status With Patient Outcomes After Emergency Department Visits Among Medicare Beneficiaries
Compares 30-day outcomes for 473,152 Medicare patients after emergency department (ED) visits in rural or urban settings and in Critical Access Hospitals. Features statistics on mortality, ED revisits, hospitalization and transfer patterns by commonly encountered ED conditions, and characteristics of patients and of hospitals studied, with breakdowns by urban or rural location.
Author(s): Margaret Greenwood-Ericksen, Neil Kamdar, Paul Lin, et al.
Citation: JAMA Network Open, 4(11)
Date: 11/2021
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Compares 30-day outcomes for 473,152 Medicare patients after emergency department (ED) visits in rural or urban settings and in Critical Access Hospitals. Features statistics on mortality, ED revisits, hospitalization and transfer patterns by commonly encountered ED conditions, and characteristics of patients and of hospitals studied, with breakdowns by urban or rural location.
Author(s): Margaret Greenwood-Ericksen, Neil Kamdar, Paul Lin, et al.
Citation: JAMA Network Open, 4(11)
Date: 11/2021
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Examining Rural Hospital Bypass for Outpatient Services
Explores the drivers of rural hospital bypass for outpatient services and the relationship between hospital outpatient services and inpatient utilization. Examines demographic and market characteristics associated with bypass for outpatient services before and after inpatient admissions. Also analyzes how utilization for common outpatient services differs between Critical Access Hospitals (CAHs) and rural prospective payment system (PPS) hospitals.
Date: 11/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Explores the drivers of rural hospital bypass for outpatient services and the relationship between hospital outpatient services and inpatient utilization. Examines demographic and market characteristics associated with bypass for outpatient services before and after inpatient admissions. Also analyzes how utilization for common outpatient services differs between Critical Access Hospitals (CAHs) and rural prospective payment system (PPS) hospitals.
Date: 11/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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MBQIP Quality Measures National Annual Report - 2020
Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2020. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Nathan Bean, Ira Moscovice
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2020. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Nathan Bean, Ira Moscovice
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospitals' Initial Response to the COVID-19 Pandemic: Use of Federal Funding and Regulatory Flexibilities
Explores how Critical Access Hospitals (CAHs) used federal relief funding and regulatory waivers to respond to the COVID-19 pandemic through August 2020. Summarizes results of a survey of CAH executives in eight states. Discusses the sources of federal funding CAHs received and the types of regulatory waivers and flexibilities these CAHs used.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr, Nathan Bean, Keelia Silvis
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Explores how Critical Access Hospitals (CAHs) used federal relief funding and regulatory waivers to respond to the COVID-19 pandemic through August 2020. Summarizes results of a survey of CAH executives in eight states. Discusses the sources of federal funding CAHs received and the types of regulatory waivers and flexibilities these CAHs used.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr, Nathan Bean, Keelia Silvis
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Antibiotic Stewardship Profile Series: Forks Community Hospital
Profiles the antibiotic stewardship efforts of Forks Community Hospital, a Critical Access Hospital (CAH) in Forks, Washington. Describes the development of the antimicrobial stewardship program, leadership, drug expertise, tracking and reporting, and provider education.
Date: 11/2021
Sponsoring organization: Stratis Health
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Profiles the antibiotic stewardship efforts of Forks Community Hospital, a Critical Access Hospital (CAH) in Forks, Washington. Describes the development of the antimicrobial stewardship program, leadership, drug expertise, tracking and reporting, and provider education.
Date: 11/2021
Sponsoring organization: Stratis Health
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It Takes a Village: Rural Recruitment and Retention
Provides an overview of the challenges of recruiting and retaining healthcare professionals in rural areas. Features healthcare facilities in North Dakota and Kansas, describing how they work with their communities to attract healthcare providers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2021
Sponsoring organization: Rural Health Information Hub
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Provides an overview of the challenges of recruiting and retaining healthcare professionals in rural areas. Features healthcare facilities in North Dakota and Kansas, describing how they work with their communities to attract healthcare providers.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2021
Sponsoring organization: Rural Health Information Hub
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Oregon Critical Access Hospital Quality Reporting Overview Guide
Serves as a guide to help Oregon Critical Access Hospital (CAH) quality improvement officers develop and support quality improvement activities and make informed decisions when reporting their quality improvement efforts.
Date: 10/2021
Sponsoring organization: Oregon Office of Rural Health
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Serves as a guide to help Oregon Critical Access Hospital (CAH) quality improvement officers develop and support quality improvement activities and make informed decisions when reporting their quality improvement efforts.
Date: 10/2021
Sponsoring organization: Oregon Office of Rural Health
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Association Between Hospital Performance Metrics and Market Share
Research letter describing the association between publicly reported performance scores for 4,930 hospitals and hospital market share. Features descriptive statistics with breakdowns including acute care hospital or Critical Access Hospital, and percentage of hospital referral region population in rural areas.
Author(s): August Oddleifson, Xiao Xu, Patrick Liu, et al.
Citation: JAMA Network Open, 4(10)
Date: 10/2021
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Research letter describing the association between publicly reported performance scores for 4,930 hospitals and hospital market share. Features descriptive statistics with breakdowns including acute care hospital or Critical Access Hospital, and percentage of hospital referral region population in rural areas.
Author(s): August Oddleifson, Xiao Xu, Patrick Liu, et al.
Citation: JAMA Network Open, 4(10)
Date: 10/2021
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The Association Between System Affiliation and Financial Performance in Critical Access Hospitals
Examines the association between Critical Access Hospital (CAH) health system affiliation and financial performance as measured by the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Discusses trends in health system affiliation as an alternative to closures as well as potential downsides of affiliation.
Author(s): Laura Bozovich, Kathleen Knocke, George Pink, Ann Howard, Kristin L. Reiter
Date: 10/2021
Sponsoring organization: Flex Monitoring Team
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Examines the association between Critical Access Hospital (CAH) health system affiliation and financial performance as measured by the Critical Access Hospital Measurement and Performance Assessment System (CAHMPAS). Discusses trends in health system affiliation as an alternative to closures as well as potential downsides of affiliation.
Author(s): Laura Bozovich, Kathleen Knocke, George Pink, Ann Howard, Kristin L. Reiter
Date: 10/2021
Sponsoring organization: Flex Monitoring Team
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