Rural Health
Resources by Topic: Critical Access Hospitals
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 & 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 & 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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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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How Critical Access Hospitals Are Addressing the Social Needs of Rural Populations
Describes Critical Access Hospital (CAH) initiatives that address the social needs of their communities. Summarizes interviews with 14 CAHs and identifies key facilitators and barriers to program success, as well as advice for other CAHs interested in implementing similar programs.
Author(s): Megan Lahr, Tongtan Chantarat, Mariah Quick, Madeleine Pick, Ira Moscovice
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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Describes Critical Access Hospital (CAH) initiatives that address the social needs of their communities. Summarizes interviews with 14 CAHs and identifies key facilitators and barriers to program success, as well as advice for other CAHs interested in implementing similar programs.
Author(s): Megan Lahr, Tongtan Chantarat, Mariah Quick, Madeleine Pick, Ira Moscovice
Date: 11/2021
Sponsoring organization: Flex Monitoring Team
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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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Obstacles Persist for Rural Patients to Access Hospice
Discusses challenges to delivering hospice care in rural areas. Highlights changes to allow providers at Rural Health Centers and Federal Qualified Health Centers to serve as attending physicians for hospice patients. Explores the impact of COVID-19 on the delivery of hospice services, including the use of telehealth services and workforce concerns.
Author(s): Jim Parker
Date: 09/2021
Sponsoring organization: Hospice News
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Discusses challenges to delivering hospice care in rural areas. Highlights changes to allow providers at Rural Health Centers and Federal Qualified Health Centers to serve as attending physicians for hospice patients. Explores the impact of COVID-19 on the delivery of hospice services, including the use of telehealth services and workforce concerns.
Author(s): Jim Parker
Date: 09/2021
Sponsoring organization: Hospice News
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Challenges to Public Health Reporting Experienced by Non-Federal Acute Care Hospitals, 2019
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs). Outlines challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Compares challenges faced by hospitals by size, CAH status, rural/urban, and independent/system affiliated and offers state-level maps of percent of hospitals reporting specific challenges.
Author(s): Chelsea Richwine, Carmelita Marshall, Christian Johnson, Vaishali Patel
Date: 09/2021
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs). Outlines challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Compares challenges faced by hospitals by size, CAH status, rural/urban, and independent/system affiliated and offers state-level maps of percent of hospitals reporting specific challenges.
Author(s): Chelsea Richwine, Carmelita Marshall, Christian Johnson, Vaishali Patel
Date: 09/2021
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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