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Rural Health
Resources by Topic: Critical Access Hospitals

MPH Students Tackle Real-Life Problems at Oklahoma's Critical Access Hospitals
Presents an overview of an Oklahoma State University (OSU) program that enables public health students, in conjunction with the Oklahoma Office of Rural Health (OORH), to address challenges facing Critical Access Hospitals (CAHs) in Oklahoma. Projects are selected based on priorities from Community Health Needs Assessments (CHNAs), with past efforts addressing mental health first aid, healthy eating, substance use, physical activity, and more.
Author(s): Beth Blevins
Date: 03/2020
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Antibiotic Resistance: Additional Federal Actions Needed to Better Determine Magnitude and Reduce Impact
Explores four challenges that federal agencies face in addressing antibiotic resistance. Provides eight recommendations for federal agencies to strengthen their efforts to combat antibiotic resistance. Includes references to antibiotic stewardship guidance and programs for Critical Access Hospitals throughout.
Additional links: Full Report
Date: 03/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Interim Evaluation of California's Public Hospital Redesign and Incentives in Mediā€Cal (PRIME) Program
Reports on California's Public Hospital Redesign and Incentives in Medi-Cal Program (PRIME), approved by the Centers for Medicare and Medicaid Services (CMS) to modify Medicaid programs and implement innovative delivery reforms. PRIME uses evidence-based quality improvement methods that require hospitals to establish performance baselines, institute targets for improvement, and evaluate the success of quality improvement interventions on an ongoing basis. The analysis of the program included 52 designated public hospitals and district/municipal hospitals, with 17 of the latter being Critical Access Hospitals (CAHs).
Author(s): Nadereh Pourat, Xiao Chen, Ana E. Martinez, et al.
Date: 03/2020
Type: Document
Sponsoring organizations: California Department of Health Care Services, UCLA Center for Health Policy Research
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Hospital Compare Quality Measure Results for CAHs, 2018
Describes the rates at which Critical Access Hospitals (CAHs) reported quality improvement measures in 2018. Reports state rankings based on reporting rates. Includes national CAH performance results of selected inpatient and outpatient quality measures. Contains links to state-specific reports.
Additional links: State Profiles
Author(s): Megan Lahr, Tongtan Chantarat, Ira Moscovice
Date: 03/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Report to Congress on Medicaid and CHIP, March 2020
Reports on three aspects of Medicaid: improving the structure of Disproportionate Share Hospital (DSH) payments, state reporting on the quality of care for individuals covered by Medicaid or the State Children's Health Insurance Program (CHIP), and the timeliness and quality of Medicaid demonstration evaluations. Chapter 1 examines the relationship between DSH allotments to states and the number of uninsured individuals, the amounts and sources of hospitals' uncompensated care costs, and the amounts and sources of hospitals' uncompensated care costs. Table 1-1 details DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2020
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Patients' Experiences in CAHs: HCAHPS Results, 2018
Provides results from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for calendar year 2018. Summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Mariah Quick, Megan Lahr, Tongtan Chantarat, Ira Moscovice
Date: 01/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Ohio's Rural and Urban Counties
Map of rural, partially rural, urban, and Appalachian counties in Ohio overlaid with locations of Rural Health Clinics (RHCs), Critical Access Hospitals (CAHs), and Federally Qualified Health Centers (FQHCs).
Date: 2020
Type: Map/Mapping System
Sponsoring organization: Ohio Primary Care Office
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Florida Rural Health Network Service Areas and Rural Hospitals 2020
Map of Florida with counties delineated identifying the rural health network service areas and the location of rural hospitals including Critical Access Hospitals.
Date: 2020
Type: Map/Mapping System
Sponsoring organization: Florida Office of Rural Health
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties - Final Report
Presents findings from the Frontier Community Health Integration Project Demonstration (FCHIP) over the 3-year project period. Shares results for the 10 participating Critical Access Hospitals in three states: North Dakota, Montana, and Nevada. The demonstration focused on interventions addressing ambulance services, skilled nursing facility/nursing facility beds, and telehealth. Offers recommendations for legislative and administrative action.
Date: 2020
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Rural-Urban Differences in Hospital Payer Mix in 2017
Fact sheet reporting payer mix, which refers to the percentage of inpatient days paid by Medicare and Medicaid, by hospital location and Critical Access Hospital (CAH) status. Highlights key observations on data drawn from the 2017 American Hospital Association annual survey.
Date: 2020
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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