Rural Health
Resources by Topic: Critical Access Hospitals
Recorded Webinar: The ABCs of Antibiotic Stewardship (Part 1)
Provides a webinar recording addressing antibiotic stewardship for Critical Access Hospitals. Focuses on the core elements of antibiotic stewardship, the related Medicare Beneficiary Quality Improvement Project (MBQIP) measure for CAHs, and the current performance of Oklahoma's CAHs on antibiotic stewardship implementation.
Date: 03/2019
Type: Video/Multimedia
Sponsoring organizations: Oklahoma State University Center for Rural Health, Stratis Health
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Provides a webinar recording addressing antibiotic stewardship for Critical Access Hospitals. Focuses on the core elements of antibiotic stewardship, the related Medicare Beneficiary Quality Improvement Project (MBQIP) measure for CAHs, and the current performance of Oklahoma's CAHs on antibiotic stewardship implementation.
Date: 03/2019
Type: Video/Multimedia
Sponsoring organizations: Oklahoma State University Center for Rural Health, Stratis Health
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Facility-Based Ambulatory Care Provided to Rural Medicare Beneficiaries in 2014
Chartbook describing claims, costs, and common diagnoses in facility-based ambulatory care provided to rural Medicare patients. Features statistics in various categories with breakdowns by Federally Qualified Health Centers in rural and urban areas, Rural Health Clinics, Critical Access Hospitals, and Prospective Payment Systems in rural and urban areas.
Author(s): Alex R. Schulte, Denise A. Kirk, Kristie W. Thompson, George H. Pink
Date: 03/2019
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Chartbook describing claims, costs, and common diagnoses in facility-based ambulatory care provided to rural Medicare patients. Features statistics in various categories with breakdowns by Federally Qualified Health Centers in rural and urban areas, Rural Health Clinics, Critical Access Hospitals, and Prospective Payment Systems in rural and urban areas.
Author(s): Alex R. Schulte, Denise A. Kirk, Kristie W. Thompson, George H. Pink
Date: 03/2019
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Report to Congress on Medicaid and CHIP, March 2019
Reports on three aspects of Medicaid: improving the structure of Disproportionate Share Hospital (DSH) payment reductions, oversight of upper payment limits for supplemental payments to hospitals, and Disproportionate Share Hospital (DSH) payments to states. Chapter 3 includes the annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 3-1 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Reports on three aspects of Medicaid: improving the structure of Disproportionate Share Hospital (DSH) payment reductions, oversight of upper payment limits for supplemental payments to hospitals, and Disproportionate Share Hospital (DSH) payments to states. Chapter 3 includes the annual report on DSH payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Table 3-1 identifies DSH spending for urban and rural hospitals and for Critical Access Hospitals.
Date: 03/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Hospital-Based Incident Command Systems: Small and Rural Hospitals
Provides slides and additional links from a webinar featuring case studies of how rural, Indian Health Service, and Critical Access Hospitals responded to emergencies and used Incident Command Systems in Tennessee, Nebraska, Texas, South Dakota, Georgia, and Utah. Features training examples and actual situations - shooting incidents, school bus accidents, water contamination, and more - addressing challenges faced and lessons learned.
Date: 03/2019
Type: Presentation Slides
Sponsoring organization: Administration for Strategic Preparedness and Response
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Provides slides and additional links from a webinar featuring case studies of how rural, Indian Health Service, and Critical Access Hospitals responded to emergencies and used Incident Command Systems in Tennessee, Nebraska, Texas, South Dakota, Georgia, and Utah. Features training examples and actual situations - shooting incidents, school bus accidents, water contamination, and more - addressing challenges faced and lessons learned.
Date: 03/2019
Type: Presentation Slides
Sponsoring organization: Administration for Strategic Preparedness and Response
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Pender Community Hospital Uses SRHT Project to Propel Forward
Highlights a Critical Access Hospital in Nebraska that participated in a Small Rural Hospital Transition (SRHT) project focused on discharge issues, electronic health record improvements, and Patient Centered Medical Home (PCMH) status for system clinics. Discusses project implementation, hospital culture, and project outcomes.
Date: 03/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Highlights a Critical Access Hospital in Nebraska that participated in a Small Rural Hospital Transition (SRHT) project focused on discharge issues, electronic health record improvements, and Patient Centered Medical Home (PCMH) status for system clinics. Discusses project implementation, hospital culture, and project outcomes.
Date: 03/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report
Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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Addressing Rural Workforce Shortages and Healthcare Disparities: An Annotated Bibliography
Report designed to inform policy discussions and future publications concerning healthcare disparities and outcomes, the distribution of physicians in rural areas, and the graduate medical education system financing. Also includes sections on rural hospital closures, social determinants of health, and healthcare safety net facilities. Constructed from a literature review, expert-recommended articles, and a search of white and grey literature.
Author(s): Dara Khatib, Alison Huffstetler, Andrew Bazemore
Date: 02/2019
Type: Document
Sponsoring organization: Robert Graham Center
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Report designed to inform policy discussions and future publications concerning healthcare disparities and outcomes, the distribution of physicians in rural areas, and the graduate medical education system financing. Also includes sections on rural hospital closures, social determinants of health, and healthcare safety net facilities. Constructed from a literature review, expert-recommended articles, and a search of white and grey literature.
Author(s): Dara Khatib, Alison Huffstetler, Andrew Bazemore
Date: 02/2019
Type: Document
Sponsoring organization: Robert Graham Center
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Using Upstream Quality Improvement to Address Transportation
Module 5 in a series of video trainings for clinicians on how they can help address the social determinants of health. This segment discusses transportation and addresses rural issues. Includes a case study conversation with Jill Lord, director of community health at Mt. Ascutney Hospital and Health Center, a Critical Access Hospital (CAH) in Vermont.
Date: 02/2019
Type: Video/Multimedia
Sponsoring organization: American Hospital Association
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Module 5 in a series of video trainings for clinicians on how they can help address the social determinants of health. This segment discusses transportation and addresses rural issues. Includes a case study conversation with Jill Lord, director of community health at Mt. Ascutney Hospital and Health Center, a Critical Access Hospital (CAH) in Vermont.
Date: 02/2019
Type: Video/Multimedia
Sponsoring organization: American Hospital Association
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Illinois Critical Access Hospitals: Exploring the Financial Impacts of the Swing Bed Program
Examines the swing bed program in 30 Illinois Critical Access Hospitals (CAHs) by analyzing financial indicators, patient outcomes, and community benefits. Includes background information on the swing bed program and population data for rural Illinois. Covers demographic statistics for metro and nonmetro counties in 2010 and 2016.
Author(s): Melissa Henriksen, Brian Richard, Jeanna Ballard
Date: 02/2019
Type: Document
Sponsoring organizations: Illinois Critical Access Hospital Network, Northern Illinois University Center for Governmental Studies
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Examines the swing bed program in 30 Illinois Critical Access Hospitals (CAHs) by analyzing financial indicators, patient outcomes, and community benefits. Includes background information on the swing bed program and population data for rural Illinois. Covers demographic statistics for metro and nonmetro counties in 2010 and 2016.
Author(s): Melissa Henriksen, Brian Richard, Jeanna Ballard
Date: 02/2019
Type: Document
Sponsoring organizations: Illinois Critical Access Hospital Network, Northern Illinois University Center for Governmental Studies
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Improving Rural Systems of Care for Time Critical Diagnoses: A Review of State Flex Program Activities
Examines state Flex program initiatives to improve time critical diagnoses (TCD) care systems and integrate rural emergency medical services (EMS) into area care systems, particularly Critical Access Hospitals (CAHs). Briefly describes what each of the 17 participating states did to collaborate with EMS stakeholders, enhance TCD capacity, support EMS training, provide technical assistance to local EMS agencies, and collect EMS and TCD data.
Author(s): John A. Gale, Karen Pearson
Date: 01/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines state Flex program initiatives to improve time critical diagnoses (TCD) care systems and integrate rural emergency medical services (EMS) into area care systems, particularly Critical Access Hospitals (CAHs). Briefly describes what each of the 17 participating states did to collaborate with EMS stakeholders, enhance TCD capacity, support EMS training, provide technical assistance to local EMS agencies, and collect EMS and TCD data.
Author(s): John A. Gale, Karen Pearson
Date: 01/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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