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Rural Health
Resources by Topic: Critical Access Hospitals

Twenty-Five Things to Know about Texas Rural Hospitals
A fact sheet describing several characteristics, concerns, and related data unique to rural hospitals in Texas.
Date: 12/2018
Type: Document
Sponsoring organization: Texas Organization of Rural & Community Hospitals
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Medicaid Inpatient Hospital Services Fee-for-Service Payment Policy
Provides an overview of Medicaid payment policies for inpatient hospital services. Includes a link to an Excel sheet with details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Inpatient Hospital Services
Date: 12/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Critical Access Hospitals' Community Benefit Activities: An Updated Review
Examines community benefit data from a sample of Critical Access Hospitals (CAHs) to understand how they are fulfilling their community benefit obligations, including related spending. Discusses how state Flex programs can help CAHs meet their community benefit obligations and the related Internal Revenue Service (IRS) requirements. Second of two briefs reporting project results.
Author(s): John A. Gale, Zachariah Croll, Lauren Zoll, Andrew F. Coburn
Date: 12/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Assessing the Unintended Consequences of Health Policy on Rural Populations and Places
Explores health policies that have affected, or could potentially have affected, rural people, places, and providers, in ways that ran counter to policy intent. Examines 6 historical health policies and their effect on rural health systems. Includes a framework for analyzing policy impact on rural populations and places.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 12/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Methods Used to Enable Interoperability among U.S. Non-Federal Acute Care Hospitals in 2017
Analyzes 2017 American Hospital Association IT Supplement survey data to describe the methods used by acute care hospitals in the U.S. to support interoperability. Discusses hospital participation in health information networks by hospital size and location. Includes information on the rates of small, rural, and Critical Access Hospitals' (CAH) use of non-electronic methods to exchanging patient health information with partners outside their hospital system.
Author(s): Christian Johnson, Yuriy Pylypchuk, Vaishali Patel
Date: 12/2018
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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FQHCs, Rural Health Clinics, and Critical Access Hospitals in Oklahoma
County-level map of Oklahoma showing the locations of Critical Access Hospitals (CAHs), Federally Qualified Health Centers (FQHCs), and Rural Health Clinics (RHCs) within the state. Also shows Primary Care Health Professional Shortage Areas (HPSAs) by designation type.
Date: 12/2018
Type: Map/Mapping System
Sponsoring organization: Oklahoma State University Center for Rural Health
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The Rural Hospital and Health System Affiliation Landscape - A Brief Review
Describes choices available to rural hospitals and health systems when considering affiliations with urban-based hospitals, examines motivations for these affiliations, and presents a list of some affiliation structures with examples. Features statistics showing trends in hospital system affiliation by census region from 2007-2016, with breakdowns by metropolitan and nonmetropolitan hospitals and nonmetropolitan Critical Access Hospitals.
Author(s): Onyinye Oyeka, Fred Ullrich, A. Clinton MacKinney, Joseph Lupica, Keith J. Mueller
Date: 11/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute
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Variation in Interoperability Among U.S. Non-Federal Acute Care Hospitals in 2017
Provides information on non-federal acute care hospitals sending, receiving, finding, and integrating electronic patient health information. Offers statistics on the four domains of interoperability and summarizes common barriers to exchanging electronic patient health information for small, rural, and Critical Access Hospitals (CAHs).
Author(s): Yuriy Pylypchuk, Christian Johnson, JaWanna Henry, Diana Ciricean
Date: 11/2018
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Washington County Memorial Hospital Improving Patient Experience
Highlights a Critical Access Hospital (CAH) in Potosi, Missouri that participated in the Small Rural Hospital Transition (SRHT) project. Improvements focused on quality reporting, patient communication, patient rounding, and more.
Date: 11/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Trends in Hospital System Affiliation, 2007-2016
Policy brief reporting trends in hospital system affiliation from 2007 to 2016 for hospitals in metro and nonmetro areas, and Critical Access Hospitals (CAHs). Presents statistics on hospital system affiliation by hospital characteristics and highlights trends in hospital system affiliation by Census region.
Author(s): Onyinye Oyeka, Fred Ullrich, Keith Mueller
Date: 10/2018
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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