Rural Health
Resources by Topic: Critical Access Hospitals
The Differential Effects of Rural Health Care Access on Race-Specific Mortality
Investigates the association between race-specific rural mortality and the health infrastructure of rural counties using data from the National Center for Health Statistics Compressed Mortality File (2008-2012); county-level demographic, socioeconomic, and healthcare indicators from Health Resources and Services Administration's Area Health Resource File; and the U.S. Census. Covers the rural public health infrastructure index that indicates the presence or absence of 4 types of healthcare measures: public health employees, Critical Access Hospitals (CAHs) or rural referral centers, Rural Health Clinics (RHCs), and emergency departments within counties.
Author(s): Jeralynn Cossman, Wesley James, Julia Kay Wolf
Citation: SSM Population Health, 3, 618-623
Date: 12/2017
Type: Document
view details
Investigates the association between race-specific rural mortality and the health infrastructure of rural counties using data from the National Center for Health Statistics Compressed Mortality File (2008-2012); county-level demographic, socioeconomic, and healthcare indicators from Health Resources and Services Administration's Area Health Resource File; and the U.S. Census. Covers the rural public health infrastructure index that indicates the presence or absence of 4 types of healthcare measures: public health employees, Critical Access Hospitals (CAHs) or rural referral centers, Rural Health Clinics (RHCs), and emergency departments within counties.
Author(s): Jeralynn Cossman, Wesley James, Julia Kay Wolf
Citation: SSM Population Health, 3, 618-623
Date: 12/2017
Type: Document
view details
Patients' Experiences in CAHs: HCAHPS Results, 2016
Shares results from the calendar year 2016 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, summarizing 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): Megan Lahr, Alex Evenson, Tongtan Chantarat, Michelle Casey
Date: 12/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
view details
Shares results from the calendar year 2016 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, summarizing 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): Megan Lahr, Alex Evenson, Tongtan Chantarat, Michelle Casey
Date: 12/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
view details
MedPAC Report to the Congress: Physician Supervision Requirements in Critical Access Hospitals and Small Rural Hospitals
Provides background information on Medicare physician supervision requirements, and examines how enforcement of these requirements impacts access to care, quality of care, and staffing needs in Critical Access Hospitals (CAHs) and small rural hospitals. Findings are based on interviews with CMS officials, hospital association representatives, and CAH administrators in several states.
Date: 12/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Provides background information on Medicare physician supervision requirements, and examines how enforcement of these requirements impacts access to care, quality of care, and staffing needs in Critical Access Hospitals (CAHs) and small rural hospitals. Findings are based on interviews with CMS officials, hospital association representatives, and CAH administrators in several states.
Date: 12/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Emerging Strategies to Ensure Access to Health Care Services: Frontier Health System
Discusses the challenges of providing care in frontier communities and offers solutions for improving access to and delivery of care. Proposes the creation of a frontier-specific accountable care organization (ACO), the Frontier Health System (FHS), that provides traditional ACO services along with transportation, swing beds, home-based care, expanded visiting nurse services, and more.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
view details
Discusses the challenges of providing care in frontier communities and offers solutions for improving access to and delivery of care. Proposes the creation of a frontier-specific accountable care organization (ACO), the Frontier Health System (FHS), that provides traditional ACO services along with transportation, swing beds, home-based care, expanded visiting nurse services, and more.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
view details
State Flex Program Rural Emergency Medical Services Assessment Strategies
Policy brief describing the emergency medical service (EMS) assessment projects and tools implemented by five State Flex Programs in Arizona, California, Minnesota, Nebraska, and Wisconsin to improve the integration of EMS into rural systems of care. Identifies differences in EMS focused State Flex activities and collaborations to improve local and regional EMS capacity and performance.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster, Andrew Coburn
Date: 11/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
view details
Policy brief describing the emergency medical service (EMS) assessment projects and tools implemented by five State Flex Programs in Arizona, California, Minnesota, Nebraska, and Wisconsin to improve the integration of EMS into rural systems of care. Identifies differences in EMS focused State Flex activities and collaborations to improve local and regional EMS capacity and performance.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster, Andrew Coburn
Date: 11/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
view details
Distribution of Disproportionate Share Hospital Payments to Rural and Critical Access Hospitals
Provides information concerning the potential effects of Medicaid Disproportionate Share Hospital (DSH) payment on rural hospitals in 47 states. Features statistics on hospital Medicaid DSH payments by state and census region, with breakdowns for urban, rural, and Critical Access Hospitals.
Author(s): Erin M. Mobley, Fred Ullrich, Keith J. Mueller
Date: 11/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Provides information concerning the potential effects of Medicaid Disproportionate Share Hospital (DSH) payment on rural hospitals in 47 states. Features statistics on hospital Medicaid DSH payments by state and census region, with breakdowns for urban, rural, and Critical Access Hospitals.
Author(s): Erin M. Mobley, Fred Ullrich, Keith J. Mueller
Date: 11/2017
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Delta Memorial Hospital: SRHT Project Well Under Way
Documents Delta Memorial Hospital's (DMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, which it completed during 2017. DMH, a 25-bed Critical Access Hospital (CAH) located in Dumas, Arkansas, focused efforts on improving quality of care and transitions of care throughout its facilities. Explores how implementing the recommendations impacted several measurable and non-measurable outcomes.
Date: 11/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Documents Delta Memorial Hospital's (DMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, which it completed during 2017. DMH, a 25-bed Critical Access Hospital (CAH) located in Dumas, Arkansas, focused efforts on improving quality of care and transitions of care throughout its facilities. Explores how implementing the recommendations impacted several measurable and non-measurable outcomes.
Date: 11/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Medicare Inappropriately Paid Acute-Care Hospitals for Outpatient Services They Provided to Beneficiaries Who Were Inpatients of Other Facilities
Results of an audit to determine whether Medicare made payments appropriately to acute-care hospitals for outpatient services provided to other facilities' inpatients, from January 2013 through August 2016. Includes recommendations from the Office of Inspector General, and CMS's responses.
Additional links: Report in Brief
Author(s): Daniel R. Levinson
Date: 09/2017
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
view details
Results of an audit to determine whether Medicare made payments appropriately to acute-care hospitals for outpatient services provided to other facilities' inpatients, from January 2013 through August 2016. Includes recommendations from the Office of Inspector General, and CMS's responses.
Additional links: Report in Brief
Author(s): Daniel R. Levinson
Date: 09/2017
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
view details
Wisconsin Drive Time to Emergency Care
Shows a map of Wisconsin with drive times to Critical Access Hospitals (CAHs), non-CAHs, and freestanding emergency rooms in 10, 20, and 30-minute increments.
Date: 09/2017
Type: Map/Mapping System
Sponsoring organization: Wisconsin Office of Rural Health
view details
Shows a map of Wisconsin with drive times to Critical Access Hospitals (CAHs), non-CAHs, and freestanding emergency rooms in 10, 20, and 30-minute increments.
Date: 09/2017
Type: Map/Mapping System
Sponsoring organization: Wisconsin Office of Rural Health
view details
A Review of Community Benefit Reporting by Critical Access Hospitals in Oregon
Provides background on hospital community benefit reporting, describes issues with under-reporting or over-reporting data, identifies issues associated with federal tax-exemption requirements, and offers conclusions and recommendations.
Author(s): Keith Hearle
Date: 08/2017
Type: Document
Sponsoring organization: Oregon Office of Rural Health
view details
Provides background on hospital community benefit reporting, describes issues with under-reporting or over-reporting data, identifies issues associated with federal tax-exemption requirements, and offers conclusions and recommendations.
Author(s): Keith Hearle
Date: 08/2017
Type: Document
Sponsoring organization: Oregon Office of Rural Health
view details