Rural Health
Resources by Topic: Critical Access Hospitals
Coteau des Prairies Keeping Services Close to Home
Follows South Dakota-based Coteau des Prairies Health System's (CDP) progress as part of the Small Rural Hospital Transition (SRHT) project. CDP completed a financial operational assessment (FOA) with the goal of positioning the hospital for future financial success. Primary areas of improvement include revenue cycle management, HCAHPS scores, executive communication, and swing bed utilization.
Additional links: One-Page Summary
Date: 08/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Follows South Dakota-based Coteau des Prairies Health System's (CDP) progress as part of the Small Rural Hospital Transition (SRHT) project. CDP completed a financial operational assessment (FOA) with the goal of positioning the hospital for future financial success. Primary areas of improvement include revenue cycle management, HCAHPS scores, executive communication, and swing bed utilization.
Additional links: One-Page Summary
Date: 08/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Providing Patient-Centered Enhanced Discharge Planning and Rural Transition Support: Building a Rural Transitions Network Between Regional Referral and Critical Access Hospitals
Details manual procedures used in Western Montana to develop a model to improve the likelihood of a good recovery for patients and decreasing chances of re-hospitalization. Includes a guide to ethical considerations in discharge and rural transition planning.
Author(s): Tom Seekins, Heidi Boehm, Jennifer Wong, Linda Yearous, AnnaJean Smith
Date: 08/2017
Type: Document
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Details manual procedures used in Western Montana to develop a model to improve the likelihood of a good recovery for patients and decreasing chances of re-hospitalization. Includes a guide to ethical considerations in discharge and rural transition planning.
Author(s): Tom Seekins, Heidi Boehm, Jennifer Wong, Linda Yearous, AnnaJean Smith
Date: 08/2017
Type: Document
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Transitions in Care among Rural Residents with Congestive Heart Failure, Acute Myocardial Infarction, and Pneumonia
Findings brief examining continuum of care of Medicare patients as they are transferred from a hospital to another facility. Features statistics including patient residence and condition, admitting facility type, proportion of hospitalizations with a transfer, transfer patterns, and discharge status following transferred admission, with breakdowns by urban and rural locations.
Author(s): Kevin J. Bennett, Jarrod Bullard, Yu-Hsiu Lin, Janice C. Probst
Date: 08/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Findings brief examining continuum of care of Medicare patients as they are transferred from a hospital to another facility. Features statistics including patient residence and condition, admitting facility type, proportion of hospitalizations with a transfer, transfer patterns, and discharge status following transferred admission, with breakdowns by urban and rural locations.
Author(s): Kevin J. Bennett, Jarrod Bullard, Yu-Hsiu Lin, Janice C. Probst
Date: 08/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Improving Access to High Quality Sepsis Care in a South Dakota Emergency Telemedicine Network
Research and policy brief exploring whether emergency department-based telemedicine networks using real-time access to sepsis experts can improve outcomes and decrease variation in care. Discusses a pilot program for Critical Access Hospitals in South Dakota-based Avera Health's 140-hospital network in 12 states. Includes statistics for patients with positive sepsis screens from September 2016 to March 2017.
Author(s): Nicholas M. Mohr, Brian Skow, Amy Wittrock, et al.
Date: 08/2017
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Research and policy brief exploring whether emergency department-based telemedicine networks using real-time access to sepsis experts can improve outcomes and decrease variation in care. Discusses a pilot program for Critical Access Hospitals in South Dakota-based Avera Health's 140-hospital network in 12 states. Includes statistics for patients with positive sepsis screens from September 2016 to March 2017.
Author(s): Nicholas M. Mohr, Brian Skow, Amy Wittrock, et al.
Date: 08/2017
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Rethinking Rural Hospitals
Discusses the various factors associated with rural hospital closures, and makes the case for adopting new, innovative approaches to rural healthcare delivery.
Author(s): Diana J. Mason
Citation: JAMA: Journal of the American Medical Association, 318(2), 114-115
Date: 07/2017
Type: Document
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Discusses the various factors associated with rural hospital closures, and makes the case for adopting new, innovative approaches to rural healthcare delivery.
Author(s): Diana J. Mason
Citation: JAMA: Journal of the American Medical Association, 318(2), 114-115
Date: 07/2017
Type: Document
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The Financial Importance of Medicare Post-Acute and Hospice Care to Rural Hospitals
Findings brief describing variation in the number of hospitals in rural areas providing Medicare post-acute care (PAC) and hospice care, average amount of revenue generated for these services, and financial importance to rural hospitals. Includes statistics on 2015 Medicare PAC and hospice care revenue as percentage of patient revenue in 1,205 Critical Access Hospitals and 964 Prospective Payment System hospitals.
Author(s): Alex Schulte, H. Ann Howard, George H. Pink
Date: 07/2017
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief describing variation in the number of hospitals in rural areas providing Medicare post-acute care (PAC) and hospice care, average amount of revenue generated for these services, and financial importance to rural hospitals. Includes statistics on 2015 Medicare PAC and hospice care revenue as percentage of patient revenue in 1,205 Critical Access Hospitals and 964 Prospective Payment System hospitals.
Author(s): Alex Schulte, H. Ann Howard, George H. Pink
Date: 07/2017
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Implementation of Antibiotic Stewardship Core Elements at Small and Critical Access Hospitals
Presents strategies for implementing antibiotic stewardship programs in critical access hospitals (CAHs). Includes examples of improved antibiotic-use strategies and guidelines for the prescribing physician, nurses, and pharmacists.
Date: 07/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Presents strategies for implementing antibiotic stewardship programs in critical access hospitals (CAHs). Includes examples of improved antibiotic-use strategies and guidelines for the prescribing physician, nurses, and pharmacists.
Date: 07/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Changes in Hospital Quality Associated with Hospital Value-Based Purchasing
Examines whether quality improved more in acute care hospitals exposed to Medicare's Hospital Value-Based Purchasing (HVBP) program. Uses Critical Access Hospitals as a comparison for clinical process, patient experience, and mortality measures.
Author(s): Andrew M. Ryan, Sam Krinsky, Kristen A. Maurer, Justin B. Dimick
Citation: New England Journal of Medicine, 376(24), 2358-2366
Date: 06/2017
Type: Document
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Examines whether quality improved more in acute care hospitals exposed to Medicare's Hospital Value-Based Purchasing (HVBP) program. Uses Critical Access Hospitals as a comparison for clinical process, patient experience, and mortality measures.
Author(s): Andrew M. Ryan, Sam Krinsky, Kristen A. Maurer, Justin B. Dimick
Citation: New England Journal of Medicine, 376(24), 2358-2366
Date: 06/2017
Type: Document
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A Study of HCAHPS Best Practices in High Performing Critical Access Hospitals
Provides an overview of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, and presents HCAHPS best practices of high performing Critical Access Hospitals (CAHs). Findings are based on focus group discussions with 38 hospitals across 17 states.
Date: 05/2017
Type: Document
Sponsoring organization: Stratis Health
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Provides an overview of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, and presents HCAHPS best practices of high performing Critical Access Hospitals (CAHs). Findings are based on focus group discussions with 38 hospitals across 17 states.
Date: 05/2017
Type: Document
Sponsoring organization: Stratis Health
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Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study
Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from 8 states with significant rural populations, and examines ADE rates based on hospital characteristics and across 4 main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Analyzes adverse drug events (ADEs), or events involving patient injury resulting from medication use, and identifies ways to improve medication safety in rural hospitals. Uses 2013 data from 8 states with significant rural populations, and examines ADE rates based on hospital characteristics and across 4 main categories: steroids, antibiotics, opiates/narcotics, and anticoagulants. Companion brief lists resources that can be used to reduce and prevent ADEs in rural hospitals, including rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs).
Additional links: Resources to Reduce Adverse Drug Events in Rural Hospitals
Author(s): Michelle Casey, Peiyin Hung, Emma Distel, Shailendra Prasad
Date: 05/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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