Rural Health
Resources by Topic: Critical Access Hospitals
Economic Impact of Rural Health Care
Presents the economic impacts that various healthcare components have on rural communities. Covers topics such as Critical Access Hospitals (CAHs), rural hospital closures, prospective payment system (PPS) hospitals, Rural Health Clinics (RHCs), primary care physicians, and more.
Author(s): Gerald A. Doeksen, Cheryl F. St. Clair, Fred C. Eilrich
Date: 10/2016
Sponsoring organization: National Center for Rural Health Works
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Presents the economic impacts that various healthcare components have on rural communities. Covers topics such as Critical Access Hospitals (CAHs), rural hospital closures, prospective payment system (PPS) hospitals, Rural Health Clinics (RHCs), primary care physicians, and more.
Author(s): Gerald A. Doeksen, Cheryl F. St. Clair, Fred C. Eilrich
Date: 10/2016
Sponsoring organization: National Center for Rural Health Works
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Rural Hospital Participation and Performance in Value-Based Purchasing and Other Delivery System Reform Initiatives
Reports on the participation of delivery system reform initiatives by rural hospitals, and discusses the supporting factors and challenges for successful participation. Includes data comparing rural and urban Hospital Value-Based Payment (HVBP) performance.
Author(s): Karen E. Joynt, Nguyen Nguyen, Lok Wong Samson, et al.
Date: 10/2016
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on the participation of delivery system reform initiatives by rural hospitals, and discusses the supporting factors and challenges for successful participation. Includes data comparing rural and urban Hospital Value-Based Payment (HVBP) performance.
Author(s): Karen E. Joynt, Nguyen Nguyen, Lok Wong Samson, et al.
Date: 10/2016
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Trends in Risk of Financial Distress among Rural Hospitals
Illustrates the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) payment type for the 2013-2016 period.
Author(s): Brystana G. Kaufman, Randy Randolph, George H. Pink, Mark Holmes
Date: 10/2016
Sponsoring organization: North Carolina Rural Health Research Program
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Illustrates the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) payment type for the 2013-2016 period.
Author(s): Brystana G. Kaufman, Randy Randolph, George H. Pink, Mark Holmes
Date: 10/2016
Sponsoring organization: North Carolina Rural Health Research Program
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Task Force on Ensuring Access in Vulnerable Communities, Rural and Frontier: Executive Summary and Report
Reviews characteristics of South Dakota's rural and frontier communities. Identifies innovative healthcare delivery and payment models and makes state and federal policy recommendations to improve rural health. Highlights the importance of Critical Access Hospitals (CAHs). Linked map includes locations of South Dakota CAHs, Rural Health Clinics, and more.
Date: 09/2016
Sponsoring organization: South Dakota Association of Healthcare Organizations
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Reviews characteristics of South Dakota's rural and frontier communities. Identifies innovative healthcare delivery and payment models and makes state and federal policy recommendations to improve rural health. Highlights the importance of Critical Access Hospitals (CAHs). Linked map includes locations of South Dakota CAHs, Rural Health Clinics, and more.
Date: 09/2016
Sponsoring organization: South Dakota Association of Healthcare Organizations
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Telemedicine Penetration and Consultation Among Rural Trauma Patients in Critical Access Hospital Emergency Departments in North Dakota
Discusses the use of telemedicine in rural Critical Access Hospital (CAH) emergency departments in North Dakota and how the availability of those services changed outcomes for trauma patients. Includes data and statistics regarding use.
Author(s): Nicholas M. Mohr, Karisa K. Harland, Elizabeth Chrischilles, et al.
Date: 09/2016
Sponsoring organization: Remote Care & Telehealth Research Center
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Discusses the use of telemedicine in rural Critical Access Hospital (CAH) emergency departments in North Dakota and how the availability of those services changed outcomes for trauma patients. Includes data and statistics regarding use.
Author(s): Nicholas M. Mohr, Karisa K. Harland, Elizabeth Chrischilles, et al.
Date: 09/2016
Sponsoring organization: Remote Care & Telehealth Research Center
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Why Are Obstetric Units in Rural Hospitals Closing Their Doors?
Examines factors associated with obstetric unit closure based on a mixed methods study of rural hospitals in 9 states between 2010 and 2014. Addresses hospital characteristics such as accreditation, ownership, and Critical Access Hospital status; distance to next closest hospital with obstetric services; and county-level characteristics including health workforce supply.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Ira S. Moscovice
Citation: Health Services Research, 51(4), 1546-1560
Date: 08/2016
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Examines factors associated with obstetric unit closure based on a mixed methods study of rural hospitals in 9 states between 2010 and 2014. Addresses hospital characteristics such as accreditation, ownership, and Critical Access Hospital status; distance to next closest hospital with obstetric services; and county-level characteristics including health workforce supply.
Author(s): Peiyin Hung, Katy B. Kozhimannil, Michelle M. Casey, Ira S. Moscovice
Citation: Health Services Research, 51(4), 1546-1560
Date: 08/2016
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Population Health Strategies of Critical Access Hospitals
Provides examples of population health strategies developed by Critical Access Hospitals (CAHs) from 8 different rural communities that have significantly contributed to the improvement of population health and the health of their community.
Author(s): John Gale, Andrew Coburn, Karen Pearson, Zachariah Croll, George Shaler
Date: 08/2016
Sponsoring organization: Flex Monitoring Team
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Provides examples of population health strategies developed by Critical Access Hospitals (CAHs) from 8 different rural communities that have significantly contributed to the improvement of population health and the health of their community.
Author(s): John Gale, Andrew Coburn, Karen Pearson, Zachariah Croll, George Shaler
Date: 08/2016
Sponsoring organization: Flex Monitoring Team
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Medicaid Outpatient Payment Policy
Provides an overview of Medicaid payment policies for outpatient hospital services. Attached Excel sheet includes details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Outpatient Hospital Services
Date: 07/2016
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of Medicaid payment policies for outpatient hospital services. Attached Excel sheet includes details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Outpatient Hospital Services
Date: 07/2016
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Variation in Interoperability among U.S. Non-Federal Acute Care Hospitals in 2015
Discusses how health information is shared between hospitals, includes a review of the methods used and the rate of exchange between providers and health systems. Includes data and statistics on electronic health records (EHR), Health Information Exchange (HIE), and specific information about lower rates of EHR and HIE use of both in small, rural, and Critical Access Hospitals (CAHs).
Author(s): Vaishali Patel, JaWanna Henry, Yuriy Pylypchuk, Talisha Searcy
Date: 07/2016
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Discusses how health information is shared between hospitals, includes a review of the methods used and the rate of exchange between providers and health systems. Includes data and statistics on electronic health records (EHR), Health Information Exchange (HIE), and specific information about lower rates of EHR and HIE use of both in small, rural, and Critical Access Hospitals (CAHs).
Author(s): Vaishali Patel, JaWanna Henry, Yuriy Pylypchuk, Talisha Searcy
Date: 07/2016
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Deliberation Makes a Difference: Preparation Strategies for TeamSTEPPS Implementation in Small and Rural Hospitals
Reports on a study of TeamSTEPPS implementation at 14 Critical Access Hospitals (CAHs) in Iowa. Offers recommendations for preparing for and implementing the TeamSTEPPS quality improvement initiative based on the results.
Author(s): Xi Zhu, Jure Baloh, Marcia M. Ward, Greg L. Stewart
Citation: Medical Care Research and Review, 73(3), 283-307
Date: 06/2016
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Reports on a study of TeamSTEPPS implementation at 14 Critical Access Hospitals (CAHs) in Iowa. Offers recommendations for preparing for and implementing the TeamSTEPPS quality improvement initiative based on the results.
Author(s): Xi Zhu, Jure Baloh, Marcia M. Ward, Greg L. Stewart
Citation: Medical Care Research and Review, 73(3), 283-307
Date: 06/2016
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