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Resources by Topic: Critical Access Hospitals

Rural Hospital Participation in the Medicare Shared Savings Program
Proposes modifications to the Medicare Shared Savings Programs (MSSP) and the Advanced Payment Program to help transform the healthcare delivery system in rural communities. Discusses expanding Medicare beneficiaries in rural communities from a single primary care provider to a Community Care Organization (CCO) with shared savings payments and providing early payments to CCOs to support infrastructure and chronic disease management.
Author(s): Lynn Barr
Date: 02/2013
Type: Document
Sponsoring organization: National Rural Health Association
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Rural Acute Myocardial Infarction Survey (RAMIS)
Discusses an online survey that polled Critical Access Hospitals in Nebraska regarding delay factors in rural hospitals and treatment for patients with acute myocardial infarction.
Author(s): Nikiah Nudell, Don Rice, John Gale, Gary Wingrove, Tom Bouthillet
Citation: International Paramedic Practice, 2(1)
Date: 01/2013
Type: Document
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Emergency Transfers of the Elderly from Nursing Facilities to Critical Access Hospitals: Opportunities for Improving Patient Safety and Quality
Examines the evidence and best practices to improve the nursing facility-to-hospital transition of care. Provides tools to improve communication between patients, nursing facilities, and hospitals. Includes recommendations for the role of state Flex Programs in the transition of care process.
Author(s): Karen B. Pearson, Andrew F. Coburn
Date: 01/2013
Type: Document
Sponsoring organization: Flex Monitoring Team
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Implications of Proposed Changes to Rural Hospital Payment Designations
Discusses the short-term policy implications of proposed changes to the designation and payment guidelines for small rural hospitals. Focuses on proposed changes to rural Medicare payments for hospitals and physicians, as well as a proposal to change the CAH distance requirements.
Date: 12/2012
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Why Do Some Critical Access Hospitals Close Their Skilled Nursing Facility Services While Others Retain Them?
Examines the factors related to the operation of skilled nursing services by Critical Access Hospitals (CAHs) and specifically the factors related to closure of skilled nursing units by some CAHs and the continued provision of these services by others. Addresses the impact of swing beds.
Author(s): John A. Gale, Zachariah T. Croll, Andrew F. Coburn, Walter R. Gregg
Date: 11/2012
Type: Document
Sponsoring organization: Flex Monitoring Team
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Community Benefit Activities of Critical Access Hospitals, Non-Metropolitan Hospitals and Metropolitan Hospitals, 2010
Compares Critical Access Hospitals (CAHs) to non-metropolitan non-CAHs (non-metro hospitals) and metropolitan (metro) hospitals using a set of community benefit indicators developed by the Flex Monitoring Team (FMT).
Author(s): Zach Croll, John Gale, Andrew Coburn
Date: 11/2012
Type: Document
Sponsoring organization: Flex Monitoring Team
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The Contributions of Community Colleges to the Education of Allied Health Professionals in Rural Areas of the United States
Examines the availability and importance of community colleges for educating the rural allied health workforce. Discusses which allied health occupations are most affected, the contributions of rural community colleges, and the potential for using distance education to overcome geographic barriers. Addresses the distance from community colleges with allied health programs to Critical Access Hospitals and the implications for workforce recruitment.
Additional links: Policy Brief
Author(s): Susan M. Skillman, Gina A. Keppel, Davis G. Patterson, Mark P. Doescher
Date: 10/2012
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Critical Access Hospital Year 7 Hospital Compare Participation and Quality Measure Results
Examines 2010 participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database for hospital quality measures.
Additional links: Policy Brief
Author(s): Michelle Casey, Bridget Barton, Peiyin Hung, Ira Moscovice
Date: 08/2012
Type: Document
Sponsoring organization: Flex Monitoring Team
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Evidence-Based Surgical Care Quality Improvement Programs and Strategies for Critical Access Hospitals
Focuses on evidence-based surgical care QI programs and strategies applicable to inpatient and outpatient surgeries in CAHs. One in a series of policy briefs identifying and assessing evidence-based patient safety and quality improvement interventions for use by state Flex Programs and Critical Access Hospitals (CAHs).
Author(s): Jill Klingner, Michelle Casey, Shailendra Prasad, Walter Gregg, Ira Moscovice
Date: 08/2012
Type: Document
Sponsoring organization: Flex Monitoring Team
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Evidence-Based Acute Myocardial Infarction (AMI) Quality Improvement Programs/Strategies for Critical Access Hospitals
Discusses evidence-based AMI Quality Improvement (QI) programs and strategies that are applicable to Critical Access Hospitals (CAHs). Covers Centers for Medicare and Medicaid (CMS) AMI quality measures.
Author(s): Shailendra Prasad, Jill Klingner, Michelle Casey, Walter Gregg, Ira Moscovice
Date: 08/2012
Type: Document
Sponsoring organization: Flex Monitoring Team
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