Rural Health
Resources by Topic: Critical Access Hospitals
Trends in Skilled Nursing and Swing-bed Use in Rural Areas, 1996-2003
Examines trends in the delivery of skilled nursing facility (SNF) services in rural areas during a period of dramatic change in Medicare payments. Focuses on the role of rural hospitals in providing SNF services, as a number of regulatory changes occurred between 1998 and 2002 that could potentially influence hospital provision of skilled nursing care.
Author(s): Kathleen Dalton, Jeongyoung Park, Ann Howard, Rebecca Slifkin
Date: 12/2005
Sponsoring organization: North Carolina Rural Health Research Program
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Examines trends in the delivery of skilled nursing facility (SNF) services in rural areas during a period of dramatic change in Medicare payments. Focuses on the role of rural hospitals in providing SNF services, as a number of regulatory changes occurred between 1998 and 2002 that could potentially influence hospital provision of skilled nursing care.
Author(s): Kathleen Dalton, Jeongyoung Park, Ann Howard, Rebecca Slifkin
Date: 12/2005
Sponsoring organization: North Carolina Rural Health Research Program
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Mental Health Encounters in Critical Access Hospital Emergency Rooms: A National Survey
Examines the extent to which Critical Access Hospital (CAH) emergency rooms are used as a mental health safety net. Investigates the types of cases that present with mental health problems, as well as the resources available to emergency room staff in CAHs for addressing such problems.
Additional links: Research and Policy Brief: Smallest Rural Hospitals Treat Mental Health Emergencies
Author(s): David Hartley, Erika Ziller, Stephenie Loux, et al.
Date: 09/2005
Sponsoring organization: Maine Rural Health Research Center
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Examines the extent to which Critical Access Hospital (CAH) emergency rooms are used as a mental health safety net. Investigates the types of cases that present with mental health problems, as well as the resources available to emergency room staff in CAHs for addressing such problems.
Additional links: Research and Policy Brief: Smallest Rural Hospitals Treat Mental Health Emergencies
Author(s): David Hartley, Erika Ziller, Stephenie Loux, et al.
Date: 09/2005
Sponsoring organization: Maine Rural Health Research Center
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MedPAC Report to the Congress: Issues in a Modernized Medicare Program, 2005
Examines issues affecting the Medicare program. Addresses Part D, Medicare's new outpatient prescription drug benefit, with some coverage of rural issues. Includes overview of the Medicare Advantage program. Discusses the effects of the Critical Access Hospital (CAH) provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA).
Date: 06/2005
Sponsoring organization: Medicare Payment Advisory Commission
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Examines issues affecting the Medicare program. Addresses Part D, Medicare's new outpatient prescription drug benefit, with some coverage of rural issues. Includes overview of the Medicare Advantage program. Discusses the effects of the Critical Access Hospital (CAH) provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA).
Date: 06/2005
Sponsoring organization: Medicare Payment Advisory Commission
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Financial Indicators for Critical Access Hospitals
Discusses the development of a set of financial indicators for the Critical Access Hospital (CAH) program. Includes discussion of the potential usefulness of different types of indicators. Also provides indicator medians for CAHs for 1998-2003.
Author(s): George H. Pink, G. Mark Holmes, Cameron D'Alpe, et al.
Date: 05/2005
Sponsoring organization: Flex Monitoring Team
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Discusses the development of a set of financial indicators for the Critical Access Hospital (CAH) program. Includes discussion of the potential usefulness of different types of indicators. Also provides indicator medians for CAHs for 1998-2003.
Author(s): George H. Pink, G. Mark Holmes, Cameron D'Alpe, et al.
Date: 05/2005
Sponsoring organization: Flex Monitoring Team
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Community Involvement of Critical Access Hospitals: Results of the 2004 National CAH Survey
Describes the ways in which Critical Access Hospitals (CAHs) are engaged with their communities. Discusses CAH involvement in community needs assessment, outreach and formal health promotion programs, relationships with other community organizations, and free or reduced cost healthcare.
Author(s): Stephanie Poley, Rebecca Slifkin
Date: 03/2005
Sponsoring organization: Flex Monitoring Team
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Describes the ways in which Critical Access Hospitals (CAHs) are engaged with their communities. Discusses CAH involvement in community needs assessment, outreach and formal health promotion programs, relationships with other community organizations, and free or reduced cost healthcare.
Author(s): Stephanie Poley, Rebecca Slifkin
Date: 03/2005
Sponsoring organization: Flex Monitoring Team
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Scope of Services Offered by Critical Access Hospitals: Results of the 2004 National CAH Survey
Examines how Critical Access Hospital (CAH) services have changed over time, based on 2000, 2002, and 2004 survey data. Discusses the role of network affiliations in service changes and reasons for reported service expansions.
Author(s): David Hartley, Stephenie Loux
Date: 03/2005
Sponsoring organization: Flex Monitoring Team
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Examines how Critical Access Hospital (CAH) services have changed over time, based on 2000, 2002, and 2004 survey data. Discusses the role of network affiliations in service changes and reasons for reported service expansions.
Author(s): David Hartley, Stephenie Loux
Date: 03/2005
Sponsoring organization: Flex Monitoring Team
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Availability and Use of Capital by Critical Access Hospitals
Examines the experiences of Critical Access Hospitals (CAHs) in meeting their capital needs. Discusses efforts to obtain capital, sources of capital, uses of capital, technical assistance resources, and current capital needs. Includes information on state capital programs available to CAHs.
Author(s): Walter Gregg
Date: 03/2005
Sponsoring organization: Flex Monitoring Team
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Examines the experiences of Critical Access Hospitals (CAHs) in meeting their capital needs. Discusses efforts to obtain capital, sources of capital, uses of capital, technical assistance resources, and current capital needs. Includes information on state capital programs available to CAHs.
Author(s): Walter Gregg
Date: 03/2005
Sponsoring organization: Flex Monitoring Team
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Intensive Care in Critical Access Hospitals
Describes what officials at Critical Access Hospitals (CAHs) mean when they report that they provide intensive care and the importance of these services to the hospital and the community it serves.
Author(s): Victoria Freeman, Joan Walsh, Matthew Rudolf, Rebecca Slifkin
Date: 03/2005
Sponsoring organization: North Carolina Rural Health Research Program
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Describes what officials at Critical Access Hospitals (CAHs) mean when they report that they provide intensive care and the importance of these services to the hospital and the community it serves.
Author(s): Victoria Freeman, Joan Walsh, Matthew Rudolf, Rebecca Slifkin
Date: 03/2005
Sponsoring organization: North Carolina Rural Health Research Program
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Quality Improvement Activities in Critical Access Hospitals: Results of the 2004 National CAH Survey
Describes quality improvement efforts in Critical Access Hospitals (CAHs) based on a 2004 survey of 474 CAH administrators. Includes data on the use of clinical guidelines and quality measures in CAHs, and the role of Medicare Quality Improvement Organizations (QIOs).
Author(s): Michelle Casey, Ira Moscovice, Jill Klingner
Date: 09/2004
Sponsoring organization: Flex Monitoring Team
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Describes quality improvement efforts in Critical Access Hospitals (CAHs) based on a 2004 survey of 474 CAH administrators. Includes data on the use of clinical guidelines and quality measures in CAHs, and the role of Medicare Quality Improvement Organizations (QIOs).
Author(s): Michelle Casey, Ira Moscovice, Jill Klingner
Date: 09/2004
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospital Patient Safety Priorities and Initiatives: Results of the 2004 National CAH Survey
Describes patient safety activities at Critical Access Hospitals (CAHs) based on a 2004 survey of 474 CAH administrators. Includes information on patient safety priorities, challenges CAHs face in implementing patient safety interventions, and pharmacy staffing and computer systems to prevent medication errors.
Author(s): Michelle Casey, Ira Moscovice, Jill Klingner
Date: 09/2004
Sponsoring organization: Flex Monitoring Team
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Describes patient safety activities at Critical Access Hospitals (CAHs) based on a 2004 survey of 474 CAH administrators. Includes information on patient safety priorities, challenges CAHs face in implementing patient safety interventions, and pharmacy staffing and computer systems to prevent medication errors.
Author(s): Michelle Casey, Ira Moscovice, Jill Klingner
Date: 09/2004
Sponsoring organization: Flex Monitoring Team
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