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Resources by Topic: Critical Access Hospitals

Critical Access Hospital Replacement Process: The Manual
Describes the facility replacement process, including the phases, actions, and involved parties that are needed. Offers guidance on the facility replacement process, including assessing the Critical Access Hospital's physical and financial situation, gaining community support, identifying and obtaining financing, working with lenders and Federal enhancement programs, and completing the design and construction process.
Date: 10/2010
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Critical Access Hospital Replacement Process: The Roadmap
Provides a visual overview of the entire facility replacement process. Divided into four phases including Planning, Design and Financing, Endorsement, and Construction. Each phase is further described by events, actions, duration, costs/fees, and involved parties.
Date: 10/2010
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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A Comparison of Rural Hospitals with Special Medicare Payment Provisions to Urban and Rural Hospitals Paid Under Prospective Payment
Compares the financial performance and condition of rural hospitals with special Medicare payment provisions - Critical Access Hospitals (CAHs), Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), and Rural Referral Centers (RRCs) - to urban and rural hospitals paid under prospective payment.
Additional links: Findings Brief: A Financial Comparison of Rural Hospitals With Special Medicare Payment Provisions to Hospitals Paid Under Prospective Payment, 4/2010, Findings Brief: Profitability of Rural Hospitals Paid Under Prospective Payment Compared to Rural Hospitals with Special Medicare Payment Provisions, 9/2010
Author(s): G. Mark Holmes, George H. Pink, Sarah A. Friedman, Hilda A. Howard
Date: 08/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Is Your Hospital's Board Prepared to Govern? Rural Acute Care Hospital Boards of Directors: Education and Development Needed
Examines the structural, leadership, and educational needs of rural hospital boards, as viewed by rural hospital board chairs and chief executive officers (CEOs).
Additional links: Fact Sheet
Author(s): Janice C. Probst, Royce Adams, Amy B. Martin
Date: 06/2010
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Electronic Medical Record Systems in Critical Access Hospitals: Leadership Perspectives on Anticipated and Realized Benefits
Examines the efficacy of electronic medical records (EMRs) in reducing healthcare costs while also improving performance and quality in Critical Access Hospitals (CAHs). Also discusses the reasons CAH leadership may choose to implement an EMR, and whether anticipated benefits have generally been realized. Results are based on a survey of leadership from 15 Iowa-based CAHs.
Author(s): Troy R. Mills, Jared Vavroch, James A. Bahensky, Marcia M. Ward
Citation: Perspectives in Health Information Management, 7, 1c
Date: 04/2010
Type: Document
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States' Use of Cost-Based Reimbursement for Medicaid Services at Critical Access Hospitals
Explains cost-based reimbursement for Critical Access Hospitals (CAHs). Documents which of the 45 states with CAHs utilize a cost-based reimbursement methodology for Medicaid.
Author(s): Andrea Radford, Mike Hamon, Caitlin Nelligan
Date: 04/2010
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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A Manual on Effective Collaboration Between Critical Access Hospitals and Federally Qualified Health Centers
Highlights how through cooperation and collaboration, Critical Access Hospitals (CAHs) and Federally Qualified Health Centers (FQHCs), especially those near each other and serving similar communities, can meet community needs, enhance roles, and stabilize and expand needed services and rural delivery systems.
Date: 04/2010
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Community Benefits of Critical Access Hospitals: A Review of the Data
Examines the community benefit activities of Critical Access Hospitals (CAHs), and assesses the utility and feasibility of tracking and reporting community benefit information. Uses data from the Internal Revenue Service's (IRS) 2006 Hospital Compliance Study, the 2007 FMT CAH survey, and the Flex Monitoring Team's (FMT) pilot test of a set of community benefit data collection tools and performance indicators.
Additional links: Policy Brief
Author(s): Melanie Race, John Gale, Andrew Coburn
Date: 03/2010
Type: Document
Sponsoring organization: Flex Monitoring Team
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State Flex Program EMS/Trauma Activities and Integration of Critical Access Hospitals into Trauma Systems
Examines State Flex Program trauma-related and emergency medical system (EMS) activities and the designation of Critical Access Hospitals (CAHs) as trauma centers. Includes data by state on CAH trauma center designation.
Additional links: Policy Brief
Author(s): Walter Gregg, Nicholas Jennings, Christopher Dickerson
Date: 03/2010
Type: Document
Sponsoring organization: Flex Monitoring Team
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Models for Quality Improvement in Critical Access Hospitals: The Role of State Flex Programs
Examines the scope of multi-Critical Access Hospital (CAH) quality improvement and performance measurement reporting initiatives supported by the Medicare Rural Hospital Flexibility Program (Flex Program) in 9 states. Addresses how the Flex Program has been instrumental in funding and providing leadership for the development of Critical Access Hospital (CAH) quality improvement initiatives.
Additional links: Policy Brief: The Role of State Flex Programs in Supporting Quality Improvement in Critical Access Hospitals
Author(s): Andrew Coburn, John Gale, Melanie Race, Mark Richards, Anush Hansen
Date: 03/2010
Type: Document
Sponsoring organization: Flex Monitoring Team
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