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Rural Health
Resources by Topic: Critical Access Hospitals

North Dakota Flex Program and Critical Access Hospital State Rural Health Plan
Assesses and identifies pressing current conditions of rural health services and systems, focusing on Critical Access Hospitals (CAHs). These conditions are workforce, access, finance, health information technology, community and economic development, quality, emergency medical and trauma services, networking, and system reform. Report also recommends strategic approaches to address these topics of concern.
Author(s): Marlene Miller, Brad Gibbens, Christine Lennon, Mary Wakefield
Date: 12/2008
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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The Capital Investment Needs of CAHs: Fire and Life Safety Code Compliance and Organizational Performance
Describes current Critical Access Hospital (CAH) capital investment needs and their experiences obtaining the capital funding critical for remaining compliant with fire and life safety codes and essential for maintaining effective and efficient operations.
Author(s): Walter Gregg
Date: 11/2008
Type: Document
Sponsoring organization: Flex Monitoring Team
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Experiences of Critical Access Hospitals in the Provision of Emergency Medical Services
Examines the experiences of Critical Access Hospitals (CAHs) in operating an emergency medical services (EMS) unit. Findings are based on a rural ambulance service literature review and interviews with administrators and ambulance staff from five CAHs. Discusses the benefits and challenges that CAH providers face in operating EMS services.
Author(s): Janet P. Sutton, June Eichner
Date: 10/2008
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Critical Access Hospital Year 3 Hospital Compare Participation and Quality Measure Results
Examines the third year participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database.
Additional links: Policy Brief, September 2008
Author(s): Michelle Casey, Michele Burlew, Ira Moscovice
Date: 08/2008
Type: Document
Sponsoring organization: Flex Monitoring Team
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Impact of CAH Conversion on Hospital Finances and Mix of Inpatient Services
Examines pre- and post-conversion data for hospitals that became Critical Access Hospitals (CAHs) during the first three years of the Flex Program in order to understand how CAH conversion affects not only hospital finances, but also inpatient service mix.
Author(s): Julie A. Schoenman, Janet P. Sutton
Date: 08/2008
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Developing Indicators to Document the Community Impact of Critical Access Hospitals
Provides tools for Critical Access Hospitals to strategically manage, monitor, and report their community impact activities.
Author(s): John A. Gale, Jennifer Lenardson, Andrew Coburn, Melanie Race
Date: 05/2008
Type: Document
Sponsoring organization: Flex Monitoring Team
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Far From the City: Community Orientation and Responsiveness of Rural Hospitals
Reports the findings of a national study focused on variation in hospital community orientation and responsiveness across differing rural contexts.
Date: 05/2008
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Community Benefit and Impact of Critical Access Hospitals: The Results of the 2007 CAH Survey
Reports results from a 2007 survey of 381 Critical Access Hospital (CAH) administrators assessing the community benefit and overall impact of CAHs, their activities, and their efforts to address unmet community health needs.
Date: 03/2008
Type: Document
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospitals' Experiences with Medicare Advantage Plans
Examines findings from a survey of 60 Critical Access Hospital (CAH) administrators about their experiences with Medicare Advantage (MA) plans. Discussion topics include CAH interactions with MA, reimbursement terms, financial performance, revenue, and relationship with beneficiaries.
Author(s): Michael Meit, Keith Mueller
Date: 03/2008
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, RUPRI Center for Rural Health Policy Analysis
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Critical Access Hospital Quality Improvement Activities and Reporting on Quality Measures: Results of the 2007 National CAH Survey
Reports on Critical Access Hospitals' involvement with a wide range of quality improvement initiatives, particularly patient and medication safety.
Author(s): Michelle Casey
Date: 03/2008
Type: Document
Sponsoring organization: Flex Monitoring Team
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