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Rural Health
Resources by Topic: Governance of healthcare organizations

Rural Hospital Patient and Family Engagement - 2021 Toolkit
Toolkit provides guidance for rural hospitals to foster effective communication between patients, staff, and leadership. Discusses communication strategies in a number of domains, such as data collection, community engagement, and workforce development, among others.
Date: 02/2021
Type: Document
Sponsoring organization: Colorado Hospital Association
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High-Functioning Rural Medicare ACOs – A Qualitative Review
Describes the success factors common to high-performing Accountable Care Organizations (ACOs) based in rural areas of New York, Maine, Missouri and Arkansas, and New Hampshire. Examines these organizations' governance, ACO history, operations, finances, population health, and lessons learned.
Author(s): Thomas Vaughn, Keith Mueller, Clinton MacKinney
Date: 02/2021
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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Alternatives to Hospital Closure: Findings from a National Survey of CAH Executives
Discusses factors leading to rural hospital closures and alternatives to closure to maintain access to healthcare in rural areas and/or Critical Access Hospital (CAH) viability. Presents data from a survey of 227 CAH CEOs and other management staff, discussing their responses to a list of alternatives to hospital closure, including Rural Health Clinic (RHC) certification, conversion to emergency or urgent care services, Federally Qualified Health Center (FQHC) certification, and other alternatives.
Author(s): Sharita Thomas, Kristie Thompson, Kathleen Knocke, George Pink
Date: 02/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Quality Time: Sharing PIE - Involving Board and Leadership to Drive Quality Outcomes
Podcast recording exploring how a Critical Access Hospital (CAH) board and leadership are engaged with and support quality improvement work. Features quality, clinical, and board representatives from Paris Community Hospital, a CAH in Paris, Illinois.
Date: 02/2021
Type: Audio
Sponsoring organization: Stratis Health
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Rural Health Care Delivery Organizations and COVID-19: Major Challenges and Implications for Health Care Management Education and Training
Discusses the curtailing of healthcare management education and training due to the COVID-19 pandemic. Explores ways to enhance connections between universities and rural hospitals to facilitate rural healthcare management training.
Author(s): Steven Howard, Michael Counte, James Mikes, et al.
Citation: Journal of Rural Health, 37(1), 249-251
Date: 01/2021
Type: Document
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Indian Health Service Facilities Made Progress Incorporating Patient Protection Policies, but Challenges Remain
Assesses Indian Health Service (IHS) facility implementation of policies to protect children from sexual abuse by providers. Identifies challenges to carrying out the policies. Also discusses barriers that might prevent staff and patients from reporting abuse. Includes recommendations to IHS to further protect patients from abuse. Recommendations address training and guidance, background checks, abuse reporting processes, and monitoring of facility compliance.
Date: 12/2020
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Re-imagining Leadership: A Pathway for Rural Health to Thrive in a COVID-19 World
A COVID-19 emergency response playbook for rural healthcare delivery systems. Designed to build rural hospital and primary care leadership capacities around strategic thinking and local problem solving. Distills insights from rural hospital administrators, clinicians, and public health experts. Includes an assessment tool to help rural communities examine governance and leadership, community engagement, financial health, clinical care, and emergency preparedness and resilience.
Author(s): Lauren S. Hughes, Benjamin D. Anderson, Darlene B. Tad-y, et al.
Date: 12/2020
Type: Tool
Sponsoring organizations: Colorado Hospital Association, Eugene S. Farley, Jr. Health Policy Center
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Rural Hospital CEO Turnover
Policy paper examining CEO turnover in rural hospitals. Discusses factors that contribute to CEO turnover as well as the impact of turnover on hospitals. Offers policy initiatives and recommendations for hospital boards to address CEO turnover.
Author(s): Mellie Bridewell, Matt Shahan
Date: 10/2020
Type: Document
Sponsoring organization: National Rural Health Association
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Rural Success: Paris Community Hospital, IL
Describes the quality improvement efforts of Paris Community Hospital in rural Paris, Illinois. Highlights the success of the emergency department's communication with other departments and facilities and opportunities to improve the hospital's antibiotic stewardship.
Date: 09/2020
Type: Document
Sponsoring organization: Stratis Health
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Visionary Board Leadership and the Transition to Value Video Series
A 6-part video series on healthcare leadership for Critical Access Hospital (CAH) board members. Details best practices for CAH leadership through training modules that include hospital board interviews, discussion questions, and example activities to use in the development of long-term visioning plans.
Date: 07/2020
Type: Video/Multimedia
Sponsoring organizations: National Rural Health Resource Center, Technical Assistance and Services Center
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