Rural Health
Resources by Topic: Health information technology
Strategies for Critical Access Hospital Financial and Operational Performance Improvement: A Systematic Review
Summarizes findings from a systematic review of peer-reviewed and grey literature published since 2000 regarding financial and operational performance improvement interventions implemented by Critical Access Hospitals (CAHs) and rural hospitals in the United States and in other developed countries. Identifies key intervention areas, including service line optimization, revenue and cost management, and technology adoption, among others. Describes how State Flex Programs and hospital administrators can use these findings to inform decision-making and resource allocation.
Author(s): Angelina Budko, Laura Bozovich McFadyen, Carrie Baldwin-SoRelle, et al.
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Summarizes findings from a systematic review of peer-reviewed and grey literature published since 2000 regarding financial and operational performance improvement interventions implemented by Critical Access Hospitals (CAHs) and rural hospitals in the United States and in other developed countries. Identifies key intervention areas, including service line optimization, revenue and cost management, and technology adoption, among others. Describes how State Flex Programs and hospital administrators can use these findings to inform decision-making and resource allocation.
Author(s): Angelina Budko, Laura Bozovich McFadyen, Carrie Baldwin-SoRelle, et al.
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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A Chartbook on the Characteristics and Needs of Frontier Critical Access Hospitals
Summarizes findings from a 2025 national survey of executives from 117 Critical Access Hospitals (CAHs) in frontier counties. Includes data on the distribution and characteristics of frontier CAHs. Identifies themes related to financial and operational challenges, service availability, and access to care in frontier settings.
Author(s): John A. Gale, Rebecca Stearns, Zachariah Croll, Jayne Foley
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Summarizes findings from a 2025 national survey of executives from 117 Critical Access Hospitals (CAHs) in frontier counties. Includes data on the distribution and characteristics of frontier CAHs. Identifies themes related to financial and operational challenges, service availability, and access to care in frontier settings.
Author(s): John A. Gale, Rebecca Stearns, Zachariah Croll, Jayne Foley
Date: 04/2026
Sponsoring organization: Flex Monitoring Team
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Advancing Technology Innovation through the Rural Health Transformation Program
Identifies common themes across Rural Health Transformation Program (RHTP) plans related to proposed health technology initiatives. Covers the information technology infrastructure, telehealth and remote patient monitoring, artificial intelligence, and catalyst funds and pilot programs.
Author(s): Daisy Kim, Maya Sandalow
Date: 03/2026
Sponsoring organization: Bipartisan Policy Center
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Identifies common themes across Rural Health Transformation Program (RHTP) plans related to proposed health technology initiatives. Covers the information technology infrastructure, telehealth and remote patient monitoring, artificial intelligence, and catalyst funds and pilot programs.
Author(s): Daisy Kim, Maya Sandalow
Date: 03/2026
Sponsoring organization: Bipartisan Policy Center
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Revisiting the Rural and Urban Divide in Hospital Health Information Technology Adoption: Evidence From 2023
Presents a study assessing the adoption of telehealth, patient engagement, and health information exchange functionalities in rural and urban hospitals in 2023. Bases findings on American Hospital Association Annual Survey and Information Technology Survey data. Breaks down data by metropolitan, micropolitan, and rural hospital settings.
Author(s): Alice S. Yan, Teagan K. Maguire, Jie Chen
Citation: Journal of Rural Health, 41(4), e70100
Date: 12/2025
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Presents a study assessing the adoption of telehealth, patient engagement, and health information exchange functionalities in rural and urban hospitals in 2023. Bases findings on American Hospital Association Annual Survey and Information Technology Survey data. Breaks down data by metropolitan, micropolitan, and rural hospital settings.
Author(s): Alice S. Yan, Teagan K. Maguire, Jie Chen
Citation: Journal of Rural Health, 41(4), e70100
Date: 12/2025
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Gaps in Artificial Intelligence Research for Rural Health in the United States: A Scoping Review
Presents a scoping review exploring the extent of research on artificial intelligence (AI) in healthcare in rural communities. Discusses the application of AI in rural US healthcare and challenges that limit the development, implementation, or evaluation of AI in the rural areas.
Author(s): Katherine E. Brown, Sharon E. Davis
Citation: Journal of the American Medical Informatics Association
Date: 11/2025
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Presents a scoping review exploring the extent of research on artificial intelligence (AI) in healthcare in rural communities. Discusses the application of AI in rural US healthcare and challenges that limit the development, implementation, or evaluation of AI in the rural areas.
Author(s): Katherine E. Brown, Sharon E. Davis
Citation: Journal of the American Medical Informatics Association
Date: 11/2025
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Acute Care Utilization Patterns During Chemotherapy and Predictive Model Development at a Rural Community Cancer Center
Explores the development of a predictive model focused on identifying oncology patients at risk of all-cause and preventable acute care use, utilizing EHR data of 2,922 patients who received intravenous cancer treatment between October 2021 and April 2024 in a predominantly rural, midwestern cancer network. Provides data on the association between acute care use and clinical and demographic factors, including level of rurality.
Author(s): McKenna Perrin, Crystal Hattum, Jamie Arens, Tobias Meissner
Citation: JCO Clinical Cancer Informatics, 9, e2500186
Date: 11/2025
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Explores the development of a predictive model focused on identifying oncology patients at risk of all-cause and preventable acute care use, utilizing EHR data of 2,922 patients who received intravenous cancer treatment between October 2021 and April 2024 in a predominantly rural, midwestern cancer network. Provides data on the association between acute care use and clinical and demographic factors, including level of rurality.
Author(s): McKenna Perrin, Crystal Hattum, Jamie Arens, Tobias Meissner
Citation: JCO Clinical Cancer Informatics, 9, e2500186
Date: 11/2025
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2025 Cybersecurity Year in Review, Part Two: Mitigating Third-Party Risk, Ensuring Clinical Continuity and Addressing AI Risk
Explains steps healthcare organizations should take to address cybersecurity risks. Discusses the need to prepare for interruption to services of 30 days or longer and the importance of focusing on clinical continuity. Also provides examples of how AI is being used in cyberattacks.
Author(s): John Riggi, Scott Gee
Date: 10/2025
Sponsoring organization: American Hospital Association
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Explains steps healthcare organizations should take to address cybersecurity risks. Discusses the need to prepare for interruption to services of 30 days or longer and the importance of focusing on clinical continuity. Also provides examples of how AI is being used in cyberattacks.
Author(s): John Riggi, Scott Gee
Date: 10/2025
Sponsoring organization: American Hospital Association
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2025 Cybersecurity Year in Review, Part One: Breaches and Defensive Measures
Provides an overview of cybersecurity issues currently impacting the healthcare field. Describes recent patterns in reported cyberattacks and identifies cybersecurity practices for prevention and mitigation. Discusses the need for healthcare facilities to understand their cyber risk exposure.
Author(s): John Riggi, Scott Gee
Date: 10/2025
Sponsoring organization: American Hospital Association
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Provides an overview of cybersecurity issues currently impacting the healthcare field. Describes recent patterns in reported cyberattacks and identifies cybersecurity practices for prevention and mitigation. Discusses the need for healthcare facilities to understand their cyber risk exposure.
Author(s): John Riggi, Scott Gee
Date: 10/2025
Sponsoring organization: American Hospital Association
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Health Industry Cybersecurity Sector Mapping and Risk Toolkit (SMART)
Provides templates and methodologies for healthcare providers, insurance plans, and manufacturers to map and identify systemic cybersecurity risks posed by third party technology, software, and communications services. Includes considerations for small and rural healthcare organizations.
Date: 10/2025
Sponsoring organization: Health Sector Coordinating Council (HSCC) Cybersecurity Working Group
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Provides templates and methodologies for healthcare providers, insurance plans, and manufacturers to map and identify systemic cybersecurity risks posed by third party technology, software, and communications services. Includes considerations for small and rural healthcare organizations.
Date: 10/2025
Sponsoring organization: Health Sector Coordinating Council (HSCC) Cybersecurity Working Group
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Technological Innovation in Rural Health and Human Services Spaces, with Dan Shane
An episode of the Exploring Rural Health podcast featuring Dan Shane, Associate Professor with the RUPRI Center for Rural Health Policy Analysis. Focuses on opportunities for applying technological advances in rural health and human services, potential challenges, and future avenues of development.
Date: 10/2025
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Dan Shane, Associate Professor with the RUPRI Center for Rural Health Policy Analysis. Focuses on opportunities for applying technological advances in rural health and human services, potential challenges, and future avenues of development.
Date: 10/2025
Sponsoring organization: Rural Health Information Hub
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