Rural Health
Resources by Topic: Healthcare business and finance
Innovations in Rural Health System Development: Governance
Discusses the need for collaboration between healthcare facilities and their communities, including ideas for new approaches to governance to help make these transitions happen. Provides examples of hospital/health system collaborations and population health programs from throughout the U.S.
Author(s): Sara Kahn-Troster, Andrew Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Discusses the need for collaboration between healthcare facilities and their communities, including ideas for new approaches to governance to help make these transitions happen. Provides examples of hospital/health system collaborations and population health programs from throughout the U.S.
Author(s): Sara Kahn-Troster, Andrew Coburn
Date: 11/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Comparing the Community Benefit Spending of Critical Access, Other Rural, and Urban Hospitals
Examines the levels and types of community benefit spending by Critical Access, rural, and urban hospitals. Compares the spending by percentage of total expenses, as well as by category, direct patient care versus community-building activities.
Author(s): John Gale, Zach Croll, Andrew Coburn, Jamar Croom
Date: 11/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines the levels and types of community benefit spending by Critical Access, rural, and urban hospitals. Compares the spending by percentage of total expenses, as well as by category, direct patient care versus community-building activities.
Author(s): John Gale, Zach Croll, Andrew Coburn, Jamar Croom
Date: 11/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Freestanding Emergency Departments: An Alternative Model for Rural Communities
Describes the freestanding emergency department (FSED) model as an option for rural communities that can no longer support inpatient services. Looks at both hospital-based and independent FSEDs, examines financial viability of the model, and features rural FSEDs in Illinois and Arizona.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Describes the freestanding emergency department (FSED) model as an option for rural communities that can no longer support inpatient services. Looks at both hospital-based and independent FSEDs, examines financial viability of the model, and features rural FSEDs in Illinois and Arizona.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2016
Type: Document
Sponsoring organization: Rural Health Information Hub
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Reassessing Financial Peer Groups for Critical Access Hospitals
Policy brief analyzing the influence of hospital, geographic, and community characteristics on the financial performance and conditions of Critical Access Hospitals (CAHs). Discusses the current factors of net patient revenue, government ownership, provision of long-term care, and operation of a Rural Health Clinic (RHC), which are used to determine peer groups for the Critical Access Hospital Financial Indicators Report (CAHFIR).
Author(s): Walter L. Hawkins, Kristin L. Reiter, George H. Pink
Date: 11/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Policy brief analyzing the influence of hospital, geographic, and community characteristics on the financial performance and conditions of Critical Access Hospitals (CAHs). Discusses the current factors of net patient revenue, government ownership, provision of long-term care, and operation of a Rural Health Clinic (RHC), which are used to determine peer groups for the Critical Access Hospital Financial Indicators Report (CAHFIR).
Author(s): Walter L. Hawkins, Kristin L. Reiter, George H. Pink
Date: 11/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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The Financial Importance of the Sole Community Hospital Payment Designation
Investigates the economic importance of the Sole Community Hospital (SCH) program by reviewing data between 2006 and 2015 regarding the proportion of SCHs reimbursed at the hospital-specific rate, and their profitability of providing services to Medicare patients. Also, discusses the economic consequences that would occur if the SCH program was not in operation in 2015.
Author(s): Sharita R. Thomas, Randy Randolph, G. Mark Holmes, George H. Pink
Date: 11/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Investigates the economic importance of the Sole Community Hospital (SCH) program by reviewing data between 2006 and 2015 regarding the proportion of SCHs reimbursed at the hospital-specific rate, and their profitability of providing services to Medicare patients. Also, discusses the economic consequences that would occur if the SCH program was not in operation in 2015.
Author(s): Sharita R. Thomas, Randy Randolph, G. Mark Holmes, George H. Pink
Date: 11/2016
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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"How Can We Talk about Patient-centered Care without Patients at the Table?" Lessons Learned from Patient Advisory Councils
Reports on a survey of patient advisory council (PAC) members associated with 8 primary care clinics and Federally Qualified Health Clinics (FQHCs), both rural and urban, in Northern California. Focuses on how PACs are developed, challenges faced, and the benefits of effective PACs.
Author(s): Anjana E. Sharma, Rachel Willard-Grace, Andrew Willis, et al.
Citation: Journal of the American Board of Family Medicine, 29(6), 775-784
Date: 11/2016
Type: Document
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Reports on a survey of patient advisory council (PAC) members associated with 8 primary care clinics and Federally Qualified Health Clinics (FQHCs), both rural and urban, in Northern California. Focuses on how PACs are developed, challenges faced, and the benefits of effective PACs.
Author(s): Anjana E. Sharma, Rachel Willard-Grace, Andrew Willis, et al.
Citation: Journal of the American Board of Family Medicine, 29(6), 775-784
Date: 11/2016
Type: Document
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Innovations in Rural Health System Development: Moving Rural Health Systems to Value-Based Payment
Offers examples of rural health system transformation models and strategies from Maine and other regions of the U.S. to assist rural communities in moving forward with value-based payment systems.
Author(s): Sara Kahn-Troster, Andrew Coburn
Date: 10/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Offers examples of rural health system transformation models and strategies from Maine and other regions of the U.S. to assist rural communities in moving forward with value-based payment systems.
Author(s): Sara Kahn-Troster, Andrew Coburn
Date: 10/2016
Type: Document
Sponsoring organizations: Maine Health Access Foundation, Maine Rural Health Research Center
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Impact of Race/Ethnicity and Socioeconomic Status on Risk-Adjusted Readmission Rates: Implications for the Hospital Readmissions Reduction Program
Examines what would happen to hospitals' excess readmission ratios and potential penalties if socioeconomic status and race/ethnicity were added to the Centers for Medicare & Medicaid Services risk-adjustment algorithm. Includes information on potential change in penalties for metropolitan, micropolitan, and nonmetro hospitals.
Author(s): Grant R. Martsolf, Marguerite L. Barrett, Audrey J. Weiss, et al.
Citation: Inquiry, 53
Date: 10/2016
Type: Document
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Examines what would happen to hospitals' excess readmission ratios and potential penalties if socioeconomic status and race/ethnicity were added to the Centers for Medicare & Medicaid Services risk-adjustment algorithm. Includes information on potential change in penalties for metropolitan, micropolitan, and nonmetro hospitals.
Author(s): Grant R. Martsolf, Marguerite L. Barrett, Audrey J. Weiss, et al.
Citation: Inquiry, 53
Date: 10/2016
Type: Document
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State Office of Rural Health Roadmap for Working with Vulnerable Hospitals
Toolkit designed to assist State Offices of Rural Health (SORHs) when working with vulnerable hospitals and communities. Outlines the types of technical assistance (TA) that SORHs may provide before and after hospital closures and includes resources to help SORHs facilitate that assistance. Provides a self-assessment to help SORHs determine their capacity and select the appropriate levels of TA, as well as sample Critical Access Hospital needs assessments and benchmarking reports.
Date: 10/2016
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Toolkit designed to assist State Offices of Rural Health (SORHs) when working with vulnerable hospitals and communities. Outlines the types of technical assistance (TA) that SORHs may provide before and after hospital closures and includes resources to help SORHs facilitate that assistance. Provides a self-assessment to help SORHs determine their capacity and select the appropriate levels of TA, as well as sample Critical Access Hospital needs assessments and benchmarking reports.
Date: 10/2016
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Health Insurance CO-OPs: Product Availability and Premiums in Rural Counties
Describes the role of CO-OPs, their regional distribution, and national prevalence in rural and urban counties. Compares the number of products available in counties with and without CO-OP plans in 2014 and 2015.
Author(s): Erika C. Ziller, Zachariah Croll, Andrew F. Coburn
Date: 10/2016
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Describes the role of CO-OPs, their regional distribution, and national prevalence in rural and urban counties. Compares the number of products available in counties with and without CO-OP plans in 2014 and 2015.
Author(s): Erika C. Ziller, Zachariah Croll, Andrew F. Coburn
Date: 10/2016
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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