Rural Health
Resources by Topic: Healthcare facilities
Predictors of Inpatient RN Turnover in Rural and Urban VHA Hospitals
A study on the rates and associated factors of registered nursing (RN) workforce turnover in rural and urban Veterans Health Administration (VHA) hospitals. Breaks down data by RN demographic factors, such as age, salary, and experience within the VHA, and hospital factors, such as average age, average base salary, and average number of units worked, among other factors.
Author(s): Katherine G. Bay, Chase S. Eck, Melissa K. Knox, et al.
Citation: Medical Care, 64(1S), S9-S17
Date: 01/2026
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A study on the rates and associated factors of registered nursing (RN) workforce turnover in rural and urban Veterans Health Administration (VHA) hospitals. Breaks down data by RN demographic factors, such as age, salary, and experience within the VHA, and hospital factors, such as average age, average base salary, and average number of units worked, among other factors.
Author(s): Katherine G. Bay, Chase S. Eck, Melissa K. Knox, et al.
Citation: Medical Care, 64(1S), S9-S17
Date: 01/2026
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Medicare Care Management Opportunities - What's New in 2026?
Recording of a December 17, 2025, webinar on care management practices in Rural Health Clinics, associated Medicare care management codes, and changes over time in billing requirements and implementation. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: 2026 Care Management Codes and Reimbursement, Presentation Slides
Date: 12/2025
Sponsoring organization: National Association of Rural Health Clinics
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Recording of a December 17, 2025, webinar on care management practices in Rural Health Clinics, associated Medicare care management codes, and changes over time in billing requirements and implementation. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: 2026 Care Management Codes and Reimbursement, Presentation Slides
Date: 12/2025
Sponsoring organization: National Association of Rural Health Clinics
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"Sacred Ground for Kids": Institutional Perspectives on Rural School-Based Health Centers as Patient-Centered Medical Homes
Presents a study on the role school-based health centers (SBHCs) play in providing care to children in rural counties and explores the potential for SBHCs to function as patient-centered medical homes (PCMHs) for rural students. Highlights findings from interviews in four rural counties in New York and identifies challenges for SBHCs functioning as a PCMH.
Author(s): Xue Zhang, Mildred E. Warner
Citation: Journal of Rural Health, 41(4), e70098
Date: 12/2025
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Presents a study on the role school-based health centers (SBHCs) play in providing care to children in rural counties and explores the potential for SBHCs to function as patient-centered medical homes (PCMHs) for rural students. Highlights findings from interviews in four rural counties in New York and identifies challenges for SBHCs functioning as a PCMH.
Author(s): Xue Zhang, Mildred E. Warner
Citation: Journal of Rural Health, 41(4), e70098
Date: 12/2025
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Rural Health Transformation Program State Application Summary: State-level Initiatives & Proposed Activities
Summarizes focus areas for each state in the applications for the Rural Health Transformation Program and highlights common themes across all applications.
Date: 12/2025
Sponsoring organization: National Rural Health Association
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Summarizes focus areas for each state in the applications for the Rural Health Transformation Program and highlights common themes across all applications.
Date: 12/2025
Sponsoring organization: National Rural Health Association
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Changes in Bed-Based Measures of Surge Capacity from 2018 to 2022 among Rural and Urban Hospitals
Policy brief describing how hospitals' inpatient capacity changed from 2018-2022 and examining trade-offs between cost-saving reductions and emergency preparedness. Features statistics on hospitals' average daily census (ADC) and number and percentage of unoccupied beds, with breakdowns by year and urban or rural location.
Author(s): Emma Kerr, Tyler Malone, Mark Holmes
Date: 12/2025
Sponsoring organization: North Carolina Rural Health Research Program
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Policy brief describing how hospitals' inpatient capacity changed from 2018-2022 and examining trade-offs between cost-saving reductions and emergency preparedness. Features statistics on hospitals' average daily census (ADC) and number and percentage of unoccupied beds, with breakdowns by year and urban or rural location.
Author(s): Emma Kerr, Tyler Malone, Mark Holmes
Date: 12/2025
Sponsoring organization: North Carolina Rural Health Research Program
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Do Changes in Hospital Ownership Affect Staffing?
Findings brief examining whether transition from government or nonprofit to for-profit hospital ownership is associated with changes in staffing levels in rural hospitals. Utilizes 2011-2023 CMS Healthcare Cost Reporting Information System (HCRIS) data.
Author(s): Ayush Manandhar
Date: 12/2025
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief examining whether transition from government or nonprofit to for-profit hospital ownership is associated with changes in staffing levels in rural hospitals. Utilizes 2011-2023 CMS Healthcare Cost Reporting Information System (HCRIS) data.
Author(s): Ayush Manandhar
Date: 12/2025
Sponsoring organization: North Carolina Rural Health Research Program
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Community Healers: How Cherokee Indian Hospital Authority Leads in Health and Wellness
Discusses how the Cherokee Indian Hospital Authority (CIHA) addresses the health needs of its community, by integrating Cherokee culture and Western medical care as a way to improve community health. Documents CIHA's work in promoting relationships between federal and state entities and Native Nations.
Author(s): Hailey A. Baker, Mariana Tuttle, Katy Backes Kozhimannil
Date: 12/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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Discusses how the Cherokee Indian Hospital Authority (CIHA) addresses the health needs of its community, by integrating Cherokee culture and Western medical care as a way to improve community health. Documents CIHA's work in promoting relationships between federal and state entities and Native Nations.
Author(s): Hailey A. Baker, Mariana Tuttle, Katy Backes Kozhimannil
Date: 12/2025
Sponsoring organization: University of Minnesota Rural Health Research Center
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The Indian Health Service Did Not Ensure That Commissioned Corps Officers' Background Investigations Complied With Federal Requirements
Examines whether Officers of the Commissioned Corps of the United States Public Health Service (Commissioned Corps) who are assigned to provide healthcare services to Tribal and IHS-operated health programs received background investigations and reinvestigations in accordance with Federal requirements. Presents findings of a review of background investigation documentation for a sample of 100 Officers assigned to provide healthcare services to IHS and Tribal health facilities in September 2022.
Additional links: Report Highlights
Date: 12/2025
Sponsoring organization: Office of Inspector General (HHS)
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Examines whether Officers of the Commissioned Corps of the United States Public Health Service (Commissioned Corps) who are assigned to provide healthcare services to Tribal and IHS-operated health programs received background investigations and reinvestigations in accordance with Federal requirements. Presents findings of a review of background investigation documentation for a sample of 100 Officers assigned to provide healthcare services to IHS and Tribal health facilities in September 2022.
Additional links: Report Highlights
Date: 12/2025
Sponsoring organization: Office of Inspector General (HHS)
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Did the Rural Health Infrastructure Break Down During the Pandemic? Evidence from the 2020 Meatpacking Plant COVID-19 Outbreaks
A webinar recording that discusses the impact of the COVID-19 pandemic on rural health infrastructure in Minnesota and South Dakota. Focuses on outbreaks experienced in meatpacking plants and subsequent impacts on surrounding rural communities. Transcript available below description.
Additional links: Presentation Slides
Author(s): Thomas P. Krumel
Date: 12/2025
Sponsoring organization: North Central Regional Center for Rural Development
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A webinar recording that discusses the impact of the COVID-19 pandemic on rural health infrastructure in Minnesota and South Dakota. Focuses on outbreaks experienced in meatpacking plants and subsequent impacts on surrounding rural communities. Transcript available below description.
Additional links: Presentation Slides
Author(s): Thomas P. Krumel
Date: 12/2025
Sponsoring organization: North Central Regional Center for Rural Development
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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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