Rural Health
Resources by Topic: Healthcare facilities
Dialysis More Available Than Patient Education in Counties With High Diabetes Prevalence
Compares availability of dialysis and diabetes self-management education and support (DSMES) services at the county level, and discusses impacts of DSMES access on prevalence of end stage renal disease. Analyzes county-level characteristics associated with availability of dialysis or DSMES, including rurality, diabetes prevalence, presence of a Federally Qualified Health Center or Rural Health Clinic, and more.
Author(s): Janice C. Probst, Nicholas Yell, Gabriel A. Benavidez, et al.
Citation: Preventing Chronic Disease, 21, 240052
Date: 08/2024
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Compares availability of dialysis and diabetes self-management education and support (DSMES) services at the county level, and discusses impacts of DSMES access on prevalence of end stage renal disease. Analyzes county-level characteristics associated with availability of dialysis or DSMES, including rurality, diabetes prevalence, presence of a Federally Qualified Health Center or Rural Health Clinic, and more.
Author(s): Janice C. Probst, Nicholas Yell, Gabriel A. Benavidez, et al.
Citation: Preventing Chronic Disease, 21, 240052
Date: 08/2024
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2024 Workforce Survey Report: The Status of Kentucky's Hospital Workforce
Provides an in-depth look at non-physician direct care positions in inpatient or hospital-related outpatient departments in Kentucky as of 2023. Includes statistics on vacancies, benefits, and pay, with breakdowns by rural and urban areas.
Author(s): Maik Schutze
Date: 08/2024
Sponsoring organization: Kentucky Hospital Association
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Provides an in-depth look at non-physician direct care positions in inpatient or hospital-related outpatient departments in Kentucky as of 2023. Includes statistics on vacancies, benefits, and pay, with breakdowns by rural and urban areas.
Author(s): Maik Schutze
Date: 08/2024
Sponsoring organization: Kentucky Hospital Association
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Rural and Urban Hospital Differences in Inpatient Stays Involving Sepsis, 2019 and 2021
Explores inpatient hospital stays related to sepsis using the 2019 and 2021 State Inpatient Databases (SID) for 47 States and the District of Columbia. Presents data on the percentage of stays related to sepsis, lengths of stay, costs of stay, and outcomes for sepsis stays for over 4,200 community hospitals. Compares data for rural and urban hospitals by ownership, bed size, teaching hospital status, and safety net designation.
Author(s): Joanna Jiang, Lan Liang, Meghana Chandra, Sai Loganathan
Date: 08/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Explores inpatient hospital stays related to sepsis using the 2019 and 2021 State Inpatient Databases (SID) for 47 States and the District of Columbia. Presents data on the percentage of stays related to sepsis, lengths of stay, costs of stay, and outcomes for sepsis stays for over 4,200 community hospitals. Compares data for rural and urban hospitals by ownership, bed size, teaching hospital status, and safety net designation.
Author(s): Joanna Jiang, Lan Liang, Meghana Chandra, Sai Loganathan
Date: 08/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Voice of the REH CEO: Perspectives from Those Who Have Led Their Organizations Through REH Conversion
Summarizes interviews with executives from three hospitals that converted to Rural Emergency Hospital (REH) status regarding their perspectives on conversion. Describes the assessment of the financial feasibility of REH status, preparation of the communities for conversion, staffing and service line adjustments, and the impact of conversion. Includes legislative considerations that could make REH status more attractive to rural hospitals.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 08/2024
Sponsoring organization: Rural Health Redesign Center
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Summarizes interviews with executives from three hospitals that converted to Rural Emergency Hospital (REH) status regarding their perspectives on conversion. Describes the assessment of the financial feasibility of REH status, preparation of the communities for conversion, staffing and service line adjustments, and the impact of conversion. Includes legislative considerations that could make REH status more attractive to rural hospitals.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 08/2024
Sponsoring organization: Rural Health Redesign Center
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Community Health Centers' Progress and Challenges in Meeting Patients' Essential Primary Care Needs: Findings from the Commonwealth Fund 2024 National Survey of Federally Qualified Health Centers
Summarizes findings from the 2024 Commonwealth Fund National Survey of Federally Qualified Health Centers (FQHCs), which received responses from 737 FQHC leaders in fall 2023 and spring 2024. Explores the extent to which FQHCs achieve primary care accessibility, comprehensiveness, and coordination. Compares findings to data from the 2018 version of this survey to assess how care delivery changed over time. Describes barriers FQHCs face in offering high-quality care. Presents data by rural and urban location throughout.
Author(s): Celli Horstman, Corinne Lewis, Alexandra Bryan, Sara Federman
Date: 08/2024
Sponsoring organization: Commonwealth Fund
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Summarizes findings from the 2024 Commonwealth Fund National Survey of Federally Qualified Health Centers (FQHCs), which received responses from 737 FQHC leaders in fall 2023 and spring 2024. Explores the extent to which FQHCs achieve primary care accessibility, comprehensiveness, and coordination. Compares findings to data from the 2018 version of this survey to assess how care delivery changed over time. Describes barriers FQHCs face in offering high-quality care. Presents data by rural and urban location throughout.
Author(s): Celli Horstman, Corinne Lewis, Alexandra Bryan, Sara Federman
Date: 08/2024
Sponsoring organization: Commonwealth Fund
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FY 2025 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule – CMS-1808-F
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2025 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the extension of the low-wage index hospital policy, a separate IPPS payment for small and independent hospitals to establish and maintain a buffer stock of essential medicines, the distribution of graduate medical education (GME) residency slots, updates to quality reporting programs, and more.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2025 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the extension of the low-wage index hospital policy, a separate IPPS payment for small and independent hospitals to establish and maintain a buffer stock of essential medicines, the distribution of graduate medical education (GME) residency slots, updates to quality reporting programs, and more.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Performance of Health Care Service Area Definitions for Capturing Variation in Inpatient Care and Social Determinants of Health
Examines various health care service area (HCSA) definitions and their ability to capture hospitalizations and social determinants of health (SDOH) heterogeneity in the patient population. Provides descriptive characteristics for each HCSA type, such as median population and land size, as well as characteristics of the hospital sample. Discusses which HCSA type was best able to capture hospital discharges and population heterogenity in rural areas.
Author(s): Hannah Crook, Manuel Horta, Kenneth A. Michelson, John A. Graves
Citation: Health Services Research, 59(4)
Date: 08/2024
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Examines various health care service area (HCSA) definitions and their ability to capture hospitalizations and social determinants of health (SDOH) heterogeneity in the patient population. Provides descriptive characteristics for each HCSA type, such as median population and land size, as well as characteristics of the hospital sample. Discusses which HCSA type was best able to capture hospital discharges and population heterogenity in rural areas.
Author(s): Hannah Crook, Manuel Horta, Kenneth A. Michelson, John A. Graves
Citation: Health Services Research, 59(4)
Date: 08/2024
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Structural Determinants of Health: Hospitals' Unequal Capital Investments Drive Health Inequities
Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Sponsoring organization: Center for Economic and Policy Research (CEPR)
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Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Sponsoring organization: Center for Economic and Policy Research (CEPR)
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Health Care Artificial Intelligence Toolkit
Guide designed to help community health clinics and rural hospitals navigate information regarding artificial intelligence (AI) in healthcare. Discusses foundational considerations, governance for AI applications, and steps to assess and mitigate discriminatory impacts of AI systems in healthcare. Includes an AI tool vendor evaluation checklist for community health clinics and Critical Access Hospitals (CAHs).
Date: 07/2024
Sponsoring organization: California Telehealth Resource Center
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Guide designed to help community health clinics and rural hospitals navigate information regarding artificial intelligence (AI) in healthcare. Discusses foundational considerations, governance for AI applications, and steps to assess and mitigate discriminatory impacts of AI systems in healthcare. Includes an AI tool vendor evaluation checklist for community health clinics and Critical Access Hospitals (CAHs).
Date: 07/2024
Sponsoring organization: California Telehealth Resource Center
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Characteristics of People Using Medicaid Long-Term Services and Supports, 2021
Presents data on the characteristics of individuals who used Medicaid long-term services and supports (LTSS) in 2021, including age, dual-eligibility status, rural or urban residence, and race and ethnicity. Offers data on home and community-based service (HCBS) users by HCBS program and state plan option types and institutional service users by setting type.
Author(s): Cara Stepanczuk, Alexandra Carpenter, Andrea Wysocki
Date: 07/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Presents data on the characteristics of individuals who used Medicaid long-term services and supports (LTSS) in 2021, including age, dual-eligibility status, rural or urban residence, and race and ethnicity. Offers data on home and community-based service (HCBS) users by HCBS program and state plan option types and institutional service users by setting type.
Author(s): Cara Stepanczuk, Alexandra Carpenter, Andrea Wysocki
Date: 07/2024
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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