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Rural Health
Resources by Topic: Healthcare facilities

Understanding the Role of the Rural Hospital Emergency Department in Responding to Bioterrorist Attacks and Other Emergencies: A Review of the Literature and Guide to the Issues
Overview of bioterrorism preparedness issues facing rural hospitals, including physical capacity, sufficiency of health personnel, preparedness plans, disease surveillance systems, and communication/coordination. Detailed review of the literature, with discussion.
Author(s): Claudia L. Schur
Date: 04/2004
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Perspectives of Rural Hospitals on Bioterrorism Preparedness Planning
Overview of rural hospital preparedness, addressing topics like workforce and training, physical capacity and supplies, communication, and coordination. Includes policy recommendations. Based on a meeting of rural hospital representatives responsible for bioterrorism preparedness planning.
Author(s): Claudia L. Schur, Marc L. Berk, Curt D. Mueller
Date: 04/2004
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Starting a Rural Health Clinic: A How-To Manual
Detailed guide describing the Rural Health Clinic (RHC) program. Includes instructions on how to determine eligibility and financial feasibility of RHC status and how to apply to become an RHC. Includes a sample RHC policies and procedures manual.
Date: 04/2004
Sponsoring organization: Federal Office of Rural Health Policy
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Rural Hospitals' Strategies for Achieving Compliance with HIPAA Privacy Requirements
Discusses a survey of hospital administrators in rural areas regarding the Health Insurance Portability and Accountability Act (HIPAA). Includes an overview of HIPAA compliance efforts in rural hospitals, as well as examples of specific strategies to meet HIPAA requirements.
Date: 03/2004
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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MedPAC Report to the Congress: Medicare Payment Policy, 2004
Annual review of Medicare payment policies, with recommendations to Congress. Discussion of rural aspects of Medicare payment policies are included throughout the report. Includes discussion of the growth of Medicare spending and quality of care Medicare recipients receive.
Date: 03/2004
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Health Research in Progress in the Rural Health Research Centers Program, 8th Edition
Describes the research and policy analysis projects underway in the Rural Health Research Centers Program of the Federal Office of Rural Health Policy (FORHP). Projects are arranged by topic, with indexes by funding source, center, and project title.
Date: 02/2004
Sponsoring organization: Federal Office of Rural Health Policy
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The Financial Benefits of Critical Access Hospital Conversion for FY 1999 and FY 2000 Converters
Discusses the impact of conversion to Critical Access Hospital (CAH) status on the financial condition of rural hospitals one and two years after conversion. CAHs' pre- and post-conversion revenues are compared, and CAH revenues are compared to small rural hospitals that did not convert to cost-based Medicare reimbursement.
Author(s): Jeffrey Stensland, Gestur Davidson, Ira Moscovice
Date: 01/2004
Sponsoring organization: University of Minnesota Rural Health Research Center
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Modeling the Frontier Extended Stay Clinic Conditions of Participation and Reimbursement Methodologies
Discusses the financial feasibility of the Frontier Extended Stay Clinic (FESC), a proposed provider type to expand services in remote and isolated primary care clinics. Compares Medicare reimbursement for FESC status with Federally Qualified Health Center (FQHC), Rural Health Clinic (RHC), and Critical Access Hospital (CAH) reimbursement. Includes detailed examples of financial impact for seven clinics in rural Alaska, Nevada, Washington, and Wyoming.
Date: 2004
Sponsoring organization: Federal Office of Rural Health Policy
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Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Text of the legislation that adds a prescription drug benefit to Medicare and enhances some rural healthcare programs, such as the Critical Access Hospitals program.
Date: 11/2003
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Rural-Urban Issues in the Wage Index Adjustment for Prospective Payment in Skilled Nursing Facilities
Discusses the use of the hospital wage index for the skilled nursing facility prospective payment system (SNF PPS) and how a change to an SNF wage index would impact rural and urban skilled nursing facilities. Also identifies some related issues that impact reimbursement to SNFs in both urban and rural areas.
Additional links: Findings Brief, January 2004
Author(s): Kathleen Dalton, Rebecca Slifkin
Date: 11/2003
Sponsoring organization: North Carolina Rural Health Research Program
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