Rural Health
Resources by Topic: Healthcare facilities
Trends in Skilled Nursing and Swing-bed Use in Rural Areas, 1996-2003
Examines trends in the delivery of skilled nursing facility (SNF) services in rural areas during a period of dramatic change in Medicare payments. Focuses on the role of rural hospitals in providing SNF services, as a number of regulatory changes occurred between 1998 and 2002 that could potentially influence hospital provision of skilled nursing care.
Author(s): Kathleen Dalton, Jeongyoung Park, Ann Howard, Rebecca Slifkin
Date: 12/2005
Sponsoring organization: North Carolina Rural Health Research Program
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Examines trends in the delivery of skilled nursing facility (SNF) services in rural areas during a period of dramatic change in Medicare payments. Focuses on the role of rural hospitals in providing SNF services, as a number of regulatory changes occurred between 1998 and 2002 that could potentially influence hospital provision of skilled nursing care.
Author(s): Kathleen Dalton, Jeongyoung Park, Ann Howard, Rebecca Slifkin
Date: 12/2005
Sponsoring organization: North Carolina Rural Health Research Program
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Family Physician Vacancies in Federally Funded Health Centers
Provides information on family physician vacancy rates by rural and urban location at Federally Qualified Health Centers (FQHCs).
Date: 11/2005
Sponsoring organization: WWAMI Rural Health Research Center
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Provides information on family physician vacancy rates by rural and urban location at Federally Qualified Health Centers (FQHCs).
Date: 11/2005
Sponsoring organization: WWAMI Rural Health Research Center
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Mental Health Encounters in Critical Access Hospital Emergency Rooms: A National Survey
Examines the extent to which Critical Access Hospital (CAH) emergency rooms are used as a mental health safety net. Investigates the types of cases that present with mental health problems, as well as the resources available to emergency room staff in CAHs for addressing such problems.
Additional links: Research and Policy Brief: Smallest Rural Hospitals Treat Mental Health Emergencies
Author(s): David Hartley, Erika Ziller, Stephenie Loux, et al.
Date: 09/2005
Sponsoring organization: Maine Rural Health Research Center
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Examines the extent to which Critical Access Hospital (CAH) emergency rooms are used as a mental health safety net. Investigates the types of cases that present with mental health problems, as well as the resources available to emergency room staff in CAHs for addressing such problems.
Additional links: Research and Policy Brief: Smallest Rural Hospitals Treat Mental Health Emergencies
Author(s): David Hartley, Erika Ziller, Stephenie Loux, et al.
Date: 09/2005
Sponsoring organization: Maine Rural Health Research Center
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Revisions to Medicare's Disproportionate Share Payment Policy to Incorporate Bad Debt and Charity Care
Investigates the impact of possible changes to the Medicare disproportionate share (DSH) payment policy, designed to incorporate information on the hospital's uncompensated care burden as well as to improve the payment formula. These analyses are intended to help policymakers evaluate the likely impact of revising the DSH payment methodology.
Author(s): Julie A. Schoenman, Janet P. Sutton, Lan Zhao
Date: 09/2005
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Investigates the impact of possible changes to the Medicare disproportionate share (DSH) payment policy, designed to incorporate information on the hospital's uncompensated care burden as well as to improve the payment formula. These analyses are intended to help policymakers evaluate the likely impact of revising the DSH payment methodology.
Author(s): Julie A. Schoenman, Janet P. Sutton, Lan Zhao
Date: 09/2005
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Status of the Rural Health Clinic Program
Office of Inspector General report discussing the location status of Rural Health Clinics (RHCs). Includes statistics on the number of RHCs in locations that do not have current shortage designations and RHCs in areas no longer considered rural. Includes historical overview of the RHC location requirements and recommendations for improvement.
Date: 08/2005
Sponsoring organization: Office of Inspector General (HHS)
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Office of Inspector General report discussing the location status of Rural Health Clinics (RHCs). Includes statistics on the number of RHCs in locations that do not have current shortage designations and RHCs in areas no longer considered rural. Includes historical overview of the RHC location requirements and recommendations for improvement.
Date: 08/2005
Sponsoring organization: Office of Inspector General (HHS)
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Health Centers: Competition for Grants Has Grown and Efforts to Measure Performance Have Increased
Overview of how Federally Qualified Health Center (FQHC) grants are awarded and how FQHCs are monitored under the federal Consolidated Health Centers program.
Additional links: Full Report
Date: 08/2005
Sponsoring organization: Government Accountability Office
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Overview of how Federally Qualified Health Center (FQHC) grants are awarded and how FQHCs are monitored under the federal Consolidated Health Centers program.
Additional links: Full Report
Date: 08/2005
Sponsoring organization: Government Accountability Office
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Health Centers and Rural Clinics: State and Federal Implementation Issues for Medicaid's New Payment System
Reviews states' implementation of the prospective payment system (PPS) for Medicaid payments to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Includes recommendations for CMS on guidance and oversight for states.
Additional links: Full Report
Date: 06/2005
Sponsoring organization: Government Accountability Office
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Reviews states' implementation of the prospective payment system (PPS) for Medicaid payments to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs). Includes recommendations for CMS on guidance and oversight for states.
Additional links: Full Report
Date: 06/2005
Sponsoring organization: Government Accountability Office
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MedPAC Report to the Congress: Issues in a Modernized Medicare Program, 2005
Examines issues affecting the Medicare program. Addresses Part D, Medicare's new outpatient prescription drug benefit, with some coverage of rural issues. Includes overview of the Medicare Advantage program. Discusses the effects of the Critical Access Hospital (CAH) provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA).
Date: 06/2005
Sponsoring organization: Medicare Payment Advisory Commission
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Examines issues affecting the Medicare program. Addresses Part D, Medicare's new outpatient prescription drug benefit, with some coverage of rural issues. Includes overview of the Medicare Advantage program. Discusses the effects of the Critical Access Hospital (CAH) provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA).
Date: 06/2005
Sponsoring organization: Medicare Payment Advisory Commission
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Financial Indicators for Critical Access Hospitals
Discusses the development of a set of financial indicators for the Critical Access Hospital (CAH) program. Includes discussion of the potential usefulness of different types of indicators. Also provides indicator medians for CAHs for 1998-2003.
Author(s): George H. Pink, G. Mark Holmes, Cameron D'Alpe, et al.
Date: 05/2005
Sponsoring organization: Flex Monitoring Team
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Discusses the development of a set of financial indicators for the Critical Access Hospital (CAH) program. Includes discussion of the potential usefulness of different types of indicators. Also provides indicator medians for CAHs for 1998-2003.
Author(s): George H. Pink, G. Mark Holmes, Cameron D'Alpe, et al.
Date: 05/2005
Sponsoring organization: Flex Monitoring Team
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MedPAC Report to the Congress: Medicare Payment Policy, 2005
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report. Includes discussion of strategies to improve care, including pay for performance and information technology.
Date: 03/2005
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report. Includes discussion of strategies to improve care, including pay for performance and information technology.
Date: 03/2005
Sponsoring organization: Medicare Payment Advisory Commission
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