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Rural Health
Resources by Topic: Healthcare facilities

Exploring the Community Impact of Critical Access Hospitals
Reports on a series of site visits to six diverse rural communities and Critical Access Hospitals (CAHs) to assess the experiences and impact of these hospitals in responding to their community's health infrastructure needs.
Additional links: Policy Brief: The Community Impact of Critical Access Hospitals, February 2007
Author(s): John Gale, Andrew Coburn, Walt Gregg, Rebecca Slifkin, Victoria Freeman
Date: 01/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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340B Drug Pricing Program: Results of a Survey of Eligible but Non-Participating Rural Hospitals
Summarizes the results of a survey of pharmacy directors at rural hospitals eligible to participate in the 340B program but identified as not participating at the time of the survey. Examines why rural hospitals eligible for the program were not participating and if there were barriers to participation.
Author(s): Andrea Radford, Rebecca Slifkin, Marianne Baernholdt, Claudia Schur, Karen Cheung
Date: 01/2007
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, North Carolina Rural Health Research Program
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Partnering to Achieve Rural Emergency Preparedness: A Workbook for Healthcare Providers in Rural Communities
Provides a tool to help Rural Health Clinics (RHCs), community health centers, migrant health centers, and hospitals develop effective community emergency preparedness plans. Encourages a collaborative approach with coordination between community leaders and healthcare facilities.
Author(s): Texas A&M Health Science Center School of Public Health
Date: 2007
Type: Document
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Future of Emergency Care Series: Hospital-Based Emergency Care: At the Breaking Point
Part three in a series of three reports from the Committee on the Future of Emergency Care in the United States Health System. Examines hospital-based emergency and trauma care. Includes information on issues facing rural hospitals related to emergency care and the emergency care workforce.
Additional links: Read Online
Date: 2007
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Registered Nurse Vacancies in Federally Funded Health Centers: Project Summary
Provides an overview of the registered nurse (RN) vacancy rate in federally-funded health centers, which varies by degree of rurality.
Date: 12/2006
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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MedPAC Report to the Congress: Rural Payment Provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Examines the impact of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) provisions on rural hospital payments. Present the effect of eight MMA provisions on Medicare inpatient and outpatient payments to traditional (non-CAH) hospitals. Summarizes the MMA changes to Critical Access Hospital (CAH) payment policies discussed in MedPAC's interim report. Examines the effects of higher payments on hospital costs.
Date: 12/2006
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Results of the 2004 Health Center Expansion and Recruitment Survey for Health Centers: Analyses for Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI States)
Presents a subset of the findings from the larger national study of Federally Qualified Health Center (FQHC) staffing needs of FQHCs located in Washington, Wyoming, Alaska, Montana, and Idaho (WWAMI) overall and by urban and rural geography.
Author(s): C. Holly A. Andrilla, L. Gary Hart
Date: 11/2006
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Impact of Conversion to Critical Access Hospital Status on Hospital Financial Performance and Condition
Policy brief analyzing financial ratios associated with Critical Access Hospitals' profitability, liquidity, and capital structure.
Author(s): Mark Holmes, George H. Pink, Rebecca T. Slifkin
Date: 11/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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The Experience of Sole Community Rural Independent Pharmacies with Medicare Part D: Reports from the Field
Examines unintended impacts of the Medicare Part D program on independent pharmacies in rural areas. Discusses options to address the challenges faced by rural independent pharmacies that are the sole providers in their communities.
Author(s): Andrea Radford, Rebecca Slifkin, Roslyn Fraser, Michelle Mason, Keith Mueller
Date: 11/2006
Type: Document
Sponsoring organizations: North Carolina Rural Health Research Program, RUPRI Center for Rural Health Policy Analysis
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Health Professional Shortage Areas: Problems Remain With Primary Care Shortage Area Designation System
Reviews the number and location of Health Professional Shortage Areas (HPSAs) and federal programs that use HPSA designations to allocate resources or provide benefits. Discusses available research on HPSA designation criteria and methodology. Addresses the impact of a 2002 provision that automatically designates Federally Qualified Health Centers (FQHCs) and certain Rural Health Clinics (RHCs) as facility HPSAs.
Additional links: Full Report
Date: 10/2006
Type: Document
Sponsoring organization: Government Accountability Office
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