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Rural Health
Resources by Topic: Healthcare facilities

The Implementation of Pay-For-Performance in Rural Hospitals: Lessons from the Hospital Quality Incentive Demonstration Project
Reports the findings of a national study designed to identify institutional, organizational, and environmental factors that influence the experience of rural hospitals in the Hospital Quality Incentive Demonstration Project.
Author(s): Walter Gregg, Ira Moscovice, Denise Remus
Date: 09/2006
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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A Primer on the Occupational Mix Adjustment to the Medicare Hospital Wage Index
Focuses on the occupational mix adjustment (OMA) to the labor-related share in the hospital inpatient prospective payment system. Explains what the OMA is, why it is needed, and how it has been calculated. Discusses reasons the effect of the OMA has been less than some rural advocates anticipated.
Author(s): Kristin Reiter, Rebecca Slifkin, Mark Holmes
Date: 09/2006
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Quality and Performance Improvement Grant Activities Under the Flex Program
Describes quality and performance improvement activities proposed by states during the 2005 grant year under the Medicare Rural Health Flexibility Program (Flex Program).
Date: 08/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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Comparison of the Rural Health Clinic and Federally Qualified Health Center Programs
Provides a general comparison of the financial components of the Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) programs under Medicare and Medicaid.
Date: 06/2006
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Chronic Disease Management Systems (Registries) in Rural Health Care
Discusses the types of Chronic Disease Management Systems (CDMSs) used by a sample of 14 state organizations and 19 local rural clinics in Maine, Nebraska, New Mexico, South Carolina, Washington, and Wisconsin.
Author(s): Anne Skinner, Roslyn Fraser-Maginn, Keith J. Mueller
Date: 05/2006
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The Current Status of Health Information Technology Use in CAHs
Examines the use of health information technology (HIT) in Critical Access Hospitals (CAHs). Includes information on HIT infrastructure and the computerization of different functions within CAHs.
Author(s): Michelle Casey, Jill Klingner, Walt Gregg, et al.
Date: 05/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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General Hospitals: Operational and Clinical Changes Largely Unaffected by Presence of Competing Specialty Hospitals
Provides information on the competitive response of general hospitals to specialty hospitals. Addresses rural general hospitals response compared to urban general hospitals.
Additional links: Full Report
Date: 05/2006
Type: Document
Sponsoring organization: Government Accountability Office
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Medicare Hospital Pharmaceuticals: Survey Shows Price Variations and Highlights Data Collection Lessons and Outpatient Rate-Setting Challenges for CMS
Analyzes Medicare specified covered outpatient drugs (SCOD) price variation across hospitals. Includes information on prices paid by rural hospitals compared to urban hospitals.
Additional links: Full Report
Date: 04/2006
Type: Document
Sponsoring organization: Government Accountability Office
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A Review of State Flex Program Plans, 2004-2005
Examines the objectives and project activities proposed by states in their Medicare Rural Hospital Flexibility Program (Flex Program) grant applications for Fiscal Year 2004 to strengthen the rural healthcare infrastructure in their states.
Author(s): Stephenie Loux, John Gale, Anush Yousefian, Andrew Coburn, Walter Gregg
Date: 03/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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Shortages of Medical Personnel at Community Health Centers: Implications for Planned Expansion
Discusses staffing shortages at Community Health Centers (CHCs) in rural and urban locations and how these workforce shortages may impact efforts to expand the CHC program.
Author(s): Roger A. Rosenblatt, C. Holly A. Andrilla, Thomas Curtin, L. Gary Hart
Citation: JAMA: Journal of the American Medical Association, 295(9), 1042-1049
Date: 03/2006
Type: Document
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