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Rural Health
Resources by Topic: Healthcare facilities

Rural Health Value Summit: Driving Value Through Community-Based Partnerships
Provides an overview of a June 2023 summit regarding the intersection of rural providers and communities, value-based care and payment models, and social determinants of health (SDOH). Describes the efforts of Arkansas, Michigan, Oregon, and South Carolina communities that had representatives at the summit. Discusses opportunities for policymakers, payers, and health system leaders to build and support infrastructure to address social determinants of health in rural communities and offers possible next steps.
Date: 09/2023
Type: Document
Sponsoring organization: Rural Health Value
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Further Extension of Grace Period Related to the "Four Walls" Requirement under 42 C.F.R. § 440.90 for Indian Health Service and Tribal Facilities to February 11, 2025
Guidance announcing the extension of a grace period permitting Indian Health Service (IHS) and tribal facilities to claim Medicaid reimbursement under the clinic services benefit for services provided outside of the "four walls" of the facility through February 11, 2025. Provides an overview of the history of this flexibility during the COVID-19 public health emergency (PHE) and previous guidance.
Date: 09/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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New Research Shows RHC Program Continues to Grow
Explores trends in the Rural Health Clinic (RHC) landscape between 2020-2022 using data from the Center for Medicare and Medicaid (CMS) Quality, Certification, and Oversight Reports (QCOR). Presents data and maps on the number of RHCs that opened, closed, had a CMS Certification Number (CCN) change, and are no longer operating as an RHC by state and free-standing or provider-based status.
Date: 09/2023
Type: Document
Sponsoring organizations: NARHC Research and Education Foundation, National Association of Rural Health Clinics, National Center for the Analysis of Healthcare Data (NCAHD)
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Characteristics of Short-Term Acute Care Hospitals That Experienced a Ransomware Attack from 2016 to 2021
Analyzed short-term acute care hospitals experiencing a ransomware attack between 2016 and 2019 to identify characteristics associated with an attack. Considered variables such as rurality, various financial characteristics, information technology infrastructure, and more. Includes recommendation for future research regarding rural impacts.
Author(s): Claire C. McGlave, Sayeh S. Nikpay, Carrie Henning-Smith, Katie Rydberg, Hannah T. Neprash
Citation: Health Affairs Scholar, 1(3)
Date: 09/2023
Type: Document
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Pediatric Hospitalizations at Rural and Urban Teaching and Nonteaching Hospitals in the US, 2009-2019
Describes changes in the number and proportion of pediatric hospitalizations and costs at urban teaching, urban nonteaching, and rural hospitals versus freestanding children's hospitals from 2009-2019. Estimates the number and proportion of hospitals providing inpatient pediatric care and characterizes changes in clinical complexity. Features statistics including sociodemographic, clinical, and hospital characteristics of pediatric hospitalizations, with breakdowns by urban and rural location.
Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, David C. Goodman, A. James O'Malley
Citation: JAMA Network Open, 6(9)
Date: 09/2023
Type: Document
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Quality Time: Sharing PIE – Improving Swing Bed Quality
Podcast episode discussing how two Critical Access Hospital (CAH) quality improvement leaders in Mississippi and Nevada used proactive approaches to improve their swing bed programs. Describes efforts in reducing healthcare-associated infections with pneumonia and improving the documentation and coordination of swing bed patients.
Date: 09/2023
Type: Audio
Sponsoring organization: Stratis Health
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Improving Maternal and Infant Services in Rural Iowa
Podcast episode discussing how St. Anthony Regional Hospital in Carroll, Iowa, responded to decreasing access to maternal health care in rural Iowa. Discusses the hospital's Center for Excellence pilot program that aims to expand access to obstetric services and improve maternal and infant health outcomes.
Date: 09/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Oregon Small Rural Hospital Improvement Program (SHIP) Facilities
Shows a county-level map of Oregon identifying the locations of hospitals participating in the Small Rural Hospital Improvement Program (SHIP), whether they are type A or B, and whether they are located in a frontier county.
Date: 09/2023
Type: Map/Mapping System
Sponsoring organization: Oregon Office of Rural Health
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Missouri Rural Health Clinic Provider Manual
Provider manual identifying the conditions of participation providing services in Missouri state-funded healthcare programs, including MO HealthNet, Missouri's Medicaid program. Addresses enrollment, eligibility, claim filing, and billing requirements for Rural Health Clinics (RHCs) in Missouri. Includes information on covered telehealth services.
Date: 09/2023
Type: Document
Sponsoring organization: Missouri Department of Social Services
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Medicare Beneficiary Quality Improvement Project (MBQIP) Quality Reporting Guide
Offers Flex Coordinators, Critical Access Hospital staff, and others who are working with the Medicare Beneficiary Quality Improvement Project (MBQIP) information to better understand the measure reporting process. Discusses how to register for the reporting site, which measures are to be reported, and how to submit data for each measure. Groups measures by how and where the data is to be reported.
Date: 08/2023
Type: Document
Sponsoring organization: Stratis Health
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