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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare facilities

Effects of Rural Hospital Closures on Nurse Staffing Levels and Health Care Utilization at Nearby Hospitals
Analyzes healthcare utilization and nurse staffing levels when nearby rural hospitals close. Utilizes 2014-2019 American Hospital Association Survey data to examine vocational nurse/licensed practical nurse (LPN), registered nurse (RN), and advanced practice nurse (APN) staffing levels as well as inpatient and outpatient surgical operations and emergency department (ED) visits within 4 years of a hospital closure.
Author(s): Jing Dong, Siying Liu, Asefeh Faraz Covelli, Guido Cataife
Citation: Health Economics, 33(12), 2687-2707
Date: 12/2024
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Adaptations and Early Adoption of a Family Caregiver Intervention in the Veterans Affairs Health Care System: A Multimethod Pragmatic Approach for National Scaling
Analyzes early adoption of Caregivers Finding Important Resources, Support, and Training (FIRST) and the correlation to site-level adaptations at various Veteran Health Administration medical centers (VAMCs). Examines 25 VAMCs for site characteristics, intervention adoption, and adaptations, with breakdowns according to VAMC complexity level, staffing, organizational readiness to make adaptations, and rurality.
Author(s): Amanda C. Blok, Connor Drake, Kasey Decosimo, et al.
Citation: Health Services Research, 59(S2)
Date: 12/2024
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Calendar Year (CY) 2015 Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Updates: Payment Rate Increases for RHCs and FQHCs Billing Under the All-Inclusive Rate System (AIR), and Urban and Rural Designations for FQHCs Billing Under the AIR
Provides updates for RHCs and FQHCs that are submitting claims to Medicare Administrative Contractors (MACs) for services to Medicare beneficiaries.
Date: 12/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Virginia Rural Hospital Report
Recommendations of the Virginia Hospital & Healthcare Association Rural Health Task Force and administrative and legislative proposals to help improve access to care in rural Virginia. Features statistics on admissions, births, beds, and full-time employees, and a county-level map showing locations of rural hospitals.
Date: 11/2024
Sponsoring organization: Virginia Hospital & Healthcare Association
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North Dakota Critical Access Hospital Conditions of Participation (CoP) Checklist
Provides a checklist for establishing a Critical Access Hospital (CAH) in North Dakota. Details the required documentation, policies, and information needed by the state survey team to meet the CAH certification standards.
Date: 11/2024
Sponsoring organization: University of North Dakota Center for Rural Health
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National Hospital Ambulatory Medical Care Survey: 2022 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits in 2022. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location.
Date: 11/2024
Sponsoring organization: National Center for Health Statistics
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The Potential for Hospital System Integration to Improve the Financial Outlook of Rural Hospitals in the United States
Provides an overview of the current financial status of rural hospitals and their risk of closure, as defined by days of cash on hand and total margins. Discusses the impact of rural hospital closures on local communities, including on health outcomes, demographics, and the economy. Explores the extent to which affiliating with, merging with, or being acquired by a larger hospital system can impact the financial position of rural hospitals.
Author(s): Al Dobson, Michael Beins, Patrick McMahon, et al.
Date: 11/2024
Sponsoring organizations: Coalition to Strengthen America's Healthcare, Dobson DaVanzo & Associates
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Meeker Memorial Hospital: Bringing Sustainable Coordination of Care to its Patients and Community
Provides a profile of Meeker Memorial Hospital (MMH), a healthcare facility located in Minnesota and part of the 2022-2023 Rural Healthcare Provider Transition Project (RHPTP). Discusses MMH's process to improve finances and operations, implement electronic medical record (EMR) training, partner with pharmacy schools, and more.
Date: 11/2024
Sponsoring organization: National Rural Health Resource Center
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Federally Qualified Health Centers and Performance of Medicare Accountable Care Organizations
Explores the association between participation of Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) in Medicare Shared Savings Program Accountable Care Organizations (ACOs) with ACOs' beneficiary characteristics, utilization, expenditure, and quality. Features statistics including estimated changes in Medicare Shared Savings Program ACO-assigned beneficiaries, utilization, and expenditure, with breakdowns by FQHC and RHC visits and other types of visits.
Author(s): Kun Li, Yucheng Hou, Frank McStay, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: JAMA Network Open, 7(11), e2445536
Date: 11/2024
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Strengthening Independent Primary Care Practice in California: Understanding Small Practice Perspectives
Examines business and financial factors influencing independent primary care practice in California through interviews with physicians in California's Riverside, San Bernardino, and Humboldt counties and other healthcare leaders and subject matter experts. Identifies common concerns and provides recommendations related to healthcare economics, reimbursement, and policy. Discusses topics related to rural practice, including the Rural Health Clinic designation.
Author(s): Jill M. Yegian
Date: 11/2024
Sponsoring organization: California Health Care Foundation
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