Rural Health
Resources by Topic: Healthcare facilities
Voice of the REH CEO: Perspectives from Those Who Have Led Their Organizations Through REH Conversion
Summarizes interviews with executives from three hospitals that converted to Rural Emergency Hospital (REH) status regarding their perspectives on conversion. Describes the assessment of the financial feasibility of REH status, preparation of the communities for conversion, staffing and service line adjustments, and the impact of conversion. Includes legislative considerations that could make REH status more attractive to rural hospitals.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 08/2024
Sponsoring organization: Rural Health Redesign Center
view details
Summarizes interviews with executives from three hospitals that converted to Rural Emergency Hospital (REH) status regarding their perspectives on conversion. Describes the assessment of the financial feasibility of REH status, preparation of the communities for conversion, staffing and service line adjustments, and the impact of conversion. Includes legislative considerations that could make REH status more attractive to rural hospitals.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 08/2024
Sponsoring organization: Rural Health Redesign Center
view details
Community Health Centers' Progress and Challenges in Meeting Patients' Essential Primary Care Needs: Findings from the Commonwealth Fund 2024 National Survey of Federally Qualified Health Centers
Summarizes findings from the 2024 Commonwealth Fund National Survey of Federally Qualified Health Centers (FQHCs), which received responses from 737 FQHC leaders in fall 2023 and spring 2024. Explores the extent to which FQHCs achieve primary care accessibility, comprehensiveness, and coordination. Compares findings to data from the 2018 version of this survey to assess how care delivery changed over time. Describes barriers FQHCs face in offering high-quality care. Presents data by rural and urban location throughout.
Author(s): Celli Horstman, Corinne Lewis, Alexandra Bryan, Sara Federman
Date: 08/2024
Sponsoring organization: Commonwealth Fund
view details
Summarizes findings from the 2024 Commonwealth Fund National Survey of Federally Qualified Health Centers (FQHCs), which received responses from 737 FQHC leaders in fall 2023 and spring 2024. Explores the extent to which FQHCs achieve primary care accessibility, comprehensiveness, and coordination. Compares findings to data from the 2018 version of this survey to assess how care delivery changed over time. Describes barriers FQHCs face in offering high-quality care. Presents data by rural and urban location throughout.
Author(s): Celli Horstman, Corinne Lewis, Alexandra Bryan, Sara Federman
Date: 08/2024
Sponsoring organization: Commonwealth Fund
view details
FY 2025 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule – CMS-1808-F
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2025 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the extension of the low-wage index hospital policy, a separate IPPS payment for small and independent hospitals to establish and maintain a buffer stock of essential medicines, the distribution of graduate medical education (GME) residency slots, updates to quality reporting programs, and more.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2025 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the extension of the low-wage index hospital policy, a separate IPPS payment for small and independent hospitals to establish and maintain a buffer stock of essential medicines, the distribution of graduate medical education (GME) residency slots, updates to quality reporting programs, and more.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
view details
Performance of Health Care Service Area Definitions for Capturing Variation in Inpatient Care and Social Determinants of Health
Examines various health care service area (HCSA) definitions and their ability to capture hospitalizations and social determinants of health (SDOH) heterogeneity in the patient population. Provides descriptive characteristics for each HCSA type, such as median population and land size, as well as characteristics of the hospital sample. Discusses which HCSA type was best able to capture hospital discharges and population heterogenity in rural areas.
Author(s): Hannah Crook, Manuel Horta, Kenneth A. Michelson, John A. Graves
Citation: Health Services Research, 59(4)
Date: 08/2024
view details
Examines various health care service area (HCSA) definitions and their ability to capture hospitalizations and social determinants of health (SDOH) heterogeneity in the patient population. Provides descriptive characteristics for each HCSA type, such as median population and land size, as well as characteristics of the hospital sample. Discusses which HCSA type was best able to capture hospital discharges and population heterogenity in rural areas.
Author(s): Hannah Crook, Manuel Horta, Kenneth A. Michelson, John A. Graves
Citation: Health Services Research, 59(4)
Date: 08/2024
view details
Idaho Rural Health Clinics
Presents a map of Idaho identifying the location of provider-based and independent Rural Health Clinics (RHCs) in the state. Includes a table identifying the name, address, and designation for each RHC.
Date: 08/2024
Sponsoring organization: Idaho Bureau of Rural Health and Primary Care
view details
Presents a map of Idaho identifying the location of provider-based and independent Rural Health Clinics (RHCs) in the state. Includes a table identifying the name, address, and designation for each RHC.
Date: 08/2024
Sponsoring organization: Idaho Bureau of Rural Health and Primary Care
view details
Structural Determinants of Health: Hospitals' Unequal Capital Investments Drive Health Inequities
Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Sponsoring organization: Center for Economic and Policy Research (CEPR)
view details
Examines hospitals' capital investments as a structural factor influencing disparities in patient safety and quality of care at hospitals in the United States. Analyzes topics including hospital economics, federal policy, funding, hospital infrastructure, and more. See Section 5 in particular for discussion of rural hospitals.
Author(s): Eileen Appelbaum, Emma Curchin, Rosemary Batt
Date: 07/2024
Sponsoring organization: Center for Economic and Policy Research (CEPR)
view details
Health Care Artificial Intelligence Toolkit
Guide designed to help community health clinics and rural hospitals navigate information regarding artificial intelligence (AI) in healthcare. Discusses foundational considerations, governance for AI applications, and steps to assess and mitigate discriminatory impacts of AI systems in healthcare. Includes an AI tool vendor evaluation checklist for community health clinics and Critical Access Hospitals (CAHs).
Date: 07/2024
Sponsoring organization: California Telehealth Resource Center
view details
Guide designed to help community health clinics and rural hospitals navigate information regarding artificial intelligence (AI) in healthcare. Discusses foundational considerations, governance for AI applications, and steps to assess and mitigate discriminatory impacts of AI systems in healthcare. Includes an AI tool vendor evaluation checklist for community health clinics and Critical Access Hospitals (CAHs).
Date: 07/2024
Sponsoring organization: California Telehealth Resource Center
view details
An REH Conversion Story: Harper County Hospital
Profiles Oklahoma's Harper County Hospital and its transition from a Critical Access Hospital (CAH) to a Rural Emergency Hospital (REH). Summarizes an interview with Kevin O'Brien, Chief Executive Officer (CEO) of Harper County Hospital, regarding the experience of converting to REH status. Covers the hospital's financial position before conversion, including limitations to being a county-owned hospital; the exploration of the REH designation; and the financial and operational impacts of the REH designation, including services added by the hospital after the conversion.
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
view details
Profiles Oklahoma's Harper County Hospital and its transition from a Critical Access Hospital (CAH) to a Rural Emergency Hospital (REH). Summarizes an interview with Kevin O'Brien, Chief Executive Officer (CEO) of Harper County Hospital, regarding the experience of converting to REH status. Covers the hospital's financial position before conversion, including limitations to being a county-owned hospital; the exploration of the REH designation; and the financial and operational impacts of the REH designation, including services added by the hospital after the conversion.
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
view details
An REH Conversion Story: Mercy Hospital
Profiles Mercy Hospital, in Moundridge, Kansas, and its transition from a prospective payment system (PPS) hospital to a Rural Emergency Hospital (REH). Summarizes an interview with Aaron Herbel, Chief Executive Officer (CEO) of Mercy Hospital, regarding the experience of converting to REH status. Covers the conversion timeline, the involvement of hospital and community stakeholders, and the opening of a walk-in clinic that coincided with the REH conversion.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
view details
Profiles Mercy Hospital, in Moundridge, Kansas, and its transition from a prospective payment system (PPS) hospital to a Rural Emergency Hospital (REH). Summarizes an interview with Aaron Herbel, Chief Executive Officer (CEO) of Mercy Hospital, regarding the experience of converting to REH status. Covers the conversion timeline, the involvement of hospital and community stakeholders, and the opening of a walk-in clinic that coincided with the REH conversion.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
view details
An REH Conversion Story: Helena Regional Medical Center
Profiles Helena Regional Medical Center, in Phillips County, Arkansas, and its transition from a prospective payment system (PPS) hospital to a Rural Emergency Hospital (REH). Summarizes the perspective of the hospital's former Chief Executive Officer (CEO) as the facility navigated the change in status, including obstacles, financial and operational impacts, and advantages to operating as an REH.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
view details
Profiles Helena Regional Medical Center, in Phillips County, Arkansas, and its transition from a prospective payment system (PPS) hospital to a Rural Emergency Hospital (REH). Summarizes the perspective of the hospital's former Chief Executive Officer (CEO) as the facility navigated the change in status, including obstacles, financial and operational impacts, and advantages to operating as an REH.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 07/2024
Sponsoring organization: Rural Health Redesign Center
view details