Rural Health
Resources by Topic: Hospitals
Reporting and Performance of Maternity-related Quality Measures in Critical Access Hospitals
Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Delivering Quality: Maternity Care Innovation in Critical Access Hospitals
Presents case studies of six Critical Access Hospitals (CAHs) that are high performers on maternity care quality measures. Summarizes interviews with leaders from each CAH regarding the benefits of their Perinatal Quality Collaboratives, use of safety bundles, training activities, and other successes in providing maternity care.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr, Mikayla Reinke
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Presents case studies of six Critical Access Hospitals (CAHs) that are high performers on maternity care quality measures. Summarizes interviews with leaders from each CAH regarding the benefits of their Perinatal Quality Collaboratives, use of safety bundles, training activities, and other successes in providing maternity care.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr, Mikayla Reinke
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Community-Based Recruiting: Keeping Providers Close, with Joe Theine and Jen Gero
An episode of the Exploring Rural Health podcast featuring Joe Theine, CEO of Southwest Health System, based in Cortez, Colorado, and Jen Gero, MD, SHS Chief Medical Officer. Focuses on their health system's community-based recruiting activities and how these efforts help integrate new providers into the community. Part 1 in a 3-part series from the December 2025 Health Innovation Potluck held in Hutchinson, Kansas.
Date: 02/2026
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Joe Theine, CEO of Southwest Health System, based in Cortez, Colorado, and Jen Gero, MD, SHS Chief Medical Officer. Focuses on their health system's community-based recruiting activities and how these efforts help integrate new providers into the community. Part 1 in a 3-part series from the December 2025 Health Innovation Potluck held in Hutchinson, Kansas.
Date: 02/2026
Sponsoring organization: Rural Health Information Hub
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Bypass of Local Surgical Care in North Carolina: Patient-Directed Care Destination and Utilization
Examines patient bypass of nearest surgical hospital (NSH) in North Carolina. Utilizes 2016-2019 patient data to analyze bypassing of local surgery care according to rurality of NSH and facility characteristics, general surgery workforce density by county, and patient characteristics, including residence of metro, micro, small town, or rural area.
Author(s): Mustafa Abid, Tyler Malone, Mark Holmes, Anthony Charles
Citation: The American Surgeon
Date: 02/2026
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Examines patient bypass of nearest surgical hospital (NSH) in North Carolina. Utilizes 2016-2019 patient data to analyze bypassing of local surgery care according to rurality of NSH and facility characteristics, general surgery workforce density by county, and patient characteristics, including residence of metro, micro, small town, or rural area.
Author(s): Mustafa Abid, Tyler Malone, Mark Holmes, Anthony Charles
Citation: The American Surgeon
Date: 02/2026
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Nonventilator Hospital-Acquired Pneumonia: Prevalence and Hospital and Patient Characteristics, 2019-2023
Presents statistics on inpatient hospital stays involving nonventilator hospital-acquired pneumonia (NVHAP) between 2019-2023. Examines data by patient and hospital characteristics, including patient age group, urban or rural location, Critical Access Hospital status, and hospital ownership status.
Author(s): Rhona Limcangco, David P. Calfee, Melissa A. Miller
Date: 02/2026
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents statistics on inpatient hospital stays involving nonventilator hospital-acquired pneumonia (NVHAP) between 2019-2023. Examines data by patient and hospital characteristics, including patient age group, urban or rural location, Critical Access Hospital status, and hospital ownership status.
Author(s): Rhona Limcangco, David P. Calfee, Melissa A. Miller
Date: 02/2026
Sponsoring organization: Agency for Healthcare Research and Quality
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Geospatial Structural Isolation Analysis of Emergency Services in New York State
Examines access to emergency healthcare across rural New York State. Utilizes geospatial analysis to analyze hospital isolation, inter-facility spacing, travel-time catchments, coverage responsibilities, and more. Includes state-level maps showing location of emergency services, coverage area of the most isolated healthcare facilities, and catchment areas for healthcare facilities with emergency access along with populations served.
Author(s): Brandon Bedenbender
Citation: Journal of Rural Health, 42(1), e70126
Date: 02/2026
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Examines access to emergency healthcare across rural New York State. Utilizes geospatial analysis to analyze hospital isolation, inter-facility spacing, travel-time catchments, coverage responsibilities, and more. Includes state-level maps showing location of emergency services, coverage area of the most isolated healthcare facilities, and catchment areas for healthcare facilities with emergency access along with populations served.
Author(s): Brandon Bedenbender
Citation: Journal of Rural Health, 42(1), e70126
Date: 02/2026
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A Comparison of Independent and System-Affiliated Rural Hospitals
Compares independent and system-affiliated rural hospitals by organizational characteristics, financial performance, and county characteristics. Presents Medicare Cost Report data from 2023-2024 on the number and percentage of independent and system-affiliated rural hospitals by state, ownership characteristics, Medicare payment classification, use of swing beds, financial distress, and more.
Author(s): Aditya R. Pillutla, Sruthi Malavika Srinivasan, Kristie Thompson, George Pink, Tyler Malone
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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Compares independent and system-affiliated rural hospitals by organizational characteristics, financial performance, and county characteristics. Presents Medicare Cost Report data from 2023-2024 on the number and percentage of independent and system-affiliated rural hospitals by state, ownership characteristics, Medicare payment classification, use of swing beds, financial distress, and more.
Author(s): Aditya R. Pillutla, Sruthi Malavika Srinivasan, Kristie Thompson, George Pink, Tyler Malone
Date: 02/2026
Sponsoring organization: North Carolina Rural Health Research Program
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REH Learning Brief: Obstetric Care in Rural Emergency Hospitals
Describes how three Rural Emergency Hospitals (REHs) approach delivering obstetric-related care. Discusses challenges to providing obstetric services each facility faced prior to their conversion to REH status, and strategies implemented under the REH designation. Identifies common strategies these facilities take to support obstetric care without traditional labor and delivery services.
Author(s): Hope Burch, Candice Talkington, Annette Schnabel, et al.
Date: 02/2026
Sponsoring organization: Rural Health Redesign Center
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Describes how three Rural Emergency Hospitals (REHs) approach delivering obstetric-related care. Discusses challenges to providing obstetric services each facility faced prior to their conversion to REH status, and strategies implemented under the REH designation. Identifies common strategies these facilities take to support obstetric care without traditional labor and delivery services.
Author(s): Hope Burch, Candice Talkington, Annette Schnabel, et al.
Date: 02/2026
Sponsoring organization: Rural Health Redesign Center
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Availability of Higher-Level Neonatal Care in Rural and Urban US Hospitals, 2010-2022
A research letter that discusses the availability of higher-level neonatal care in rural and urban hospitals. Analyzes changes in intermediate or intensive neonatal care availability between 2010 and 2022 in 3,257 U.S. birth hospitals according to rurality.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Clara E. Busse, et al.
Citation: JAMA Network Open, 9(2), e2559680
Date: 02/2026
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A research letter that discusses the availability of higher-level neonatal care in rural and urban hospitals. Analyzes changes in intermediate or intensive neonatal care availability between 2010 and 2022 in 3,257 U.S. birth hospitals according to rurality.
Author(s): Katy B. Kozhimannil, Emily C. Sheffield, Clara E. Busse, et al.
Citation: JAMA Network Open, 9(2), e2559680
Date: 02/2026
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Improving the Value Proposition of Critical Access Hospitals – Lessons from Federal and State Initiatives
Report details how federal and state initiatives can support Critical Access Hospitals (CAHs) transition to value-based payment models. Provides examples of initiatives that offer models for use by State Flex Programs (SFPs) for supporting CAHs' transformation to value-based care.
Author(s): John Gale, Rebecca Stearns, Bridget Harr
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Report details how federal and state initiatives can support Critical Access Hospitals (CAHs) transition to value-based payment models. Provides examples of initiatives that offer models for use by State Flex Programs (SFPs) for supporting CAHs' transformation to value-based care.
Author(s): John Gale, Rebecca Stearns, Bridget Harr
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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