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Rural Health
Resources by Topic: Hospitals

Characteristics of Medicaid and Uninsured Hospitalizations, 2012
Provides data on hospital stays in 2012 where the payer was Medicaid or the patient was uninsured. Table 2 provides data on rural versus urban hospitals and Table 3 provides data for patients who were residents of rural areas.
Author(s): Lorena Lopez-Gonzalez, Gary T. Pickens, Raynard Washington, Audrey J. Weiss
Date: 10/2014
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Does Rurality Affect Observation Care Services Use in CAHs for Medicare Beneficiaries?
Describes the use of observation services across levels of rurality by Medicare beneficiaries in Critical Access Hospitals (CAHs), the demographics and health status of patients receiving these services, and the characteristics of their observation stays.
Author(s): Yvonne Jonk, Heidi O'Connor, Walter Gregg
Date: 10/2014
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Observation Care Services for Medicare Beneficiaries in Rural Hospitals: Policy Issues and Stakeholder Perspectives
Seeks to provide a greater understanding of rural-specific issues surrounding hospital outpatient observation status and the related implications for rural hospitals, skilled nursing facilities (SNFs), and Medicare beneficiaries. Results are based on a multi-state, qualitative analysis of input from three respondent groups: state hospital associations, long-term care ombudsman offices, and Quality Improvement Organizations (QIOs). Analysis focuses on the use of observation status by Medicare beneficiaries from 2010-2013.
Author(s): Walter Gregg, Samantha Mills, Yvonne Jonk
Date: 10/2014
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Medicare Beneficiaries Paid Nearly Half of the Costs for Outpatient Services at Critical Access Hospitals Report
Compares the system Medicare used to calculate outpatient coinsurance amounts for patients who receive services at Critical Access Hospitals (CAHs) with the system used for acute-care hospital patients. Recommends that the Centers for Medicare and Medicaid Services seek legislative authority to modify the coinsurance calculation.
Date: 10/2014
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Trends in Emergency Department Visits, 2006-2011
Provides data on changes in emergency department (ED) visits from 2006 to 2011. Table 1 includes information on the rate of ED use for rural areas compared to urban.
Author(s): Halcyon G. Skinner, Janice Blanchard, Anne Elixhauser
Date: 09/2014
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Geographic Variation in Potentially Preventable Hospitalizations for Acute and Chronic Conditions, 2005-2011
Examines potentially preventable hospitalizations for adults from 2005 to 2011. Includes data for acute and chronic conditions by location of patient residence for large and small metropolitan, micropolitan, and remote rural areas.
Author(s): Celeste M. Torio , Roxanne M. Andrews
Date: 09/2014
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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The New Blue H: A Report on the Findings of the 2014 Rural Health Workgroup, a Partner Project Between the Washington State Department of Health and the Washington State Hospital Association
Outlines a comprehensive proposal addressing access to healthcare for rural populations in Washington. Considers the entire continuum of care from wellness and prevention to acute and long-term care, and includes a focus on hospitals and new models of healthcare delivery.
Date: 08/2014
Type: Document
Sponsoring organization: Washington State Department of Health
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Unfreezing the Flexnerian Model: Introducing Longitudinal Integrated Clerkships in Rural Communities
Investigates the perspective of physicians introduced to rural health through a nine-month Longitudinal Integrated Clerkship (LIC) to measure the effectiveness of the LIC model in increasing the rural health workforce.
Author(s): Robert Bing-You, Robert Trowbridge, Catherine Kruithoff, John L. Daggett Jr.
Citation: Rural and Remote Health, 14(3), 2944
Date: 08/2014
Type: Document
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Hospital Quality: Tough Issue!
Discusses whether quality measures and patients' wishes may be at odds, and how that affects the perception of whether rural hospitals provide quality care.
Author(s): Wayne Myers
Citation: Rural Monitor
Date: 08/2014
Type: Document
Sponsoring organization: Rural Health Information Hub
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Health Information Technology in the United States: Progress and Challenges Ahead, 2014
Discusses the progress of hospitals and physicians on the adoption of electronic health records (EHR), improving patient education and quality, and challenges ahead. Provides data specific to Medicare Disproportionate-Share Hospitals' and Critical Access Hospitals' (CAHs) adoption rates. Exhibit 19 demonstrates stages of EHR adoption by hospital characteristics, including for urban and rural areas.
Author(s): Catherine M. DesRoches, Michael W. Painter, Ashish K. Jha
Date: 08/2014
Type: Document
Sponsoring organizations: Harvard School of Public Health, Mathematica Policy Research, Robert Wood Johnson Foundation, University of Michigan, School of Information
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