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Rural Health Information Hub

Rural Health
Resources by Topic: Hospitals

Entry Regulation and Rural Health Care: Certificate-of-Need Laws, Ambulatory Surgical Centers, and Community Hospitals
Examines the effect of regulations on entry and expansion of "hospital substitutes," including ambulatory surgical centers (ASCs), and analyzes whether certificate-of-need (CON) programs have achieved their goal of protecting access to hospitals in rural areas. Features demographics on ASC patients, and state-level information on CON regulations and requirements for ASCs.
Date: 02/2016
Sponsoring organization: Mercatus Center
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Reasons for Emergency Room Use Among U.S. Adults Aged 18-64: National Health Interview Survey, 2013 and 2014
Examines emergency room (ER) use among adults for 2013 and 2014. Includes data on the number of visits and reason for most recent ER visit, with information available by area of residence for metropolitan and nonmetropolitan areas. Reasons for ER visits included seriousness of the medical problem, doctor's office or clinic not open, and lack of access to other providers.
Author(s): Renee M. Gindi, Lindsey I. Black, Robin A. Cohen
Date: 02/2016
Sponsoring organization: National Center for Health Statistics
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Patients' Experiences in CAHs: HCAHPS Results, Q2 2014 - Q1 2015
Results of the April 2014 - March 2015 Hospital Consumer Assessment of Healthcare Providers and Systems survey of reporting rates and performance in Critical Access Hospitals in the United States. Includes data broken down by state, national ranking, and links to state-specific reports.
Author(s): Michelle Casey, Peiyin Hung, Alex Evenson
Date: 02/2016
Sponsoring organization: Flex Monitoring Team
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Report to Congress on Medicaid Disproportionate Share Hospital Payments
First annual report on Medicaid Disproportionate Share Hospital (DSH) payments, which provide support to safety-net hospitals to help offset uncompensated care costs for Medicaid and uninsured patients. Discusses Medicaid policy, current and future DSH allotments, and data needs. Table B-3 projects FY2018 DSH payments under different scenarios, with data for urban and rural hospitals and for Critical Access Hospitals.
Date: 02/2016
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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CMS Manual System: Revisions to Medicare State Operations Manual, Chapter 9 - Critical Access Hospital (CAH) Recertification Checklist: Rural and Distance or Necessary Provider Verification
Provides a list of the necessary components to be confirmed when Critical Access Hospitals (CAHs) are surveyed for recertification to determine if they meet the rural location and distance or necessary provider requirements to maintain their CAH status. Identifies the procedures used by the CMS Regional Office and state survey agencies to determine if CAHs meet the necessary requirements.
Date: 02/2016
Sponsoring organization: Centers for Medicare and Medicaid Services
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Geographic Variation in Risk of Financial Distress among Rural Hospitals
Discusses the geographic variation in the number of rural hospitals predicted to be at high risk for closure in 2015 as assigned by the Financial Distress Index (FDI) model. The FDI model uses existing hospital financial performance, government reimbursement, and organizational and market characteristics to determine risk levels associated with financial distress.
Author(s): Brystana Kaufman, Regina Rutledge, George Pink, Mark Holmes
Date: 01/2016
Sponsoring organization: North Carolina Rural Health Research Program
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2016 Rural Hospital Replacement Facility Study
Examines the effects of facility replacement on rural Critical Access Hospitals (CAHs), including service volumes, operating efficiency, financial performance, and healthcare quality.
Date: 2016
Sponsoring organizations: National Rural Health Association, Stroudwater Associates
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Rhode Island: Key Determinants of Rural Health
An assessment and review of the health needs, behaviors, and status of rural populations in Rhode Island. Identifies places of need and recognizes the challenges prevalent in rural areas. Can be used as a tool to develop strategies and allocate resources targeted to underserved areas of the state.
Author(s): Katelyn Edel
Date: 2016
Sponsoring organization: Rhode Island Office of Primary Care and Rural Health
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Benefiting Hospitals, Not Patients: An Analysis of Charity Care Provided by Hospitals Enrolled in the 340B Discount Program
Examines charity care levels at 340B Disproportionate Share Hospitals (DSHs) to determine if eligibility criteria for DSH hospitals appropriately align with the 340B programs goal of supporting access to prescription drugs for uninsured and vulnerable populations. Appendix provides additional information and operating statistics specific to Critical Access Hospitals (CAHs).
Date: 2016
Sponsoring organization: Alliance for Integrity and Reform of 340B
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U.S. Hospital List (2016)
Comprehensive list of urban and rural U.S. hospitals that were reported open as of January 1, 2016. Includes 4,768 acute care hospitals and 1,372 specialty hospitals.
Date: 2016
Sponsoring organization: North Carolina Rural Health Research Program
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