Rural Health
Resources by Topic: Hospitals
Deliberation Makes a Difference: Preparation Strategies for TeamSTEPPS Implementation in Small and Rural Hospitals
Reports on a study of TeamSTEPPS implementation at 14 Critical Access Hospitals (CAHs) in Iowa. Offers recommendations for preparing for and implementing the TeamSTEPPS quality improvement initiative based on the results.
Author(s): Xi Zhu, Jure Baloh, Marcia M. Ward, Greg L. Stewart
Citation: Medical Care Research and Review, 73(3), 283-307
Date: 06/2016
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Reports on a study of TeamSTEPPS implementation at 14 Critical Access Hospitals (CAHs) in Iowa. Offers recommendations for preparing for and implementing the TeamSTEPPS quality improvement initiative based on the results.
Author(s): Xi Zhu, Jure Baloh, Marcia M. Ward, Greg L. Stewart
Citation: Medical Care Research and Review, 73(3), 283-307
Date: 06/2016
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Medicare Copayments for Critical Access Hospital Outpatient Services - Update
Estimates the impact of Medicare Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals (CAHs), and identifies the Medicare fee-for-service (FFS) proportion of key services provided in CAHs.
Author(s): Allison Briggs, Matthew Toth, Sara Freeman
Date: 06/2016
Sponsoring organization: Medicare Payment Advisory Commission
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Estimates the impact of Medicare Part B coinsurance on beneficiaries receiving outpatient services at Critical Access Hospitals (CAHs), and identifies the Medicare fee-for-service (FFS) proportion of key services provided in CAHs.
Author(s): Allison Briggs, Matthew Toth, Sara Freeman
Date: 06/2016
Sponsoring organization: Medicare Payment Advisory Commission
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Global Budgets for Rural Hospitals
Discusses the financial and budgetary challenges faced by rural hospitals, explains how some rural hospitals have responded, and presents the case for using global budgets as an alternative payment model. Includes information on some of the proposed policy solutions such as Maryland's all-payer system and the Save Rural Hospitals Act.
Author(s): Joshua M. Sharfstein
Citation: The Milbank Quarterly, 94(2), 255-259
Date: 06/2016
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Discusses the financial and budgetary challenges faced by rural hospitals, explains how some rural hospitals have responded, and presents the case for using global budgets as an alternative payment model. Includes information on some of the proposed policy solutions such as Maryland's all-payer system and the Save Rural Hospitals Act.
Author(s): Joshua M. Sharfstein
Citation: The Milbank Quarterly, 94(2), 255-259
Date: 06/2016
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Hospital Compare Quality Measure Results for CAHs, Q2 2014 - Q1 2015
Discusses the reporting rates and performance of U.S. Critical Access Hospitals (CAHs) on CMS Hospital Compare quality measures. Includes data and statistics comparing inpatient and outpatient CAH participation, state rankings, process of care, median time to receiving care, and structural quality measures. Also includes links to state-specific reports for 45 states.
Author(s): Michelle Casey, Tami Swenson, Alex Evenson
Date: 06/2016
Sponsoring organization: Flex Monitoring Team
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Discusses the reporting rates and performance of U.S. Critical Access Hospitals (CAHs) on CMS Hospital Compare quality measures. Includes data and statistics comparing inpatient and outpatient CAH participation, state rankings, process of care, median time to receiving care, and structural quality measures. Also includes links to state-specific reports for 45 states.
Author(s): Michelle Casey, Tami Swenson, Alex Evenson
Date: 06/2016
Sponsoring organization: Flex Monitoring Team
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Does ACA Insurance Coverage Expansion Improve the Financial Performance of Rural Hospitals?
Findings brief discussing perceptions of rural hospital administrators, state hospital associations, and State Offices of Rural Health, concerning changes in payer mix, changes in uncompensated care and unreimbursed cost, and financial performance in their respective hospitals or states.
Author(s): Kristie Thompson, Kristin Reiter, Rebecca Whitaker, Sharita Thomas
Date: 06/2016
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief discussing perceptions of rural hospital administrators, state hospital associations, and State Offices of Rural Health, concerning changes in payer mix, changes in uncompensated care and unreimbursed cost, and financial performance in their respective hospitals or states.
Author(s): Kristie Thompson, Kristin Reiter, Rebecca Whitaker, Sharita Thomas
Date: 06/2016
Sponsoring organization: North Carolina Rural Health Research Program
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Impact of a Rural Regional Myocardial Infarction System of Care in Wyoming
Study of time-to-treatment for patients experiencing ST-segment elevation myocardial infarction heart attacks in Wyoming, a rural, frontier state. Examines data from 11 hospitals capable of providing primary percutaneous coronary intervention (PCI), 4 of which are in Wyoming and 7 in surrounding states, looking at rates of PCI and other treatment strategies. Discusses cooperation between hospitals and emergency medical services and implications for statewide efforts in rural areas.
Author(s): James R. Langabeer II, Derek T. Smith, Marylou Cardenas-Turanzas, et al.
Citation: Journal of the American Heart Association, 5(5), e003392
Date: 05/2016
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Study of time-to-treatment for patients experiencing ST-segment elevation myocardial infarction heart attacks in Wyoming, a rural, frontier state. Examines data from 11 hospitals capable of providing primary percutaneous coronary intervention (PCI), 4 of which are in Wyoming and 7 in surrounding states, looking at rates of PCI and other treatment strategies. Discusses cooperation between hospitals and emergency medical services and implications for statewide efforts in rural areas.
Author(s): James R. Langabeer II, Derek T. Smith, Marylou Cardenas-Turanzas, et al.
Citation: Journal of the American Heart Association, 5(5), e003392
Date: 05/2016
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Association Between the Value-Based Purchasing Pay for Performance Program and Patient Mortality in US Hospitals: Observational Study
Examines the impact of Medicare's Hospital Value-Based Purchasing (HVBP) program on mortality for pneumonia, heart failure, and acute myocardial infarction by comparing data from acute care hospitals participating in the program to data from over 1,300 Critical Access Hospitals (CAHs) and 44 hospitals in Maryland not in the program.
Author(s): Jose F. Figueroa, Yusuke Tsugawa, Jie Zheng, E. John Orav, Ashish K. Jha
Citation: BMJ, 9(353), i2214
Date: 05/2016
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Examines the impact of Medicare's Hospital Value-Based Purchasing (HVBP) program on mortality for pneumonia, heart failure, and acute myocardial infarction by comparing data from acute care hospitals participating in the program to data from over 1,300 Critical Access Hospitals (CAHs) and 44 hospitals in Maryland not in the program.
Author(s): Jose F. Figueroa, Yusuke Tsugawa, Jie Zheng, E. John Orav, Ashish K. Jha
Citation: BMJ, 9(353), i2214
Date: 05/2016
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Pender Community Hospital Surpassing Project Goals
Explains how Pender Community Hospital (PCH), a 21-bed Critical Access Hospital (CAH) located in Pender, Nebraska, improved its financial and operational performance through the Small Rural Hospital Transition (SRHT) Project. Focuses discussion on relocating the clinic, enhancing retail pharmacy and swing bed services, increasing marketing efforts, and restructuring therapy programs.
Date: 05/2016
Sponsoring organization: National Rural Health Resource Center
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Explains how Pender Community Hospital (PCH), a 21-bed Critical Access Hospital (CAH) located in Pender, Nebraska, improved its financial and operational performance through the Small Rural Hospital Transition (SRHT) Project. Focuses discussion on relocating the clinic, enhancing retail pharmacy and swing bed services, increasing marketing efforts, and restructuring therapy programs.
Date: 05/2016
Sponsoring organization: National Rural Health Resource Center
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Interoperability among U.S. Non-Federal Acute Care Hospitals in 2015
Estimates of the percentage of interoperable exchange activity among non-federal acute care hospitals, including whether patient information is electronically available from sources outside their own systems. Determines if that information is used for clinical decisions and discusses barriers to exchanging that information.
Author(s): Vaishali Patel, JaWanna Henry, Yuriy Pylypchuk, Talisha Searcy
Date: 05/2016
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Estimates of the percentage of interoperable exchange activity among non-federal acute care hospitals, including whether patient information is electronically available from sources outside their own systems. Determines if that information is used for clinical decisions and discusses barriers to exchanging that information.
Author(s): Vaishali Patel, JaWanna Henry, Yuriy Pylypchuk, Talisha Searcy
Date: 05/2016
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Adoption of Electronic Health Record Systems among U.S. Non-Federal Acute Care Hospitals: 2008-2015
Analyzes data from the American Hospital Association between 2008-2015 to describe trends in the use of Electronic Health Records (EHR). Includes small, rural, and Critical Access Hospitals (CAHs).
Author(s): JaWanna Henry, Yuriy Pylypchuk, Talisha Searcy, Vaishali Patel
Date: 05/2016
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Analyzes data from the American Hospital Association between 2008-2015 to describe trends in the use of Electronic Health Records (EHR). Includes small, rural, and Critical Access Hospitals (CAHs).
Author(s): JaWanna Henry, Yuriy Pylypchuk, Talisha Searcy, Vaishali Patel
Date: 05/2016
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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