Rural Health
Resources by Topic: Hospitals
The Impact of the Low Volume Hospital (LVH) Program on the Viability of Small, Rural Hospitals
Compares rural low volume hospitals (LVH) with non-LVH (Inpatient Prospective Payment System) hospitals. Discusses the financial impact of removing the LVH program and returning to the 2005 LVH classification and payment adjustment, and the effect this will have on Medicare beneficiaries.
Author(s): Rebecca G. Whitaker, G. Mark Holmes, George H. Pink
Date: 10/2016
Sponsoring organization: North Carolina Rural Health Research Program
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Compares rural low volume hospitals (LVH) with non-LVH (Inpatient Prospective Payment System) hospitals. Discusses the financial impact of removing the LVH program and returning to the 2005 LVH classification and payment adjustment, and the effect this will have on Medicare beneficiaries.
Author(s): Rebecca G. Whitaker, G. Mark Holmes, George H. Pink
Date: 10/2016
Sponsoring organization: North Carolina Rural Health Research Program
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Characteristics of Safety-Net Hospitals, 2014
Examines the characteristics of safety net hospitals and inpatient stays at these facilities in 2014, based on data from 40 states. Compares safety net hospitals to non-safety net hospitals. Includes information by hospital location for metropolitan, micropolitan, and noncore (rural) areas.
Author(s): Janet Pagon Sutton, Raynard E. Washington, Kathryn R. Fingar, Anne Elixhauser
Date: 10/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the characteristics of safety net hospitals and inpatient stays at these facilities in 2014, based on data from 40 states. Compares safety net hospitals to non-safety net hospitals. Includes information by hospital location for metropolitan, micropolitan, and noncore (rural) areas.
Author(s): Janet Pagon Sutton, Raynard E. Washington, Kathryn R. Fingar, Anne Elixhauser
Date: 10/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Rural Hospital Participation and Performance in Value-Based Purchasing and Other Delivery System Reform Initiatives
Reports on the participation of delivery system reform initiatives by rural hospitals, and discusses the supporting factors and challenges for successful participation. Includes data comparing rural and urban Hospital Value-Based Payment (HVBP) performance.
Author(s): Karen E. Joynt, Nguyen Nguyen, Lok Wong Samson, et al.
Date: 10/2016
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on the participation of delivery system reform initiatives by rural hospitals, and discusses the supporting factors and challenges for successful participation. Includes data comparing rural and urban Hospital Value-Based Payment (HVBP) performance.
Author(s): Karen E. Joynt, Nguyen Nguyen, Lok Wong Samson, et al.
Date: 10/2016
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care
Explores concerns about inadequate healthcare quality provided in Indian Health Service (IHS) hospitals. Makes recommendations for implementing several oversight measures and identifies problem areas that will need to be addressed in order to improve healthcare quality in IHS hospitals. See companion report: Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care. Focuses on challenges related to quality reporting, Area Office vacancies, and health information technology.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Explores concerns about inadequate healthcare quality provided in Indian Health Service (IHS) hospitals. Makes recommendations for implementing several oversight measures and identifies problem areas that will need to be addressed in order to improve healthcare quality in IHS hospitals. See companion report: Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care. Focuses on challenges related to quality reporting, Area Office vacancies, and health information technology.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Trends in Risk of Financial Distress among Rural Hospitals
Illustrates the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) payment type for the 2013-2016 period.
Author(s): Brystana G. Kaufman, Randy Randolph, George H. Pink, Mark Holmes
Date: 10/2016
Sponsoring organization: North Carolina Rural Health Research Program
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Illustrates the proportion of rural hospitals, including Critical Access Hospitals (CAHs), at high risk of financial distress by Census region and Centers for Medicare & Medicaid Services (CMS) payment type for the 2013-2016 period.
Author(s): Brystana G. Kaufman, Randy Randolph, George H. Pink, Mark Holmes
Date: 10/2016
Sponsoring organization: North Carolina Rural Health Research Program
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Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care
Study completed in response to concerns over inadequate quality of care being provided in Indian Health Service (IHS) hospitals. Included in the report are findings from a series of leadership and staff interviews, questionnaires, and document reviews. Recommendations for improving quality of care are made to IHS and the Office of the Secretary of Health and Human Services. Additional recommendations for improving quality through oversight measures can be found in the companion report: Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care Addresses healthcare access difficulties, health workforce challenges, and more.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Study completed in response to concerns over inadequate quality of care being provided in Indian Health Service (IHS) hospitals. Included in the report are findings from a series of leadership and staff interviews, questionnaires, and document reviews. Recommendations for improving quality of care are made to IHS and the Office of the Secretary of Health and Human Services. Additional recommendations for improving quality through oversight measures can be found in the companion report: Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care Addresses healthcare access difficulties, health workforce challenges, and more.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Task Force on Ensuring Access in Vulnerable Communities, Rural and Frontier: Executive Summary and Report
Reviews characteristics of South Dakota's rural and frontier communities. Identifies innovative healthcare delivery and payment models and makes state and federal policy recommendations to improve rural health. Highlights the importance of Critical Access Hospitals (CAHs). Linked map includes locations of South Dakota CAHs, Rural Health Clinics, and more.
Date: 09/2016
Sponsoring organization: South Dakota Association of Healthcare Organizations
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Reviews characteristics of South Dakota's rural and frontier communities. Identifies innovative healthcare delivery and payment models and makes state and federal policy recommendations to improve rural health. Highlights the importance of Critical Access Hospitals (CAHs). Linked map includes locations of South Dakota CAHs, Rural Health Clinics, and more.
Date: 09/2016
Sponsoring organization: South Dakota Association of Healthcare Organizations
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North Sunflower Medical Center Successfully Addressing Chronic Care Management
Documents North Sunflower Medical Center's (NSMC) progress as part of the Small Rural Hospital Transition (SRHT) project, particularly in the areas of discharge planning and follow-up, placing patients in the correct level of care, and chronic disease management. NSMC is a 25-bed Critical Access Hospital located in Ruleville, Mississippi.
Date: 09/2016
Sponsoring organization: National Rural Health Resource Center
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Documents North Sunflower Medical Center's (NSMC) progress as part of the Small Rural Hospital Transition (SRHT) project, particularly in the areas of discharge planning and follow-up, placing patients in the correct level of care, and chronic disease management. NSMC is a 25-bed Critical Access Hospital located in Ruleville, Mississippi.
Date: 09/2016
Sponsoring organization: National Rural Health Resource Center
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Patient, Hospital, and Local Health System Characteristics Associated With the Use of Observation Stays in Veterans Health Administration Hospitals, 2005 to 2012
Analyzes patient, hospital, and local healthcare system characteristics to determine the extent of their influence on the variation in the length of observation stays in Veterans Health Administration (VHA) hospitals. Includes breakdowns by Rural Urban Community Area (RUCA) categories.
Author(s): Brad Wright, Amy M.J. O'Shea, Justin M. Glasgow, Padmaja Ayyagari, Mary Vaughan-Sarrazin
Citation: Medicine (Baltimore), 95(36), e4802
Date: 09/2016
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Analyzes patient, hospital, and local healthcare system characteristics to determine the extent of their influence on the variation in the length of observation stays in Veterans Health Administration (VHA) hospitals. Includes breakdowns by Rural Urban Community Area (RUCA) categories.
Author(s): Brad Wright, Amy M.J. O'Shea, Justin M. Glasgow, Padmaja Ayyagari, Mary Vaughan-Sarrazin
Citation: Medicine (Baltimore), 95(36), e4802
Date: 09/2016
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Variation in the Rate of Cesarean Section Across U.S. Hospitals, 2013
Provides data on the rate of total and low-risk C-sections across U.S. hospitals in 2013, looking at variations in C-section rates by hospital characteristics. Figure 3 provides data for metropolitan, micropolitan, and rural hospitals.
Author(s): Kamila Mistry, Kathryn R. Fingar, Anne Elixhauser
Date: 09/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides data on the rate of total and low-risk C-sections across U.S. hospitals in 2013, looking at variations in C-section rates by hospital characteristics. Figure 3 provides data for metropolitan, micropolitan, and rural hospitals.
Author(s): Kamila Mistry, Kathryn R. Fingar, Anne Elixhauser
Date: 09/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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