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Rural Health
Resources by Topic: Hospitals

Geographic Differences in Potentially Preventable Readmission Rates in Rural and Urban Hospitals
Presents results from a study that estimated potentially preventable hospital readmissions (PPRs) in three types of acute care hospitals: urban prospective payment system (PPS) hospitals, rural PPS hospitals, and Critical Access Hospitals (CAHs). Focuses on rural/urban differences and whether patient demographics or health condition severity affects PPR rates.
Author(s): Marilyn G. Klug, Alana Knudson, Kyle Muus
Date: 11/2010
Sponsoring organization: Upper Midwest Rural Health Research Center
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Emergency Department Visits for Adults in Community Hospitals, 2008
Uses statistics from the 2008 Nationwide Emergency Department Sample to analyze rates of emergency room visits. Compares data by demographics, acute vs. chronic care, rural vs. urban, high-income vs. low-income, and admissions vs. treat-and-release.
Author(s): Pamela L. Owens, Ryan Mutter
Date: 11/2010
Sponsoring organization: Agency for Healthcare Research and Quality
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Factors Influencing Rural Residents' Utilization of Urban Hospitals
Examines which patient, hospital, and county characteristics influence rural residents' use of urban hospitals.
Author(s): Margaret Jean Hall, Jill Marsteller, Maria Owings
Date: 11/2010
Sponsoring organization: Centers for Disease Control and Prevention
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The Impact of Freestanding Ambulatory Surgery Centers on Rural Community Hospital Performance, 1997–2006
Describes the impact of ambulatory surgery centers (ASCs) on rural hospital markets. Includes a comparison of urban and rural freestanding ASC services.
Additional links: Policy Brief
Author(s): Walter Gregg, Douglas Wholey, Ira Moscovice
Date: 10/2010
Sponsoring organization: Upper Midwest Rural Health Research Center
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A Comparison of Rural Hospitals with Special Medicare Payment Provisions to Urban and Rural Hospitals Paid Under Prospective Payment
Compares the financial performance and condition of rural hospitals with special Medicare payment provisions - Critical Access Hospitals (CAHs), Medicare Dependent Hospitals (MDHs), Sole Community Hospitals (SCHs), and Rural Referral Centers (RRCs) - to urban and rural hospitals paid under prospective payment.
Additional links: Findings Brief: A Financial Comparison of Rural Hospitals With Special Medicare Payment Provisions to Hospitals Paid Under Prospective Payment, 4/2010, Findings Brief: Profitability of Rural Hospitals Paid Under Prospective Payment Compared to Rural Hospitals with Special Medicare Payment Provisions, 9/2010
Author(s): G. Mark Holmes, George H. Pink, Sarah A. Friedman, Hilda A. Howard
Date: 08/2010
Sponsoring organization: North Carolina Rural Health Research Program
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A National View of Rural Health Workforce Issues in the USA
Findings from a nationwide survey of rural hospital chief executive officers (CEOs). Topics addressed include their assessments of health workforce shortages and perceptions about factors influencing recruitment and retention.
Author(s): MacDowell M., Glasser M., Fitts M., Nielsen K., Hunsaker M.
Citation: Rural and Remote Health, 10(3), 1531
Date: 07/2010
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Patient Assessments and Quality of Care in Rural Hospitals
Analyzes the relationships between rural patients' perspectives of hospital quality of care and key hospital characteristics that may influence patients' experiences of hospital care. Includes some breakdowns for Critical Access Hospitals (CAHs). Uses data from the Consumer Assessment of Health Providers and Systems (HCAHPS) survey.
Additional links: Policy Brief
Author(s): Michelle M. Casey, Gestur Davidson
Date: 06/2010
Sponsoring organization: Upper Midwest Rural Health Research Center
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Pediatric Care in Rural Hospital Emergency Departments
Analyzes data from the Emergency Pediatric Services and Equipment Supplement (EPSES) to the National Hospital Ambulatory Medicare Care Survey comparing rural and urban hospitals' responses on various dimensions of pediatric emergency department care.
Author(s): Victoria A. Freeman, Randy K. Randolph, Stephanie Poley, Sarah Friedman, Rebecca T. Slifkin
Date: 05/2010
Sponsoring organization: North Carolina Rural Health Research Program
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Electronic Medical Record Systems in Critical Access Hospitals: Leadership Perspectives on Anticipated and Realized Benefits
Examines the efficacy of electronic medical records (EMRs) in reducing healthcare costs while also improving performance and quality in Critical Access Hospitals (CAHs). Also discusses the reasons CAH leadership may choose to implement an EMR, and whether anticipated benefits have generally been realized. Results are based on a survey of leadership from 15 Iowa-based CAHs.
Author(s): Troy R. Mills, Jared Vavroch, James A. Bahensky, Marcia M. Ward
Citation: Perspectives in Health Information Management, 7, 1c
Date: 04/2010
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States' Use of Cost-Based Reimbursement for Medicaid Services at Critical Access Hospitals
Explains cost-based reimbursement for Critical Access Hospitals (CAHs). Documents which of the 45 states with CAHs utilize a cost-based reimbursement methodology for Medicaid.
Author(s): Andrea Radford, Mike Hamon, Caitlin Nelligan
Date: 04/2010
Sponsoring organization: North Carolina Rural Health Research Program
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