Rural Health
Resources by Topic: Hospitals
State Initiatives Funded by the Medicare Rural Hospital Flexibility Grant Program
Explores activities funded by the Medicare Rural Hospital Flexibility Program (Flex Program) in the previous two years to strengthen the rural health care infrastructure. Discusses which activities were considered most successful by State Flex Coordinators.
Additional links: Policy Brief, December 2007
Author(s): John Gale, Jennifer Lenardson, Walt Gregg, et al.
Date: 10/2007
Sponsoring organization: Flex Monitoring Team
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Explores activities funded by the Medicare Rural Hospital Flexibility Program (Flex Program) in the previous two years to strengthen the rural health care infrastructure. Discusses which activities were considered most successful by State Flex Coordinators.
Additional links: Policy Brief, December 2007
Author(s): John Gale, Jennifer Lenardson, Walt Gregg, et al.
Date: 10/2007
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospitals (CAHs): Distance from Other Providers and Relocation of CAHs with a Necessary Provider Designation
September 7, 2007, letter from CMS to State Survey Agency Directors. Explains the criteria to determine whether a Critical Access Hospital (CAH) applicant satisfies the regulatory requirement. Explains the criteria to determine whether a CAH with a necessary provider designation remains essentially the same provider, serving the same service area after relocation. Supersedes the November 14, 2005, guidance on this topic.
Date: 09/2007
Sponsoring organization: Centers for Medicare and Medicaid Services
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September 7, 2007, letter from CMS to State Survey Agency Directors. Explains the criteria to determine whether a Critical Access Hospital (CAH) applicant satisfies the regulatory requirement. Explains the criteria to determine whether a CAH with a necessary provider designation remains essentially the same provider, serving the same service area after relocation. Supersedes the November 14, 2005, guidance on this topic.
Date: 09/2007
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Hospitals' Experience with the 340B Drug Pricing Program
Policy brief describing the results of surveys of rural hospitals participating in the 340B drug pricing program and of rural eligible but non-participating hospitals. Includes information on factors affecting participation in the program and the benefits and challenges of participation.
Author(s): Claudia Schur, Karen Cheung, Andrea Radford, Rebecca Slifkin
Date: 09/2007
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, North Carolina Rural Health Research Program
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Policy brief describing the results of surveys of rural hospitals participating in the 340B drug pricing program and of rural eligible but non-participating hospitals. Includes information on factors affecting participation in the program and the benefits and challenges of participation.
Author(s): Claudia Schur, Karen Cheung, Andrea Radford, Rebecca Slifkin
Date: 09/2007
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, North Carolina Rural Health Research Program
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Rural Inpatient Psychiatric Units Improve Access to Community-Based Mental Health Services, but Medicare Payment Policy a Barrier
Examines inpatient psychiatric units (IPUs) in rural hospitals as well as the community-based mental health services available to patients.
Author(s): Stephenie Loux, David Hartley, David Lambert
Date: 08/2007
Sponsoring organization: Maine Rural Health Research Center
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Examines inpatient psychiatric units (IPUs) in rural hospitals as well as the community-based mental health services available to patients.
Author(s): Stephenie Loux, David Hartley, David Lambert
Date: 08/2007
Sponsoring organization: Maine Rural Health Research Center
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Implementing Patient Safety Initiatives in Rural Hospitals: An Evaluation of the Tennessee Rural Hospital Patient Safety Demonstration
Executive summary of a report describing a project to improve patient safety in eight rural hospitals by strengthening their capacity to implement priority patient safety initiatives.
Author(s): Jill Klingner, Ira Moscovice, Mary Wakefield, Marlene Miller
Date: 08/2007
Sponsoring organization: Upper Midwest Rural Health Research Center
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Executive summary of a report describing a project to improve patient safety in eight rural hospitals by strengthening their capacity to implement priority patient safety initiatives.
Author(s): Jill Klingner, Ira Moscovice, Mary Wakefield, Marlene Miller
Date: 08/2007
Sponsoring organization: Upper Midwest Rural Health Research Center
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Rural Emergency Department Staffing: Potential Implications for the Quality of Emergency Care Provided in Rural Areas
Reports results of a study of rural emergency department staffing and discusses potential implications of staffing for the quality of emergency care provided in rural areas.
Date: 08/2007
Sponsoring organization: Upper Midwest Rural Health Research Center
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Reports results of a study of rural emergency department staffing and discusses potential implications of staffing for the quality of emergency care provided in rural areas.
Date: 08/2007
Sponsoring organization: Upper Midwest Rural Health Research Center
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How Will Elimination of Hospital Bad Debt Reimbursement Affect Rural PPS Hospitals?
Examines the financial effect that changes in Medicare bad debt payment policy could have on rural hospitals.
Author(s): Janet P. Sutton, Alene Kennedy, Lucia Hammer, Grace Yang
Date: 07/2007
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Examines the financial effect that changes in Medicare bad debt payment policy could have on rural hospitals.
Author(s): Janet P. Sutton, Alene Kennedy, Lucia Hammer, Grace Yang
Date: 07/2007
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Potential Refinements to Medicare's Wage Indexes for Hospitals and Other Sectors
Analyzes issues in the Medicare wage index and alternative wage indexes. Includes a historical overview of the Medicare wage index.
Author(s): Kathleen Dalton, Gregory C. Pope, Walter Adamache, Brian Dulisse, Nathan West
Date: 06/2007
Sponsoring organization: Medicare Payment Advisory Commission
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Analyzes issues in the Medicare wage index and alternative wage indexes. Includes a historical overview of the Medicare wage index.
Author(s): Kathleen Dalton, Gregory C. Pope, Walter Adamache, Brian Dulisse, Nathan West
Date: 06/2007
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Promoting Greater Efficiency in Medicare
Describes the changing beneficiary profile in Medicare and its implications for the program. Examines approaches to promote greater efficiency in the Medicare program. Includes in-depth discussion of the wage index and rural areas.
Date: 06/2007
Sponsoring organization: Medicare Payment Advisory Commission
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Describes the changing beneficiary profile in Medicare and its implications for the program. Examines approaches to promote greater efficiency in the Medicare program. Includes in-depth discussion of the wage index and rural areas.
Date: 06/2007
Sponsoring organization: Medicare Payment Advisory Commission
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340B Drug Pricing Program: Results of a Survey of Participating Hospitals
Presents the results of a survey of pharmacy directors at rural hospitals buying discounted outpatient drugs through the 340B program. The purpose was to understand the perspectives of pharmacy directors on the 340B program in general, the financial impact of the program, and which specific program features presented barriers to its broader implementation.
Author(s): Claudia Schur, Karen Cheung, Andrea Radford, Rebecca Slifkin, Marianne Baernholdt
Date: 05/2007
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, North Carolina Rural Health Research Program
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Presents the results of a survey of pharmacy directors at rural hospitals buying discounted outpatient drugs through the 340B program. The purpose was to understand the perspectives of pharmacy directors on the 340B program in general, the financial impact of the program, and which specific program features presented barriers to its broader implementation.
Author(s): Claudia Schur, Karen Cheung, Andrea Radford, Rebecca Slifkin, Marianne Baernholdt
Date: 05/2007
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, North Carolina Rural Health Research Program
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