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Rural Health
Resources by Topic: Hospitals

Changes in Obstetrical Services Among Critical Access Hospitals
Reports trends and changes in the provision of obstetrical services in Critical Access Hospitals (CAHs) using data from 2000 to 2009.
Author(s): Mark Holmes, Saleema Karim, George Pink
Date: 03/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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MedPAC Report to the Congress: Medicare Payment Policy, 2011
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included in the report.
Date: 03/2011
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Impact of Tele-ICU Coverage on Patient Outcomes: A Systematic Review and Meta-Analysis
A literature review and meta-analysis on the impact of tele-ICU care. Discusses the potential of tele-ICU coverage to extend resources to rural hospitals with limited access to critical care specialists.
Author(s): Lance Brendan Young, Paul S. Chan, Xin Lu, et al.
Date: 2011
Type: Document
Sponsoring organizations: U.S. Department of Veterans Affairs, Veterans Rural Health Resource Centers
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Nurse Staffing and Rural Hospital Performance Improvement
Examines the impact of nurse staffing on hospital performance improvement, with a comparison of rural and urban hospitals. Analyses the relationship between registered nurse (RN) hours per patient day to quality measure scores for pneumonia, heart failure, acute myocardial infarction (AMI), and a hospital-wide composite measure.
Author(s): Gestur Davidson, Kathy Belk, Ira Moscovice
Date: 12/2010
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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A Guide to Financing Strategies for Hospitals: With Special Consideration for Smaller Hospitals
Explores seven strategies that help hospitals achieve capital access. Discusses smaller organizations, such as rural hospitals, Critical Access Hospitals, and stand-alone community hospitals.
Date: 12/2010
Type: Document
Sponsoring organization: Health Research & Educational Trust
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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
Type: Document
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
Type: Document
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
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Critical Access Hospital Replacement Process: The Manual
Describes the facility replacement process, including the phases, actions, and involved parties that are needed. Offers guidance on the facility replacement process, including assessing the Critical Access Hospital's physical and financial situation, gaining community support, identifying and obtaining financing, working with lenders and Federal enhancement programs, and completing the design and construction process.
Date: 10/2010
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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Critical Access Hospital Replacement Process: The Roadmap
Provides a visual overview of the entire facility replacement process. Divided into four phases including Planning, Design and Financing, Endorsement, and Construction. Each phase is further described by events, actions, duration, costs/fees, and involved parties.
Date: 10/2010
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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