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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
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
Sponsoring organization: Medicare Payment Advisory Commission
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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
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
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
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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