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Rural Health
Resources by Topic: Hospitals

Rural Hospital Emergency Department Quality Measures: Aggregate Data Report
Reports findings from a project that tested emergency department quality measures in a voluntary sample of Critical Access Hospitals (CAHs) in Washington State.
Author(s): Jill Klingner, Ira Moscovice
Date: 03/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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Closures of Hospital-Based SNF Units: Insights from Interviews with Administrators, Discharge Planners and Referring Physicians
Reports on interviews with officials at fifteen acute care hospitals with Medicare skilled nursing facilities (SNFs) in 1998, some of which were still open and some of which had closed. Addresses the reasons, and consequences, of hospitals' decisions to close SNF units. The study included hospitals in urban and rural areas.
Author(s): Korbin Liu, Emily Jones, Urban Institute
Date: 03/2007
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2007
Annual review of Medicare payment policies, with recommendations to Congress. Discussions of rural aspects of Medicare payment policies are included throughout the report.
Date: 03/2007
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Hospital Size, Uncertainty and Pay-for-Performance
Describes the Hospital Quality Incentive Demonstration (HQID). Describes methods to factor hospital size into appropriately ranking pay-for-performance results. Discusses policy implications of including small, rural hospitals in pay-for-performance programs that use ranking to identify quality.
Additional links: Policy Brief: Does Hospital Size Affect Our Ability to Accurately Identify High Quality Care in Pay-for-Performance Programs?, May 2007
Author(s): Gestur Davidson, Ira Moscovice, Denise Remus
Date: 02/2007
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Exploring the Community Impact of Critical Access Hospitals
Reports on a series of site visits to six diverse rural communities and Critical Access Hospitals (CAHs) to assess the experiences and impact of these hospitals in responding to their community's health infrastructure needs.
Additional links: Policy Brief: The Community Impact of Critical Access Hospitals, February 2007
Author(s): John Gale, Andrew Coburn, Walt Gregg, Rebecca Slifkin, Victoria Freeman
Date: 01/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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340B Drug Pricing Program: Results of a Survey of Eligible but Non-Participating Rural Hospitals
Summarizes the results of a survey of pharmacy directors at rural hospitals eligible to participate in the 340B program but identified as not participating at the time of the survey. Examines why rural hospitals eligible for the program were not participating and if there were barriers to participation.
Author(s): Andrea Radford, Rebecca Slifkin, Marianne Baernholdt, Claudia Schur, Karen Cheung
Date: 01/2007
Type: Document
Sponsoring organizations: NORC Walsh Center for Rural Health Analysis, North Carolina Rural Health Research Program
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Partnering to Achieve Rural Emergency Preparedness: A Workbook for Healthcare Providers in Rural Communities
Provides a tool to help Rural Health Clinics (RHCs), community health centers, migrant health centers, and hospitals develop effective community emergency preparedness plans. Encourages a collaborative approach with coordination between community leaders and healthcare facilities.
Author(s): Texas A&M Health Science Center School of Public Health
Date: 2007
Type: Document
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Future of Emergency Care Series: Hospital-Based Emergency Care: At the Breaking Point
Part three in a series of three reports from the Committee on the Future of Emergency Care in the United States Health System. Examines hospital-based emergency and trauma care. Includes information on issues facing rural hospitals related to emergency care and the emergency care workforce.
Additional links: Read Online
Date: 2007
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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MedPAC Report to the Congress: Rural Payment Provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Examines the impact of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) provisions on rural hospital payments. Present the effect of eight MMA provisions on Medicare inpatient and outpatient payments to traditional (non-CAH) hospitals. Summarizes the MMA changes to Critical Access Hospital (CAH) payment policies discussed in MedPAC's interim report. Examines the effects of higher payments on hospital costs.
Date: 12/2006
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Impact of Conversion to Critical Access Hospital Status on Hospital Financial Performance and Condition
Policy brief analyzing financial ratios associated with Critical Access Hospitals' profitability, liquidity, and capital structure.
Author(s): Mark Holmes, George H. Pink, Rebecca T. Slifkin
Date: 11/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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