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Rural Health
Resources by Topic: Hospitals

Guidance for Rural Emergency Hospital Provisions, Conversion Process and Conditions of Participation
Provides guidance regarding the enrollment and conversion processes for facilities interested in participating in the Medicare and Medicaid programs as a Rural Emergency Hospital (REH). Covers eligibility, enrollment, conversion action plans, action plans, and attestation. Includes answers to frequently asked questions about the REH program and State Operations Manual Appendix O - Survey Protocol, Regulations and Interpretive Guidelines for Rural Emergency Hospitals.
Date: 01/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Interoperability and Methods of Exchange Among Hospitals in 2021
Highlights the advances made and the methods used, as of 2021, in the interoperable exchange of health information for all hospital types: suburban/urban, rural, large/medium, and small. Presents data on the availability and use of electronic health information at point of care, participation rates in national organizations and networks, and the frequency of hospitals that experienced barriers when exchanging patient health information.
Author(s): Yuriy Pylypchuk, Jordan Everson
Date: 01/2023
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Orientation to Rural Emergency Hospital Conversion and Technical Assistance
Recording of a January 18, 2023, webinar discussing the Rural Emergency Hospital (REH) program. Provides an overview of the REH designation, policy and regulatory requirements, and REH Technical Assistance Center (TAC) services. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Additional links: Presentation Slides
Date: 01/2023
Type: Document
Sponsoring organizations: Mathematica, Rural Health Redesign Center
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Changes in Service Offerings Post-System Affiliation in Rural Hospitals
Explores the effects of joining or leaving a regional or national healthcare system on 62 service offerings at rural prospective payment system (PPS) hospitals and Critical Access Hospitals (CAHs) between 2008 through 2020. Compares services offered at hospitals that joined a system, left a system, were always in a system during the study period, and were never is a system during the study period.
Date: 01/2023
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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The State of Healthcare in North Carolina: 2022 Impact Report
Examines contributions to the people and economy of North Carolina by the North Carolina Healthcare Association's 130 member hospitals and hospitals systems. Describes key issues facing North Carolina health systems, including access and innovation, workforce development and retention, health equity, and behavioral health. Mentions rural throughout.
Date: 01/2023
Type: Document
Sponsoring organization: North Carolina Healthcare Association
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Virginia Rural Hospital Report: The Challenge Before Us
Highlights the public health and economic contributions made by the 28 Virginia rural hospitals and the challenges they face. Features statistics on admissions, births, beds, and fulltime employees, and county-level maps showing locations of rural hospitals and Health Professional Shortage Areas.
Date: 01/2023
Type: Document
Sponsoring organization: Virginia Hospital & Healthcare Association
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Rural Hospitals Must Keep up with Innovation to Remain Viable
Describes changes to the healthcare market environment, including technology, telehealth, services offered by retailers and large corporations, and declining patient volume. Outlines priorities for Critical Access Hospitals to remain viable, including the transition to population-based payment. Details a transition framework to guide hospitals as they move to a population-based payment system and navigate a changing environment.
Date: 01/2023
Type: Document
Sponsoring organization: Stroudwater Associates
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Impacts of Critical Access Hospital Independence and System Ownership during the COVID-19 Pandemic
Summarizes findings from a survey of 155 Critical Access Hospital (CAH) executives regarding experiences and challenges responding to the COVID-19 pandemic. Examines the impact of healthcare system affiliation on the CAHs' response to COVID, including the advantages and disadvantages of system affiliation and independence.
Author(s): Madeleine Pick, Megan Lahr, Abigail Wenninger
Date: 01/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Map of Arkansas Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers
Map locating Arkansas Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), and Federally Qualified Health Centers (FQHCs). Each facility icon provides information on the county, city, phone number, and address.
Date: 01/2023
Type: Map/Mapping System
Sponsoring organization: Arkansas Office of Rural Health & Primary Care
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Hospital Cyber Resiliency Initiative: Landscape Analysis
Report evaluating current capabilities and preparedness for cybersecurity resiliency in hospitals. Discusses the growing threat of cyber attacks, cybersecurity practices adoption, outdated technology, cybersecurity insurance costs, cybersecurity workforce challenges, and more. Discusses rural throughout.
Author(s): Erik Decker, Robert Wood, Syed Mohiuddin, Douglas Nock, Akshay Venugopalan
Date: 2023
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Healthcare & Public Health Sector Coordinating Council, HHS 45(d), U.S. Department of Health and Human Services
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