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Rural Health
Resources by Topic: Hospitals

Changes in Access to Nearest Federally Qualified Health Centers and Rural Health Clinics Among Rural ZIP Codes That Did and Did Not Experience a Hospital Closure, 2006-2018
Findings brief exploring changes in geographic accessibility within rural ZIP codes to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) between 2016-18. Compares changes in access to services within rural counties that experienced the loss of its nearest hospital to changes in access within rural counties that never experienced a hospital closure. Features county-level maps showing changes in distance to nearest FQHCs and RHCs for rural ZIP codes and statistics on estimated percentage point changes in access to FQHCs and RHCs from 2016-2018.
Author(s): Nathaniel Bell, Peiyin Hung, Sylvia Shi, Elizabeth Crouch, Jan M. Eberth
Date: 10/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Suicide and Self-Harm in Youth Presenting to a US Rural Hospital During COVID-19
Presents a study on rural emergency department utilization and hospital admission for suicide or self-harm in children ages 5 to 17 during the COVID-19 pandemic. Analyzes hospital data from January 2017 to May 2021. Breaks down data by demographic factors, such as race, gender, and rurality, as well as length of stay and visit type, among other measures.
Author(s): Mary Arakelyan, Jennifer A. Emond, JoAnna K. Leyenaar
Citation: Hospital Pediatrics, 12(10), e336–e342
Date: 10/2022
Type: Document
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Using Z Codes to Improve Health Equity in Rural Indiana
Describes how Cameron Memorial Community Hospital, a Critical Access Hospital in Indiana, used ICD-10-CM Z codes to detect and address patients' social needs as part of its health equity strategy.
Date: 10/2022
Type: Document
Sponsoring organization: American Hospital Association
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Health Workforce Implications for the Rural Emergency Hospital Model
Describes workforce challenges hospitals converting to Rural Emergency Hospital status may experience. Discusses flexible staffing models, utilization of behavioral health providers, colocation of health and human services providers and team-based care, and recruitment and retention.
Author(s): Jacob Rains
Citation: Health Affairs Forefront
Date: 10/2022
Type: Document
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Hospital Capabilities to Enable Patient Electronic Access to Health Information, 2021
Data brief examining 2021 national estimates of rates of U.S. hospitals enabling patient electronic access to health information, presenting findings for small, Critical Access, rural, and independent hospitals. Analyzes data from the 2021 AHA Annual Survey Information Technology Supplement.
Author(s): Wesley Barker, Dustin Charles
Date: 10/2022
Type: Document
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Reimagining and Reinvesting in Rural Hospital Markets
Commentary examining the hospital infrastructure needed in rural areas and how rural hospitals can be financed. Discusses current issues related to rural hospital services and how public health policy and infrastructure can impact the health of rural citizens.
Author(s): Caitlin Carroll, Arrianna Planey, Katy B. Kozhimannil
Citation: Health Services Research, 57(5), 1001-1005
Date: 10/2022
Type: Document
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Medicare Part B Overpaid and Beneficiaries Incurred Cost-Share Overcharges of Over $1 Million for the Same Professional Services
Results of an audit of Medicare Part B claims to determine whether Part B payments to Critical Access Hospitals (CAHs) for professional services and payments made to healthcare practitioners for the same services complied with federal requirements. Includes recommendations from the Office of Inspector General (OIG), and the response from the Centers for Medicare & Medicaid Services (CMS).
Additional links: Report in Brief
Date: 09/2022
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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September 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare payments to safety-net clinicians, the development of a prototype post-acute care prospective payment system, nursing facility staffing requirements and data, the expansion of telehealth during the COVID-19 public health emergency (PHE) and payment for telehealth services after the PHE, inpatient psychiatric facility care, and Part D data on drug rebates and discounts. Includes rural references and considerations throughout.
Date: 09/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Resident and Facility Factors Associated with High Risk of Discharge from Nursing Facilities, 2012-2017: Final Report
Identifies characteristics of nursing home residents at increased risk of facility-initiated live discharges and how these relationships vary across time, states, and facility types. Presents findings on the relationship between live discharges and post-discharge outcomes. Includes a comparison of discharges at urban and rural facilities.
Date: 09/2022
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Rural Health Equity and Quality Summit Report
Summarizes a June 2022 summit with experts in rural healthcare policy, health equity, value-based care, and clinical quality to explore the roles of small rural hospitals and Rural Health Clinics in achieving health equity. Discusses barriers and challenges to achieving rural health equity. Presents best practices and innovative models in promoting health equity in rural areas.
Date: 09/2022
Type: Document
Sponsoring organization: National Rural Health Resource Center
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