Rural Health
Resources by Topic: Hospitals
A National Staffing Emergency in Rural Health Care
Podcast episode featuring a discussion with three rural hospital executives from Colorado, Wisconsin, and Michigan regarding workforce shortages in rural hospitals. Describes factors driving workforce challenges; recruitment, onboarding, and retention strategies; approaches to introducing healthcare careers to youth and the community; and the role of technology in meeting healthcare needs.
Date: 12/2023
Sponsoring organization: American Hospital Association
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Podcast episode featuring a discussion with three rural hospital executives from Colorado, Wisconsin, and Michigan regarding workforce shortages in rural hospitals. Describes factors driving workforce challenges; recruitment, onboarding, and retention strategies; approaches to introducing healthcare careers to youth and the community; and the role of technology in meeting healthcare needs.
Date: 12/2023
Sponsoring organization: American Hospital Association
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2023 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability. Focuses on the impact of COVID-19 on healthcare and healthcare systems.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability. Focuses on the impact of COVID-19 on healthcare and healthcare systems.
Date: 12/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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Housing Shortages Are Making Recruitment and Retention Even More Challenging for Some Rural Healthcare Providers
Provides an overview of rural housing shortages and affordability concerns. Explains the impact of housing issues on the rural healthcare workforce. Features a housing development program involving a Critical Access Hospital in Colorado and an Oregon hotel conversion that combines units for healthcare workers and supportive housing.
Citation: Rural Monitor
Date: 12/2023
Sponsoring organization: Rural Health Information Hub
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Provides an overview of rural housing shortages and affordability concerns. Explains the impact of housing issues on the rural healthcare workforce. Features a housing development program involving a Critical Access Hospital in Colorado and an Oregon hotel conversion that combines units for healthcare workers and supportive housing.
Citation: Rural Monitor
Date: 12/2023
Sponsoring organization: Rural Health Information Hub
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Hospitals' Electronic Access to Information Needed to Treat COVID-19
Explores acute care hospitals' ability to access electronic access to information necessary to treat COVID-19 patients in 2021. Examines differences in information availability by hospital characteristics, including rurality and Critical Access Hospital (CAH) status, and engagement in interoperable exchange.
Author(s): Chelsea Richwine, Jordan Everson, Vaishali Patel
Citation: JAMIA Open, 6(4)
Date: 12/2023
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Explores acute care hospitals' ability to access electronic access to information necessary to treat COVID-19 patients in 2021. Examines differences in information availability by hospital characteristics, including rurality and Critical Access Hospital (CAH) status, and engagement in interoperable exchange.
Author(s): Chelsea Richwine, Jordan Everson, Vaishali Patel
Citation: JAMIA Open, 6(4)
Date: 12/2023
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Medicare Advantage in Rural Areas: Implications for Hospital Sustainability
Explores the relationship between Medicare Advantage (MA) penetration levels in rural areas and acute care hospital financial distress and closure between 2008 and 2019. Analyzes data from Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases from 14 states to describe rural acute care hospitals with low and high MA penetration.
Author(s): Rachel Mosher Henke, Kathryn R. Fingar, Lan Liang, H. Joanna Jiang
Citation: American Journal of Managed Care, 29(11), 594–600
Date: 11/2023
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Explores the relationship between Medicare Advantage (MA) penetration levels in rural areas and acute care hospital financial distress and closure between 2008 and 2019. Analyzes data from Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases from 14 states to describe rural acute care hospitals with low and high MA penetration.
Author(s): Rachel Mosher Henke, Kathryn R. Fingar, Lan Liang, H. Joanna Jiang
Citation: American Journal of Managed Care, 29(11), 594–600
Date: 11/2023
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A Tool for Rural Health Care in Nebraska: The Rural Emergency Hospital Designation
Research brief discussing rural hospitals' service needs in Nebraska and the potential impact of the Rural Emergency Hospital designation on those services.
Author(s): Jillian Linster
Date: 11/2023
Sponsoring organization: Center for Rural Affairs
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Research brief discussing rural hospitals' service needs in Nebraska and the potential impact of the Rural Emergency Hospital designation on those services.
Author(s): Jillian Linster
Date: 11/2023
Sponsoring organization: Center for Rural Affairs
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Uncompensated Care is Highest for Rural Hospitals, Particularly in Non-Expansion States
Analyzes uncompensated care and hospital operating expense data to explore trends over time, the role of Medicaid expansion, and the impact on rural hospitals. Includes state-by-state comparisons as well as rural and urban comparisons.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George H. Pink
Citation: Medical Care Research and Review, 81(2), 164-170
Date: 11/2023
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Analyzes uncompensated care and hospital operating expense data to explore trends over time, the role of Medicaid expansion, and the impact on rural hospitals. Includes state-by-state comparisons as well as rural and urban comparisons.
Author(s): Emmaline Keesee, Susie Gurzenda, Kristie Thompson, George H. Pink
Citation: Medical Care Research and Review, 81(2), 164-170
Date: 11/2023
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A Comparison of Non-Operating Revenue between Rural and Urban Hospitals
Compares the relative percentage and composition of non-operating revenue (NOR) among Critical Access Hospitals (CAHs), rural Prospective Payment System (R-PPS) hospitals, and urban Prospective Payment System (U-PPS) hospitals from 2011-2019. Describes how hospitals can use NOR to offset negative operating incomes. Presents data on the composition of NOR by hospital type and ownership.
Author(s): Ariana Pitcher, Ruoyu Zhang, Susie Gurzenda, George Pink, Kristin L. Reiter
Date: 11/2023
Sponsoring organization: Flex Monitoring Team
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Compares the relative percentage and composition of non-operating revenue (NOR) among Critical Access Hospitals (CAHs), rural Prospective Payment System (R-PPS) hospitals, and urban Prospective Payment System (U-PPS) hospitals from 2011-2019. Describes how hospitals can use NOR to offset negative operating incomes. Presents data on the composition of NOR by hospital type and ownership.
Author(s): Ariana Pitcher, Ruoyu Zhang, Susie Gurzenda, George Pink, Kristin L. Reiter
Date: 11/2023
Sponsoring organization: Flex Monitoring Team
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Pre-Pandemic Assessment: A Decade of Progress in Electronic Health Record Adoption among U.S. Hospitals
Assessment of trends in electronic health record adoption between 2009 and 2020. Compares hospitals by rurality, size, ownership, and more. Discusses the impacts of COVID-19.
Author(s): John (Xuefeng) Jiang, Kangkang Qi, Ge Bai, Kevin Schulman
Citation: Health Affairs Scholar, 1(5)
Date: 11/2023
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Assessment of trends in electronic health record adoption between 2009 and 2020. Compares hospitals by rurality, size, ownership, and more. Discusses the impacts of COVID-19.
Author(s): John (Xuefeng) Jiang, Kangkang Qi, Ge Bai, Kevin Schulman
Citation: Health Affairs Scholar, 1(5)
Date: 11/2023
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November 2023 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) November 2023 meeting. Covers the Rural Emergency Hospital (REH) designation, dual-eligible special needs plans (D-SNPs), MedPAC's proposed work plan on hospice and end-of-life care, Medicare coverage and payment for software as a medical service, and access and favorable selection in Medicare Advantage. Includes rural references and considerations throughout.
Date: 11/2023
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) November 2023 meeting. Covers the Rural Emergency Hospital (REH) designation, dual-eligible special needs plans (D-SNPs), MedPAC's proposed work plan on hospice and end-of-life care, Medicare coverage and payment for software as a medical service, and access and favorable selection in Medicare Advantage. Includes rural references and considerations throughout.
Date: 11/2023
Sponsoring organization: Medicare Payment Advisory Commission
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