Rural Health
Resources by Topic: Hospitals
The Association Between Primary Care Use and Potentially-Preventable Hospitalization Among Dual Eligibles Age 65 and Over
Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
Type: Document
view details
Examines the relationship between primary care and ambulatory care sensitive condition (ACSC) hospitalization among people age 65 and older who are dually-enrolled in Medicare and Medicaid. Features statistics with breakdowns by urban or rural location.
Author(s): N. Loren Oh, Andrew J. Potter, Lindsay M. Sabik, et al.
Citation: BMC Health Services Research, 22(927)
Date: 07/2022
Type: Document
view details
Engaging Your Board and Community in Value-Based Care Conversations
Provides starting points for healthcare organizations to engage in value-based care conversations with their board and community members to support strategic planning and informed decision-making.
Date: 07/2022
Type: Document
Sponsoring organization: Rural Health Value
view details
Provides starting points for healthcare organizations to engage in value-based care conversations with their board and community members to support strategic planning and informed decision-making.
Date: 07/2022
Type: Document
Sponsoring organization: Rural Health Value
view details
Understanding CMS' Changes to Hospital Overall Star Ratings
Summarizes an analysis of the effects of methodological changes to the Centers for Medicare & Medicaid Services (CMS) star ratings system. Compares hospital star ratings in 2020 and 2021 and examines differences in ratings by hospital characteristics. Explores the equitability of the ratings by peer groups. Highlights challenges to comparing the ratings of small hospitals and Critical Access Hospitals. Provides recommendations for CMS to improve the equity of the star ratings.
Date: 07/2022
Type: Document
Sponsoring organization: American Hospital Association
view details
Summarizes an analysis of the effects of methodological changes to the Centers for Medicare & Medicaid Services (CMS) star ratings system. Compares hospital star ratings in 2020 and 2021 and examines differences in ratings by hospital characteristics. Explores the equitability of the ratings by peer groups. Highlights challenges to comparing the ratings of small hospitals and Critical Access Hospitals. Provides recommendations for CMS to improve the equity of the star ratings.
Date: 07/2022
Type: Document
Sponsoring organization: American Hospital Association
view details
County-Level Availability of Obstetric Care and Economic Implications of Hospital Closures on Obstetric Care
Policy brief providing data on the economic changes in counties that lost obstetric care facilities between 2012-2019. Describes demographic and economic differences between counties with or without obstetric care facilities. Features statistics with breakdowns by urban or rural location and a county-level map with shadings showing availability of obstetric services and hospital closures from 2012-2019.
Author(s): Andrew L. Owen, Alison Davis, Simona Balazs
Date: 07/2022
Type: Document
Sponsoring organization: Center for Economic Analysis of Rural Health
view details
Policy brief providing data on the economic changes in counties that lost obstetric care facilities between 2012-2019. Describes demographic and economic differences between counties with or without obstetric care facilities. Features statistics with breakdowns by urban or rural location and a county-level map with shadings showing availability of obstetric services and hospital closures from 2012-2019.
Author(s): Andrew L. Owen, Alison Davis, Simona Balazs
Date: 07/2022
Type: Document
Sponsoring organization: Center for Economic Analysis of Rural Health
view details
Racial Inequities in the Availability of Evidence-Based Supports for Maternal and Infant Health in 93 Rural US Counties with Hospital-Based Obstetric Care
Policy brief describing differences between availability of supports for maternal and infant health in rural counties that are majority-Black, Indigenous, People of Color (BIPOC) and those in majority-White rural counties. Features statistics on community characteristics of rural counties with hospital-based obstetric care.
Author(s): Bridget Basile Ibrahim, Mariana Tuttle, Alyssa H. Fritz, Julia D. Interrante, Katy Backes Kozhimannil
Date: 07/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Policy brief describing differences between availability of supports for maternal and infant health in rural counties that are majority-Black, Indigenous, People of Color (BIPOC) and those in majority-White rural counties. Features statistics on community characteristics of rural counties with hospital-based obstetric care.
Author(s): Bridget Basile Ibrahim, Mariana Tuttle, Alyssa H. Fritz, Julia D. Interrante, Katy Backes Kozhimannil
Date: 07/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
view details
Report to Congress: Unified Payment for Medicare-Covered Post-Acute Care
Presents a prototype for a Unified Post-acute Care (PAC) prospective payment system (PPS) that would set payment for PAC services on the basis of the clinical characteristics of the patient rather than the type of provider. Details the structure of the prototype and the data used in the analyses to design and calibrate the PPS. Explores key considerations for unifying PAC payment, such as cost-sharing and value-based payment. Includes data on PAC provider characteristics, including facility size and rural status, as well as rural payment adjustments.
Additional links: Appendices
Author(s): Benjamin Silver, Anne Deutsch, Nicole Coomer, et al.
Date: 07/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Presents a prototype for a Unified Post-acute Care (PAC) prospective payment system (PPS) that would set payment for PAC services on the basis of the clinical characteristics of the patient rather than the type of provider. Details the structure of the prototype and the data used in the analyses to design and calibrate the PPS. Explores key considerations for unifying PAC payment, such as cost-sharing and value-based payment. Includes data on PAC provider characteristics, including facility size and rural status, as well as rural payment adjustments.
Additional links: Appendices
Author(s): Benjamin Silver, Anne Deutsch, Nicole Coomer, et al.
Date: 07/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
view details
Nursing Homes in Rural America: A Chartbook
Explores county-level nursing home availability and evaluates the supply of nursing home beds per 1,000 population aged 65 and older. Identifies nursing home availability for counties with and without hospitals with swing beds, and describes the resident and nursing home characteristics including occupancy levels, payer mix, demographics, and healthcare needs. Features statistics with breakdowns by noncore, micropolitan, and metropolitan counties.
Author(s): Hari Sharma, Lili Xu, Fred Ullrich, Clint MacKinney, Keith J. Mueller
Date: 07/2022
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Explores county-level nursing home availability and evaluates the supply of nursing home beds per 1,000 population aged 65 and older. Identifies nursing home availability for counties with and without hospitals with swing beds, and describes the resident and nursing home characteristics including occupancy levels, payer mix, demographics, and healthcare needs. Features statistics with breakdowns by noncore, micropolitan, and metropolitan counties.
Author(s): Hari Sharma, Lili Xu, Fred Ullrich, Clint MacKinney, Keith J. Mueller
Date: 07/2022
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
view details
Texas State Office of Rural Health: Supporting CAHs and RHCs to Create Tangible Change in Rural Texas Communities
Provides an overview of a conversation between Rural Healthcare Provider and Transition Project (RHPTP) and Texas State Office of Rural Health (SORH) staff about value-based care (VBC) to support rural hospitals and clinics. Highlights the process of Sudan Medical Clinic moving toward VBC and collaborating with the RHPTP, as well as the opportunities for communication between SORHs and rural healthcare facilities around the state.
Date: 07/2022
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Provides an overview of a conversation between Rural Healthcare Provider and Transition Project (RHPTP) and Texas State Office of Rural Health (SORH) staff about value-based care (VBC) to support rural hospitals and clinics. Highlights the process of Sudan Medical Clinic moving toward VBC and collaborating with the RHPTP, as well as the opportunities for communication between SORHs and rural healthcare facilities around the state.
Date: 07/2022
Type: Document
Sponsoring organization: National Rural Health Resource Center
view details
Risk of Closure Among Independent and Multihospital-Affiliated Rural Hospitals
Study examining the risk of rural hospital closure for independent hospitals and hospitals affiliated with other facilities or a health system. Analyzes 2007-2019 data from the American Hospital Association, Irving Levin Associates, and the University of North Carolina Sheps Center representing a national cohort of rural hospitals. Notes financial stability for affiliated and independent hospitals as well as policy interventions to support hospitals at risk of closure.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel Mosher Henke
Citation: JAMA Health Forum, 3(7), e221835
Date: 07/2022
Type: Document
view details
Study examining the risk of rural hospital closure for independent hospitals and hospitals affiliated with other facilities or a health system. Analyzes 2007-2019 data from the American Hospital Association, Irving Levin Associates, and the University of North Carolina Sheps Center representing a national cohort of rural hospitals. Notes financial stability for affiliated and independent hospitals as well as policy interventions to support hospitals at risk of closure.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel Mosher Henke
Citation: JAMA Health Forum, 3(7), e221835
Date: 07/2022
Type: Document
view details
Co-located Critical Access & Behavioral Health Hospital: Charles A. Cannon Jr. Memorial Hospital and Appalachian Regional Behavioral Hospital
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Type: Document
Sponsoring organization: American Hospital Association
view details
Profiles Charles A. Cannon, Jr. Memorial Hospital, a Critical Access Hospital (CAH), and Appalachian Regional Healthcare System (ARHS) in western North Carolina. Describes how ARHS secured an exemption from the Center for Medicare & Medicaid Services (CMS) to build Appalachian Regional Behavioral Health (ARBH) Hospital nearby without losing CAH status. Discusses the impact of the CMS exemption on financial sustainability and emergency department wait times.
Date: 07/2022
Type: Document
Sponsoring organization: American Hospital Association
view details