Rural Health
Resources by Topic: Hospitals
Barriers and Facilitators Associated With Establishment of Emergency Department-Initiated Buprenorphine for Opioid Use Disorder in Rural Maine
Presents a study on the barriers and facilitators for implementing programs that initiate buprenorphine treatment for patients with opioid use disorder (OUD) seeking care in critical access hospital (CAH) emergency departments (EDs) in rural Maine. Highlights findings of a survey of CAH ED directors on the challenges of implementing buprenorphine initiation programs.
Author(s): Noah K. Rosenberg, Alexander B. Hill, Lily Johnsky, et al.
Citation: Journal of Rural Health, 38(3), 612-619
Date: 06/2022
Type: Document
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Presents a study on the barriers and facilitators for implementing programs that initiate buprenorphine treatment for patients with opioid use disorder (OUD) seeking care in critical access hospital (CAH) emergency departments (EDs) in rural Maine. Highlights findings of a survey of CAH ED directors on the challenges of implementing buprenorphine initiation programs.
Author(s): Noah K. Rosenberg, Alexander B. Hill, Lily Johnsky, et al.
Citation: Journal of Rural Health, 38(3), 612-619
Date: 06/2022
Type: Document
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The Economic Effects of Rural Hospital Closures
Examines the impact of a rural hospital closure on local economic outcomes. Compares economic changes in nonmetro counties experiencing a hospital closure between 2001 and 2018 to changes in a control group of nonmetro counties. Presents data on the effects of rural hospital closures on annual income, population size, unemployment, and labor force size overall and by closure type and Critical Access Hospital (CAH) and Prospective Payment System (PPS) status.
Author(s): Tyler L. Malone, Arrianna Marie Planey, Laura B. Bozovich, Kristie W. Thompson, George M. Holmes
Citation: Health Services Research, 57(3), 614-623
Date: 06/2022
Type: Document
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Examines the impact of a rural hospital closure on local economic outcomes. Compares economic changes in nonmetro counties experiencing a hospital closure between 2001 and 2018 to changes in a control group of nonmetro counties. Presents data on the effects of rural hospital closures on annual income, population size, unemployment, and labor force size overall and by closure type and Critical Access Hospital (CAH) and Prospective Payment System (PPS) status.
Author(s): Tyler L. Malone, Arrianna Marie Planey, Laura B. Bozovich, Kristie W. Thompson, George M. Holmes
Citation: Health Services Research, 57(3), 614-623
Date: 06/2022
Type: Document
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Critical Access Hospitals in TX: How Do They Compare to Other TX Hospitals?
Webinar offering an overview of Critical Access Hospitals (CAHs) in Texas. Compares CAHs in Texas with non-CAHs in Texas using multiple variables including size, staffing levels, county characteristics, rurality, and more. Transcript for video available by clicking three dots under the video.
Date: 06/2022
Type: Video/Multimedia
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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Webinar offering an overview of Critical Access Hospitals (CAHs) in Texas. Compares CAHs in Texas with non-CAHs in Texas using multiple variables including size, staffing levels, county characteristics, rurality, and more. Transcript for video available by clicking three dots under the video.
Date: 06/2022
Type: Video/Multimedia
Sponsoring organization: University of Texas at Arlington Center for Rural Health and Nursing
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Advancing Rural Health: Illinois Small and Rural Hospitals
Discusses the overall impact of the 86 small and rural hospitals in Illinois. Includes data on hospital utilization, patient demographics, economic impacts, associated community engagement and healthcare services, workforce and specialty care issues, and more. Provides county-level maps on obstetric services and location of small and rural hospitals.
Date: 06/2022
Type: Document
Sponsoring organization: Illinois Health and Hospital Association
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Discusses the overall impact of the 86 small and rural hospitals in Illinois. Includes data on hospital utilization, patient demographics, economic impacts, associated community engagement and healthcare services, workforce and specialty care issues, and more. Provides county-level maps on obstetric services and location of small and rural hospitals.
Date: 06/2022
Type: Document
Sponsoring organization: Illinois Health and Hospital Association
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MiCare Champion Cast: How 340B Benefits Rural Michigan
Podcast that explains the 340B drug pricing program and its impact on rural Michigan. Presents a discussion with stakeholders from the Mackinac Straits Health System which includes a Critical Access Hospital, Rural Health Clinic, and other healthcare facilities.
Date: 06/2022
Type: Audio
Sponsoring organization: Michigan Health & Hospital Association
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Podcast that explains the 340B drug pricing program and its impact on rural Michigan. Presents a discussion with stakeholders from the Mackinac Straits Health System which includes a Critical Access Hospital, Rural Health Clinic, and other healthcare facilities.
Date: 06/2022
Type: Audio
Sponsoring organization: Michigan Health & Hospital Association
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Community Impact and Benefit Activities of Critical Access, Other Rural, and Urban Hospitals, 2020
Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale
Date: 06/2022
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines the economic and healthcare benefit of Critical Access Hospitals (CAHs) on rural communities. Looks at services provided, the economic health of CAHs, and the effect this has on their communities broadly. Includes comparisons of community benefit and patient care services indicators provided by CAHs and other rural and urban hospitals.
Author(s): Zachariah Croll, John Gale
Date: 06/2022
Type: Document
Sponsoring organization: Flex Monitoring Team
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Northern Border Regional Commission State and Region Chartbooks: A Health-Focused Landscape Analysis
Webinar describing a project compiling the most recent publicly available data related to health and healthcare access at the county and state level for Maine, New Hampshire, New York, and Vermont. Discusses healthcare professional shortage areas and highlights counties with worse health outcomes than other counties in the region. Features statistics on demographics with breakdowns by rural location, socioeconomic characteristics, access to care, health outcomes and behaviors, community safety, death rates and top causes of death, internet access, insurance coverage, telehealth policies, scope of practice for various provider types, and maps showing Heath Professional Shortage Areas and locations of Rural Health Clinics, Federally Qualified Health Centers, and Critical Access Hospitals.
Additional links: Presentation Slides, Transcript
Author(s): Katherine Ahrens
Date: 06/2022
Type: Video/Multimedia
Sponsoring organizations: Maine Rural Health Research Center, Rural Health Research Gateway
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Webinar describing a project compiling the most recent publicly available data related to health and healthcare access at the county and state level for Maine, New Hampshire, New York, and Vermont. Discusses healthcare professional shortage areas and highlights counties with worse health outcomes than other counties in the region. Features statistics on demographics with breakdowns by rural location, socioeconomic characteristics, access to care, health outcomes and behaviors, community safety, death rates and top causes of death, internet access, insurance coverage, telehealth policies, scope of practice for various provider types, and maps showing Heath Professional Shortage Areas and locations of Rural Health Clinics, Federally Qualified Health Centers, and Critical Access Hospitals.
Additional links: Presentation Slides, Transcript
Author(s): Katherine Ahrens
Date: 06/2022
Type: Video/Multimedia
Sponsoring organizations: Maine Rural Health Research Center, Rural Health Research Gateway
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The Pennsylvania Rural Health Model (PARHM): Second Annual Evaluation Report
Evaluates the second year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes during the second performance year.
Additional links: Appendix, Findings at a Glance
Date: 06/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the second year of the Pennsylvania Rural Health Model (PARHM), an initiative designed to test if global budgets can help rural hospitals improve their financial viability, provide flexibility to meet locally defined community health needs, and reduce overall healthcare spending. Provides an overview of the model and describes the implementation experience of participating hospitals and payers. Presents a descriptive quantitative assessment of financial performance, spending and utilization, access to care, and quality of care outcomes during the second performance year.
Additional links: Appendix, Findings at a Glance
Date: 06/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2023
Comments on a May 10, 2022, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS, promoting stability in the IPPS and LTCH PPS, creating a permanent supplemental payment for Puerto Rico and Indian Health Service (IHS) hospitals, establishing a payment adjustment for domestic N95 respirators, adding new measures to the LTCH quality reporting program, and establishing overarching principles for measuring equity and health care quality disparities across CMS quality programs.
Date: 06/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 10, 2022, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS, promoting stability in the IPPS and LTCH PPS, creating a permanent supplemental payment for Puerto Rico and Indian Health Service (IHS) hospitals, establishing a payment adjustment for domestic N95 respirators, adding new measures to the LTCH quality reporting program, and establishing overarching principles for measuring equity and health care quality disparities across CMS quality programs.
Date: 06/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2022
Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 2 presents a report on access to care for beneficiaries in Medically Underserved Areas (MUAs), who are dually eligible for Medicare and Medicaid, or have multiple chronic conditions. Also includes chapters on alternative payment models, safety net providers, the cost of drugs covered under Medicare Part B, the accuracy of Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D plan market.
Date: 06/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and provides recommendations to the U.S. Congress. Chapter 2 presents a report on access to care for beneficiaries in Medically Underserved Areas (MUAs), who are dually eligible for Medicare and Medicaid, or have multiple chronic conditions. Also includes chapters on alternative payment models, safety net providers, the cost of drugs covered under Medicare Part B, the accuracy of Medicare Advantage payments, the alignment of fee-for-service payment rates across ambulatory settings, and segmentation in the stand-alone Part D plan market.
Date: 06/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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