Rural Health
Resources by Topic: Hospitals
Health Care Facilities in Pennsylvania, 2022
County-level map showing locations and numbers of short-term care hospitals, Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers, with shadings indicating urban and rural counties.
Date: 2022
Type: Map/Mapping System
Sponsoring organization: Center for Rural Pennsylvania
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County-level map showing locations and numbers of short-term care hospitals, Critical Access Hospitals, Rural Health Clinics, and Federally Qualified Health Centers, with shadings indicating urban and rural counties.
Date: 2022
Type: Map/Mapping System
Sponsoring organization: Center for Rural Pennsylvania
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Population Denominator Data Sources and Data for Use with HCUP Databases (Updated with 2021 Population Data)
Identifies sources of population data that can be used with Healthcare Cost and Utilization Project (HCUP) databases to calculate rates of hospital care events per population. Includes rural-urban population data sources. Appendix A, Tables A.6 and A.7 provide U.S. population figures from 2000 through 2021 for a 4-category urban-rural definition and a 6-category urban-rural definition.
Date: 2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Identifies sources of population data that can be used with Healthcare Cost and Utilization Project (HCUP) databases to calculate rates of hospital care events per population. Includes rural-urban population data sources. Appendix A, Tables A.6 and A.7 provide U.S. population figures from 2000 through 2021 for a 4-category urban-rural definition and a 6-category urban-rural definition.
Date: 2022
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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The Rural Health Safety Net Under Pressure: Understanding the Potential Impact of COVID-19
Examines the stability of the rural health safety net at the outset of the COVID-19 pandemic. Outlines key factors that will influence the impact of COVID-19 on rural healthcare, including access to intensive care unit beds, outpatient service revenues, and rural provider days cash on hand. Highlights provisions of the CARES Act aimed at mitigating the impact of the pandemic on rural hospitals.
Date: 2022
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Examines the stability of the rural health safety net at the outset of the COVID-19 pandemic. Outlines key factors that will influence the impact of COVID-19 on rural healthcare, including access to intensive care unit beds, outpatient service revenues, and rural provider days cash on hand. Highlights provisions of the CARES Act aimed at mitigating the impact of the pandemic on rural hospitals.
Date: 2022
Type: Document
Sponsoring organization: Chartis Center for Rural Health
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Wisconsin Critical Access Hospitals
County-level map showing locations of Wisconsin Critical Access Hospitals (CAHs) and list of CAHs by county.
Date: 12/2021
Type: Document
Sponsoring organization: Wisconsin Office of Rural Health
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County-level map showing locations of Wisconsin Critical Access Hospitals (CAHs) and list of CAHs by county.
Date: 12/2021
Type: Document
Sponsoring organization: Wisconsin Office of Rural Health
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Provider and Patient Perspectives on Labor and Delivery Unit Closures in Rural New Hampshire
Explores how the closure of labor and delivery units in New Hampshire has impacted the providers and patients in the affected communities. Describes the top reasons for labor and delivery unit closures among five hospitals, staffing challenges, and the effect of closures on prenatal and postpartum care for women in the community. Presents recommendations to ensure access to safe and secure pregnancies and deliveries after closures.
Author(s): Sarah Benatar, Stacey McMorrow, Timothy J. Fisher
Date: 12/2021
Type: Document
Sponsoring organization: Urban Institute
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Explores how the closure of labor and delivery units in New Hampshire has impacted the providers and patients in the affected communities. Describes the top reasons for labor and delivery unit closures among five hospitals, staffing challenges, and the effect of closures on prenatal and postpartum care for women in the community. Presents recommendations to ensure access to safe and secure pregnancies and deliveries after closures.
Author(s): Sarah Benatar, Stacey McMorrow, Timothy J. Fisher
Date: 12/2021
Type: Document
Sponsoring organization: Urban Institute
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Medicare and Beneficiaries Pay More for Preadmission Services at Affiliated Hospitals Than at Wholly Owned Settings
Provides an overview of the Medicare diagnosis-related group (DRG) window policy. Examines how much Medicare and Medicare beneficiaries paid affiliated settings, including Critical Access Hospitals, for admission-related outpatient services in 2019 that would have otherwise been covered by the DRG policy at wholly-owned hospitals. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) for updating the DRG policy.
Date: 12/2021
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Provides an overview of the Medicare diagnosis-related group (DRG) window policy. Examines how much Medicare and Medicare beneficiaries paid affiliated settings, including Critical Access Hospitals, for admission-related outpatient services in 2019 that would have otherwise been covered by the DRG policy at wholly-owned hospitals. Offers recommendations to the Centers for Medicare & Medicaid Services (CMS) for updating the DRG policy.
Date: 12/2021
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Evidence Map: Implementation Factors Influencing the Transition from Emergency to Outpatient Care Settings
Summarizes available research on interventions to improve transitions from emergency department to outpatient care settings across health systems and identifies key findings. Discusses common intervention barriers, including rural residence and transportation, and facilitators.
Additional links: Supplemental Materials
Author(s): Karli Kondo, Johanna Anderson, Sarah Young, Rachel Ward
Date: 12/2021
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Summarizes available research on interventions to improve transitions from emergency department to outpatient care settings across health systems and identifies key findings. Discusses common intervention barriers, including rural residence and transportation, and facilitators.
Additional links: Supplemental Materials
Author(s): Karli Kondo, Johanna Anderson, Sarah Young, Rachel Ward
Date: 12/2021
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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COVID-19 National Emergency: Early Trends in Hospitalizations for Hospital Readmissions Reduction Program Health Conditions and 30-Day Readmission Rates
Provides an overview of the Hospital Readmissions Reduction Program (HRRP). Describes monthly trends in hospitalizations of Medicare beneficiaries for HRRP conditions before and after the implementation of COVID-19 emergency measures through September 30, 2020. Examines how monthly trends in unadjusted 30-day readmission rates before and after implementation of COVID-19 emergency measures and how these rates differ by sociodemographic characteristics, including rurality. Discusses policy opportunities and interventions to enhance post-discharge follow-up and reduce readmission rates.
Date: 12/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Hospital Readmissions Reduction Program (HRRP). Describes monthly trends in hospitalizations of Medicare beneficiaries for HRRP conditions before and after the implementation of COVID-19 emergency measures through September 30, 2020. Examines how monthly trends in unadjusted 30-day readmission rates before and after implementation of COVID-19 emergency measures and how these rates differ by sociodemographic characteristics, including rurality. Discusses policy opportunities and interventions to enhance post-discharge follow-up and reduce readmission rates.
Date: 12/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Overview of Major Ambulatory Surgeries Performed in Hospital-Owned Facilities, 2019
Presents data on major ambulatory surgeries performed in hospital-owned facilities using the 2019 Nationwide Ambulatory Surgery Sample (NASS). Includes statistics on ambulatory surgeries by patient and hospital characteristics, including age, community income, patient and hospital location, and primary expected payer.
Date: 12/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data on major ambulatory surgeries performed in hospital-owned facilities using the 2019 Nationwide Ambulatory Surgery Sample (NASS). Includes statistics on ambulatory surgeries by patient and hospital characteristics, including age, community income, patient and hospital location, and primary expected payer.
Date: 12/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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December 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2021 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services and the mandated report on changes to the low-volume hospital payment adjustment, physician and other health professional services, ambulatory surgical center services, outpatient dialysis services, and hospice services. Highlights the effect of COVID-19 relief funding on rural hospital margins, rural hospital bypass, and rural hospice payment utilization, among other rural references.
Date: 12/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2021 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services and the mandated report on changes to the low-volume hospital payment adjustment, physician and other health professional services, ambulatory surgical center services, outpatient dialysis services, and hospice services. Highlights the effect of COVID-19 relief funding on rural hospital margins, rural hospital bypass, and rural hospice payment utilization, among other rural references.
Date: 12/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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