Rural Health
Resources by Topic: Hospitals
For-profit Hospitals as Anchor Institutions in the United States: A Study of Organizational Stability
Examines whether for-profit hospitals are stable enough to fulfill the role of long-standing anchor institutions through a long-term presence in communities. Analyzes if for-profit hospitals had higher odds of closing and merging, and discusses the potential economic contributions of for-profit anchor institution hospitals to the surrounding community. Includes statistics by hospital characteristics, including rural location, and a discussion of rural hospital closures.
Author(s): Berkeley Franz, Cory E. Cronin, Vanessa Rodriguez, et al.
Citation: BMC Health Services Research, 21
Date: 12/2021
Type: Document
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Examines whether for-profit hospitals are stable enough to fulfill the role of long-standing anchor institutions through a long-term presence in communities. Analyzes if for-profit hospitals had higher odds of closing and merging, and discusses the potential economic contributions of for-profit anchor institution hospitals to the surrounding community. Includes statistics by hospital characteristics, including rural location, and a discussion of rural hospital closures.
Author(s): Berkeley Franz, Cory E. Cronin, Vanessa Rodriguez, et al.
Citation: BMC Health Services Research, 21
Date: 12/2021
Type: Document
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Outcome Measures for State Flex Program Financial and Operational Improvement Interventions
Discusses strategies for State Flex Programs (SFP) to monitor Critical Access Hospital (CAH) financial and operational improvement (FOI) interventions and the underlying theories of the activities. Provides recommendations for short- and intermediate-term outcome measures to assist SFPs in monitoring FOI initiatives.
Author(s): John Gale, Sara Kahn-Troster, Zach Croll
Date: 12/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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Discusses strategies for State Flex Programs (SFP) to monitor Critical Access Hospital (CAH) financial and operational improvement (FOI) interventions and the underlying theories of the activities. Provides recommendations for short- and intermediate-term outcome measures to assist SFPs in monitoring FOI initiatives.
Author(s): John Gale, Sara Kahn-Troster, Zach Croll
Date: 12/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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Quality Time: Sharing PIE - Patient and Family Engagement
Podcast episode discussing ways two Critical Access Hospital (CAH) engage patients and families in the healthcare process, how the CAHs gather feedback about the patient and family experiences, and how the CAHs use this information to inform their quality improvement efforts. Also describes how the COVID-19 pandemic affected patient experience and engagement activities.
Date: 12/2021
Type: Document
Sponsoring organization: Stratis Health
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Podcast episode discussing ways two Critical Access Hospital (CAH) engage patients and families in the healthcare process, how the CAHs gather feedback about the patient and family experiences, and how the CAHs use this information to inform their quality improvement efforts. Also describes how the COVID-19 pandemic affected patient experience and engagement activities.
Date: 12/2021
Type: Document
Sponsoring organization: Stratis Health
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A Predictive Model of Hospital Choice for Rural Residents Seeking Surgery
Webinar discussing research on factors impacting rural patient choice for inpatient surgery. Discusses healthcare quality and patient outcomes in Critical Access Hospitals, the impact of patient bypass on rural facilities, and characteristics of hospitals, patients, and surgeries associated with bypass. Transcript available in the video description.
Date: 11/2021
Type: Video/Multimedia
Sponsoring organization: North Carolina Rural Health Research Program
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Webinar discussing research on factors impacting rural patient choice for inpatient surgery. Discusses healthcare quality and patient outcomes in Critical Access Hospitals, the impact of patient bypass on rural facilities, and characteristics of hospitals, patients, and surgeries associated with bypass. Transcript available in the video description.
Date: 11/2021
Type: Video/Multimedia
Sponsoring organization: North Carolina Rural Health Research Program
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Emergency Department Visits for Suicidal Ideation and Self-Harm in Rural and Urban Youth
Presents a study comparing rates of emergency room visits among youth aged 5 to 19 for suicidal ideation and/or self-harm in rural and urban areas. Breaks down data by age, household income, and rural-urban hospital status, among other measures.
Author(s): Jennifer A. Hoffmann, Matt Hall, Doug Lorenz, Jay Berry
Citation: The Journal of Pediatrics, 238, 282-289
Date: 11/2021
Type: Document
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Presents a study comparing rates of emergency room visits among youth aged 5 to 19 for suicidal ideation and/or self-harm in rural and urban areas. Breaks down data by age, household income, and rural-urban hospital status, among other measures.
Author(s): Jennifer A. Hoffmann, Matt Hall, Doug Lorenz, Jay Berry
Citation: The Journal of Pediatrics, 238, 282-289
Date: 11/2021
Type: Document
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Technical Assistance Helps Community #SilencetheShameTN
Features behavioral and mental health programming offered by Henry County Medical Center and the community of Paris, Tennessee. Describes technical assistance and resources provided by the Delta Region Community Health Systems Development program to support this effort.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 11/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features behavioral and mental health programming offered by Henry County Medical Center and the community of Paris, Tennessee. Describes technical assistance and resources provided by the Delta Region Community Health Systems Development program to support this effort.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 11/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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The COVID-19 Pandemic's Impact on Rural Hospital Staffing
Summarizes the results of a survey of rural hospital leaders between September 21, 2021 - October 15, 2021, regarding COVID-19 vaccination among rural hospital personnel. Discusses the prevalence of vaccine mandates at rural hospitals and the impact of staffing shortages on access to care.
Date: 11/2021
Type: Document
Sponsoring organization: The Chartis Group
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Summarizes the results of a survey of rural hospital leaders between September 21, 2021 - October 15, 2021, regarding COVID-19 vaccination among rural hospital personnel. Discusses the prevalence of vaccine mandates at rural hospitals and the impact of staffing shortages on access to care.
Date: 11/2021
Type: Document
Sponsoring organization: The Chartis Group
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Critical Access Hospitals' Initial Response to COVID-19 by System Affiliation
Summarizes results of a survey of Critical Access Hospital (CAH) executives in eight states regarding the initial response to COVID-19 through August 2020. Presents data by system-affiliated and independent CAH status. Discusses COVID-19 case volume, personal protective equipment (PPE) supply, and the perceived impact of system affiliation status on facilities' overall response to COVID-19.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr
Date: 11/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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Summarizes results of a survey of Critical Access Hospital (CAH) executives in eight states regarding the initial response to COVID-19 through August 2020. Presents data by system-affiliated and independent CAH status. Discusses COVID-19 case volume, personal protective equipment (PPE) supply, and the perceived impact of system affiliation status on facilities' overall response to COVID-19.
Author(s): Ira Moscovice, Madeleine Pick, Megan Lahr
Date: 11/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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Association of Rural and Critical Access Hospital Status With Patient Outcomes After Emergency Department Visits Among Medicare Beneficiaries
Compares 30-day outcomes for 473,152 Medicare patients after emergency department (ED) visits in rural or urban settings and in Critical Access Hospitals. Features statistics on mortality, ED revisits, hospitalization and transfer patterns by commonly encountered ED conditions, and characteristics of patients and of hospitals studied, with breakdowns by urban or rural location.
Author(s): Margaret Greenwood-Ericksen, Neil Kamdar, Paul Lin, et al.
Citation: JAMA Network Open, 4(11)
Date: 11/2021
Type: Document
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Compares 30-day outcomes for 473,152 Medicare patients after emergency department (ED) visits in rural or urban settings and in Critical Access Hospitals. Features statistics on mortality, ED revisits, hospitalization and transfer patterns by commonly encountered ED conditions, and characteristics of patients and of hospitals studied, with breakdowns by urban or rural location.
Author(s): Margaret Greenwood-Ericksen, Neil Kamdar, Paul Lin, et al.
Citation: JAMA Network Open, 4(11)
Date: 11/2021
Type: Document
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Examining Rural Hospital Bypass for Outpatient Services
Explores the drivers of rural hospital bypass for outpatient services and the relationship between hospital outpatient services and inpatient utilization. Examines demographic and market characteristics associated with bypass for outpatient services before and after inpatient admissions. Also analyzes how utilization for common outpatient services differs between Critical Access Hospitals (CAHs) and rural prospective payment system (PPS) hospitals.
Date: 11/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Explores the drivers of rural hospital bypass for outpatient services and the relationship between hospital outpatient services and inpatient utilization. Examines demographic and market characteristics associated with bypass for outpatient services before and after inpatient admissions. Also analyzes how utilization for common outpatient services differs between Critical Access Hospitals (CAHs) and rural prospective payment system (PPS) hospitals.
Date: 11/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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