Rural Health
Resources by Topic: Hospitals
Medicaid and Rural Health
Provides an overview of rural residents, including socioeconomic characteristics, insurance status, and health status. Explores the availability of healthcare providers in rural areas, with a focus on primary care providers and hospitals. Discusses the role of Medicaid in rural health, as well as Medicaid policies and services that are important for providing healthcare in rural communities.
Date: 04/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of rural residents, including socioeconomic characteristics, insurance status, and health status. Explores the availability of healthcare providers in rural areas, with a focus on primary care providers and hospitals. Discusses the role of Medicaid in rural health, as well as Medicaid policies and services that are important for providing healthcare in rural communities.
Date: 04/2021
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Supporting and Sustaining Rural Hospitals
Describes state and federal actions to support and safeguard rural hospitals. Discusses appropriated funding opportunities for struggling hospitals, Medicaid coverage and eligibility, alternative payment models, and technical assistance programs.
Author(s): Noah Cruz
Date: 04/2021
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Describes state and federal actions to support and safeguard rural hospitals. Discusses appropriated funding opportunities for struggling hospitals, Medicaid coverage and eligibility, alternative payment models, and technical assistance programs.
Author(s): Noah Cruz
Date: 04/2021
Type: Document
Sponsoring organization: National Conference of State Legislatures
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Place and Population Matter in General Surgeon Location and Practice Structure
Examines ways in which population changes over time in different geographical regions of the United States have affected the availability of general surgeons and quality of care. Explores the implications of hospital mergers on the viability of rural hospitals.
Author(s): Thomas C. Ricketts
Citation: JAMA Network Open, 4(4)
Date: 04/2021
Type: Document
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Examines ways in which population changes over time in different geographical regions of the United States have affected the availability of general surgeons and quality of care. Explores the implications of hospital mergers on the viability of rural hospitals.
Author(s): Thomas C. Ricketts
Citation: JAMA Network Open, 4(4)
Date: 04/2021
Type: Document
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Critical Access Hospital Response to COVID-19
Webinar recording summarizing results of a survey of Critical Access Hospital (CAH) executives in eight states regarding the hospitals' ability to respond to the COVID-19 pandemic from February-August 2020. Covers survey findings related to CAH finance, federal waivers and regulatory flexibilities, capacity for treatment, workforce, and partnerships. Discusses opportunities for future research on COVID-19 response and preparedness for future disasters and public health emergencies.
Additional links: Presentation Slides
Author(s): Madeleine Pick, Megan Lahr, Ira Moscovice
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: Flex Monitoring Team
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Webinar recording summarizing results of a survey of Critical Access Hospital (CAH) executives in eight states regarding the hospitals' ability to respond to the COVID-19 pandemic from February-August 2020. Covers survey findings related to CAH finance, federal waivers and regulatory flexibilities, capacity for treatment, workforce, and partnerships. Discusses opportunities for future research on COVID-19 response and preparedness for future disasters and public health emergencies.
Additional links: Presentation Slides
Author(s): Madeleine Pick, Megan Lahr, Ira Moscovice
Date: 04/2021
Type: Video/Multimedia
Sponsoring organization: Flex Monitoring Team
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Changes in Provision of Selected Services by Rural and Urban Hospitals between 2009 and 2017
Examines the increase in number of rural hospitals that have closed or converted to a model eliminating inpatient care, as well as rural hospitals that have reduced or terminated historically essential services including obstetrics, surgery, long-term care, home health, and oncology. Features statistics on the number of hospitals offering various types of healthcare services in 2009 and in 2017, with breakdowns by urban and rural location.
Author(s): Kathleen Knocke, George H. Pink, Kristie W. Thompson, Randy K. Randolph, Mark Holmes
Date: 04/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the increase in number of rural hospitals that have closed or converted to a model eliminating inpatient care, as well as rural hospitals that have reduced or terminated historically essential services including obstetrics, surgery, long-term care, home health, and oncology. Features statistics on the number of hospitals offering various types of healthcare services in 2009 and in 2017, with breakdowns by urban and rural location.
Author(s): Kathleen Knocke, George H. Pink, Kristie W. Thompson, Randy K. Randolph, Mark Holmes
Date: 04/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Promising Flex Program Initiatives to Support Critical Access Hospitals during the COVID-19 Pandemic
Reports on promising State Flex Program (SFP) strategies to support Critical Access Hospitals (CAHs) and address priority needs during the COVID-19 pandemic. Highlights initiatives implemented by SFPs in seven states: Alaska, Arizona, Idaho, Kentucky, Montana, Pennsylvania, and Wyoming. Discusses strategies regarding support for frontline staff, staff communication, communication to rural communities, clinical and service improvement, and CAH and Rural Health Clinic financial performance. Discusses ongoing considerations and concerns.
Author(s): Celia Jewell, Sara Kahn-Troster, John Gale
Date: 04/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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Reports on promising State Flex Program (SFP) strategies to support Critical Access Hospitals (CAHs) and address priority needs during the COVID-19 pandemic. Highlights initiatives implemented by SFPs in seven states: Alaska, Arizona, Idaho, Kentucky, Montana, Pennsylvania, and Wyoming. Discusses strategies regarding support for frontline staff, staff communication, communication to rural communities, clinical and service improvement, and CAH and Rural Health Clinic financial performance. Discusses ongoing considerations and concerns.
Author(s): Celia Jewell, Sara Kahn-Troster, John Gale
Date: 04/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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The Hospital as a Convener in Rural Communities
Examines the traditional and non-traditional role of rural hospitals as conveners that support community health initiatives and population health. Discusses examples of approaches used by rural and urban serving hospitals from Michigan and Virginia. Offers steps for hospitals on becoming a convener, and suggests community stakeholders for forming partnerships to improve health and well-being in their communities.
Date: 04/2021
Type: Document
Sponsoring organization: American Hospital Association
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Examines the traditional and non-traditional role of rural hospitals as conveners that support community health initiatives and population health. Discusses examples of approaches used by rural and urban serving hospitals from Michigan and Virginia. Offers steps for hospitals on becoming a convener, and suggests community stakeholders for forming partnerships to improve health and well-being in their communities.
Date: 04/2021
Type: Document
Sponsoring organization: American Hospital Association
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Rural and Urban Hospital Characteristics by Obstetric Service Provision Status, 2010-2018
Illustrates the differences between urban and rural hospitals providing obstetric (OB) services. Compares them by size, capacity, location, and community characteristics, and compares these factors between rural hospitals with OB units and those that had discontinued services during the study period. Features statistics with breakdowns by urban and rural location.
Additional links: Characteristics of Rural and Urban U.S. Hospitals Based on Obstetric Services
Author(s): Julia D. Interrante, Lindsay K. Admon, Mariana S. Tuttle, Bridget Basile Ibrahim, Katy B. Kozhimannil
Date: 04/2021
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Illustrates the differences between urban and rural hospitals providing obstetric (OB) services. Compares them by size, capacity, location, and community characteristics, and compares these factors between rural hospitals with OB units and those that had discontinued services during the study period. Features statistics with breakdowns by urban and rural location.
Additional links: Characteristics of Rural and Urban U.S. Hospitals Based on Obstetric Services
Author(s): Julia D. Interrante, Lindsay K. Admon, Mariana S. Tuttle, Bridget Basile Ibrahim, Katy B. Kozhimannil
Date: 04/2021
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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States Work to Support Rural Hospitals Despite Pandemic Challenges
Blog post highlighting state-level policies to address and prevent rural hospital closures. Discusses proposals in state legislatures regarding alternative payment methodologies and funding, service delivery models, and the recruitment and retention of a rural healthcare workforce.
Author(s): Beth Giambrone
Date: 04/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Blog post highlighting state-level policies to address and prevent rural hospital closures. Discusses proposals in state legislatures regarding alternative payment methodologies and funding, service delivery models, and the recruitment and retention of a rural healthcare workforce.
Author(s): Beth Giambrone
Date: 04/2021
Type: Document
Sponsoring organization: Association of State and Territorial Health Officials
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Care Systems COVID-19 Impact Assessment: Lessons Learned and Compelling Needs
Explores the clinical and public health responses and experiences of hospitals and health systems during the COVID-19 pandemic. Presents policy actions and policy considerations to leverage the lessons of the pandemic to improve health system financing, infrastructure, and coordination. Includes information on challenges and priority areas for consideration for rural hospitals and Critical Access Hospitals.
Author(s): Jeffrey Balser, Jaewon Ryu, Michelle Hood, et al.
Date: 04/2021
Type: Document
Sponsoring organization: National Academy of Medicine
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Explores the clinical and public health responses and experiences of hospitals and health systems during the COVID-19 pandemic. Presents policy actions and policy considerations to leverage the lessons of the pandemic to improve health system financing, infrastructure, and coordination. Includes information on challenges and priority areas for consideration for rural hospitals and Critical Access Hospitals.
Author(s): Jeffrey Balser, Jaewon Ryu, Michelle Hood, et al.
Date: 04/2021
Type: Document
Sponsoring organization: National Academy of Medicine
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