Rural Health
Resources by Topic: Hospitals
Review of Rural U.S. Economic and Health Care Trends
Reviews recent literature and publicly available data to explore important issues at the nexus of healthcare and local economic vibrancy, and explores the economic implications associated with COVID-19. Includes sections on rural hospitals, the rural healthcare workforce, emergency medical services, insurance, and telehealth. Features statistics with breakdowns by 6 levels of population density and county-level maps showing Health Professional Shortage Areas and rural counties without obstetrical services.
Author(s): Alison Davis
Date: 09/2022
Sponsoring organization: Center for Economic Analysis of Rural Health
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Reviews recent literature and publicly available data to explore important issues at the nexus of healthcare and local economic vibrancy, and explores the economic implications associated with COVID-19. Includes sections on rural hospitals, the rural healthcare workforce, emergency medical services, insurance, and telehealth. Features statistics with breakdowns by 6 levels of population density and county-level maps showing Health Professional Shortage Areas and rural counties without obstetrical services.
Author(s): Alison Davis
Date: 09/2022
Sponsoring organization: Center for Economic Analysis of Rural Health
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MedPAC Comment on CMS's Proposed Rule on the Payment Systems for Hospital Outpatient Departments and Ambulatory Surgical Centers for 2023
Comments on a July 26, 2022, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023. Includes considerations for payment for 340B drugs, additional facility payments for Rural Emergency Hospitals, telehealth rehabilitation services beyond the COVID-19 public health emergency, and more.
Date: 09/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a July 26, 2022, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2023. Includes considerations for payment for 340B drugs, additional facility payments for Rural Emergency Hospitals, telehealth rehabilitation services beyond the COVID-19 public health emergency, and more.
Date: 09/2022
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Hospital Closures Threaten Access: Solutions to Preserve Care in Local Communities
Provides an overview of rural hospital closures between 2010-2021. Discusses rural demographics and outlines trends affecting rural hospital financial sustainability, including patient volume and health, reimbursement, staffing shortages, COVID-19, new models of care, and more.
Date: 09/2022
Sponsoring organization: American Hospital Association
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Provides an overview of rural hospital closures between 2010-2021. Discusses rural demographics and outlines trends affecting rural hospital financial sustainability, including patient volume and health, reimbursement, staffing shortages, COVID-19, new models of care, and more.
Date: 09/2022
Sponsoring organization: American Hospital Association
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Minnesota Chartbook Section 8A Health Care Providers and Service Availability: Hospitals
Provides data on Minnesota hospital capacity, services offered and their utilization, and hospital financials and community benefit. Includes information on hospital location and bed availability by region as well as rural versus urban comparisons of average length of stay, hospital admissions, inpatient days, and sources of revenue.
Date: 08/2022
Sponsoring organization: Minnesota Department of Health
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Provides data on Minnesota hospital capacity, services offered and their utilization, and hospital financials and community benefit. Includes information on hospital location and bed availability by region as well as rural versus urban comparisons of average length of stay, hospital admissions, inpatient days, and sources of revenue.
Date: 08/2022
Sponsoring organization: Minnesota Department of Health
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State Flex Program Staff Sustainability Guide and Toolkit
A guide for state Flex Programs to help recruit good Flex Program staff, train them successfully, retain staff longer, and plan an orderly process of finding and training new staff before the outgoing staff leave. Presents a Staff Sustainability Cycle, a process for improving the retention of high-performing Flex Program staff, and outlines specific strategies and practical tools for addressing each component of the cycle.
Date: 08/2022
Sponsoring organization: National Rural Health Resource Center
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A guide for state Flex Programs to help recruit good Flex Program staff, train them successfully, retain staff longer, and plan an orderly process of finding and training new staff before the outgoing staff leave. Presents a Staff Sustainability Cycle, a process for improving the retention of high-performing Flex Program staff, and outlines specific strategies and practical tools for addressing each component of the cycle.
Date: 08/2022
Sponsoring organization: National Rural Health Resource Center
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Experience in the Pennsylvania Rural Health Model: Barnes-Kasson County Hospital
Profiles Barnes-Kasson County Hospital, a Critical Access Hospital with three hospital-based Rural Health Clinics and a skilled nursing facility in Pennsylvania. Discusses the CAH's experience participating in the Pennsylvania Rural Health Model (PARHM). Describes the Barnes-Kasson transformation plan, challenges of the global budget model, peer learning and networking opportunities, and next steps.
Date: 08/2022
Sponsoring organization: Rural Health Value
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Profiles Barnes-Kasson County Hospital, a Critical Access Hospital with three hospital-based Rural Health Clinics and a skilled nursing facility in Pennsylvania. Discusses the CAH's experience participating in the Pennsylvania Rural Health Model (PARHM). Describes the Barnes-Kasson transformation plan, challenges of the global budget model, peer learning and networking opportunities, and next steps.
Date: 08/2022
Sponsoring organization: Rural Health Value
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What Happens When a Hospital Closes?
Podcast episode discussing the impact of rural hospital closures and obstetrics units on their communities. Explores why facilities and units close and the impact of closures on mortality, prenatal care, maternal and infant health outcomes, and access to quality care.
Date: 08/2022
Sponsoring organization: Freakonomics
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Podcast episode discussing the impact of rural hospital closures and obstetrics units on their communities. Explores why facilities and units close and the impact of closures on mortality, prenatal care, maternal and infant health outcomes, and access to quality care.
Date: 08/2022
Sponsoring organization: Freakonomics
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Changes in the Provision of Health Care Services by Rural Critical Access Hospitals and Prospective Payment System Hospitals in 2009 compared to 2017
Findings brief exploring changes in the availability and provision of different health care services among rural Critical Access Hospitals and Prospective Payment System hospitals from 2009 to 2017, using data from the American Hospital Association Annual Survey Database. Features statistics with breakdowns by types of services offered, type of hospital, and percentage-point change from 2009 to 2017.
Author(s): Randall John, Kathleen Knocke, Sharita Thomas, et al.
Date: 08/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Findings brief exploring changes in the availability and provision of different health care services among rural Critical Access Hospitals and Prospective Payment System hospitals from 2009 to 2017, using data from the American Hospital Association Annual Survey Database. Features statistics with breakdowns by types of services offered, type of hospital, and percentage-point change from 2009 to 2017.
Author(s): Randall John, Kathleen Knocke, Sharita Thomas, et al.
Date: 08/2022
Sponsoring organization: North Carolina Rural Health Research Program
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Public Health Preparedness: COVID-19 Medical Surge Experiences and Related HHS Efforts
Discusses the medical surge challenges of eight hospitals in response to the COVID-19 pandemic and how healthcare coalitions have supported the hospitals' efforts. Identifies challenges related to staffing, supplies, space, and information, as well as challenges unique to rural hospitals. Describes Administration for Strategic Preparedness and Response (ASPR) programs and activities to support medical surge readiness.
Additional links: Full Report
Date: 08/2022
Sponsoring organization: Government Accountability Office
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Discusses the medical surge challenges of eight hospitals in response to the COVID-19 pandemic and how healthcare coalitions have supported the hospitals' efforts. Identifies challenges related to staffing, supplies, space, and information, as well as challenges unique to rural hospitals. Describes Administration for Strategic Preparedness and Response (ASPR) programs and activities to support medical surge readiness.
Additional links: Full Report
Date: 08/2022
Sponsoring organization: Government Accountability Office
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Preparing for and Rebuilding from a Natural Disaster in Graves County, KY
Case study discussing how Jackson Purchase Medical Center (JPMC) and the West Kentucky Healthcare Coalition (WKYHCC) implemented an emergency response plan in the aftermath of a December 2021 tornado. Discusses the regional emergency preparedness plan and its effectiveness, as well as JPMC's expansion of employee assistance and behavioral health services to meet community needs.
Date: 08/2022
Sponsoring organization: American Hospital Association
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Case study discussing how Jackson Purchase Medical Center (JPMC) and the West Kentucky Healthcare Coalition (WKYHCC) implemented an emergency response plan in the aftermath of a December 2021 tornado. Discusses the regional emergency preparedness plan and its effectiveness, as well as JPMC's expansion of employee assistance and behavioral health services to meet community needs.
Date: 08/2022
Sponsoring organization: American Hospital Association
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