Rural Health
Resources by Topic: Hospitals
Changes in Pediatric Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April-September 2020), 13 States
Presents data from 13 states on the number of pediatric hospitalizations and in-hospital deaths between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of pediatric hospitalizations related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 09/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 13 states on the number of pediatric hospitalizations and in-hospital deaths between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of pediatric hospitalizations related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 09/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Changes in Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April-September 2020), 13 States
Presents data from 13 states on the number of all-cause hospitalizations and in-hospital deaths between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 09/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data from 13 states on the number of all-cause hospitalizations and in-hospital deaths between April–September 2020 and compares this data to statistics from the same quarter in 2016-2019. Presents data by patient characteristics, including urban or rural status. Includes data on the percent of hospitalizations and deaths related to COVID-19 in 2020.
Author(s): Lawrence D. Reid, Zhengyi Fang
Date: 09/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Challenges to Public Health Reporting Experienced by Non-Federal Acute Care Hospitals, 2019
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs). Outlines challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Compares challenges faced by hospitals by size, CAH status, rural/urban, and independent/system affiliated and offers state-level maps of percent of hospitals reporting specific challenges.
Author(s): Chelsea Richwine, Carmelita Marshall, Christian Johnson, Vaishali Patel
Date: 09/2021
Type: Document
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs). Outlines challenges with the exchange of electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Compares challenges faced by hospitals by size, CAH status, rural/urban, and independent/system affiliated and offers state-level maps of percent of hospitals reporting specific challenges.
Author(s): Chelsea Richwine, Carmelita Marshall, Christian Johnson, Vaishali Patel
Date: 09/2021
Type: Document
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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Medicare Covers a Lower Percentage of Outpatient Costs in Hospitals Located in Rural Areas
Policy brief describing differences in Medicare Outpatient Prospective Payment System (OPPS) payments between urban and rural hospitals. Features statistics on OPPS payments as a percent of total net patient revenue, as a percent of Medicare outpatient cost by hospital payment classification, and as a percent of Medicare outpatient cost by number of acute beds, with breakdowns by urban and rural location.
Author(s): Pranathi Sana, George H. Pink
Date: 09/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Policy brief describing differences in Medicare Outpatient Prospective Payment System (OPPS) payments between urban and rural hospitals. Features statistics on OPPS payments as a percent of total net patient revenue, as a percent of Medicare outpatient cost by hospital payment classification, and as a percent of Medicare outpatient cost by number of acute beds, with breakdowns by urban and rural location.
Author(s): Pranathi Sana, George H. Pink
Date: 09/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Keeping the Doors Open: Vulnerable Rural Hospitals Benefit from Federally Funded Technical Assistance
Features the work of Texas A&M's Center for Optimizing Rural Health (CORH), which provides technical assistance through a federally funded program for vulnerable hospitals. Highlights the experiences of a participating Oklahoma hospital.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Features the work of Texas A&M's Center for Optimizing Rural Health (CORH), which provides technical assistance through a federally funded program for vulnerable hospitals. Highlights the experiences of a participating Oklahoma hospital.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 09/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Higher Electronic Health Record (EHR) Functionality Lowers Urban Hospital Costs but Rural Impacts Are Minimal
Examines the relationship between electronic health record (EHR) functionality and hospital costs. Compares the effect of increasing EHR functionality in urban and rural hospitals and by inpatient and outpatient service categories.
Author(s): Claudia Alejandra Rhoades, Brian E. Whitacre, Alison F. Davis
Date: 09/2021
Type: Document
Sponsoring organization: Center for Economic Analysis of Rural Health
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Examines the relationship between electronic health record (EHR) functionality and hospital costs. Compares the effect of increasing EHR functionality in urban and rural hospitals and by inpatient and outpatient service categories.
Author(s): Claudia Alejandra Rhoades, Brian E. Whitacre, Alison F. Davis
Date: 09/2021
Type: Document
Sponsoring organization: Center for Economic Analysis of Rural Health
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A Qualitative Assessment of Barriers and Facilitators Associated with Addressing Social Determinants of Health among Members of a Health Collaborative in the Rural Midwest
Examines capacities and barriers in addressing social determinants of health for patients in rural Northeastern Minnesota and Northwestern Wisconsin based on interviews from 37 participants of a healthcare collaborative. Discusses specific needs of rural providers, including access to community-based social services, aligned payment models, and capacity for collaboration, among others.
Author(s): Kim Nichols Dauner, Lacey Loomer
Citation: BMC Health Services Research, 21
Date: 08/2021
Type: Document
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Examines capacities and barriers in addressing social determinants of health for patients in rural Northeastern Minnesota and Northwestern Wisconsin based on interviews from 37 participants of a healthcare collaborative. Discusses specific needs of rural providers, including access to community-based social services, aligned payment models, and capacity for collaboration, among others.
Author(s): Kim Nichols Dauner, Lacey Loomer
Citation: BMC Health Services Research, 21
Date: 08/2021
Type: Document
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The Pennsylvania Rural Health Model (PARHM): First Annual Report
Evaluates the first 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 health care spending. Provides an overview of the model and describes the implementation experience of the first cohort of participating hospitals. Presents preliminary, descriptive data on the financial performance and utilization outcomes of Cohort 1 participants.
Additional links: Appendix, Findings at a Glance
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Evaluates the first 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 health care spending. Provides an overview of the model and describes the implementation experience of the first cohort of participating hospitals. Presents preliminary, descriptive data on the financial performance and utilization outcomes of Cohort 1 participants.
Additional links: Appendix, Findings at a Glance
Date: 08/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Paying for Telemedicine in Smaller Rural Hospitals: Extending the Technology to Those Who Benefit Most
Viewpoint article discussing the positive financial impacts of telemedicine in emergency departments (EDs) and barriers to using telemedicine in small rural hospitals related to patient volume, high upfront costs, and reimbursement issues. Outlines policy interventions to support rural telemedicine.
Author(s): Kori S. Zachrison, Jessica V. Richard, Ateev Mehrotra
Citation: JAMA Health Forum, 2(8), e211570
Date: 08/2021
Type: Document
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Viewpoint article discussing the positive financial impacts of telemedicine in emergency departments (EDs) and barriers to using telemedicine in small rural hospitals related to patient volume, high upfront costs, and reimbursement issues. Outlines policy interventions to support rural telemedicine.
Author(s): Kori S. Zachrison, Jessica V. Richard, Ateev Mehrotra
Citation: JAMA Health Forum, 2(8), e211570
Date: 08/2021
Type: Document
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Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2018
Report offering statistics on operating room (OR) procedures during 2018 using National Inpatient Sample (NIS) data. Compares OR procedure rates to overall hospital stays, examines patient characteristics including rural and metro location, and ranks the top 20 OR procedures with breakdowns by gender, age, and costliness.
Author(s): Kimberly W. McDermott, Lan Liang
Date: 08/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Report offering statistics on operating room (OR) procedures during 2018 using National Inpatient Sample (NIS) data. Compares OR procedure rates to overall hospital stays, examines patient characteristics including rural and metro location, and ranks the top 20 OR procedures with breakdowns by gender, age, and costliness.
Author(s): Kimberly W. McDermott, Lan Liang
Date: 08/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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