Rural Health
Resources by Topic: Hospitals
Obstacles Persist for Rural Patients to Access Hospice
Discusses challenges to delivering hospice care in rural areas. Highlights changes to allow providers at Rural Health Centers and Federal Qualified Health Centers to serve as attending physicians for hospice patients. Explores the impact of COVID-19 on the delivery of hospice services, including the use of telehealth services and workforce concerns.
Author(s): Jim Parker
Date: 09/2021
Sponsoring organization: Hospice News
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Discusses challenges to delivering hospice care in rural areas. Highlights changes to allow providers at Rural Health Centers and Federal Qualified Health Centers to serve as attending physicians for hospice patients. Explores the impact of COVID-19 on the delivery of hospice services, including the use of telehealth services and workforce concerns.
Author(s): Jim Parker
Date: 09/2021
Sponsoring organization: Hospice News
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Association of Hospital Telestroke Adoption With Changes in Initial Hospital Presentation and Transfers Among Patients With Stroke and Transient Ischemic Attacks
Results of a study to assess whether implementation of telestroke services is associated with changes in where and how patients present with stroke symptoms, their decision to be transferred to another hospital, and to which hospitals they are transferred. Uses data from 593 hospitals that adopted telestroke from 2009-2016. Features statistics on hospital characteristics by telestroke status, with breakdowns by urban or rural location.
Author(s): Kori S. Zachrison, Jessica V. Richard, Andrew Wilcock, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Results of a study to assess whether implementation of telestroke services is associated with changes in where and how patients present with stroke symptoms, their decision to be transferred to another hospital, and to which hospitals they are transferred. Uses data from 593 hospitals that adopted telestroke from 2009-2016. Features statistics on hospital characteristics by telestroke status, with breakdowns by urban or rural location.
Author(s): Kori S. Zachrison, Jessica V. Richard, Andrew Wilcock, et al.
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Quality of Care Before and After Mergers and Acquisitions of Rural Hospitals
Examines the quality of care provided in 172 rural hospitals that merged or were acquired between 2009-2016. Compares the in-hospital mortality rates for patients with several conditions compared admitted to merged or acquired hospitals to patients admitted to 266 rural hospitals that remained independent.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel M. Henke, Teresa P. Gibson
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Examines the quality of care provided in 172 rural hospitals that merged or were acquired between 2009-2016. Compares the in-hospital mortality rates for patients with several conditions compared admitted to merged or acquired hospitals to patients admitted to 266 rural hospitals that remained independent.
Author(s): H. Joanna Jiang, Kathryn R. Fingar, Lan Liang, Rachel M. Henke, Teresa P. Gibson
Citation: JAMA Network Open, 4(9)
Date: 09/2021
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Evaluation of the Rural Community Hospital Demonstration: Report Covering 2005-2017 (Interim Report 1)
Provides an overview of the Rural Community Hospital Demonstration (RCHD). Describes the characteristics of RCHD participants that entered the demonstration between 2005-2012, the Medicare payments received under program, and the impact of the RCHD on hospital finances between 2005-2017.
Additional links: Findings at a Glance
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Rural Community Hospital Demonstration (RCHD). Describes the characteristics of RCHD participants that entered the demonstration between 2005-2012, the Medicare payments received under program, and the impact of the RCHD on hospital finances between 2005-2017.
Additional links: Findings at a Glance
Date: 09/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Comment on CMS's Proposed Rule on Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs for CY 2022
Comments on an August 4, 2021, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2022. Includes considerations for Rural Emergency Hospital payments and emergency department staffing requirements.
Date: 09/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an August 4, 2021, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2022. Includes considerations for Rural Emergency Hospital payments and emergency department staffing requirements.
Date: 09/2021
Sponsoring organization: Medicare Payment Advisory Commission
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Changes in Hospitalizations and In-Hospital Deaths for Adults Aged 65 Years and Older 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 among adults aged 65 years old and over 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, Pamela L. Owens
Date: 09/2021
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 among adults aged 65 years old and over 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, Pamela L. Owens
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Changes in Hospitalizations and In-Hospital Deaths for Adults Aged 18-64 Years 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 among adults aged 18-64 years old 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, Marc Roemer
Date: 09/2021
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 among adults aged 18-64 years old 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, Marc Roemer
Date: 09/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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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
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
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
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
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
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
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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