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Rural Health
Resources by Topic: Inpatient care

Medicare Advantage Versus the Traditional Medicare Program: Costs of Inpatient Stays, 2009–2017
Examines the costs of hospital inpatient stays among patients 65 years of age and older with a primary expected payer of Medicare Advantage compared to traditional Medicare, based on data from 18 states. Includes data by location of patient residence for rural, micropolitan, small metropolitan, and large metropolitan areas.
Author(s): Brian J. Moore, Lan Liang
Date: 08/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Demographics, Comorbidities and Outcomes in Hospitalized Covid-19 Patients in Rural Southwest Georgia
Study of hospitalizations due to COVID-19 in rural southwest Georgia, including demographics, comorbidities, and mortality. Presents data for 522 patients and examines comorbidities including hypertension, coronary artery disease, congestive heart failure, asthma, diabetes, immunosuppression, and others.
Author(s): Priyank Shah, Jack Owens, James Franklin, et al.
Citation: Annals of Medicine, 52(7), 354-360
Date: 07/2020
Type: Document
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Rural Healthcare Surge Readiness
Resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 07/2020
Type: Document
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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Changes in Care-Seeking after Rural Hospitals Merge
Describes changes to inpatient services in 15 rural hospitals in the 15 months before and after the hospitals' merger with another hospital or health system from 2014-2016. Features statistics on changes in visit type and percent bypass by diagnostic category and discharge date relative to merger.
Author(s): Tyler Malone, Denise Kirk, Randy Randolph, George Pink, Mark Holmes
Date: 07/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2021
Comments on a May 29, 2020, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals to use commercial insurer data to set Medicare severity–diagnosis related group (MS–DRG) relative weights and adopt changes to geographic area delineations to establish hospital wage indexes for the IPPS and LTCH PPS.
Date: 07/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Social Determinants of Health and County Population Rates of Opioid-Related Inpatient Stays and Emergency Department Visits, 2016
Examines characteristics of U.S. counties, comparing counties with high and low rates of opioid-related inpatient stays and treat-and-release emergency department (ED) visits among patients 15 years and older. Includes data for metro, rural adjacent to metro, and rural remote counties, as well as by urban-rural location and poverty rate.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett, Lawrence D. Reid
Date: 06/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Hospital Burden of Opioid-Related Inpatient Stays: Metropolitan and Rural Hospitals, 2016
Examines burden on hospitals of opioid-related hospitalizations for metropolitan, rural-adjacent to metro, and rural remote hospitals. Includes data by region. Provides detailed information by urban-rural location, including information on the distribution of opioid-related stays, bed size, and occupancy level.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett
Date: 05/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2021
Comments on an April 21, 2020, Federal Register proposed rule addressing updates to the prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year 2021. Includes comments on the adoption of the Office of Management and Budget's geographic area delineations to determine wage index values.
Date: 05/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Urban and Rural Differences in Coronavirus Pandemic Preparedness
Examines the variation in hospital bed capacity by region in the U.S. and by metro and non-metro status. Discusses urban and rural differences in hospital resources, including hospital and ICU beds per capita. Provides an interactive map displaying hospital beds per capita and select demographic characteristics of metro and non-metro areas of each state and by hospital referral region.
Author(s): Kendal Orgera, Daniel McDermott, Matthew Rae, et al.
Date: 04/2020
Type: Document
Sponsoring organizations: KFF, Peterson Center on Healthcare
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Health Care Professional Workforce Composition Before and After Rural Hospital Closure
Policy brief examining the change in numbers of local healthcare providers before and after rural hospital closures from 2010-2018, to examine associations with eliminating inpatient services in rural areas. Features statistics with breakdowns by advanced practice providers, primary care providers, and specialists.
Author(s): Erin Mobley, Fred Ullrich, Redwan Bin Abdul Baten, Mina Shrestha, Keith Mueller
Date: 04/2020
Type: Document
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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