Rural Health
Resources by Topic: Inpatient care
Medicaid Inpatient Hospital Services Fee-for-Service Payment Policy
Provides an overview of Medicaid payment policies for inpatient hospital services. Includes a link to an Excel sheet with details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Inpatient Hospital Services
Date: 12/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Provides an overview of Medicaid payment policies for inpatient hospital services. Includes a link to an Excel sheet with details for each state, including adjustments for rural geography and for Critical Access Hospitals.
Additional links: State Medicaid Payment Policies for Inpatient Hospital Services
Date: 12/2018
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Overview of U.S. Hospital Stays in 2016: Variation by Geographic Region
Examines hospital inpatient stays in 2016 in the nine U.S. Census divisions. Includes data by location of patient residence for metropolitan, micropolitan, and noncore areas.
Author(s): William J. Freeman, Audrey J. Weiss, Kevin C. Heslin
Date: 12/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines hospital inpatient stays in 2016 in the nine U.S. Census divisions. Includes data by location of patient residence for metropolitan, micropolitan, and noncore areas.
Author(s): William J. Freeman, Audrey J. Weiss, Kevin C. Heslin
Date: 12/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Utilization and Adherence in Medical Homes: An Assessment of Rural-Urban Differences for People with Severe Mental Illness
Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
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Discusses whether enrollment in medical homes improves care in rural versus urban settings for people with severe mental illness (SMI). Examines utilization measures of primary care, mental health, emergency department, inpatient hospitalizations, and medication adherence using data derived from North Carolina Medicaid claims from 2004–2007.
Author(s): Mona Kilany, Joseph P. Morrissey, Marisa Elena Domino, et al.
Citation: Medical Care, 56(10), 870-876
Date: 10/2018
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Non-maternal and Non-neonatal Inpatient Stays in the United States Involving Malnutrition, 2016
Reports national estimates of malnutrition during non-maternal and non-neonatal hospital inpatient stays in 2016, with information for six different categories of malnutrition. Includes data by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): M.L. Barrett, M.K. Bailey, P.L. Owens
Date: 08/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Reports national estimates of malnutrition during non-maternal and non-neonatal hospital inpatient stays in 2016, with information for six different categories of malnutrition. Includes data by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): M.L. Barrett, M.K. Bailey, P.L. Owens
Date: 08/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Coronary Artery Disease, Acute Myocardial Infarction, and Ischemic Stroke Rates Among Inpatient Stays, 2001–2014
Examines adult inpatient stays with diagnoses of coronary artery disease, acute myocardial infarction, and ischemic stroke and by procedure for percutaneous transluminal coronary angioplasty and coronary artery bypass graft. Includes data by location of patient residence for rural, micropolitan, small metropolitan, and large metropolitan counties.
Author(s): Quyen Ngo-Metzger, Arlene S. Bierman, Amanda Borsky, et al.
Date: 07/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines adult inpatient stays with diagnoses of coronary artery disease, acute myocardial infarction, and ischemic stroke and by procedure for percutaneous transluminal coronary angioplasty and coronary artery bypass graft. Includes data by location of patient residence for rural, micropolitan, small metropolitan, and large metropolitan counties.
Author(s): Quyen Ngo-Metzger, Arlene S. Bierman, Amanda Borsky, et al.
Date: 07/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Drug Discount Program: Characteristics of Hospitals Participating and Not Participating in the 340B Program
Analyzes 2016 cost report data to describe and compare characteristics of 340B participating and non-participating hospitals, specifically examining three hospital types: Critical Access Hospitals (CAHs), Sole Community Hospitals (SCHs), and general acute care hospitals. Discusses trends related to decreased charity care and an increase in Medicaid expansion on 340B hospital participation.
Additional links: Full Report
Date: 07/2018
Sponsoring organization: Government Accountability Office
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Analyzes 2016 cost report data to describe and compare characteristics of 340B participating and non-participating hospitals, specifically examining three hospital types: Critical Access Hospitals (CAHs), Sole Community Hospitals (SCHs), and general acute care hospitals. Discusses trends related to decreased charity care and an increase in Medicaid expansion on 340B hospital participation.
Additional links: Full Report
Date: 07/2018
Sponsoring organization: Government Accountability Office
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The Rural Inpatient Mortality Study: Does Urban-Rural County Classification Predict Hospital Mortality in California?
Highlights a study on the correlation between rural hospitals and higher rates of hospital mortality in California. Breaks down data by Critical Access Hospital (CAH) classification and NCHS rurality-based class.
Author(s): Daniel T Linnen, John Kornak, Caroline Stephens
Citation: The Permanente Journal, 22, 17-078
Date: 03/2018
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Highlights a study on the correlation between rural hospitals and higher rates of hospital mortality in California. Breaks down data by Critical Access Hospital (CAH) classification and NCHS rurality-based class.
Author(s): Daniel T Linnen, John Kornak, Caroline Stephens
Citation: The Permanente Journal, 22, 17-078
Date: 03/2018
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MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Sponsoring organization: Medicare Payment Advisory Commission
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Hospital Compare Quality Measure Results for CAHs, 2016
Examines Hospital Compare inpatient and outpatient process of care and structural measures among Critical Access Hospitals (CAHs) in 2016. Includes data on reporting rates and performance for specific quality measures, and state-by-state comparison of CAH reporting rates for inpatient and outpatient measures.
Author(s): Megan Lahr, Alex Evenson, Tongtan Chantarat, Michelle Casey
Date: 03/2018
Sponsoring organization: Flex Monitoring Team
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Examines Hospital Compare inpatient and outpatient process of care and structural measures among Critical Access Hospitals (CAHs) in 2016. Includes data on reporting rates and performance for specific quality measures, and state-by-state comparison of CAH reporting rates for inpatient and outpatient measures.
Author(s): Megan Lahr, Alex Evenson, Tongtan Chantarat, Michelle Casey
Date: 03/2018
Sponsoring organization: Flex Monitoring Team
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Inpatient Stays Involving Atrial Fibrillation, 1998-2014
Examines inpatient stays involving atrial fibrillation among adults from 1998 through 2014. Includes data by location of patient residence for large metropolitan, small metropolitan, micropolitan, and rural areas.
Author(s): Elisabeth Kato, Quyen Ngo-Metzger, Kathryn R. Fingar, Kimberly W. McDermott, Anne Elixhauser
Date: 02/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines inpatient stays involving atrial fibrillation among adults from 1998 through 2014. Includes data by location of patient residence for large metropolitan, small metropolitan, micropolitan, and rural areas.
Author(s): Elisabeth Kato, Quyen Ngo-Metzger, Kathryn R. Fingar, Kimberly W. McDermott, Anne Elixhauser
Date: 02/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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