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The Rural Monitor
Articles by Topic: Reimbursement and payment models

History of the Swing Bed: A Look Through the Rural Rearview Mirror

August 11, 2021
The healthcare delivery model known as the swing bed program has allowed rural and Critical Access Hospitals to serve patients by keeping them in their rural communities for post-acute care. Reviewing the history of this program, experts describe early implementation and key program elements that have sustained its success for over 40 years.

Advance Care Planning: New Realities in Times of COVID-19

July 15, 2020
Advance care planning — planning for decision-making in times of medical crisis — has always been intended for all people, all ages, with or without a chronic disease. Clinicians talk about the challenges of these conversations now that COVID-19 has nudged planning from the realm of the theoretical future to current reality.

Burnout: Measurement Tool(s), Cause(s) and Impact(s)

January 22, 2020
Over 40% of today's physicians are burned out. A closer look at research indicates that not only is this a system problem rather than an individual problem, but that burnout impacts a system's revenue streams, healthcare quality, and patient safety and satisfaction. Experts suggest the problem may even be of more concern in rural areas.

Recognizing Telehealth's Full Potential

July 26, 2017
Kristi Henderson, DNP, CFNP, CACNP, FAEN, Vice President of Innovation and Virtual Care at Ascension's Texas Ministry, outlines three challenges hindering telehealth's growth: outdated reimbursement models, policies and regulations, and the complexity surrounding telehealth integration.

Freestanding Emergency Departments: An Alternative Model for Rural Communities

November 30, 2016
First conceptualized in the 1970s, but not widely adopted in rural communities, freestanding emergency departments (FSEDs) have been getting another look as a sustainable rural option. This article discusses hospital-based versus independent FSEDs, the model's financial viability, and highlights two FSEDs meeting their communities' healthcare needs in Arizona and Illinois.