Scanning the Headlines: Small or Rural Hospitals (Archive) 2015-2013

Updated on July 28, 2016

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Beck, M., and Weaver, C.  (2015, Dec. 25).  Comparing costs for outpatient care.  Wall Street Journal.  Retrieved from:

Commins, J.  (2015, Dec. 9).  Challenges for rural providers to mount in 2016.  HealthLeaders Media.  Retrieved from:

Commins, J. (2015, Dec. 3).  Start measuring rural healthcare quality, says NQF.  HealthLeaders Media.  Retrieved from:

Stitzel, J., and Cohen, R.  (2015, Nov. 18).  Improving Dental Care Access in Rural America.  Philadelphia, PA:  The Pew Charitable Trusts.  Retrieved from:

Commins, J.  (2015, Nov. 18).  As TX hospital closes, baffled mayor mulls options.  HealthLeaders Media.  Retrieved from:

(2015, Nov. 12).  Study IDs farming Miss. hospitals many during risk of closure.  Mississippi News.  Retrieved from:

Commins, J.  (2015, Nov. 4).  Rural rivals team up to coordinate care.  HealthLeaders Media.  Retrieved from:

Arduino, K. (2015, Nov.). Rural hospitals: An asset in the continuum of care. HFM. Healthcare Financial Management, 69(11), 82-86, 88.

Commins, J.  (2015, Oct. 28).  Rethinking the critical access hospital.  HealthLeaders Media.  Retrieved from:

Commins, J.  (2015, Oct. 28).  Population health poses unique challenges in rural areas.  HealthLeaders Media.  Retrieved from:

Shinkman, R.  (2015, Oct. 15).  MedPAC suggests alternative models for rural hospitals.  FierceHealthFinance.  Retrieved from:

Stensland, J., and Gaumer, Z.  (2015, Oct. 9).  Models for Preserving Access to Emergency Care in Rural Areas.  Washington:  Medpac.  Retrieved from:

(2015, Oct.).  Critical Access Hospitals Payment System.  Washington: MedPAC.  Retrieved from:

Reiter, K., Noles, M., and Pink, G.  (2015, Oct.).  Uncompensated care burden may mean financial vulnerability for rural hospitals in states that did not expand Medicaid.  Health Affairs.  34(10):1721-1729.  Retrieved from:

Commins, J.  (2015, Sept. 16).  This tiny CAH says 'no excuses'.  Healthleaders Media.  Retrieved from:

(2015, Sept. 14).  Performance Measurement for Rural Low-Volume Providers.  Washington:  National Quality Forum.  Retrieved from:

Williams, M.A. (2015, Aug.). Banding together: Rural hospitals look to each other for long-term solutions. The Journal of Healthcare Contracting, 12(4), 58-59.

Sisk, T.  (2015, July 31).  Re-envisioning the rural hospital.  North Carolina Health News.  Retrieved from:

Myers, W.  (2015, July 24).  Commentary:  Why rural hospitals are closing.  North Carolina Health News.  Retrieved from:

Commins, J.  (2015, June 10).  Rural America is hazardous to your health.  HealthLeaders Media.  Retrieved from:

Williams, K.  (2015, June 8).  How two hospital operators are bucking the rural health crisis.  Healthcare Dive.  Retrieved from:

Putre, L.  (2015, May 12).  Employees raise a half million dollars to build rural replacement building. H&HN.  Retrieved from:

Casey, M., Moscovice, I., Holmes, G., Pink, G., and Hung, P.  (2015, Apr.).  Minimum-distance requirements could harm high-performing critical-access hospitals and rural communities.  Health Affairs.  34(4):627-635.  Retrieved from:

Commins, J.  (2015, Mar. 11).  They're called 'critical access hospitals' for a reason.  HealthLeaders Media.  Retrieved from:

The Associated Press.  (2015, Mar. 9).  Report:  Rural hospitals get billions in extra Medicare funds.  The New York Times.  Retrieved from:

(2015, Mar.).  Levinson, D.  Medicare Could Have Saved Billions at Critical Access Hospitals if Swing-Bed Services Were Reimbursed Using the Skilled Nursing Facility Prospective Payment System Rates.  Washington:  Department of Health and Human Services.  Retrieved from:

(2015, Mar.).  Colorado Critical Access Hospitals and Clinics:  Improving Communication and Readmission (iCARE) White Paper.  Milwaukee, WI:  iCARE.  Retrieved from:

Aiello, M.  (2015, Feb. 25).  Idaho Hospital sets its sights on medical tourism.  HealthLeaders Media.  Retrieved from:

Quinn, R.  (2015, Feb.24).  Threat of facility closure puts pressure on rural hospitals.  The Hospitalist.  Retrieved from:

Commins, J.  (2015, Feb. 4).  Obama budget ax chops critical access hospitals.  HealthLeaders Media.  Retrieved from:

Karpman, M.  (2015, Jan. 27).  QuickTake:  Thirty-Six Percent Drop in Uninsurance Rate for Adults in Rural Areas Narrows Rural-Urban Coverage Gap.    Washington:   Urban Institute.  Retrieved from:

Commins, J.  (2015, January 21).  Rural Maine County pioneers population health.  HealthLeaders Media. Retrieved from:

(2015).  Rural Health News by Topic:  Closures of Healthcare Facilities and Services.  Grand Forks, ND:  Rural Health Information Hub.  Retrieved from:

(2015).  The Health and Well-Being of Children in Rural Areas: A Portrait of the Nation 2011–2012.  U.S. Health Services and Research Administration.  Retrieved from:

(2015).  Rural Healthy People 2020.  College Station, TX:  Southwest Rural Health Research Center.  Retrieved from:

Patel, K., Darling, M., Samuels, K., and McClellan, M.  (2014, Dec. 5).  Transforming rural health care:  high-quality, sustainable access to specialty care.  Health Affairs

Commins, J.  (2014, December 3)  'Mega boards' could be rural healthcare disruptor.  HealthLeaders Media.  Retrieved from:

Kozhimannil, K.B., Hung, P., and others. (2014, Autumn). Birth volume and the quality of obstetric care in rural hospitals. Journal of Rural Health, 30(4), 335-343.

Drost, H.  (2014, October 29).  Rural hospitals' success under ACA marred by delays, supreme court ruling.  California Healthline.  Retrieved from: 

North Carolina Rural Health Research Program. (2014, October 22) Rural hospital closures: January 2010-present. University of North Carolina, Cecil G. Sheps Center for Health Services Research. Retrieved from: 

Fact sheets:  Accountable Care Organization (ACO) Investment Model Fact Sheet.  (2014, Oct.15).  Baltimore, MD:  Centers for Medicare & Medicaid Services.

Cheney, C.  (2014, Oct. 9).  Rural primary care challenges extend beyond physician supply.  HealthLeaders Media.  Retrieved from:

Ready, T.  (2014, October 8).  Georgia Mulls FEDs to replace rural hospitals.  HealthLeaders Media.  Retrieved from:

Rau, J.  (2014, October 8)  Many Medicare outpatients pay more at rural hospitals, federal.  Kaiser Health News.  Retrieved from:

(2014, October).  Medicare Beneficiaries Paid Nearly Half of the Costs for Outpatient Services at Critical Access Hospitals.  Washington:  Department of Health and Human Services.  Retrieved from:

Luthra, S.  Rural enrollment presents continuing health law challenges.  Kaiser Health News.  Sept. 8, 2014.

(2014, Sept.).  Advancing Primary Care Delivery:  Practical, Proven, and Scalable Approaches.  Minnetonka, MN:  UnitedHealth Group Center.  Retrieved from:

Commins, J.  States without Medicaid expansion search for alternatives.  HealthLeaders Media.  Aug. 27, 2014.

Commins, J.  Rural areas see higher HIX premiums, fewer options. HealthLeaders Media.  Aug. 13, 2014.

MacKinney, A.  (2014, Aug.).  Access to Rural Health Care - A Literature Review and New Synthesis.  Iowa City, IA:  Rupri.  Retrieved from:

Greenbalt, J.  Complications with Insurance Coverage in Rural America.  HMP Communications, LLC.  July 22, 2014.

Hall, M., and Owings, M. Rural residents who are hospitalized in rural and urban hospitals: United States, 2010. NCHS [National Center for Health Statistics] Data Brief, No. 159, July 2014.

Gabriel, M.H., Jones, E.B., and others.  Progress and challenges: implementation and use of health information technology among critical-access hospitals.  Health Affairs.  33(7):1262-1270, July 2014.

Horeczko, T., Marcin, J.P., and others. (2014, Summer). Urban and rural patterns in emergent pediatric transfer: a call for regionalization. The Journal of Rural Health. 30(3), 252-258. 

Peterson, L.E., Blackburn, B., and others. (2014, Summer). Which family physicians work routinely with nurse practitioners, physician assistants or certified nurse midwives. The Journal of Rural Health. 30(3), 227-234.

Dietz, D., and Meacham, M.Z. (2015, Spring). The Medicare flex program: A partner in improving quality of care in critical access hospitals. The Journal of Rural Health, 31(2), 119-120.

Jones, K.J., Venema, D.M., and others. (2015, Spring). Shifting the paradigm: an assessment of the quality of fall risk reduction in Nebraska hospitals. The Journal of Rural Health, 31(2), 135-145. 

Klingner, J., Moscovice, I., and others. (2015, Spring). Implementation of emergency department transfer communication measures in Minnesota critical access hospitals. The Journal of Rural Health, 31(2), 121-125. 

Menser, T., Radcliff, T.A., and Schuller, K.A. (2015, Spring). Implementing a medical screening and referral program for rural emergency departments. The Journal of Rural Health, 31(2), 126-134.

Vestal, C.  Getting rural patients psychiatric help fast.  Kaiser Health News.  June 27, 2014.

Capelouto, S.  Georgia looks to reopen some closed rural hospitals as E.R.s.  Kaiser Health News.  May 29, 2014.

Demko, P. (2015, May 18). As rural hospitals struggle, solutions sought to preserve healthcare access. Modern Healthcare, 45(20), 8, 10.

Bauerlein, V.  Rural hospitals feel pinch.  Wall Steet Journal.  May 11, 2014.,d.aWw

Options for provider-sponsored health plans in rural settings.  Chicago:  Health Forum, Apr. 28, 2014.

Budryk, Z.  Rural hospitals equal in outcomes, ahead in ED care.  FierceHealthcare.  Apr. 22, 2014.

Ragusea, A.  When Rural Hospitals Close, Towns Struggle to Stay Open.  Los Angeles, CA:  Marketplace Productions, Apr. 10, 2014.

MacDonald, I.  How lean strategies saved a NH critical access hospital from financial ruin.  FierceHealthcare.  Apr. 7, 2014.

(2014, Apr.).  Medicare Shared Savings Program and Rural Providers.  Washington:  Department of Health and Human Services.  Retrieved from:

Hall M.  Owings M. Rural and Urban Hospitals' Role in Providing Inpatient Care, 2010. NCHS [National Center for Health Statistics] Data Brief, no. 147, Apr. 2014.

Weinstock, M.  Protecting rural health care.  H&HN Daily.  Feb. 12, 2014.

Commins, J.  AHA's advocate for rural health names top concerns.  HealthLeaders Media.  Jan. 29, 2014.

Desjardins, D.  Telemedicine emerging as rural ICU solution.  HealthLeaders Media.  Jan. 23, 2014.

Larson L. Time off pays off: rural hospitals and others fill their physician gap by offering extended leaves for overseas work. Hospitals & Health Networks, Jan. 14, 2014.

Huff, C. Done recruiting?  Start retaining.  Trustee.  Jan. 1, 2014.

Betbeze, P.  Small doesn't mean doomed.  HealthLeaders Media.  Dec. 6, 2013.

McCammon, S.  Rural outreach a challenge for Iowa's ACA efforts.  Midwest Healthcare News.  Dec. 4, 2013.

Kutscher, B.  Hospitals facing big divide in pro- and anti-ACA states.  Modern Healthcare;43(48):10, 12, Dec. 2, 2013. 

Allen, S.M., Ballweg, R.A., and others.  Challenges and opportunities in building a sustainable rural primary care workforce in alignment with the Affordable Care Act: the WWAMI program as a case study.  Academic Medicine;88(12):1862-1869, Dec. 2013. 

Nelson, B.  Small hospitals can lure transformational executives.  H&HN Daily.  Nov. 21, 21013.

Mace, S.  'Late adopters'--how small hospitals can navigate meaningful use. HealthLeaders Media.  Nov. 12, 2013.

Williams, J.  What happens when a town's only hospital shuts down?  U.S. News & World Report.  Nov. 8, 2013.

Bigby, J.  Examine critical access hospital payment policies within the context of integrated systems.  Journal of the American Medical Association (JAMA) Internal Medicine.  Nov. 4, 2013.

Critical access hospitals and cost shifting.  Journal of the American Medical Association (JAMA) Internal Medicine.  Nov. 4, 2013

Stensland, J., and others. Rural and urban Medicare beneficiaries use remarkably similar amounts of health care services.  Health Affairs.  32(11):2040-2046, Nov. 2013.

Herman, B.  Rural healthcare amidst reform: are critical access hospitals endangered?  Becker’s Hospital Review;2013(11):48-49, Nov. 2013.

Commins, J.  How one rural hospital prevents patient falls.  HealthLeaders Media.  Oct. 2, 2013.   

Tracy, R., Nam, I., and Gruca, T.S.  The influence of visiting consultant clinics on measures of access to cancer care: evidence from the State of Iowa.  HSR. Health Services Research;48(5):1719-1729, Oct. 2013.

Hepburn, M., and Kope, L.A.  In search of a perfect partner: a rural hospital confronts a steep learning curve when seeking an affiliation.  Trustee;66(9):23-25, Oct. 2013.

Ramson, K.P., Dudjak, L., and August-Brady, M.  Implementing an acuity-adaptable care model in a rural hospital setting.  JONA. Journal of Nursing Administration;43(9):455-460, Sept. 2013.

Commins, J.  CAH status challenge must consider access.  Health Leader’s Media.  Aug. 21, 2013.

Commins, J.  OIG recommendation would kill rural health.  Health Leader’s Media.  Aug. 16, 2013.

Commins, J.  Rural life can be hazardous to your health.  Health Leader’s Media.  July 24, 2013.

Commins, J.  Senators: rural hospitals hobbled by digital divide.  Health Leader’s Media.  July 17, 2013.

Commins, J.  Surgery residents exposed to rural settings inclined to stay.  HealthLeader’s Media.  July 10, 2013.

Commins, J.  Is GME snubbing rural America?  Health Leader’s Media.  June 19, 2013.

Barker, A., and others.  Rural Policy Brief.  The Uninsured:  An Analysis by Income and Geography, Brief no. 2013-16.  Washington:  Health Resources and Services Administration, June 2013.

Role of Small and Rural Hospitals and Care Systems in Effective Population Health Partnership.  June 2013. 

Casey, M.M., and others.  Rural relevant quality measures for critical access hospitals.  The Journal of Rural Health;29(2):159-171, Spr. 2013. 

Gautam, S., and others.  Measuring the performance of critical access hospitals in Missouri using data envelopment analysis.  The Journal of Rural Health;29(2):150-158, Spr. 2013. 

Holmes, G.M., Pink, G.H., and Friedman, S.A.  The financial performance of rural hospitals and implications for elimination of the critical access hospital program.  The Journal of Rural Health;29(2):140-149, Spr. 2013. 

Conn, J.  No small achievement: rural providers show size isn’t barrier to IT success.  Modern Healthcare;43(18):32-33, May 6, 2013. 

Kutscher, B.  The rural route: hospitals in underserved areas taking different roads to recruit, retain physicians.  Modern Healthcare;43(18):30-31, May 6, 2013.

Gadzinski, A., and others.  Utilization and outcomes of inpatient surgical care at critical access hospitals in the United States.  Jama Surg.  May 1, 2013.

McCarthy, D., and Cohen, A.  The Colorado Beacon Consortium:  Strengthening the Capacity for Health Care Delivery Transformation in Rural Communities.  New York:  Commonwealth Fund.  Apr. 18, 2013.

Commins, J.  Mortality rates at CAHs ratcheting higher.  HealthLeaders Media. Apr. 3, 2013.

Joynt, K., Orav, E., and Jha, A.  Mortality rates for Medicare beneficiaries admitted to critical access and non-critical access hospitals, 2002-2010.  Journal of American Medical Association (JAMA).  (13):1379-1387, Apr. 3, 2013.

Death rates on the rise at some rural hospitals.  Kaiser Health News.  Apr. 3, 2013.

Commins, J. CAH study author defends suprising data.  HealthLeaders Media.  Apr. 3, 2013.

CAH Legislative History.  Chicago:  American Hospital Association, Apr. 2013.

IVantage Health Analytics Names Top 100 Critical Access Hospitals. Portland, ME:  IVantage Health Analytics, Mar. 11, 2013.

Bush, H.  Is going it alone still an option for your hospital?  Yes!  H&HN.  Mar. 3, 2013.

Economic Impact of Sequestration for Rural Hospitals.  Portland, ME:  IVantage Health Analytics, Feb. 22, 2013.

Herman, B.  Where critical access hospitals fit in healthcare reform:  Q&A with West Park Hospital CFO Pat McConnell.  Becker's Hospital Review, Feb. 12, 2013.

Weinstock, M.  Rural hospitals confronting big challenges. H&HN.  Feb. 11, 2013.

Eves, A., Mueller, K.J., and MHA Candidate.  State Health Insurance Exchanges: Assessing Rural Implications of Statutes.  Iowa City, IA:  Rural Health Research & Policy Centers.  Feb. 2013. Health Insurance Exchanges - Rural Implications.pdf

Todd, K., Ullrich, F., and Mueller, K.  Rural Pharmacy Closures. Implications for Rural Communities.  Iowa City, IA.  Rupri Center for Rural Health Policy Analysis.  Brief No. 2012-5  Jan. 2013.

Chen, C., and others.  The redistribution of graduate medical education positions in 2005 failed to boost primary care or rural training.  Health Affairs.  32(1):102-110, Jan. 2013. 

Solving the rural healthcare revenue conundrum.  Healthcare Financial Management.  67(1):132-133, Jan. 2013. 

First Critical Access Hospital in Nation to Earn Cardiac Accreditation.  Hartford City, IN:  Indiana University Health, 2013.


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