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Rural Health Clinics (RHCs)
Publications
Alphabetical list. You can also view by publication date.
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Characteristics and Roles of Rural Health Clinics in the United States: A Chartbook
Date: 01 / 2003
Author(s): John A. Gale, Andrew F. Coburn
Research center:
Maine Rural Health Research Center
Topics:
Health services,
Rural Health Clinics (RHCs)
Reports on the results of a national survey of Rural Health Clinics (RHCs). Information was collected on a wide range of topics of concern to RHCs including: 1) the characteristics and operations of the clinics; 2) their location relative to the underservice problems and access needs of rural areas; 3) safety net functions of RHCs; 4) staffing, recruitment and financial issues; and 5) involvement in the training of health care professionals. Among the findings: most RHCs continue to serve rural, underserved communities; RHCs are filling a valuable safety net role by serving Medicaid, uninsured, and low-income patients and providing free and reduced cost care; recruitment and retention is a problem for RHCs, and some RHCs face continued financial challenges despite cost-based reimbursement. RHCs continue to be an important source of primary care and safety net services in rural communities. Legislative efforts to address concerns about the program have included the refinement of the shortage area criteria used by the RHC program (Balanced Budget Act of 1997) and the implementation of a Medicaid prospective payment system (Benefits Improvement and Protection Act of 2000). Additional research is needed to understand the impact of these changes on the RHCs and the residents of rural communities served by them.
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Community Health Center and Rural Health Clinic Presence Associated with Lower County-Level Hospitalization Rates for Ambulatory Care Sensitive Conditions (Fact Sheet)
Date: 08 / 2009
Research center:
South Carolina Rural Health Research Center
Topics:
Federally Qualified Health Centers (FQHCs),
Rural Health Clinics (RHCs)
Seeks to understand the contribution that Community Health Centers and Rural Health Clinics make to access to health care, as measured by rates of Ambulatory Care Sensitive hospitalizations.
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Community Health Center and Rural Health Clinic Presence Associated with Lower County-Level Hospitalization Rates for Ambulatory Care Sensitive Conditions (Full Report)
Date: 08 / 2009
Author(s): Janice C. Probst, James N. Laditka, Sarah B. Laditka
Research center:
South Carolina Rural Health Research Center
Topics:
Federally Qualified Health Centers (FQHCs),
Rural Health Clinics (RHCs)
Examines the effect of the presence of a Federally Qualified Community Health Center (CHC) or Rural Health Clinic (RHC) within a county on population rates of hospitalization for ambulatory care sensitive (ACS) conditions, using data from eight states.
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Encouraging Rural Health Clinics to Provide Mental Health Services
Date: 05 / 2010
Author(s): John Gale, David Hartley, Barbara Shaw, Stephanie Loux
Research center:
Maine Rural Health Research Center
Topics:
Mental health,
Rural Health Clinics (RHCs)
This study examined changes in the delivery of mental health services by Rural Health Clinics (RHCs), their operational characteristics, barriers to the development of services, and policy options to encourage more RHCs to deliver mental health services. Key Findings:
- Approximately 6% of independent and 2% of provider-based RHCs offer mental health services.
- 38% of study RHCs reported their mental health services were not profitable but continued to provide them in response to community and patient needs.
- An important factor in the development of RHC mental health services is the presence of a local champion who spearheads the development effort.
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Implementing Quality Assessment and Performance Improvement Systems in Rural Health Clinics: Clinic and State Agency Responses
Date: 08 / 2002
Author(s): Astrid Knott, Karen Travers
Research center:
Minnesota Rural Health Research Center
Topics:
Quality,
Rural Health Clinics (RHCs)
Report Number: Working Paper No. 42
Assesses the potential of a diverse set of Rural Health Clinics to comply with the quality assessment and performance improvement program (QAPI) requirements and the capacity of state agencies to provide RHCs with technical assistance in their QAPI implementation. Finds that more information and guidance on QAPI requirements is needed to make the program a success, and that to make QAPI useful to RHCs, RHCs need technical assistance in all aspects of quality assurance. Also finds that QAPI implementation could hamper care in resource-strapped RHCs if implementation is too costly or if clinics decide to withdraw from the RHC program because of QAPI.
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Potential Supply-Side Implications of the BBA Limits on Reimbursement to Provider-Based Rural Health Clinics
Date: 06 / 2000
Author(s): Julie A. Schoenman, C. Michael Cheng, Bonnie B. Blanchfield, Curt D. Mueller
Research center:
Walsh Center for Rural Health Analysis
Topic:
Rural Health Clinics (RHCs)
This policy analysis brief examines whether provider-based (typically hospital operated) rural health clinics are likely to close due to the reimbursement cap introduced by the Balanced Budget Act of 1997 (BBA). For a print copy of publications prior to 2004, please contact the Walsh Center at 301-951-5070.
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Provision of Mental Health Services by Rural Health Clinics
Date: 05 / 2010
Author(s): John A. Gale, Barbara Shaw, David Hartley, Stephenie Loux
Research center:
Maine Rural Health Research Center
Topics:
Mental health,
Rural Health Clinics (RHCs)
The number of Rural Health Clinics (RHCs) providing specialty mental health services remains limited. This study examined changes in the delivery of mental health services by RHCs, their operational characteristics, barriers to the development of services, and policy options to encourage more RHCs to deliver mental health services. Approximately 6% of independent and 2% of provider-based RHCs offer mental health services by doctoral-level psychologists and/or clinical social workers. Models used to provide mental health services include contracted and/or employed clinicians housed in the same facility as primary care providers. A key element in the development of mental health services is the presence of an internal champion (typically clinicians or senior administrators) who identify the need for and undertake implementation of services, help overcome internal barriers, and direct resources to the development of services.
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