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Rural Health Clinics (RHCs)
Publications
Listed by publication date. You can also view these publications alphabetically.
2003
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Characteristics and Roles of Rural Health Clinics in the United States: A Chartbook
Author(s): John A. Gale, Andrew F. Coburn
Research center:
Maine Rural Health Research Center
Topics:
Health services,
Rural Health Clinics (RHCs)
Date: 01 / 2003
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.
2002 -
Implementing Quality Assessment and Performance Improvement Systems in Rural Health Clinics: Clinic and State Agency Responses
Author(s): Astrid Knott, Karen Travers
Research centers:
Minnesota Rural Health Research Center ,
Minnesota Rural Health Research Center
Topics:
Quality,
Rural Health Clinics (RHCs)
Report Number: Working Paper No. 42
Date: 08 / 2002
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.
2000 -
Potential Supply-Side Implications of the BBA Limits on Reimbursement to Provider-Based Rural Health Clinics
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)
Date: 06 / 2000
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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