Key Considerations for a Rural Hospital Assessing Conversion to Rural Emergency Hospital


Based on findings from a literature review and consultation with practitioners, a conceptual framework and checklist were developed to organize and guide conversations about key considerations for conversion to a Rural Emergency Hospital (REH).

The conceptual framework includes considerations across five key domains: feasibility, workforce, community, partnerships, and regulation. Particular attention was given to the financial implications of the transformation. Table 1 provides a basic financial framework for considering the incremental revenues, costs, and avoided costs that may be expected if a hospital converts to an REH by eliminating inpatient care. Appendix 1 contains a list of questions drawn from the literature review and consultation with practitioners.

North Carolina Rural Health Research and Policy Analysis Center
Kristin Reiter, TJ Grant, Susie Gurzenda, Angelina Budko, Margaret Greenwood-Ericksen, George Pink