Hospitals and clinics

Current Projects

  • Association of Telehealth Technology and Financial Performance in Rural Hospitals
    American Hospital Association telehealth capability data will be merged with Centers for Medicare & Medicaid Services cost information and other databases to see if having telehealth technology is associated with improved hospital financial performance via increased revenue and profitability and access to healthcare services for rural residents.
    Research center: Rural Telehealth Evaluation Center
    Topics: Health services, Healthcare access, Healthcare financing, Hospitals and clinics, Rural statistics and demographics, Telehealth
  • Cancer Prevention and Control Activities in Rural Hospitals
    This project aims to understand how rural hospitals perceive and implement evidence-based cancer screening and treatment and related intervention strategies.
    Research center: Rural and Minority Health Research Center
    Topics: Cancer, Hospitals and clinics, Minority health
  • Comparison of Rural Hospital Closures and the Communities Served, 1990-2020
    This project will examine rural hospital closures during three decades to profile community characteristics, health status, health care services, and resources available in communities where rural hospitals have closed
    Research center: North Carolina Rural Health Research and Policy Analysis Center
    Topics: Health disparities and health equity, Health reform, Healthcare access, Healthcare financing, Hospitals and clinics, Medicare
  • Current State of Remote Patient Monitoring: A Landscape Analysis
    The use and reimbursement of remote patient monitoring (RPM) has changed drastically in the last decade. This study aims to summarize the current state of telehealth RPM services provided in the U.S. healthcare systems and summarize how telehealth RPM have been utilized in the literature, along with a case study of recent RPM reimbursement rates.
    Research center: Rural Telehealth Evaluation Center
    Topics: Care management, Health information technology, Health services, Healthcare access, Hospitals and clinics, Legislation and regulation, Public health, Telehealth
  • How Does Participation in Medicare Accountable Care Organizations Affect Rural Hospital Financial Outcomes?
    This project will examine the impact of Medicare Accountable Care Organizations' (ACOs') participation on rural hospitals' financial outcomes. Findings from this project will provide policy-relevant information on how ACO participation affects rural hospitals' financial bottom lines, contributing to further program design.
    Research center: RUPRI Center for Rural Health Policy Analysis
    Topics: Care management, Health reform, Health services, Hospitals and clinics, Medicare
  • How Have the Sources of Revenue for Rural Hospitals Changed Since 2005?
    Rural hospitals have seen a steadily decreasing average acute daily census. If outpatient revenue is not expanding to fill that decrease, the decrease in patient revenue could further threaten hospital viability.
    Research center: North Carolina Rural Health Research and Policy Analysis Center
    Topics: Healthcare financing, Hospitals and clinics, Medicare
  • Longitudinal Trends in Community Mental Health Center and Federally Qualified Health Center Supply in Nonmetropolitan and Metropolitan Counties
    This study will describe how the supply of community mental health centers and Federally Qualified Health Centers has changed over time in nonmetropolitan and metropolitan counties nationally.
    Research center: Rural and Underserved Health Research Center
    Topics: Health disparities and health equity, Health promotion and disease prevention, Hospitals and clinics, Mental and behavioral health, Rural Health Clinics (RHCs), Substance use and treatment
  • Opportunities for Increasing Access to Maternal Telehealth Services
    Rural residents face barriers to healthcare access that contribute to higher maternal morbidity and infant mortality than in urban areas. This project will use nationally representative data to identify opportunities for increasing access to maternal health services via telehealth and implementation barriers to sustaining telehealth services.
    Research center: Rural Telehealth Research Center
    Topics: Coronavirus Disease 2019 (COVID-19), Health services, Healthcare access, Hospitals and clinics, Maternal health, Telehealth
  • Post-acute Care Trajectories for Rural Medicare Beneficiaries
    Utilization and costs of post-acute care for Medicare fee-for-service beneficiaries have grown rapidly during the last decade. This study will examine post-acute care utilization for rural Medicare beneficiaries following acute hospitalization, describing use of home health and skilled nursing care and trajectories of care across settings.
    Research center: WWAMI Rural Health Research Center
    Topics: Aging, Allied health professionals, Health services, Home health, Hospitals and clinics, Medicare, Nurses and nurse practitioners, Post-acute care
  • Psychiatric Bed Closures in Rural Hospitals: An Assessment of Trends, Impact, and Policy Strategies
    This study will examine trends in the closure of psychiatric beds by rural hospitals using the Substance Abuse and Mental Health Services Administration Treatment Services Locator; the American Hospital Association Annual Survey of Hospitals (2010-2017); and the Area Health Resources File.
    Research center: Maine Rural Health Research Center
    Topics: Healthcare access, Hospitals and clinics, Mental and behavioral health
  • Quality Measures for Skilled Nursing Care in Rural Swing Beds: What Works and What Doesn't?
    This project will provide a systematic review of skilled nursing facility quality measures and how these measures apply to skilled nursing facility-level care provided in rural swing beds in both critical access hospitals and prospective payment system hospitals.
    Research center: Southwest Rural Health Research Center
    Topics: Hospitals and clinics, Long-term care, Medicare Prospective Payment System (PPS)
  • Rural Hospital Closure and Effect on Local Economies
    Several research projects have analyzed the health effects of rural hospital closures. However, highly cited evidence on the economic effects of rural hospital closures is more than a decade old. The purpose of this study is to quantify the economic impact rural hospital closures have on communities.
    Research center: North Carolina Rural Health Research and Policy Analysis Center
    Topics: Health disparities and health equity, Health reform, Healthcare access, Healthcare financing, Hospitals and clinics, Medicare
  • Safe Obstetric Care Access for All Rural Residents: Minimum Standards for Clinical, Workforce, and Financial Viability of Rural Obstetric Units
    The goal of this project is to analyze data from rural hospitals to understand the criteria by which hospitals and communities assess their need and capacity for obstetric care access in rural counties and to describe effective ways to operationalize minimum standards for clinical safety and financial viability for rural obstetric units.
    Research center: University of Minnesota Rural Health Research Center
    Topics: Critical Access Hospitals, Health disparities and health equity, Healthcare access, Hospitals and clinics, Maternal health, Women, Workforce
  • Serious Mental Illness and Access to Care Among Rural and Urban Adults
    Very little research has examined the prevalence of serious mental illness and access to mental health treatment among rural relative to urban adults in the U.S. Using nationally representative data, this project will shed new light on the prevalence and correlates of serious mental illness and related access to mental health services.
    Research center: Rural and Underserved Health Research Center
    Topics: Health disparities and health equity, Healthcare access, Hospitals and clinics, Mental and behavioral health, Substance use and treatment
  • Understanding Rural Health Clinic Services, Use, and Reimbursement
    This study describes the scope and intensity of services provided to Medicare beneficiaries by independent and provider-based Rural Health Clinics. It will also assess the adequacy of the Centers for Medicare & Medicaid Services' changes to the outpatient evaluation and management codes in 2021 compared to the 2021 per-visit reimbursement cap.
    Research center: Maine Rural Health Research Center
    Topics: Health services, Healthcare financing, Hospitals and clinics, Medicare, Rural Health Clinics (RHCs)
  • Understanding Rural Non-Emergent Emergency Department Use
    Research shows rural residents use emergency departments (ED) at higher rates than urban residents. Other studies suggest rural residents are more likely to visit the ED for a non-emergent reasons. This study uses the 2014-17 Medical Expenditure Panel Survey to analyze factors associated with rural versus urban residents' non-emergent use of EDs.
    Research center: Maine Rural Health Research Center
    Topics: Emergency medical services and trauma, Health services, Healthcare access, Hospitals and clinics