This sourcebook provides detailed descriptions of 32 rural quality improvement initiatives funded through the Small Health Care Provider Quality Improvement grant program during the 2016-2019 grant period. Initiatives focused on enhancing chronic disease management, increasing patient and caregiver engagement, improving quality of care, and better health outcomes. Read more here.
Small Area Health Insurance Estimates: 2018
This resource reports on health insurance coverage in the U.S. in 2018 and changes between 2017 and 2018, as well as changes between 2013 and 2018. It includes maps showing county-level uninsured rates. Read more here.
Additional links: Visualizations and Reference Maps
The Opioid Crisis and Community-level Spillovers onto Children’s Education
This article presents a study on the link between the opioid epidemic and children’s educational outcomes. It evaluates community-level resources for handling the opioid crisis and how that correlates with educational outcomes, specifically in rural and underserved areas. Read more here.
Identifying Measures and Data Elements for the HRSA Evidence-Based Tele-Emergency Network Grant Program
This research brief identifies the standardized set of measures used for data collection by the Evidence-Based Tele-Emergency Network Grant Program grantees. It explores ways in which emergency department-based telehealth services can be used in rural hospital emergency departments. Read more here.
Hospital Inpatient Stays Related to Opioid Use Disorder and Endocarditis, 2016
This statistical brief examines inpatient stays for adults 18 years and older related to opioid use disorder (OUD) and endocarditis, stays related to OUD but not endocarditis, and stays related to endocarditis but not OUD. It includes data by patient location for metropolitan, rural adjacent to metro, and rural remote areas. Read more here.
Geographic Variation in the 2018 Profitability of Urban and Rural Hospitals
This findings brief compares the profitability of Critical Access Hospitals, other rural hospitals, and urban hospitals in 2018 by census region, census division, and state. It examines the reasons for geographic variation in the profitability of urban and rural hospitals. Read more here.
Additional links: 2016‐18 Profitability of Urban and Rural Hospitals by Medicare Payment Classification, Rural Hospitals with Long‐Term Unprofitability, Understanding the Broader Context of Rural Hospitals and Profitability
CAH Medicaid Payer Mix in Expansion vs. Non-Expansion States
This policy brief examines the change in median Medicaid payer mix among Critical Access Hospitals between 2013 and 2018 and compares the change across states that adopted Medicaid expansion and those that did not. Read more here.
One-in-Four U.S. Rural Hospitals at High Financial Risk of Closing as Patients Leave Communities for Care
Apr 8, 2020 — This article summarizes an analysis conducted before the coronavirus outbreak, that found a quarter of rural hospitals are at high risk of closing due to financial challenges. It describes how the migration of patients to care options outside the community has contributed to the situation, includes advice for rural hospitals to partner with other regional health systems and their communities. Read more here.
RAND: Responding to Critical Care Surge Capacity
The RAND Corporation (Research ANd Development) included 61 rural hospitals in its survey of hospitals across the country about their capacity to respond to the Coronavirus pandemic. The report presents a range of strategies for creating capacity, including an online Critical Care Surge Response Tool that allows decision-makers at all levels — hospitals, health care systems, states, regions — to estimate current critical care capacity and rapidly explore strategies for increasing it. Read more here.
Confirmed COVID-19 Cases, Metropolitan and Nonmetropolitan Counties
The RUPRI Center for Rural Health Policy Analysis daily data brief on metropolitan and nonmetropolitan COVID-19 cases has been enhanced to provide additional information on cases, deaths, and rates. Also included is a new map showing counties with case rates exceeding 10 per 10,000 population and death rates exceeding 1 per 10,000 population.
