Abstract Purpose Since 2010, the rate of rural hospital closures has increased significantly. This study is a preliminary look at recent and formative step in research to understand causes impact on communities. Methods The 2009 financial performance market characteristics hospitals that closed from 2010 through 2014 were compared remained open during same period, stratified by critical access (CAHs) other (ORHs). Differences tested using Pearson's chi‐square (categorical variables) Wilcoxon...

Background Data Limited research has been conducted examining the effect of nurse staffing models on costs and patient outcomes. Objective The objective this study was to evaluate different outcomes falls, medication errors, wound infections, urinary tract infections. Methods A descriptive correlational in all 19 teaching hospitals Ontario, Canada. sample comprised adult medical, surgical, obstetric inpatients within those hospitals. Results lower proportion professional nursing staff...

CANADA DOES NOT HAVE INTEGRATED HEALTHCARE.Canada has a series of disconnected parts, hodge-podge patchwork, healthcare industry comprising hospitals, doctors' offices, group practices, community agencies, private sector organizations, public health departments and so on.Each Canadian province is experimenting with different types organizational structures processes the intent improving coordination services, facilitating better collaboration among providers providing to population.However,...

Annual rates of rural hospital closure have been increasing since 2010, and hospitals that close poor financial performance relative to those remain open. This study develops validates a latent index distress forecast the probability within 2 years for hospitals.Hospital community characteristics are used predict risk in future. Financial data were drawn 2,466 from 2000 through 2013. We tested validated model predicting (FDI), measured by unprofitability, equity decline, insolvency, closure....

During the COVID-19 epidemic, it is critical to understand how need for hospital care in rural areas aligns with capacity across states.We analyzed data from 2018 Behavioral Risk Factor Surveillance System estimate number of adults who have an elevated risk serious illness if they are infected coronavirus metropolitan, micropolitan, and each state. Study included 430,949 survey responses representing over 255.2 million noninstitutionalized US adults. For on beds, aggregate were linked 2017...

Little research has been conducted that examined the intended effects of nursing care on clinical outcomes.The objective this study was to evaluate impact different nurse staffing models patient outcomes functional status, pain control, and satisfaction with care.A repeated-measures in all 19 teaching hospitals Ontario, Canada.The sample comprised adult medical-surgical obstetric inpatients within those hospitals.The patient's health were assessed Functional Independence Measure (FIM)...

To determine whether, following implementation of California's minimum nurse staffing legislation, changes in acuity-adjusted and quality care California hospitals outpaced similar comparison states without such regulations.Data from the American Hospital Association Annual Survey Hospitals, Office Statewide Health Planning Development, Cost Report Information System, Agency for Healthcare Research Quality's Care Utilization Project's State Inpatient Databases 2000 to 2006.We grouped into...

Rural hospitals differ from urban in many ways. For example, rural are more reliant on public payers and have lower operating margins. In addition, enrollment the health insurance Marketplaces of Affordable Care Act (ACA) has varied across areas. This study employed a difference-in-differences approach to evaluate average effect Medicaid expansion 2014 payer mix profitability for hospitals, controlling secular trends. both types we found that was associated with increases Medicaid-covered...

Managing a health care organization on the basis of one set information alone (e.g., financial information) does not give full view impact changes organization. A balanced scorecard approach can provide management with comprehensive framework that turns an organization's strategic objectives into coherent performance measures. This has been used extensively in industry, but seldom organizations. By developing approach, these organizations could obtain feedback providing organizational...

ABSTRACT: Context: There is a growing recognition of the need to measure and report hospital financial performance. However, there exists little comparative indicator data specifically for critical access hospitals (CAHs). CAHs differ from other on number dimensions that might affect appropriate indicators performance, including differences in Medicare reimbursement, limits bed size average length stay, relaxed staffing rules. Purpose: To develop designed using cost data. Methods: A...

This study aims to establish a sociodemographic and personality profile of Canadians who donate internationally, fills the gap in literature with regard individual-level determinants international giving, compares these those domestic donors. Women, volunteers, individuals non-Canadian origin, higher income, education, level religiosity, political awareness participation, frequency extended family participation were more likely contribute internationally. Higher education religiosity seem...

To compare the financial performance of rural hospitals with Medicare payment provisions to those paid under prospective and estimate consequences elimination Critical Access Hospital (CAH) program.Financial data for 2004-2010 were collected from Healthcare Cost Reporting Information System (HCRIS) hospitals. HCRIS used calculate measures profitability, liquidity, capital structure, strength Linear mixed models accounted method reimbursement, time trends, hospital, market characteristics....

From January 2005 through December 2015, 105 rural hospitals closed. This study examined associations between community characteristics and hospital closure. Compared with other that were at high risk of financial distress but remained open over the same time period, closed had a smaller market share (p < .0001) despite being in areas higher population density .05), located nearer to another .0001), markets rate unemployment .05) percentage Black Hispanic .01) residents. These results have...

Abstract Purpose To provide a new approach for defining rural hospital markets. Methods First, we estimated models of choice. We defined hospitals in the choice set using nationwide data from Healthcare Cost Report Information System (HCRIS). modeled conditional logit regression and 2019 Medicare Fee‐for‐Service (FFS) claims Centers &amp; Medicaid Services (CMS) Virtual Research Data Center. Next, calculated inpatient emergency department utilization by patient ZIP code. then total FFS...

Abstract Purpose Rural hospital closures since 2005 reached 194 this year, raising concerns for rural health care access. Little is known about the effects of facility on local long‐term sector. This analysis models relationship between closure and nursing homes in same county. We explore home‐level outcomes related to utilization resident health. Methods Centers Medicare &amp; Medicaid Services Healthcare Cost Report Information System, LTCFocus, NC Health Research Program datasets are used...

The objective of this study is to determine whether key hospital-level financial and market characteristics are associated with rural hospitals merge. Hospital merger status was derived from proprietary Irving Levin Associates data for 2005 through 2016 HCRIS, CMS Impact File Inpatient Prospective Payment System, MSA file, AHRF, U.S. Census 2004 2016. A discrete-time hazard analysis using generalized estimating equations used factors were merging between Factors included measures...

Between January 2005 and July 2020, 171 rural hospitals closed across the United States. Little is known about extent that other providers step in to fill potential reduction access from a hospital closure. The objective of this analysis evaluate trends Federally Qualified Health Centers (FQHCs) Rural Clinics (RHCs) areas prior following closure.We used publicly available data for Medicare Medicaid Provider Services files, Cecil G. Sheps Center closures list, Small Area Income Poverty...