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"links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Jack and Powers", "parsedDate": "2009-06-01", "numChildren": 0 }, "data": { "key": "ZEWTX3HX", "version": 2, "itemType": "journalArticle", "title": "A review and synthesis of demand management, capacity management and performance in health-care services", "creators": [ { "creatorType": "author", "firstName": "Eric P.", "lastName": "Jack" }, { "creatorType": "author", "firstName": "Thomas L.", "lastName": "Powers" } ], "abstractNote": "Responses to demand uncertainty in the field of health-care services is a very timely research issue because of ongoing changes in demand patterns that are driven by demographics and recent changes in the delivery of these services. Despite its importance to researchers, the literature on demand management, capacity management and performance in health care has not been extensively reviewed. The present paper addresses this need by analyzing and synthesizing 463 articles published between 1986 and 2006. The key contributions of this work are the analysis and synthesis of research on demand management, capacity management and performance, along with an agenda to guide future research in this important area.", "publicationTitle": "International Journal of Management Reviews", "publisher": "", "place": "", "date": "June 1, 2009", "volume": "11", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "149-174", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1111/j.1468-2370.2008.00235.x", "citationKey": "", "url": "http://onlinelibrary.wiley.com/doi/10.1111/j.1468-2370.2008.00235.x/abstract", "accessDate": "2015-03-20T21:33:32Z", "PMID": "", "PMCID": "", "ISSN": "1468-2370", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "en", "libraryCatalog": "Wiley Online Library", "callNumber": "", "rights": "© 2008 The Authors. Journal compilation © 2008 Blackwell Publishing Ltd and British Academy of Management", "extra": "", "tags": [], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "GVDFZTA6", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/GVDFZTA6", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/GVDFZTA6", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Flint", "parsedDate": "2014-05-27", "numChildren": 0 }, "data": { "key": "GVDFZTA6", "version": 2, "itemType": "journalArticle", "title": "Who Loses When a State Declines the Medicaid Expansion?", "creators": [ { "creatorType": "author", "firstName": "Samuel S.", "lastName": "Flint" } ], "abstractNote": "", "publicationTitle": "Health & Social Work", "publisher": "", "place": "", "date": "2014-05-27", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "hlu012", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Health Social Work", "DOI": "10.1093/hsw/hlu012", "citationKey": "", "url": "http://hsw.oxfordjournals.org/content/early/2014/05/27/hsw.hlu012", "accessDate": "2015-01-26T20:22:12Z", "PMID": "", "PMCID": "", "ISSN": "0360-7283, 1545-6854", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "en", "libraryCatalog": "hsw.oxfordjournals.org", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "6HB5URMC", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/6HB5URMC", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/6HB5URMC", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Ederhof M and Chen LM", "parsedDate": "2014-01-01", "numChildren": 0 }, "data": { "key": "6HB5URMC", "version": 2, "itemType": "journalArticle", "title": "CRitical access hospitals and cost shifting", "creators": [ { "creatorType": "author", "name": "Ederhof M" }, { "creatorType": "author", "name": "Chen LM" } ], "abstractNote": "With more than 1300 acute care hospitals, the Critical Access Hospital (CAH) program is the largest Medicare program aimed at maintaining access to health care for rural Americans.1 However, there is debate about how best to support the financial viability of CAHs while limiting rising health care costs. Under Medicaid, almost 2 dozen states have adopted or are considering cost-based reimbursement for CAHs, while other states use alternative payment mechanisms.2 President Barack Obama’s 2014 budget proposal calls for a reduction in CAHs’ Medicare reimbursement from 101% to 100% of costs. Several states have criticized the proposed cuts,3 given the small margins of CAHs.4 In the context of ongoing discussion about CAH reimbursement, it is important to better understand how health care providers currently utilize funds from the CAH Programs.", "publicationTitle": "JAMA Internal Medicine", "publisher": "", "place": "", "date": "January 1, 2014", "volume": "174", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "143-144", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "JAMA Intern Med", "DOI": "10.1001/jamainternmed.2013.11901", "citationKey": "", "url": "http://dx.doi.org/10.1001/jamainternmed.2013.11901", "accessDate": "2015-01-26T20:09:59Z", "PMID": "", "PMCID": "", "ISSN": "2168-6106", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "Silverchair", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "8B9F5B2V", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/8B9F5B2V", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/8B9F5B2V", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Maizel and Garner", "parsedDate": "2014-12-15", "numChildren": 0 }, "data": { "key": "8B9F5B2V", "version": 2, "itemType": "report", "title": "The Poor Get Poorer: The Fate of California's Hospitals Under the Affordable Care Act", "creators": [ { "creatorType": "author", "firstName": "Samuel R.", "lastName": "Maizel" }, { "creatorType": "author", "firstName": "Craig B.", "lastName": "Garner" } ], "abstractNote": "Distressed hospitals in California operate on small or non-existent profit margins. For many of these hospitals, Medicare and Medicaid (Medi-Cal in California) are the largest payors. The Patient Protection and Affordable Care Act of 2010 (the “Affordable Care Act”) was designed in part to increase the number of insured nation-wide, the result of which logically should have been positive for California hospitals. Any cause for celebration, however, must first prevail over the cost containment provisions firmly entrenched in the Affordable Care Act, as these regulations created new concerns for California’s financially distressed hospitals. Included among the multitude of threatening provisions in the Affordable Care Act are: A complete recalibration of Medicare disproportionate share payments (“DSH”) to hospitals; A reduction in Medicare revenue up to 1.5% during Fiscal Year 2015 (and 2.0% by Fiscal Year 2017) for hospitals which perform poorly under the Hospital Value Based Purchasing (“VBP”) Program; and a penalty of as much as 3.0% for the hospitals which fail to meet the standards set forth in the Hospital Readmission Reduction Program (“RRP”).In addition to a penalty up to 2% for lapses in inpatient quality reporting and similar penalty relating to outpatient quality reporting, a 2% cut in Medicare due to sequestration as well as a penalty for those hospitals which fail to attest for “Meaningful Use”, collectively the potential for any hospital to lose more than 10% of its Medicare revenue creates daunting challenges, especially with those institutions in California already struggling financially not to mention lacking the resources to establish the necessary infrastructure to compete in this era of change.", "reportNumber": "ID 2538918", "reportType": "SSRN Scholarly Paper", "institution": "Social Science Research Network", "place": "Rochester, NY", "date": "2014/12/15", "seriesTitle": "", "seriesNumber": "", "pages": "", "DOI": "", "ISBN": "", "citationKey": "", "url": "http://papers.ssrn.com/abstract=2538918", "accessDate": "2015-01-23T21:11:32Z", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "The Poor Get Poorer", "language": "", "libraryCatalog": "papers.ssrn.com", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Craig B. Garner", "type": 1 }, { "tag": "SSRN", "type": 1 }, { "tag": "Samuel R. Maizel", "type": 1 }, { "tag": "The Poor Get Poorer: The Fate of California's Hospitals Under the Affordable Care Act", "type": 1 } ], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "Q9MAS8R4", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/Q9MAS8R4", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/Q9MAS8R4", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Nesbitt et al.", "parsedDate": "2005", "numChildren": 0 }, "data": { "key": "Q9MAS8R4", "version": 2, "itemType": "journalArticle", "title": "Perceptions of Local Health Care Quality in 7 Rural Communities with Telemedicine", "creators": [ { "creatorType": "author", "firstName": "Thomas S.", "lastName": "Nesbitt" }, { "creatorType": "author", "firstName": "James P.", "lastName": "Marcin" }, { "creatorType": "author", "firstName": "Martha M.", "lastName": "Daschbach;" }, { "creatorType": "author", "firstName": "Stacey L.", "lastName": "Cole" } ], "abstractNote": "ABSTRACT: Context: Rural health services are difficult to maintain because of low patient volumes, limited numbers of providers, and unfavorable economies of scale. Rural patients may perceive poor quality in local health care, directly impacting the sustainability of local health care services. Purpose: This study examines perceptions of local health care quality in 7 rural, underserved communities where telemedicine was implemented. This study also assesses factors associated with travel outside of local communities for health care services. Methods: Community-based pretelemedicine and posttelemedicine random telephone surveys were conducted in 7 northern California rural communities assessing local residents' perceptions of health care quality and the frequency of travel outside their community for health care services. Five-hundred rural residents were interviewed in each of the pretelemedicine and posttelemedicine surveys. Between surveys, telemedicine services were made available in each of the communities. Findings: Residents aware of telemedicine services in their community had a significantly higher opinion of local health care quality (P =.002). Satisfaction with telemedicine was rated high by both rural providers and patients. Residents with lower opinions of local health care quality were more likely to have traveled out of their community for medical care services (P =.014). Conclusions: The introduction of telemedicine into rural communities is associated with increases in the local communities' perception of local health care quality. Therefore, is it possible that telemedicine may result in a decrease in the desire and need for local patients to travel outside of their community for health care services.", "publicationTitle": "The Journal of Rural Health", "publisher": "", "place": "", "date": "2005", "volume": "21", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "79-85", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1111/j.1748-0361.2005.tb00066.x", "citationKey": "", "url": "http://onlinelibrary.wiley.com/doi/10.1111/j.1748-0361.2005.tb00066.x/abstract", "accessDate": "2015-01-21T19:40:34Z", "PMID": "", "PMCID": "", "ISSN": "1748-0361", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "en", "libraryCatalog": "Wiley Online Library", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "IG9ZRSTF", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/IG9ZRSTF", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/IG9ZRSTF", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Jha et al.", "parsedDate": "2009-05-01", "numChildren": 1 }, "data": { "key": "IG9ZRSTF", "version": 2, "itemType": "journalArticle", "title": "Measuring Efficiency: The Association Of Hospital Costs And Quality Of Care", "creators": [ { "creatorType": "author", "firstName": "Ashish K.", "lastName": "Jha" }, { "creatorType": "author", "firstName": "E. John", "lastName": "Orav" }, { "creatorType": "author", "firstName": "Allen", "lastName": "Dobson" }, { "creatorType": "author", "firstName": "Robert A.", "lastName": "Book" }, { "creatorType": "author", "firstName": "Arnold M.", "lastName": "Epstein" } ], "abstractNote": "Providers with lower costs may be more efficient and, therefore, provide better care than those with higher costs. However, the relationship between risk-adjusted costs (often described as efficiency) and quality is not well understood. We examined the relationship between hospitals’ risk-adjusted costs and their structural characteristics, nursing levels, quality of care, and outcomes. U.S. hospitals with low risk-adjusted costs were more likely to be for-profit, treat more Medicare patients, and employ fewer nurses. They provided modestly worse care for acute myocardial infarction and congestive heart failure but had comparable rates of risk-adjusted mortality. We found no evidence that low-cost providers provide better care.", "publicationTitle": "Health Affairs", "publisher": "", "place": "", "date": "05/01/2009", "volume": "28", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "897-906", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Health Aff", "DOI": "10.1377/hlthaff.28.3.897", "citationKey": "", "url": "http://content.healthaffairs.org/content/28/3/897", "accessDate": "2015-01-21T19:16:59Z", "PMID": "", "PMCID": "", "ISSN": "0278-2715, 1544-5208", "archive": "", "archiveLocation": "", "shortTitle": "Measuring Efficiency", "language": "en", "libraryCatalog": "content.healthaffairs.org", "callNumber": "", "rights": "", "extra": "PMID: 19414903", "tags": [], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "VH5EVHV9", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/VH5EVHV9", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/VH5EVHV9", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Landon BE et al.", "parsedDate": "2006-12-11", "numChildren": 0 }, "data": { "key": "VH5EVHV9", "version": 2, "itemType": "journalArticle", "title": "QUality of care for the treatment of acute medical conditions in us hospitals", "creators": [ { "creatorType": "author", "name": "Landon BE" }, { "creatorType": "author", "name": "Normand ST" }, { "creatorType": "author", "name": "Lessler A" }, { "creatorType": "author", "name": "et al" } ], "abstractNote": "Background \nThe Joint Commission on Accreditation of Healthcare Organizations and the Centers for Medicare and Medicaid Services recently began reporting on quality of care for acute myocardial infarction, congestive heart failure, and pneumonia.Methods\nWe linked performance data submitted for the first half of 2004 to American Hospital Association data on hospital characteristics. We created composite scales for each disease and used factor analysis to identify 2 additional composites based on underlying domains of quality. We estimated logistic regression models to examine the relationship between hospital characteristics and quality.Results\nOverall, 75.9% of patients hospitalized with these conditions received recommended care. The mean composite scores and their associated interquartile ranges were 0.85 (0.81-0.95), 0.64 (0.52-0.78), and 0.88 (0.80-0.97) for acute myocardial infarction, congestive heart failure, and pneumonia, respectively. After adjustment, for-profit hospitals consistently underperformed not-for-profit hospitals for each condition, with odds ratios (ORs) ranging from 0.79 (95% confidence interval [CI], 0.78-0.80) for the congestive heart failure composite measure to 0.90 (95% CI, 0.89-0.91) for the pneumonia composite. Major teaching hospitals had better performance on the treatment and diagnosis composite (OR, 1.37; 95% CI, 1.34-1.39) but worse performance on the counseling and prevention composite (OR, 0.83; 95% CI, 0.82-0.84). Hospitals with more technology available, higher registered nurse staffing, and federal/military designation had higher performance.Conclusions\nPatients are more likely to receive high-quality care in not-for-profit hospitals and in hospitals with high registered nurse staffing ratios and more investment in technology. Because payments and sources of payments affect some of these factors (eg, investments in technology and staffing ratios), policy makers should evaluate the effect of alternative payment approaches on quality.", "publicationTitle": "Archives of Internal Medicine", "publisher": "", "place": "", "date": "December 11, 2006", "volume": "166", "issue": "22", "section": "", "partNumber": "", "partTitle": "", "pages": "2511-2517", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Arch Intern Med", "DOI": "10.1001/archinte.166.22.2511", "citationKey": "", "url": "http://dx.doi.org/10.1001/archinte.166.22.2511", "accessDate": "2015-01-21T19:08:53Z", "PMID": "", "PMCID": "", "ISSN": "0003-9926", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "Silverchair", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "2P7C3RMH", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/2P7C3RMH", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/2P7C3RMH", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Holleman", "parsedDate": "2014-03-23", "numChildren": 0 }, "data": { "key": "2P7C3RMH", "version": 2, "itemType": "webpage", "title": "Rural SC hospitals explore avenues for help", "creators": [ { "creatorType": "author", "firstName": "Joey", "lastName": "Holleman" } ], "abstractNote": "", "websiteTitle": "The State", "websiteType": "", "date": "March 23, 2014", "publisher": "", "place": "", "DOI": "", "citationKey": "", "url": "http://www.thestate.com/2014/03/23/3344126_rural-sc-hospitals-explore-avenues.html?rh=1", "accessDate": "2014-10-10", "shortTitle": "", "language": "", "rights": "", "extra": "", "tags": [], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "PHMTBTUN", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/PHMTBTUN", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/PHMTBTUN", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Lofton", "parsedDate": "2008-10-27", "numChildren": 0 }, "data": { "key": "PHMTBTUN", "version": 2, "itemType": "journalArticle", "title": "Rural healthcare challenges abound in communities around Mississippi", "creators": [ { "creatorType": "author", "firstName": "Lynn", "lastName": "Lofton" } ], "abstractNote": "", "publicationTitle": "Missisisippi Business Journal", "publisher": "", "place": "", "date": "October 27, 2008", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "", "citationKey": "", "url": "", "accessDate": "2014-10-21", "PMID": "", "PMCID": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "LexisNexis", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "THEGS4VJ", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/THEGS4VJ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/THEGS4VJ", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Northway", "parsedDate": "2009-09-21", "numChildren": 0 }, "data": { "key": "THEGS4VJ", "version": 2, "itemType": "newspaperArticle", "title": "Study finds that reforms could bring crushing demand for healthcare in Mississippi", "creators": [ { "creatorType": "author", "firstName": "Wally", "lastName": "Northway" } ], "abstractNote": "", "publicationTitle": "Mississippi Business Journal", "publisher": "", "place": "", "date": "September 21, 2009", "volume": "", "issue": "", "edition": "", "section": "", "pages": "", "ISSN": "", "DOI": "", "citationKey": "", "url": "http://www.lexisnexis.com/hottopics/lnacademic/?#_ga=1.82781268.370255789.1412020167", "accessDate": "2007-10-10", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "LexisNexis", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "I7UGS7AW", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/I7UGS7AW", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/I7UGS7AW", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Ettner and Hermann", "parsedDate": "2001-01", "numChildren": 0 }, "data": { "key": "I7UGS7AW", "version": 2, "itemType": "journalArticle", "title": "The role of profit status under imperfect information: evidence from the treatment patterns of elderly Medicare beneficiaries hospitalized for psychiatric diagnoses", "creators": [ { "creatorType": "author", "firstName": "Susan L.", "lastName": "Ettner" }, { "creatorType": "author", "firstName": "Richard C.", "lastName": "Hermann" } ], "abstractNote": "Medicare claims for elderly admitted for psychiatric care were used to estimate the impact of hospital profit status on costs, length of stay (LOS), and rehospitalizations. No evidence was found that not-for-profits (NFPs) treated sicker patients or had fewer rehospitalizations. For-profits (FPs) actually treated poorer patients. Longer LOS and lower daily costs of NFPs were attributable to their other characteristics, e.g. medical school affiliation. Instrumental variables (IV) estimates suggested that NFP general hospitals actually have lower adjusted costs. These findings fail to support concerns that FP growth leads to declining access and quality or contentions that NFPs are less efficient.", "publicationTitle": "Journal of Health Economics", "publisher": "", "place": "", "date": "January 2001", "volume": "20", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "23-49", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Journal of Health Economics", "DOI": "10.1016/S0167-6296(00)00068-0", "citationKey": "", "url": "http://www.sciencedirect.com/science/article/pii/S0167629600000680", "accessDate": "2015-03-20T21:31:30Z", "PMID": "", "PMCID": "", "ISSN": "0167-6296", "archive": "", "archiveLocation": "", "shortTitle": "The role of profit status under imperfect information", "language": "", "libraryCatalog": "ScienceDirect", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "Medicare beneficiaries", "type": 1 }, { "tag": "Profit status", "type": 1 }, { "tag": "Psychiatric diagnoses", "type": 1 }, { "tag": "Psychiatric disorder", "type": 1 } ], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "UENFGNJB", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/UENFGNJB", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/UENFGNJB", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "parsedDate": "2014-06-17", "numChildren": 0 }, "data": { "key": "UENFGNJB", "version": 2, "itemType": "journalArticle", "title": "Federal Register", "creators": [], "abstractNote": "The article presents federal regulatory documents for various government agencies in the U.S. which include the Department of Transportation, Department of Homeland Security, and Environmental Protection Agency. It also mentions proposed rules regarding these agencies, and invites public to give their opinions on them.", "publicationTitle": "Federal Register", "publisher": "", "place": "", "date": "June 17, 2014", "volume": "79", "issue": "116", "section": "", "partNumber": "", "partTitle": "", "pages": "34403-34620", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Federal Register", "DOI": "", "citationKey": "", "url": "https://login.proxy.library.msstate.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=96680059&site=ehost-live", "accessDate": "2014-10-27T21:09:15Z", "PMID": "", "PMCID": "", "ISSN": "00976326", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "EBSCOhost", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "FEDERAL government", "type": 1 }, { "tag": "FEDERAL regulation", "type": 1 }, { "tag": "UNITED States. Dept. of Homeland Security", "type": 1 }, { "tag": "UNITED States. Dept. of Transportation", "type": 1 }, { "tag": "UNITED States. Environmental Protection Agency", "type": 1 } ], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "ZKKJFPSA", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/ZKKJFPSA", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/ZKKJFPSA", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Li et al.", "parsedDate": "2009-02-01", "numChildren": 1 }, "data": { "key": "ZKKJFPSA", "version": 2, "itemType": "journalArticle", "title": "Converting to Critical Access Status: How Does it Affect Rural Hospitals' Financial Performance?", "creators": [ { "creatorType": "author", "firstName": "Pengxiang", "lastName": "Li" }, { "creatorType": "author", "firstName": "John E.", "lastName": "Schneider" }, { "creatorType": "author", "firstName": "Marcia M.", "lastName": "Ward" } ], "abstractNote": "To improve rural access to care, the Balanced Budget Act of 1997 allowed eligible rural hospitals to convert to critical access hospitals (CAHs), which changed their Medicare payment from a prospective payment system (PPS) to a cost-based system. The objective of this paper is to examine the effects of CAH conversion on rural hospital operating revenues, operating expenses, and operating margins using an eight-year panel of 89 rural hospitals in Iowa. Ad hoc hospital revenue, cost, and profit functions were estimated using panel data fixed-effects linear models. We found that rural hospital CAH conversion was associated with significant increases in hospital operating revenues, expenses, and margins.", "publicationTitle": "INQUIRY: The Journal of Health Care Organization, Provision, and Financing", "publisher": "", "place": "", "date": "2009-02-01", "volume": "46", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "46-57", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "INQUIRY", "DOI": "10.5034/inquiryjrnl_46.01.46", "citationKey": "", "url": "http://inq.sagepub.com/content/46/1/46", "accessDate": "2014-10-22T21:43:37Z", "PMID": "", "PMCID": "", "ISSN": "0046-9580,", "archive": "", "archiveLocation": "", "shortTitle": "Converting to Critical Access Status", "language": "en", "libraryCatalog": "inq.sagepub.com", "callNumber": "", "rights": "", "extra": "PMID: 19489483", "tags": [], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "AKE9KDQU", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/AKE9KDQU", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/AKE9KDQU", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Menon et al.", "parsedDate": "2014-05-28", "numChildren": 1 }, "data": { "key": "AKE9KDQU", "version": 2, "itemType": "journalArticle", "title": "Telemedicine as a Tool to Provide Family Conferences and Palliative Care Consultations in Critically Ill Patients at Rural Health Care Institutions: A Pilot Study", "creators": [ { "creatorType": "author", "firstName": "Prema R.", "lastName": "Menon" }, { "creatorType": "author", "firstName": "Renee D.", "lastName": "Stapleton" }, { "creatorType": "author", "firstName": "Ursula", "lastName": "McVeigh" }, { "creatorType": "author", "firstName": "Terry", "lastName": "Rabinowitz" } ], "abstractNote": "BACKGROUND: Many critically ill patients who transfer from rural hospitals to tertiary care centers (TCCs) have poor prognoses, and family members are unable to discuss patient prognosis and goals of care with TCC providers until after transfer.\nAIM: Our TCC conducted teleconferences prior to transfer to facilitate early family discussions.\nDESIGN/SETTING: We conducted a retrospective review of these telemedicine family conferences among critically ill patients requested for transfer which occurred from December 2008 to December 2009 at our TCC. Outcomes for each patient and detailed descriptions of the conference content were obtained. We also assessed limitations and attitudes and satisfaction with this intervention among clinicians.\nRESULTS: During the 12-month period, 12 telemedicine consultations were performed. Of these patients, 10 (83%) died in the 30 days following the request for transfer. After the telemedicine consultation, 8 (67%) patients were transferred to our TCC from their respective hospitals, while 4 (33%) patients continued care at their regional hospital and did not transfer. Of the patients who transferred to TCC, 7 (88% of those transferred) returned to their community after a stay at the TCC.\nCONCLUSION: This study demonstrates that palliative care consultations can be provided via telemedicine for critically ill patients and that adequate preparation and technical expertise are essential. Although this study is limited by the nature of the retrospective review, it is evident that more research is needed to further assess its applicability, utility, and acceptability.", "publicationTitle": "The American Journal of Hospice & Palliative Care", "publisher": "", "place": "", "date": "May 28, 2014", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Am J Hosp Palliat Care", "DOI": "10.1177/1049909114537110", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "1938-2715", "archive": "", "archiveLocation": "", "shortTitle": "Telemedicine as a Tool to Provide Family Conferences and Palliative Care Consultations in Critically Ill Patients at Rural Health Care Institutions", "language": "ENG", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 24871344", "tags": [], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "N8XKQ9FN", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/N8XKQ9FN", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/N8XKQ9FN", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Becker", "parsedDate": "2014-10-17", "numChildren": 1 }, "data": { "key": "N8XKQ9FN", "version": 2, "itemType": "journalArticle", "title": "Conducting Community Health Needs Assessments in Rural Communities Lessons Learned", "creators": [ { "creatorType": "author", "firstName": "Karin L.", "lastName": "Becker" } ], "abstractNote": "The Affordable Care Act of 2010 requires all nonprofit hospitals in the United States to conduct a Community Health Needs Assessment (CHNA) at least every 3 years. With this law in its infancy, the best practice to conduct an assessment that complies with the law is unknown. Research designs vary across states and agencies, and little is known about the reliability or representativeness of results. The rural community group model (RCGM) is a newly developed model designed for conducting assessments in rural communities. Key components of the model are disseminating surveys, conducting key informant interviews, facilitating focus groups, and integrating secondary data of county-level health behaviors and outcomes. It has been used to conduct CHNAs on more than half the critical access hospitals in North Dakota (58%). Given this large sample size, which used the same methodology, this article provides an evaluation of the model focusing on lessons learned and challenges encountered in the conduct of CHNAs. Particular strategies for assessment planners are warding off group think, monitoring against bias creep in data collection, and integrating multiple data sources to inform decision making. The model is recommended for replication in rural settings to provide meaningful feedback that allows a hospital to match long-term planning with community needs.", "publicationTitle": "Health Promotion Practice", "publisher": "", "place": "", "date": "2014-10-17", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "1524839914555887", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Health Promot Pract", "DOI": "10.1177/1524839914555887", "citationKey": "", "url": "http://hpp.sagepub.com/content/early/2014/10/15/1524839914555887", "accessDate": "2014-10-21T21:11:50Z", "PMID": "", "PMCID": "", "ISSN": "1524-8399, 1552-6372", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "en", "libraryCatalog": "hpp.sagepub.com", "callNumber": "", "rights": "", "extra": "PMID: 25326434", "tags": [ { "tag": "Affordable Care Act", "type": 1 }, { "tag": "community development", "type": 1 }, { "tag": "community health needs assessment", "type": 1 }, { "tag": "health education and promotion", "type": 1 }, { "tag": "rural health", "type": 1 } ], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } }, { "key": "SSRCJZEI", "version": 2, "library": { "type": "group", "id": 339290, "name": "rural hospitals", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/339290/items/SSRCJZEI", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_hospitals/items/SSRCJZEI", "type": "text/html" } }, "meta": { "createdByUser": { "id": 2112829, "username": "hkhandekar", "name": "", "links": { "alternate": { "href": "https://www.zotero.org/hkhandekar", "type": "text/html" } } }, "creatorSummary": "Reddy et al.", "parsedDate": "2008-07-01", "numChildren": 1 }, "data": { "key": "SSRCJZEI", "version": 2, "itemType": "journalArticle", "title": "Developing IT Infrastructure for Rural Hospitals: A Case Study of Benefits and Challenges of Hospital-to-Hospital Partnerships", "creators": [ { "creatorType": "author", "firstName": "Madhu C.", "lastName": "Reddy" }, { "creatorType": "author", "firstName": "Sandeep", "lastName": "Purao" }, { "creatorType": "author", "firstName": "Mary", "lastName": "Kelly" } ], "abstractNote": "This article presents a study identifying benefits and challenges of a novel hospital-to-hospital information technology (IT) outsourcing partnership (HHP). The partnership is an innovative response to the problem that many smaller, rural hospitals face: to modernize their IT infrastructure in spite of a severe shortage of resources. The investigators studied three rural hospitals that outsourced their IT infrastructure, through an HHP, to a larger, more technologically advanced hospital in the region. The study design was based on purposive sampling and interviews of senior managers from the four hospitals. The results highlight the HHP's benefits and challenges from both the rural hospitals' and vendor hospital's perspectives. The HHP was considered a success: a key outcome was that it has improved the rural hospitals' IT infrastructure at an affordable cost. The investigators discuss key elements for creating a successful HHP and offer preliminary answers to the question of what it takes for an HHP to be successful.", "publicationTitle": "Journal of the American Medical Informatics Association", "publisher": "", "place": "", "date": "07/01/2008", "volume": "15", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "554-558", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Am Med Inform Assoc", "DOI": "10.1197/jamia.M2676", "citationKey": "", "url": "http://jamia.bmj.com/content/15/4/554", "accessDate": "2014-10-21T20:45:46Z", "PMID": "", "PMCID": "", "ISSN": ", 1527-974X", "archive": "", "archiveLocation": "", "shortTitle": "Developing IT Infrastructure for Rural Hospitals", "language": "en", "libraryCatalog": "jamia.bmj.com", "callNumber": "", "rights": "", "extra": "PMID: 18436901", "tags": [], "collections": [ "D3466EGQ" ], "relations": {}, "dateAdded": "2015-03-25T20:23:00Z", "dateModified": "2015-03-25T20:23:00Z" } } ]