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This mixed methods study explores the impact of state decisions to expand or not expand Medicaid on Critical Access Hospital (CAH) closures from 2010 to 2020. It investigates both quantitative data related to hospital closures in expansion versus non-expansion states and qualitative insights from key informants who were former leaders of closed CAHs. The study identifies county-level variables that may correlate with CAH closures, emphasizing the significant role of uninsured populations,...
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How to fill out critical access hospital closures

01
Review the critical access hospital's current operational status and financial situation.
02
Gather data on patient volume, revenue, and expenses.
03
Consult with stakeholders, including hospital management, staff, and community members.
04
Identify alternative healthcare options available in the area.
05
Prepare a detailed closure plan, including timelines and communication strategies.
06
Submit the closure proposal to relevant state and federal authorities for approval.
07
Communicate the closure decision to staff, patients, and the community.
08
Arrange for the transfer of patient care to other facilities.
09
Finalize the closure process and handle any remaining legal or financial responsibilities.

Who needs critical access hospital closures?

01
Government agencies that need to improve healthcare resource allocation.
02
Healthcare administrators who are managing operational inefficiencies.
03
Communities seeking to optimize local healthcare services.
04
Providers looking for alternatives to sustain quality care in underserved areas.
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Critical access hospital closures refer to the shutdown of healthcare facilities that are designated as critical access hospitals, which are essential in providing services to rural areas, typically with fewer than 25 inpatient beds.
Hospitals designated as critical access hospitals that are closing are required to file a closure report with the appropriate state and federal healthcare authorities.
To fill out critical access hospital closures, a facility must provide detailed information regarding the closure, including the reasons for closure, patient care information, and compliance with reporting regulations as specified by healthcare authorities.
The purpose of critical access hospital closures is to ensure that the closure process is documented and managed properly, to inform stakeholders, and to facilitate the transition of patients to other healthcare facilities.
Information that must be reported includes the hospital's name, location, reasons for closure, patient discharge plans, and any other relevant operational details that impact patient care.
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