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Hospitals and Facilities Publications

  • Virtual Workshop Seeks to Change the Rural Recruitment Mindset
    The Rural Recruitment Reimagined Workshop looks at what it takes to recruit and retain physicians in rural communities.
    Author(s): Kusler, S.
    Publication: Focus on Rural Health
    Date: September 2020
    Type: Article
  • North Dakota's Significant Rural Health Needs as Identified by Critical Access Hospital Community Health Needs Assessments
    Summarizes and shows results of the 2017-2019 health needs identified by rural communities in North Dakota through focus groups, key informant interviews, and community surveys.
    Project: Community Health Needs Assessment
    Author(s): Nissen, K., Larson, S.
    Date: June 2020
    Type: Fact Sheet
  • Celebrating Nurses and Hospitals During a Pandemic
    National Nurses Week and National Hospital Week were celebrated differently this year in North Dakota because of COVID-19.
    Author(s): Pierce, J.
    Publication: Focus on Rural Health
    Date: May 2020
    Type: Article
  • Rural Health Research RECAP: Healthcare Access and Status Among Rural Children
    More than half (56.6%) of all rural counties in the U.S. do not have a pediatrician, which can have a negative effect on the health status of rural children. This recap provides a summary of the research on pediatric health status, health outcomes, and access to care in rural areas.
    Project: Rural Health Research Gateway
    Author(s): Bauman, S., Schroeder, S.
    Date: August 2019
    Type: Fact Sheet
  • Rural Health Research RECAP: Poverty and Health Insurance Coverage Among Rural Children
    This recap examines pediatric insurance coverage, poverty rates, and Medicaid enrollment by race/ethnicity in rural and urban communities. It also presents a summary of the research on the impact of coverage on rural access to care.
    Project: Rural Health Research Gateway
    Author(s): Bauman, S., Schroeder, S.
    Date: August 2019
    Type: Fact Sheet
  • North Dakota Hospital Assessment: 2017 Flex Chartbook
    This chartbook presents the findings of the 2017 survey of hospitals in North Dakota.
    Projects: CAH Quality Network, Flex
    Author(s): Besse, R., Peterson, M., Dickson, L.
    Date: May 2019
    Type: Report
  • Rural Health Research RECAP: Rural Obstetric Services: Access, Workforce, and Impact
    This resource presents current hospital-based obstetric closure rates, characteristics of rural communities without and losing obstetric services, as well as the impact of limited access on maternal and child health.
    Project: Rural Health Research Gateway
    Author(s): Schroeder, S.
    Date: April 2019
    Type: Fact Sheet
  • Rural Health Research RECAP: State of Rural Women's Healthcare Utilization and Health Indicators
    Rural women face barriers to accessing preventive health screenings, mental health services, and maternal healthcare. This Recap provides a summary of the research one rural women's utilization of healthcare services, maternal substance use, and other health indicators.
    Project: Rural Health Research Gateway
    Author(s): Bauman, S. & Schroeder, S.
    Date: April 2019
    Type: Fact Sheet
  • Rural Health Research RECAP: Quality of Care in Rural Hospitals
    This recap looks at hospital quality-of-care measures and the difficulties of developing quality measures, especially for rural hospitals with low patient volumes.
    Project: Rural Health Research Gateway
    Author(s): Bauman, S., Schroeder, S.
    Date: January 2019
    Type: Fact Sheet
  • Fifth Biennial Report: Health Issues for the State of North Dakota, 2019
    Now in its fifth edition, the report is a detailed look at the status of health, healthcare delivery, and the healthcare workforce across the state. It is the most up-to-date and comprehensive analysis of these issues available anywhere, and is the result of a collaborative effort of the Center for Rural Health, the School, and the School's Advisory Council.
    Author(s): UND School of Medicine & Health Sciences
    Date: November 2018
    Type: Report
  • North Dakota Rural Health Innovation Tour
    National and regional rural health leaders tour innovative rural and tribal health systems around North Dakota.
    Author(s): Gibbens, B.
    Publication: Focus on Rural Health
    Date: September 2018
    Type: Article
  • Making General Surgery Available to All in Rural North Dakota
    North Dakota native and UND School of Medicine & Health Sciences grad Mary Aaland leads the Rural Surgery Support Program to help recruit and retain rural surgeons.
    Author(s): Haugen, B.
    Publication: Focus on Rural Health
    Date: March 2018
    Type: Article
  • Project ECHO: Changing North Dakota Fast
    Project ECHO is using video technology to address the opioid epidemic by connecting specialists at academic or specialty health center "hub sites" with community-based primary care teams.
    Project: Project ECHO
    Author(s): Kusler, S.
    Publication: Focus on Rural Health
    Date: March 2018
    Type: Article
  • Rural Health Research RECAP: Opioid Use and Treatment Availability
    Examines opioid use in rural communities as well as the perceived need for and use of treatment for opioid use disorder.
    Project: Rural Health Research Gateway
    Author(s): Schroeder, S.
    Date: January 2018
    Type: Fact Sheet
  • Rural Health Research RECAP: Effects of Rural Hospital Closures
    From January 2005 to early November 2017, 124 rural hospitals in the U.S. closed. This resource provides a summary of the Rural Health Research Centers' most recent research on the effects of rural hospital closures.
    Project: Rural Health Research Gateway
    Author(s): Tamukong, D., Schroeder, S.
    Date: December 2017
    Type: Fact Sheet
  • Rural Health Research RECAP: Rural Hospital Closures
    From January 2005 to early November 2017, 124 rural hospitals in the U.S. closed. This resource provides a summary of the Rural Health Research Centers' most recent research on rural hospital closures.
    Project: Rural Health Research Gateway
    Author(s): Tamukong, D., Schroeder, S.
    Date: December 2017
    Type: Fact Sheet
  • North Dakota Nursing Facility Workforce Survey Chartbook: 2016
    This chartbook provides an overview of workforce-related factors in nursing facilities across North Dakota.
    Author(s): Hart, G., Besse, R., Peterson, M.
    Date: September 2017
    Type: Report
  • Home is Where the Heart Is: Insights on the Coordination and Delivery of Home Health Services in Rural America
    Access to home health in rural areas is an important public policy concern, particularly with the growing number of older adults residing in rural America. This qualitative study seeks to better understand how home health services are provided in rural areas, and identifies facilitators and barriers to providing care.
    Project: Rural Health Reform Policy Research Center
    Author(s): Knudson, A., Anderson, B., Schueler, K., Arsen, E.
    Date: August 2017
    Type: Policy Brief
  • Rural and Urban Utilization of the Emergency Department for Mental Health and Substance Abuse
    Utilizes data from the Healthcare Cost and Utilization Project's (HCUP's) State Emergency Department Databases (SEDD) for seven states. Researchers explore, and describe in this brief, the use of the Emergency Department for mental health and substance abuse among Urban, Large Rural, Small Rural, and Isolated Small Rural residents.
    Project: Rural Health Reform Policy Research Center
    Author(s): Schroeder, S., Peterson, M.
    Date: June 2017
    Type: Policy Brief
  • Bringing Baby Home
    Debbi Bronson's 30-year nursing career has always been about caring for families. She works tirelessly to help new parents succeed through the Building Healthy Families program in Williston, North Dakota, which was recognized as the Outstanding Rural Health Program for 2016.
    Author(s): Massmann, N.
    Publication: Focus on Rural Health
    Date: March 2017
    Type: Article
  • North Dakota's Significant Health Needs as Identified by Community Health Needs Assessments
    Summarizes and shows results of health needs identified by rural and urban communities in North Dakota through focus groups and community surveys.
    Project: Community Health Needs Assessment
    Author(s): Gibbens, B.
    Date: January 2017
    Type: Fact Sheet
  • Fourth Biennial Report: Health Issues for the State of North Dakota, 2017
    Now in its fourth edition, the Report is a detailed look at the status of health, healthcare delivery, and the healthcare workforce across the state. It is the most up-to-date and comprehensive analysis of these issues available anywhere, and is the result of a collaborative effort of the Center for Rural Health, the School, and the School's Advisory Council.
    Author(s): UND School of Medicine & Health Sciences
    Date: December 2016
    Type: Report
  • From Volume To Value
    A shift in focus enables rural healthcare organizations in North Dakota to provide high-quality care.
    Author(s): Massmann, N.
    Publication: Focus on Rural Health
    Date: December 2016
    Type: Article
  • Community Showcases Introduce Future Physician Prospects to North Dakota Communities
    New physician recruitment events showcase rural North Dakota communities and healthcare facilities to the future healthcare workforce.
    Projects: Community Apgar Project, State Office of Rural Health
    Author(s): Kusler, S.
    Publication: Focus on Rural Health
    Date: July 2016
    Type: Article
  • Oral Healthcare in North Dakota Long Term Care Facilities
    Examines survey results of oral healthcare in long term care facilities throughout North Dakota.
    Author(s): Schroeder, S.
    Date: June 2016
    Type: Fact Sheet
  • Dakota Conference on Rural and Public Health Celebrates 30 Years
    Longtime statewide gathering of health professionals helps to improve the health of North Dakotans.
    Project: Dakota Conference on Rural and Public Health
    Author(s): Massmann, N.
    Publication: Focus on Rural Health
    Date: July 2015
    Type: Article
  • Intra Rural and Urban Primary Care Physician Findings: AAMC 2009 Physician Survey of Primary Care Chartbook
    This publication was produced for the U.S. Department of Health and Human Services, Health Resources and Services Administration, Office of Rural Health Policy by Gary Hart Associated under HRSA contract. The report utilizes primary care physician (PCP) survey data, collected by the Association of American Medical Colleges (AAMC) in 2009/2010 shortly before the Affordable Care Act was made law to preserve a baseline from which to compare future post Affordable Care Act implementation surveys.
    Author(s): Hart, G.
    Date: February 2015
    Type: Report
  • North Dakota Hospital Assessment: 2014 Chartbook
    This Chartbook presents the findings of the 2014 survey of hospitals in North Dakota. This resource does not provide analysis or discussion of the results, but instead, offers a graphic discourse on the current hospital environment in the state. Output includes aggregate data stratified by geographic region (Northwest, Northeast, Southeast, Southwest) and hospital type (CAH or tertiary).
    Projects: CAH Quality Network, Flex
    Author(s): Schroeder, S., Hart, G., Gibbens, B., Dickson, L., Peterson, M. & Ahmed, A.
    Date: December 2014
    Type: Report
  • Third Biennial Report: Health Issues for the State of North Dakota, 2015
    Now in its third edition, the Report is a detailed look at the status of health, healthcare delivery, and the healthcare workforce across the state. It is the most up-to-date and comprehensive analysis of these issues available anywhere, and is the result of a collaborative effort of the Center for Rural Health, the School, and the School's Advisory Council.
    Author(s): UND School of Medicine & Health Sciences
    Date: December 2014
    Type: Report
  • Around the World in Rural North Dakota
    Center for Rural Health staff members have driven enough miles to nearly travel around the earth at the equator – all without leaving North Dakota. They are conducting Community Health Needs Assessments to help focus rural health efforts on identified needs.
    Project: Community Health Needs Assessment
    Author(s): Massmann, N.
    Publication: Focus on Rural Health
    Date: June 2014
    Type: Article
  • Testimony to the North Dakota Healthcare Reform Review Committee
    Brad Gibbens provided an overview of the Community Health Needs Assessment requirement under the Affordable Care Act to the North Dakota Healthcare Reform Review Committee.
    Projects: Community Health Needs Assessment, State Office of Rural Health
    Author(s): Gibbens, B.
    Date: March 2014
    Type: Testimony
  • Second Biennial Report: Health Issues for the State of North Dakota, 2013
    Updates the first biennial report with an assessment of the current state of health of North Dakotans and their healthcare delivery system. Presents an analysis of the population demographic in North Dakota and discusses affordable healthcare costs now and in the future.
    Author(s): UND School of Medicine & Health Sciences
    Date: December 2013
    Type: Report
  • What is a Community Health Center?
    Non-profit community-driven clinics provide high-quality primary and preventive care to all individuals, with or without insurance and regardless of their ability to pay.
    Projects: Flex, State Office of Rural Health
    Author(s): Morin, K., Barclay, M.
    Publication: North Dakota Medicine, 38(3), 20-21
    Date: October 2013
    Type: Article
  • Emerging Health Trends in North Dakota: Community Health Needs Assessments Aggregate Data Report
    Full report showing results of the Community Health Needs Assessments conducted by the Center for Rural Health for Critical Access Hospitals in North Dakota.
    Project: Community Health Needs Assessment
    Author(s): Becker, K.
    Date: September 2013
    Type: Report
  • Adoption of Electronic Health Records in North Dakota
    Discusses electronic medical records in North Dakota, meaningful use, adoption of EHRs, and challenges.
    Author(s): Dickson, L.
    Date: February 2013
    Type: Fact Sheet
  • Environmental Scan of Health Information Technology (HIT) Adoption Amongst North Dakota Health Care Entities
    Assesses the level of adoption of electronic health records (EHR) and telehealth; and health information technology workforce in hospitals, independent rural clinics, community health centers, clinical laboratories, pharmacies, long term care, and local public health units and departments throughout North Dakota.
    Author(s): Dickson, L., Nissen, K., Wolf, S., Peterson, C., & Willis, N.
    Date: July 2012
    Type: Report
  • CAH Financial Conditions and Concerns
    Summarizes the current financial status of North Dakota CAHs. Part of a series of fact sheets on Critical Access Hospitals and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
    Project: Flex
    Author(s): Miller, M., & Gibbens, B.
    Date: March 2012
    Type: Fact Sheet
  • Critical Access Hospital Organizational Conditions
    Includes survey results from North Dakota Critical Access Hospitals (CAHs). Examines how certain environmental conditions shape the organization structure of CAHs, how they operate, and services they offer. Part of a series of fact sheets on CAHs and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
    Project: Flex
    Author(s): Miller, M., Gibbens, B.
    Date: March 2012
    Type: Fact Sheet
  • Effect of Outpatient Visits and Discharge Destination on Potentially Preventable Readmissions for Congestive Heart Failure and Bacterial Pneumonia
    Emphasizes the importance of receiving timely post-discharge outpatient care and appropriate discharge destination for reducing preventable hospital readmissions, especially but not exclusively among rural-based patients. Full report.
    Author(s): Klug, M., & Muus, K.
    Date: March 2012
    Type: Policy Brief
  • Hospital Networks
    Discusses hospital networks. Part of a series of fact sheets on Critical Access Hospitals and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
    Project: Flex
    Author(s): Miller, M., & Gibbens, B.
    Date: March 2012
    Type: Fact Sheet
  • North Dakota CAH Administrators' Attitudes Toward Issues Facing Rural Hospitals
    Discusses CAH administrators' attitudes to a variety of common issues or problems facing rural hospitals. Part of a series of fact sheets on Critical Access Hospitals and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
    Project: Flex
    Author(s): Miller, M., & Gibbens, B.
    Date: March 2012
    Type: Fact Sheet
  • North Dakota Rural Hospitals and Emergency Medical Services Collaboration
    Results of a survey amongst North Dakota's 36 CAHs and their relationship with local EMS providers. Part of a series of fact sheets on Critical Access Hospitals and the North Dakota Medicare Rural Hospital Flexibility (Flex) Program.
    Project: Flex
    Author(s): Miller, M., & Gibbens, B.
    Date: March 2012
    Type: Fact Sheet
  • North Dakota Critical Access Hospital Quality Network's Implementation and Use of the Healthcare SafetyZone® Portal: April 2010-March 2011
    Describes the program's purpose, the role of the CAH Quality Network in the implementation of the Portal and use of the data, and summarizes the project's goals while highlighting the program's year-end progress. Presents the output data derived from the thirteen CAHs participating in the Portal.
    Project: CAH Quality Network
    Author(s): Schroeder, S., Ward, J., & Miller, M.
    Date: June 2011
    Type: Report
  • Geographic Differences in Potentially Preventable Readmission Rates in Rural and Urban Hospitals
    Presents a study that estimated Potentially Preventable Hospital Readmissions (PPRs) in three types of acute care hospitals: urban prospective payment system (PPS) hospitals, rural PPS hospitals, and Critical Access Hospitals (CAHs).
    Author(s): Klug, M., Knudson, A., & Muus, K.
    Date: November 2010
    Type: Policy Brief
  • Effect of Post-Discharge Follow-Up Care on Re-Admissions Among U.S. Veterans with Congestive Heart Failure: A Rural-Urban Comparison
    This study examined socio-demographics of US veterans with CHF who had 30 day potentially preventable re-admissions and compare the effect of 30 day VA post-discharge service use on these re-admissions for rural- and urban-dwelling veterans.
    Author(s): Muus, K., Knudson, A., Klug, M., Gokun, J., Sarrazin, M., & Kaboli, P.
    Publication: Journal of Rural and Remote Health, 10(2)
    Date: June 2010
    Type: Journal Article
  • Potentially Preventable Readmissions in Rural Hospitals
    Examines potentially preventable readmission rates for rural and urban hospitals, and discusses the rural implications of policy initiatives to reduce readmission rates.
    Author(s): Klug, M., Muus, K., Casey, M., Moscovice, I.
    Date: August 2009
    Type: Policy Brief
  • An Environmental Scan of Health and Healthcare in North Dakota: Establishing the Baselines for Positive Health Transformation
    The Environmental Scan of Health and Healthcare in North Dakota was conducted from December 2008 to February 2009. This report provides an overview of selected health and healthcare issues in North Dakota.
    Author(s): Volkov, B., Gibbens, B., & Wakefield, M.
    Date: March 2009
    Type: Report
  • Small Rural Hospital Improvement Program's Impact on North Dakota
    Since the program began (2002) each of North Dakota's 33 eligible small rural hospitals has received an average of $9,000 each year. To date, the total impact to North Dakota is $1.6 million.
    Project: Small Rural Hospital Improvement Program
    Author(s): Miller, M.
    Date: 2009
    Type: Report
  • Connecting North Dakota for a Healthier Future
    Discusses North Dakota's progress in converting to electronic health records. Addresses barriers for completion and offers resolutions.
    Project: State Office of Rural Health
    Author(s): Dickson, L., Nissen, K., & Rodriguez, M.
    Date: December 2008
    Type: Report
  • 2008 North Dakota Flex Program and Critical Access Hospital State Rural Health Plan
    Assesses and identifies pressing current conditions of rural health services and systems, focusing on critical access hospitals (CAHs). These conditions are workforce, access, finance, health information technology, community and economic development, quality, emergency medical and trauma services, networking, and system reform. Report also recommends strategic approaches to address these topics of concern.
    Project: Flex
    Author(s): Miller, M., Gibbens, B., Lennon, C., & Wakefield, M.
    Date: November 2008
    Type: Report
  • 2008 North Dakota Flex Program and Critical Access Hospital State Rural Health Plan Summary
    Project: Flex
    Author(s): Miller, M., Gibbens, B., Lennon, C., & Wakefield, M.
    Date: November 2008
    Type: Report
  • North Dakota Critical Access Hospital and Flex Program: 2008 Survey Results
    Reports findings of a survey administered in February 2008 and compares data to that of 2005. Includes information on current operating status and network activity, anticipated changes over the next two years, and the prioritization of issues.
    Project: Flex
    Author(s): Miller, M.
    Date: July 2008
    Type: Report
  • North Dakota Health Information Technology (HIT) Fact Sheet
    Describes HIT, its uses within North Dakota and the role of the HIT Steering committee. The information in this fact sheet was collected from the North Dakota State HIT report, Connecting North Dakota for a Healthier Future, Dec. 2008.
    Project: State Office of Rural Health
    Author(s): Dickson, L.
    Date: January 2008
    Type: Report
  • Small Hospital Improvement Program Grant Report
    Project: Small Rural Hospital Improvement Program
    Author(s): Miller, M.
    Date: November 2007
    Type: Report
  • Rural Maternal and Infant Health
    A paper prepared for the March of Dimes, Jan 28, 2007.
    Author(s): Hart, G., & Lishner, D.
    Date: January 2007
    Type: Report
  • North Dakota Rural Hospital Quality Improvement Report
    Describes outcomes from a 2005 survey of North Dakota's rural hospitals. Reports on safety and quality improvement practices.
    Project: Flex
    Author(s): Miller, M., & Medalen, R.
    Date: June 2006
    Type: Report
  • Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety
    Assesses the capacity of rural hospitals to implement medication safety practices. Found that many small rural hospitals have limited hours of on site pharmacist coverage.
    Author(s): Casey, M., Moscovice, I., & Davidson, G.
    Date: December 2005
    Type: Report