RURAL HOSPITAL SUSTAINABILITY: MEETING THE CHALLENGES OF HEALTHCARE TRANSFORMATION AND STRATEGIES FOR EFFECTIVE IMPLEMENTATION: PERSPECTIVES OF RURAL HEALTHCARE LEADERS
Public Deposited- Creator
-
Brown, Chad Justin
- Affiliation: Gillings School of Global Public Health, Department of Health Policy and Management
- Abstract
- Our nation’s healthcare industry is at a crossroads, challenged by misaligned financial incentives, escalating costs, inadequate access, and outcomes far below other industrialized nations. While these issues are not new, acceleration for fundamental change – moving from volume to value – was brought to the forefront with the passage of the Affordable Care Act (ACA) of 2010. Value-based reimbursement models have experienced modest growth throughout the industry, but their impact on rural hospitals is tempered due to specific and unique vulnerabilities most often found in rural communities. This research explores the changing landscape of the American rural healthcare system and how rural hospitals have been impacted by the shift from volume to value. It highlights the unique challenges and vulnerabilities facing rural hospitals, along with specific strategies showing promise in meeting the goals of value-based reimbursement. This research used results from current literature and key informant interviews to identify challenges and best practices for rural hospitals transitioning to value-based reimbursement models. A series of key informant interviews was completed with national rural health policy experts as well as CEOs from top-performing rural hospitals. Several themes were identified as impacting a rural hospital’s journey towards value: Influence of hospital infrastructure and environmental factors Importance of the payor environment The importance of community engagement and population health strategies Lack of standardization in value based strategies Future outlook of rural models Results showed that rural value-based models have been slow to penetrate rural markets and hospitals. Several strategies are highlighted to promote the increased utilization of value-based models in rural hospitals and markets.
- Date of publication
- 2022
- Keyword
- DOI
- Resource type
- Rights statement
- In Copyright - Educational Use Permitted
- Advisor
- Pink, George
- Holmes, Mark
- Silberman, Pam
- Houlihan, Jennifer
- Reiter, Kristin
- Degree
- Doctor of Public Health
- Degree granting institution
- University of North Carolina at Chapel Hill Graduate School
- Graduation year
- 2022
- Language
Relations
- Parents:
This work has no parents.
Items
| Thumbnail | Title | Date Uploaded | Visibility | Actions |
|---|---|---|---|---|
|
|
Brown_unc_0153D_20747.pdf | 2022-05-26 | Public | Download |