Improving Rural Healthcare: Rural Emergency Hospital Designation at [HOSPITAL.NAME]
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Providing financial stability and maintaining crucial community services through the Rural Emergency Hospital designation. Learn how this designation supports rural hospitals facing financial challenges and ensures ongoing access to care for patients.
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Presentation Transcript
Adding the Rural Emergency Hospital Designation at [HOSPITAL NAME] Making Changes to Maintain Access to Care in [COMMUNITY NAME] INSERT HOSPITAL BRANDING
Rural Hospitals Are Struggling Throughout the Country 100 rural hospitals across the country have closed since 2005. Declining population, volume-based reimbursement models, increased staffing expenses and rising costs are just a few factors contributing to negative hospital margins. The COVID-19 pandemic exposed the financial fragility of rural hospitals when nonemergency procedures were postponed and revenue evaporated. HOSPITAL HOSPITAL - - INSERT YOUR EXAMPLES INSERT YOUR EXAMPLES
[Name] Hospital Financial Picture [Insert detail about local economy, economic impact and current financial challenges]
Congress Establishes Rural Emergency Hospital Designation Congress established the new Rural Emergency Hospital (REH) designation in December 2020 in Section 125 of the Consolidated Appropriations Act, 2021 (Public Law 116-260). The final rules from the Centers for Medicare & Medicaid Services requires hospitals to eliminate all inpatient beds in exchange for a 5% boost to Medicare outpatient reimbursement and an average facility fee payment of $3.2 million a year. Included is a provision allowing hospitals to bring inpatient beds back online at any point in the five years following addition of the REH designation if the change negatively impacts the hospital community. Public Act 265 of 2022 allows for REH licensure in Michigan.
REH Requirements Converted REH hospitals must always: Have a clinician on call. Staff their emergency departments 24 hours a day, year-round. Implement a quality assurance and performance improvement program (if not already in place). Have a per-patient average length of stay under 24 hours. Maintain an infection prevention program.
Why REH Makes Sense The new designation provides financial support needed to maintain crucial community services. The average facility fee payment of $3.2 million will provide needed consistent revenue not tied to the number of patients the hospital sees. Eliminating inpatient beds will have a minimal impact on access to care for our patients because our average inpatient daily census is [X]. Patients under observation will still be able to stay overnight. The designation allows our hospital to continue offering vital service lines frequented by most of our patients. Laboratory services which account for [XX%] of visits. Imaging and radiology services which account for [XX%] of visits. Outpatient surgeries which account for [XX%] of visits.
Why REH Makes Sense Becoming an REH means keeping close to home our doctors, outpatient surgeries, lab and imaging services and more. The changes will have no impact on the quality of patient care and allow our hospital to maintain the same level of skilled clinicians. Maintains existing relationships with partner hospitals that allow easy and quick patient transfers who need inpatient care. The average inpatient census at our hospital is [X] and the nearest inpatient hospital to us is [X] miles away. And in [XX%] of cases, we transfer inpatients to [XX] already. Therefore, this conversion will have a limited impact on the [XX,XXX] number of patients we treat every year who never need inpatient services.
Expected Timeline [DATE] Communication to [HOSPITAL] board. [DATE] Communication to staff. [DATE] Public announcement. [DATE] Transition begins. [DATE] Estimated transition completion.
