Hospitals that take part within the new Rural Emergency Hospital mannequin must meet standards of participation just like these for critical-access hospitals, the Centers for Medicare and Medicaid Services proposed Thursday.
Rural Emergency Hospitals would want to simply accept Medicare, have common lengths of keep of 24 hours or shorter, eliminate acute care inpatient services, have switch agreements with Level I or Level II trauma facilities and meet federal worker coaching and certification necessities, in line with a draft regulation. CMS expects the new model to maintain extra rural hospitals afloat, provided that many have low inpatient occupancy charges.
Starting subsequent yr, Rural Emergency Hospitals could be reimbursed 5% extra for outpatient care than full-service hospitals and obtain month-to-month facility funds. More particulars on the cost insurance policies and high quality necessities shall be included in upcoming laws, CMS stated.
The company asks for enter on sure proposed Rural Emergency Hospital requirements, together with whether or not they can present low-risk childbirth companies and associated outpatient surgical procedures. CMS additionally requests feedback on whether or not these services ought to have medical medical doctors or osteopaths, doctor assistants, nurse practitioners, or medical nurse specialists with coaching in emergency medication on name, CMS stated.
More than 180 rural hospitals have closed or stopped offering inpatient companies since 2005, in line with University of North Carolina knowledge. Many rural hospitals have cut back service lines to stay viable, limiting entry to care in some areas. About one-fourth of rural hospitals are weak to closure, Chartis Center for Rural Health analysis reveals.