Julie A. Schoenman, PhD
Phone: 202.296.4426
Fax: 202.296.4319
Email: jschoenman@nihcm.org
National Institutes for Health Care Management
1225 19th St. NW, Suite 710
Washington, DC 20036-2454
- Completed Projects - (5)
- Publications - (11)
Completed Projects - (5)
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Impact of CAH Conversion on Hospital Costs and Mix of Services
This study examined Medicare Cost Report and claims data for hospitals before and after CAH conversion in order to better understand changes in hospital costs associated with CAH conversion, factors associated with any cost growth, and changes in the mix of services provided by the facility.
Research center: NORC Walsh Center for Rural Health Analysis
Topics: Critical Access Hospitals (CAHs), Health services, Healthcare financing
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Investments in Health Information Technology by Rural Hospitals
This study involved a national survey of rural hospitals conducted in late spring 2006 to gather data about readiness to adopt health IT, current use of different technologies, perceptions about the benefits and barriers to health IT adoption, future implementation plans, use of Federal programs designed to facilitate IT adoption, and interest in various health IT policy options.
Research center: NORC Walsh Center for Rural Health Analysis
Topics: Health information technology, Hospitals and clinics
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Medicare Payment for Post-Acute Care Transfers
Research center: NORC Walsh Center for Rural Health Analysis
Topics: Healthcare financing, Hospitals and clinics, Post-acute care
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National Rural Hospital Flexibility Program Tracking Project: Emergency Medical Services
Research center: NORC Walsh Center for Rural Health Analysis
Topics: Critical Access Hospitals (CAHs), Emergency medical services (EMS) and trauma, Networking and collaboration, Rural Hospital Flexibility Program
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Roadmap for the Adoption of Health Information Technology in Rural Communities
This project developed a resource document intended to help rural health care providers of all types as they think about whether an investment in health information technology makes sense for them and work through various implementation issues. The document was distributed at the September 2006 conference entitled "Health Information Technology: A Rural Provider's Roadmap to Quality," sponsored by ORHP.
Research center: NORC Walsh Center for Rural Health Analysis
Topics: Health information technology, Health services
Publications - (11)
2008
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Impact of CAH Conversion on Hospital Finances and Mix of Inpatient Services (Final Report)
NORC Walsh Center for Rural Health Analysis
Date: 08/2008
This study examined Medicare Cost Report and claims data for hospitals before and after critical access hospital (CAH) conversion in order to better understand changes in hospital costs associated with CAH conversion, factors associated with any cost growth, and changes in the mix of services provided by the facility.
2007
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Small, Stand-Alone, and Struggling: The Adoption of Health Information Technology by Rural Hospitals
Policy Brief
NORC Walsh Center for Rural Health Analysis
Date: 04/2007
This policy brief reports findings from a national survey of rural hospitals designed to investigate how differences among the hospitals affect their implementation of health information technology. -
Small, Stand-Alone, and Struggling: The Adoption of Health Information Technology by Rural Hospitals (Working Paper)
NORC Walsh Center for Rural Health Analysis
Date: 02/2007
This paper reports the full findings from a national survey of rural hospitals designed to investigate how differences among the hospitals affect their implementation of health information technology.
2006
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Roadmap for the Adoption of Health Information Technology in Rural Communities
NORC Walsh Center for Rural Health Analysis
Date: 08/2006
This report assists rural providers who are just beginning their investigations into using health information technology and its applicability to their organizations.
2005
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Revisions to Medicare's Disproportionate Share Payment Policy to Incorporate Bad Debt and Charity Care
NORC Walsh Center for Rural Health Analysis
Date: 09/2005
This report investigates the impact of possible changes to the Medicare disproportionate share payment policy, designed to incorporate information on the hospital's uncompensated care burden as well as to improve the payment formulae. -
Rural Implications of Medicare's Post-Acute-Care Transfer Payment Policy
Journal Article
NORC Walsh Center for Rural Health Analysis
Date: 2005
Examines how the initial policy change affected rural and urban hospitals and investigates the likely impact of the FY2004 expansion and other possible future expansions. The authors conclude that rural hospitals are not disproportionately harmed by the post-acute-care transfer policy.
2004
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Exploring the Impact of Medicare's Post-Acute Care Transfer Payment Policy on Rural Hospitals
NORC Walsh Center for Rural Health Analysis
Date: 07/2004
This policy analysis brief describes a change in Medicare post-acute transfer payment policy and its impact on rural and urban hospitals. It includes data on the financial impact and hospital discharge behavior before and after the change. -
Rural Implications of Medicare's Post-Acute Care Transfer Payment Policy
NORC Walsh Center for Rural Health Analysis
Date: 06/2004
This study examines the behavioral and financial impacts of the initial 10-DRG policy and projects the likely financial impact of extending the policy to cover additional DRGs or discharges to swing beds.
2002
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Federal Funding for Emergency Medical Services
NORC Walsh Center for Rural Health Analysis
Date: 07/2002
This report includes recent trend data from 1994 to the present on aggregate federal spending on emergency medical services (EMS) and funding targeted explicitly to rural areas. It also discusses the role various federal agencies have played and traces the history of federal legislation to support EMS programs. -
Capital Needs of Small Rural Hospitals
NORC Walsh Center for Rural Health Analysis
Date: 05/2002
This report examines the capital situation of rural hospitals with fewer than 50 beds to determine the total cost of bringing each facility into compliance with current laws, as well as the facilities' cost of borrowing and ability to borrow.
2000
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Potential Supply-Side Implications of the BBA Limits on Reimbursement to Provider-Based Rural Health Clinics
NORC Walsh Center for Rural Health Analysis
Date: 06/2000
This policy analysis brief examines whether provider-based (typically hospital operated) rural health clinics are likely to close due to the reimbursement cap introduced by the Balanced Budget Act of 1997.