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Rural Health Clinic

Rural Health Clinic. Provider Based Licensure Ownership and Control Administration and Supervision Clinical Services Financial Integration Public Awareness Location. Rural Health Clinic. Provider Based Reimbursement Costs are reported on hospital’s cost report.

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Rural Health Clinic

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  1. Rural Health Clinic • Provider Based • Licensure • Ownership and Control • Administration and Supervision • Clinical Services • Financial Integration • Public Awareness • Location

  2. Rural Health Clinic • Provider Based Reimbursement • Costs are reported on hospital’s cost report. • Subject to same caps, unless the hospital is less than 50 beds. • Fiscal Intermediary • Provider based has same FI as parent. • Freestanding RHC will have a different fiscal intermediary.

  3. Swing Beds

  4. Swing Bed Program • A bed that can be used to provide either acute or skilled nursing facility (SNF) care, as needed.

  5. Swing Bed Program • The Swing Bed Program allows the physician to "swing" a patient’s level of care from "acute" to "skilled" rehab while the patient remains in the hospital. If the patient requires acute care again, he/she can be "swung" back to acute care.

  6. Who needs a swing bed? • When a patient reaches the point in recovery where acute care hospitalization is no longer necessary, but they are not physically able to go home, a Swing Bed is a positive interim step.

  7. Swing Bed Program • The program was developed in the 1970s to use excess hospital beds in rural areas to deliver long-term care for the frail and disabled. • Informally, it was known as “the swing-bed program.” • The swing-bed idea arose from a two sets of problems facing rural health care systems: • (1) hospitals were built on a scale that often resulted in their having more beds than patients to fill them, and • (2) frail elderly people who were disabled often needed to go to nursing homes far from where they lived.

  8. Swing Bed Program • A solution was to use empty hospital beds for patients needing long-term skilled nursing care. • In 1973 Medicare funded a three-year swing-bed experiment involving twenty-five hospitals in rural Utah. • The idea took hold and today, more than 60 percent of rural hospitals have swing-bed arrangements.

  9. Swing Bed Program • Skilled nursing services include injections, IV feedings, catheter placement, rehab services (PT, OT, ST) • Intermediate Nursing (Nursing Facility Level) • “Caring for the Walking Wounded” (Changing dressings) • Custodial • Administering single medications and assisting with activities of daily living (dressing, bathing etc.)

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