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Critical Access Hospitals: Protecting an Essential Community Resource - PowerPoint PPT Presentation


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Critical Access Hospitals: Protecting an Essential Community Resource. Critical Access Hospital Overview. Legislative History. Federal law: 1997 State law: 2001 Goal: Assure essential health care services in rural areas Must meet certain criteria, including:

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Presentation Transcript
legislative history
Legislative History
  • Federal law: 1997
  • State law: 2001
  • Goal: Assure essential health care services in rural areas
  • Must meet certain criteria, including:
    • No more than 25 inpatient beds
    • 24 hour emergency services
    • Defined distance from other hospitals (10-25+ miles)
    • Short stays (4 days or less)
washington characteristics
Washington Characteristics

38 Critical Access Hospitals

40% of hospitals in state

Serve over 60% of state area

The only health resource for miles

Often center of care network with primary care, long term care, emergency medicine

medicaid is a significant payer
Medicaid is a Significant Payer

Note: Wide range of Medicaid, from 2% – 43%

“Other”’ includes uninsured, underinsured, and people who do not pay for care

state cah spending as a percent of state medicaid budget
State CAH Spending as a Percent of State Medicaid Budget

Very Little of Total Medicaid Budget Spent on CAH

individual hospital margins before the cut
Individual Hospital Margins Before the Cut

Each bar represents an individual hospital

individual hospital margins after the cut
Individual Hospital Margins After the Cut

Each bar represents an individual hospital

impact on patients
Impact on Patients
  • Loss of local services
  • Increased travel time to care
  • Inability to travel for care increases risk of prolonged illness, disability, even death
loss of services
Loss of Services

Some CAHs will close—in a few cases, fast

Others will eliminate important services

Adversely impact access to care

In some communities, lives will be lost

effect on system
Effect on System
  • Compromises entire health care system
  • Increases costs by…
    • Delaying/avoiding care
    • Requiring long distance transports
    • Contributing to fragmentation of services
  • Not simply a “rural” problem
economic impact
Economic Impact

Largest/one of the largest employers in town;

Significant payroll; excellent family wage jobs

Vital for attracting and keeping businesses in the rural community

Layoffs and service closures will happen if the cut is enacted

Significant ripple effect

what we need
What We Need

Legislators to stand strongly against this cut

Oppose any budget that includes it