Which hospitals are considered rural?
Rural is defined as: all geographic areas 10 or more miles from the centroid of a population center of 40,000 or more. For a complete definition, visit What is Rural?
A Rural Hospital is characterized by one of the following:
- Type A Rural Hospitals : Small remote hospital that has 50 or fewer beds and is more than 30 miles from another acute inpatient care facility.
- Type B Rural Hospitals : Small and rural hospital that has 50 or fewer beds and is 30 miles or less from another acute inpatient care facility.
- Type C Rural Hospitals : Rural hospital which has more than 50 beds, but is not a referral center.
- Rural Referral Hospital : a rural referral center
Hospital Call Coverage Summary
Oregon Rural Hospitals: | Directory
Oregon Critical Access Hospitals (CAH) : Map | Directory
Small Rural Hospital Improvement Grant Program (SHIP) Hospitals: Map | Directory
Oregon Health Authority Office of Equity: Registry of Certified Healthcare Interpreters
Rural Hospitals Recent News
- 03/10/2017 FAQs Sheet Released by CMS Regarding Medicare Outpatient Observation Notice (MOON)
- 11/17/2016 Resources to Support CAH Emergency Preparedness Regulation
- 11/02/2016 OR GME Consortium seeks RFP for Primary Care Residency Program Planning Grants
- 04/27/2016 Medicare Quality Reporting Programs Modules Now Available on YouTube
- 03/31/2016 Reducing Potentially-Preventable Readmissions in CAHs
- View all news
Hospital Grant Programs Administered by ORH
Small Rural Hospital Improvement (SHIP)
The Office of Rural Health Policy's (ORHP) Small Rural Hospital Improvement (SHIP) grant program provides funding to small rural hospitals to help them do the following:
- Quality Improvement including Medicare Beneficiary Quality Improvement Project (MBQIP) implementation and reporting for CAHs.
- Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
- International Statistical Classification of Diseases and Related Health Problems (ICD-10) activities
To be eligible for these grants, a hospital (defined as a non-federal, short-term, general acute care facility) must be:
- Small: 49 beds or less, as reported on the hospital's most recently filed Medicare Cost Report
- Rural: Located outside a Metropolitan Statistical Area (MSA); or located in a rural census tract of a MSA as determined under the Goldsmith Modification or the Rural Urban Commuting Areas (RUCA), and
- All designated Critical Access Hospitals (CAHs) are eligible, as well as hospitals with fewer than 50 beds located in an area designated by any State law or regulation as a rural area or as a rural hospital. There is no requirement for matching funds with this program.
Medicare Rural Hospital Flexibility (Flex)
The Medicare Rural Hospital Flexibility (Flex) Program, established by the Balanced Budget Act of 1997 (Public Law 105-33), is available to all 50 states. Its intent is to allow rural communities to preserve access to primary care and emergency health care services, provide health care services that meet community needs, and help assure the financial viability of small, rural hospitals.
The Flex Program enables certain rural hospitals to be classified as Critical Access Hospitals. A Critical Access Hospital (CAH) is able to improve its financial stability through enhanced Medicare reimbursement and reduced operating costs. The Flex grant program provides funding to each State Office of Rural Health for them to provide support to CAHs in three key areas:
- Quality Improvement
- Operational and Financial Improvement
- Health System Development and Community Engagement, including integrating EMS in regional and local systems of care
For more information on Oregon’s rural hospitals or the grant programs administered by ORH, please contact Meredith Guardino | firstname.lastname@example.org | 503-494-4450 | toll-free 866-674-4376.