Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

785
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
785
Integrated Healthcare System01:20

Integrated Healthcare System

1.5K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
1.5K
Hospitals-I01:28

Hospitals-I

789
Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
789
Hospitals-II00:59

Hospitals-II

724
Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
Nurses that work in...
724
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

5.5K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.5K
Discharge Summary Forms01:31

Discharge Summary Forms

741
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
741

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Surgical Outcomes and Postacute Care Use Among Rural Medicare Advantage Beneficiaries.

Annals of surgery open : perspectives of surgical history, education, and clinical approaches·2026
Same author

Disparities Across Race, Ethnicity, and Rurality Among Surgical Patients.

Annals of surgery open : perspectives of surgical history, education, and clinical approaches·2026
Same author

Costs and system-wide considerations within head and neck reconstruction: moving toward a value-based care framework.

Current opinion in otolaryngology & head and neck surgery·2026
Same author

Hospital-Level Variation in IVC Filter Insertion in Trauma Patients: An Opportunity for a National Appropriateness Quality Improvement Initiative.

Annals of surgery·2026
Same author

A Scoping Review of Inpatient Medical and Surgical Quality Outcomes at Critical Access Hospitals.

The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association·2026
Same author

Disparities in surgical outcomes in Medicare Advantage vs traditional Medicare.

The American journal of managed care·2026
Same journal

Retraction: The Association Between Janus Kinase 2 and Factor V Leiden Mutations and Thrombotic Complications in Patients With Myeloproliferative Disorders: A Study From Saudi Arabia.

Cureus·2026
Same journal

Patient-Reported Understanding of Emergency Department Discharge Instructions, Satisfaction, and Acceptability of a Future Telemedicine-Based Call-Back Program: Phase 1 Observational Pilot Study at a Tertiary Hospital in Dubai, United Arab Emirates.

Cureus·2026
Same journal

Correction: Methylprednisolone-Induced Delayed and Sustained Bradycardia in Multisystem Inflammatory Syndrome in Children.

Cureus·2026
Same journal

Rapid Interval Development of a Left Hepatic Artery Pseudoaneurysm During Acute Interstitial Edematous Pancreatitis.

Cureus·2026
Same journal

Recurrent Acute Pancreatitis Secondary to Untreated Hyperparathyroidism: A Case Report and Literature Review.

Cureus·2026
Same journal

A Prospective Case-Control Study of Helicobacter pylori and Systemic Inflammation in Colorectal Cancer Pathogenesis.

Cureus·2026
See all related articles

Related Experiment Video

Updated: May 23, 2025

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

18.5K

Service Changes, Utilization, and Financial Performance After Critical Access Hospitals Join Hospital Systems.

Cody L Mullens1, Mitchell Mead1, Sean M O'Neill1

  • 1Department of Surgery, University of Michigan, Ann Arbor, USA.

Cureus
|May 22, 2025
PubMed
Summary
This summary is machine-generated.

Critical Access Hospitals (CAHs) joining a health system maintained services but saw reduced patient use. However, CAHs experienced improved financial performance after system affiliation.

Keywords:
critical access hospitalhealthcare networkhealthcare systemhospital closurehospital networkhospital systemruralrural hospital closure

More Related Videos

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
10:46

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Published on: May 26, 2015

13.2K
Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
03:47

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

691

Related Experiment Videos

Last Updated: May 23, 2025

Improving IV Insulin Administration in a Community Hospital
12:08

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

18.5K
Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology
10:46

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Published on: May 26, 2015

13.2K
Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients
03:47

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

691

Area of Science:

  • Healthcare Management
  • Rural Health Policy
  • Hospital Administration

Background:

  • Rural hospitals face closure risks, prompting strategies like joining larger hospital systems.
  • Critical Access Hospitals (CAHs) are vital for rural healthcare access.
  • System affiliation is a potential strategy to improve CAH sustainability.

Purpose of the Study:

  • To evaluate changes in services, utilization, and financial performance of CAHs after joining a hospital system.
  • To assess the impact of hospital system affiliation on rural healthcare delivery.
  • To provide insights for policymakers and healthcare leaders regarding rural hospital sustainability.

Main Methods:

  • Retrospective cohort study using American Hospital Association and CMS data (2011-2021).
  • Analysis of service provision changes before and after system affiliation.
  • Interrupted time series models to assess utilization and financial profitability trends.

Main Results:

  • Minimal changes in the types of services offered by CAHs post-affiliation (34 out of 36 services unchanged).
  • Observed reductions in Medicaid/Medicare discharges, average daily census, inpatient days, and total admissions.
  • A significant increase in CAH profitability (1.3%) following hospital system affiliation.

Conclusions:

  • CAHs joining hospital systems do not significantly alter their service offerings.
  • System affiliation leads to decreased inpatient utilization but improved financial profitability for CAHs.
  • Findings are crucial for ensuring continued healthcare access in rural communities.