Announcing the 2018 Rural Hospital and Clinic Financial Summit Report and Updated Finance 101 Manual

August 2018
Organization: 
National Rural Health Resource Center (The Center)

With the support of the Federal Office of Rural Health Policy, the National Rural Health Resource Center developed the 2018 Rural Hospital and Clinic Financial Summit Report to assist rural hospital and rural health clinic leaders transitioning into the new health care environment with financial success. Through the Summit, key performance lead indicators and strategies were identified.

  • Market indicators
  • Financial performance and conditions
  • Operational efficiency
  • Workforce
  • Quality performance
  • Care management
  • Community health
  • Organizational attributes

This Summit report builds upon the Small Rural Hospital and Clinic Finance 101 Manual and includes the key financial indicators and calculations. The Finance 101 Manual was updated in July 2018 for use by state Medicare Rural Hospital Flexibility (Flex) Program personnel as well as staff and boards of small rural hospitals and clinics. The content is designed to be as non-technical as possible and provide answers to frequently asked questions regarding critical access hospital (CAH), small rural hospital and rural health clinic (RHC) finance and financial performance. A few examples of topics include:

  • Government Health Care Reimbursement
  • CAH Finances
  • Improving CAH Financial Performance
  • Prospective Payment System (PPS) Finances
  • RHC Finances

*Summit participants agreed Overall Payor Mix was a more comprehensive indicator of financial performance than Medicare Inpatient Payor Mix alone. Source: Flex Monitoring Team CAH Financial Indicators Reports Primer and Calculator Resources, Template for Presentation of CAHFIR Data, April 2018.