Running Head: Construction & Operating Hospital Building In Rural Areas 1

Construction & Operating Hospital Building In Rural Areas

Abdul Basit Umer Farooq

Riphah International University

Abstract (Draft)

Most of our population is belong to our rural area, where we can’t sufficient facilities of a very

good hospital, people from our villages travelling to populated cities, where they can find easy

good facilitated hospitals and very qualified doctors are appointed to serve people. The question

is why the rural areas always behinds are lacking such facilities, lets discuss the core issues

releated to this topic

 The first question in our mind, why rural area are lacking facilities, like good hospitals

etc.

 Why doctors are not available in these areas.

 Why government is not focusing this issue.

 Why local people not easily adopting cultural change.

Solutions

To overcome on this critical situation , we might need the solid steps to be undertaken all levels.

Steps are:

 Government should allocate sufficient budget for hospitals building especially in rural

areas.
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 Board of governance and SOP must be ruled out at government level.

 Education is prime tool to our come such situation, let’s have very good schooling system

in these areas where locals can study at very high level and study society can product

qualified doctors to serve locally.

 Medical awareness and workshops are important.

 Medical availability is must.

 Trained staff, etc.

Introduction

Rural hospitals are an integral part of the rural healthcare system. Because of their significant

contributions to overall community well-being, they are a critical component of communities

across rural America. Rural hospitals provide services across the continuum of care from

primary care to long-term care.

Recent years, however, have presented challenges for rural hospitals. Factors such as low

reimbursement rates, increased regulation, reduced patient volumes, and uncompensated care

have caused many rural hospitals to struggle financially. Consequently, as outlined in The

21st Century Rural Hospital, rural hospitals have adapted by modifying their services and

structure.

This guide provides information on the following topics related to rural hospitals:

 Federal designations for rural hospitals

 Economic impact of rural hospitals
 Rural emergency department visits
 Measuring quality of care at rural hospitals
 Rural health networks and hospital systems
 Impact of technology on healthcare services provided by rural hospitals
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 Availability of funding for rural hospitals

 Prominent challenges faced by rural hospitals
 Rural hospital closures
 Alternative hospital models

Due to greater reliance on federal and state payers, low volume, and complexity of services
provided, many rural hospitals struggle to remain financially viable under the traditional
Medicare Inpatient Prospective Payment Systems (IPPS). As a solution, several payment
programs, designated by the Centers for Medicare and Medicaid Services (CMS), provide
consideration for special circumstances including the following:

Rural hospitals maintaining no more than 25 acute care beds. CAHs must be located more
than 35 miles, or 15 miles by mountainous terrain or secondary roads, from the nearest
hospital – unless designated by a state as a Necessary Provider prior to 2006. Unlike
hospitals paid prospectively using IPPS, CAHs are reimbursed based on the hospital's
Medicare allowable costs. Each CAH receives 101 percent of the Medicare share of its
allowed costs for outpatient, inpatient, laboratory, therapy services, and post-acute swing bed
services. See RHIhub's Critical Access Hospitals topic guide for more about this facility type.

A designation for hospitals with fewer than 3,800 patient discharges in the previous year
which are more than 15 miles from the nearest IPPS acute care hospital. Qualifying hospitals
receive a payment adjustment up to an additional 25% for every Medicare patient discharge.

A designation that provides enhanced payment to support small rural hospitals with 100 or
fewer beds for which Medicare patients make up at least 60% of the hospital's inpatient days
or discharges. This designation is not available to rural hospitals already classified as a SCH.