ERIC Number: ED254637
Record Type: Non-Journal
Publication Date: 1985-Mar
Reference Count: N/A
Sole Community Hospitals: Are They Different? A Statistical Analysis of the Hospitals and Their Treatment under TEFRA and PPS. Hospital Studies Program. Hospital Cost and Utilization Project. Research Note 5.
Farley, Dean E.
A study examined the treatment of sole community hospitals under the Tax Equity and Fiscal Responsibility Act of 1982 (TEFRA) and the Prospective Payment System (PPS) for Medicare as compared to the treatment of hospitals not designated as sole community hospitals under these same two policy guidelines. (A sole community hospital is defined as a hospital constituting the primary, and often only, source of inpatient services for residents of a market area.) The data analyzed in the study were obtained from several sources, including the Hospital Cost and Utilization Project database of the National Center for Health Services Research and Health Care Technology Assessment, the Health Care Financing Administration, and individual hospitals' Medicare Cost Reports. These data indicated that sole community hospitals are primarily small, rural, and western. Organized chiefly on a not-for-profit basis, they play virtually no role in medical education. In comparison with national averages, they have fewer specialized services and facilities. Their financial position appears to be somewhat less favorable than that of comparable facilities, and they tend to have older facilities and to have less access to capital markets. These facts, coupled with further analysis, may indicate the need for even more direct remedial action than those provided for sole community hospitals in TEFRA and PPS. (This report includes 12 tables.) (MN)
Publication Type: Reports - Research
Education Level: N/A
Authoring Institution: National Center for Health Services Research and Health Care Technology (DHHS/PHS), Rockville, MD.