DOTmed Home MRI Oncology Ultrasound Molecular Imaging X-Ray Cardiology Health IT Business Affairs
News Home Parts & Service Operating Room CT Women's Health Proton Therapy Endoscopy HTMs Mobile Imaging
Current Location:
> This Story

Log in or Register to rate this News Story
Forward Printable StoryPrint Comment

Click here to read the lastest



More Magazine Features

New brands, proven experts lead a new era in the CT tube market The CT market has changed a lot over the last couple years

Service sells equipment: contract negotiation insights for providers Best practices for getting the most value out of your partnerships

Understanding the cost impact of healthcare consolidation What distinguishes a 'good' merger from a 'bad' one?

Could AI and 3D printing be the future of OB/GYN ultrasound? Few specialities are equally poised to embrace these cutting edge tools

The importance of breast MR screening for high-risk patients Experts weigh in on MR's emerging role in breast cancer diagnostics

See All Magazine Features  

Healthcare Act

Health insurance access is greatly improving among all racial groups after ACA implementation: report Quality of care is also improving, although “still far from optimal”

Study: MA reform had no effect on avoidable hospitalizations and racial disparities Insurance plans need to minimize cost burdens and be accepted by physicians

House passes SGR repeal with overwhelming majority After a vote of 392 to 37, legislation will go to the Senate

Physicians aren’t being flooded with new or sick patients under health care reform: report However, it did disrupt payor mix trends

CMS unveils the next phase for accountable care organizations Medicare homes in on health reform ideals with Next Generation Model ACOs

King v. Burwell: Interpreting five words in the ACA The Supreme Court case that could topple Obamacare

Inside the Beltway: The 114th Congress and healthcare policy When the 114th Congress was sworn in on January 6, 2015, they rolled up their sleeves and got to work -- on health care

White House budget raises concerns for patient access to imaging Will site-neutral payments and prior authorization hinder care in 2016? AMIC thinks so

Is Obamacare causing emergency room crowding? No, says new study The Affordable Care Act is not the cause of the problem. It comes from a primary care shortage

Urban health - big cities, big challenges In July, the Carolinas HealthCare System Anson in Wadesboro, N.C., a town of about 5,800 people, opened the doors to its new facility and embarked on a bold experiment.

Henry Ford Hospital

Urban health - big cities, big challenges

by Lisa Chamoff , Contributing Reporter
From the December 2014 issue of DOTmed HealthCare Business News magazine

Rural health – rethinking care in the wake of hospital closures

In July, the Carolinas HealthCare System Anson in Wadesboro, N.C., a town of about 5,800 people, opened the doors to its new facility
and embarked on a bold experiment: replacing Anson Community Hospital, a 52-bed inpatient facility built in 1954, with a new model of delivering health care.

Story Continues Below Advertisement

New & Refurbished C-Arm Systems. Call 702.384.0085 Today!

KenQuest provides all major brands of surgical c-arms (new and refurbished) and carries a large inventory for purchase or rent. With over 20 years in the medical equipment business we can help you fulfill your equipment needs

Built for $20 million, the new hospital kept the emergency department, but cut the number of inpatient beds by nearly three quarters, to 15. While the facility still offers radiology, digital imaging, laboratory, pharmacy, surgery, and inpatient services, there is a patient-centered medical home within the ED, in an effort to provide primary care while reducing costly and unnecessary ER utilization. There are also community-based partnerships to address chronic health issues, such as diabetes, in rural Anson County, which in 2012 was ranked 89th out of North Carolina’s 100 counties in the County Health Rankings & Roadmaps program.

At a time when rural hospitals are closing at a rapid pace — more than two dozen have closed since January 2013, according to the National Rural Health Association — the leaders at the Carolinas HealthCare System knew things needed to change.

“We realized we needed to built a new model of care for the Anson community,” says Michael Lutes, a senior vice president with Carolinas HealthCare System. “We didn’t want to build the traditional model, especially with the challenges of rural medicine. We wanted to do something really different.” While it’s too early to determine the full impact of the change in Anson, in the first few months the hospital has seen a significant decrease of ER utilization for health issues that can be treated by primary care doctors.

“A lot of these patients didn’t have a primary care physician,” Lutes says. “If the first 90 days is anything like the next five years is going to be, we’re definitely on to something.”

‘Older, poorer, and sicker’
A majority of the rural hospital closures were in states with Republican leadership that blocked the Medicaid expansion offered under the Affordable Care Act. Still, many in the health care field agree that a number of issues affect rural facilities.

“Rural Americans are typically older, poorer, and sicker than their urban counterparts,” says Brock Slabach, a senior vice president at the National Rural Health Association. “It’s compounded if you’re a senior or minority living in a rural area.”

Indeed, data from the 2010 National Hospital Discharge Survey found that 51 percent of inpatients at rural hospitals were aged 65 and over, compared with 37 percent of inpatients in urban hospitals. Mark Holmes, director of the North Carolina Rural Health Research Center, notes than in the south, where many of the closures have been, the economy tends to be weaker.
  Pages: 1 - 2 - 3 - 4 - ... >>

Healthcare Act

You Must Be Logged In To Post A Comment

Increase Your
Brand Awareness
Auctions + Private Sales
Get The
Best Price
Buy Equipment/Parts
Find The
Lowest Price
Daily News
Read The
Latest News
Browse All
DOTmed Users
Ethics on DOTmed
View Our
Ethics Program
Gold Parts Vendor Program
Receive PH
Gold Service Dealer Program
Receive RFP/PS
Healthcare Providers
See all
HCP Tools
A Job
Parts Hunter +EasyPay
Get Parts
Recently Certified
View Recently
Certified Users
Recently Rated
View Recently
Certified Users
Rental Central
Rent Equipment
For Less
Sell Equipment/Parts
Get The
Most Money
Service Technicians Forum
Find Help
And Advice
Simple RFP
Get Equipment
Virtual Trade Show
Find Service
For Equipment
Access and use of this site is subject to the terms and conditions of our LEGAL NOTICE & PRIVACY NOTICE
Property of and Proprietary to, Inc. Copyright ©2001-2018, Inc.