Rural Health Conference Oregon Office of Rural Health OHSU 2025

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Rural hospitals intended to preserve emergency department services, observation care, and other outpatient services in rural areas. An REH cannot have inpatient beds, except those furnished in a distinct part unit licensed as a skilled nursing facility.
We consider counties fully rural when they meet at least one of the following criteria: They are non-core counties (neither metro nor micro using the OMB delineation) They are micropolitan counties. They are outlying metro counties with no population from an urban area of 50,000 or more people.
Rural hospitals are defined as those in nonmetropolitan areas (and urban hospitals as those in metropolitan areas), in line with a definition used by the Medicare Payment and Advisory Commission (MedPAC), though there are several ways of defining rural (see Methods).
Rural areas are defined as: Communities with population 15,000 or less outside of the Portland Urban Growth Boundary in counties within Metropolitan Statistical Areas (Benton, Clackamas, Columbia, Deschutes, Jackson, Josephine, Linn, Lane, Marion, Multnomah, Polk, Washington and Yamhill Counties) and communities with
The CAH designation is designed to reduce the financial vulnerability of rural hospitals and improve access to healthcare by keeping essential services in rural communities. This is accomplished through cost-based Medicare reimbursement.
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Our rural definition Non-metropolitan counties. Outlying metropolitan counties with no population from an urban area of 50,000 or more people. Census tracts with RUCA codes 4-10 in metropolitan counties.
Comparison of facilities and rates Although about equal in number nationally, rural hospitals differ markedly from urban hospitals in other characteristics and utilization. Rural hospitals are much smallerless than one-third the size of urban hospitals in average bed size (76 beds to 252 beds per hospital).
NRHA has two main offices: One in Kansas City, Mo., where the association was founded, and another in Washington, D.C., where our advocacy and programmatic efforts occur. NRHA staff are located across the country and are happy to respond to any comments, questions, or requests you may have.

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