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Slide Presentation from the AHRQ 2007 Annual Conference

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Conclusion and Implication

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  • Critical access hospital (CAH) conversion in rural hospitals resulted in enhanced performance of patient safety.
  • After conversion, CAHs have better perform in patient safety in the long run.
  • We speculate that the likely mechanism involved an increase in financial resources following CAH conversion to cost-based reimbursement for Medicare patients
  • Limitations of the study
    • Administrative databases (missing codes, coding errors)
      • We are not able to rule out the possibility of coding behavior change
    • The five indicators may not reflect the whole picture of patient safety in rural hospitals
    • CAH conversion variable is endogeneous.

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