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IPeople Interface DevelopmentNewman Regional Health

Lessons Learned Converting from Rural Hospital to Critical Access Hospital

Newman Regional Health

It’s no secret that many isolated, rural hospitals have found themselves struggling financially in recent years. Since 2010, more than 50 rural hospitals have closed their doors nationwide, and the National Rural Health Association has identified 283 more small hospitals in danger of collapse.

In an effort to enhance their financial viability and increase quality care, a large number of small, rural hospitals have taken advantage of the Critical Access Hospital (CAH) program. There are currently roughly 1,300 certified CAH facilities located throughout the U.S., according to the U.S. Dept. of Health and Human Services

Created as part of the Balanced Budget Act of 1997, the CAH program aims to improve quality and to help stop the closure of hospitals providing care to under‐served populations. As a result, many rural hospitals have been able not only to keep the doors open, but also to invest extra resources in quality improvement and quality assurance activities.

The way in which the CAH designation helps rural hospitals reduce their financial vulnerability is through cost-based Medicare reimbursement. Therefore, a key step in the transformation process is the conversion of the hospital’s Medical Record Interface system from Inpatient Prospective Payment Systems (IPPS) to a CAH payment system.

"We were the first hospital since 2006 to even attempt to make this change and now we are the first to complete it successfully, thanks to IPeople technology, knowledge and staff,” said Cole. “We are now able to put money back into our hospital, county and community."

-Elizabeth Cole, Newman Regional Health


Case Study Breakdown for IPeople Interface Development


  • Enhance financial performance while performing a MEDITECH system upgrade

  • IPeople developed a custom data interface with a management dashboard to connect to MEDITECH, allowing the billing staff to overcome the problem they had merging the inpatient and outpatient accounts

    • Saved hundreds of hours of work in one month alone, reviewing 1,600 lines of accounts with 0% error rate
    • Interface customization and flexibility to improve workflow
    • 24-hour support and monitoring to reduce IT staff workload

    Our HCIS expertise takes us to the next level of building reliable and efficient bi-directional interfaces that organizations can trust. For over a decade IPeople has earned a solid reputation for providing robust and reliable or custom interface solutions to the healthcare community. Through best practices and smarter, intuitive technology, we get to any data and ensure that your interfaces cover all your needs within a single vendor solution.