British hiker survives six-hour cardiac arrest in ‘exceptional’ case: Spanish doctor

From Reuters:

A 34-year-old British hiker was revived in Spain after a six-hour cardiac arrest brought on by severe hypothermia, with the low mountain temperatures that made her ill also helping to save her life in what a doctor described as an “exceptional case”.

Audrey Mash’s ordeal began on Nov. 3 when she and her husband were out hiking in the Catalan Pyrenees. As the weather took a turn for the worse, Mash, who lives in Barcelona, began experiencing trouble speaking and moving.

The doctors at Barcelona’s Vall d’Hebron Hospital said she had suffered the longest documented cardiac arrest in Spain. “It’s an exceptional case in the world,” doctor Eduard Argudo told reporters on Thursday.

Congress Looks to Fix the ACA’s “Rural Glitch”

From HealthLeaders Media:

The bill would fix a regional calculation that forces accountable care organizations to measure their performance against themselves and disproportionately impacts rural providers.

Rural hospital closures hit record high in 2019 — here’s why

From Becker’s:

A variety of issues have put rural hospitals in a fragile position. Low patient volume and heavy reliance on government payers are among the challenges rural healthcare organizations have faced for years. Newer challenges, such as the shift from inpatient to outpatient care, increased regulatory burden and the high cost of pharmaceutical drugs, also threaten rural hospitals’ ability to maintain access to healthcare services, according to a report by the American Hospital Association.

The Sheps Center began tracking rural hospital closures in 2005. Since then, 161 hospitals in rural communities have shut down. The number of closures has steadily increased over the past three years. Many of the 18 rural hospitals that shut down so far this year faced reimbursement issues and cited dwindling patient volumes as a reason they were forced to close.

The downfall of EmpowerHMS, a hospital operator formerly based in Kansas City, Mo., pushed the total number of rural hospital closures to a record high this year. The company closed a handful of rural hospitals across the U.S. this year, and several of its hospitals are working their way through the bankruptcy process.