Amoxicillin is a safe antibacterial medicine administered to children and adults. The drug does not feature specific contraindications for administering to pregnant women, elderly patients and kids. This antibiotic can be used as for treatment of bacterial infections so for the prevention of diseases in case of a possible direct exposure to the source of contamination. However the efficacy of the drug largely depends on the proper use (dosage, schedule of intake and the length of treatment. Which dosage of Amoxicillin is right for me? If you buy Amoxicillin without prescription in, then, please, read carefully the medication guide provided with the drug and take the dosage which is indicated for treatment of your case. Do not change the dosage. Some patients strive to recover faster, thus try to take maximum possible dosages. This will not speed up the recovery, however will rise the risk of side effects. Lowering the dosage without your doctor will also lower the efficacy of the drug. Do not change the dosage of Amoxicillin without your doctor. Mind, that lowering a one time dosage commonly results in increased frequency of intakes. In most cases the lowest dosage prescribed to treat bacterial infections is 250mg taken at a time.

Rural Health

Thirty-two of Oregon’s 60 acute care hospitals are in small and rural communities. These hospitals provide essential health care services to more than one million Oregonians and are the cornerstones within the communities they serve. For most areas, they are the largest employer, offering family-wage jobs and economic stability in their towns. In 2015, OAHHS partnered with EcoNorthwest to study the economic contributions of rural hospitals. Click here to view the report: "Economic Contributions of Oregon's Community Hospitals: Selected Rural Communities"

Oregon’s small and rural hospitals are experiencing unprecedented changes in health care delivery and reimbursement, as the Affordable Care Act and Coordinated Care Organizations overhaul the health care system. With Patient Centered Medical Homes and a shift to new payment systems, Oregon’s small and rural hospitals have had to rethink their health care delivery and reimbursement structures.

Rural hospitals are divided into three categories – Type A, Type B, and Critical Access Hospital. These designations help determine how hospitals get reimbursed for the care they provide to Medicare and Medicaid patients. Here’s a rundown of how these programs work.

What is the Critical Access Hospital Program?

Twenty-five of Oregon’s 32 rural hospitals are Critical Access Hospitals (CAHs), which is a federal program designed to improve rural health care access and reduce hospital closures. For their Medicare patients, CAHs receive cost-based reimbursement. As the name implies, cost-based reimbursement pays hospitals what it costs to care for a patient.

Oregon’s rural hospitals have long depended on cost-based reimbursement from Medicaid and Medicare to remain viable. Prior to the CAH program and cost-based reimbursement, several rural hospitals around the country shut their doors as a result of inadequate reimbursement.

What are A & B designations?

Oregon’s rural hospitals also have a state designation based on their size and location. Similar to Medicare for CAHs, the state designation of Type A or B provides Medicaid reimbursement up to 100 percent of the cost of caring for a patient. These rural designations significantly improve the bottom line for many fragile community hospitals. Many rural hospitals lack the operating margins needed to replace or update facilities, purchase necessary health information technology, and make upgrades. Along with tackling financial challenges, small rural hospitals must sustain a highly trained workforce, including medical providers. Even with strong recruitment efforts, rural hospitals have difficulty attracting and retaining skilled workers. Rural hospitals provide a higher volume of Medicare and Medicaid services, and Oregon physician reimbursement rates rank near the bottom nationally.

RHRI Member Resource Library

Small & Rural Hospital members: to access meeting materials, project plans and reports, click here .

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