Rural Health
Resources by Topic: Healthcare quality
Exploring Maternal Mental Health Conditions and Urban-Rural Disparities in Hypertensive Disorders of Pregnancy in South Carolina: A Fairlie Decomposition Approach
Examines the impact of maternal mental health on hypertensive disorders of pregnancy (HDP) in rural and urban areas of South Carolina. Utilizes data from 270,000 mothers with HDP to analyze maternal mental health conditions according to rural versus urban location, demographic variables, quality of prenatal care, mother's health condition, and more.
Author(s): Manan Roy, Maggie Sugg, Jennifer Runkle
Citation: Maternal and Child Health Journal
Date: 02/2026
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Examines the impact of maternal mental health on hypertensive disorders of pregnancy (HDP) in rural and urban areas of South Carolina. Utilizes data from 270,000 mothers with HDP to analyze maternal mental health conditions according to rural versus urban location, demographic variables, quality of prenatal care, mother's health condition, and more.
Author(s): Manan Roy, Maggie Sugg, Jennifer Runkle
Citation: Maternal and Child Health Journal
Date: 02/2026
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2025-2026 Pre-Rulemaking Measure Review Final Recommendations Report
Reviews the 24 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2025-2026 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2026
Sponsoring organization: Partnership for Quality Measurement
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Reviews the 24 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2025-2026 Pre-Rulemaking Measure Review (PRMR) cycle. Discusses measures for clinician, hospital, and post-acute care/long-term care programs. Includes rural references and considerations throughout.
Date: 02/2026
Sponsoring organization: Partnership for Quality Measurement
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Reporting and Performance of Maternity-related Quality Measures in Critical Access Hospitals
Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Describes the characteristics of Critical Access Hospitals (CAHs) with and without labor and delivery services. Examines CAH quality reporting and performance on five key measures related to maternity care and birth outcomes. Explores relationships between maternity care quality performance and CAH characteristics such as system affiliation, volume, and location. Identifies quality measures related to maternity and birth outcomes that are most feasible and relevant for CAHs and rural hospitals.
Author(s): Madeleine Pick, Megan Lahr, Mikayla Reinke, Hamdi Abas
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Delivering Quality: Maternity Care Innovation in Critical Access Hospitals
Presents case studies of six Critical Access Hospitals (CAHs) that are high performers on maternity care quality measures. Summarizes interviews with leaders from each CAH regarding the benefits of their Perinatal Quality Collaboratives, use of safety bundles, training activities, and other successes in providing maternity care.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr, Mikayla Reinke
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Presents case studies of six Critical Access Hospitals (CAHs) that are high performers on maternity care quality measures. Summarizes interviews with leaders from each CAH regarding the benefits of their Perinatal Quality Collaboratives, use of safety bundles, training activities, and other successes in providing maternity care.
Author(s): Madeleine Pick, Hamdi Abas, Megan Lahr, Mikayla Reinke
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Catalog of Value-Based Initiatives for Rural Providers
Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare & Medicaid Services (CMS) and the CMS Innovation Center. Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Contains descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 02/2026
Sponsoring organization: Rural Health Value
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Summarizes rural-relevant, value-based programs currently or recently implemented by the U.S. Department of Health and Human Services (HHS), including the Centers for Medicare & Medicaid Services (CMS) and the CMS Innovation Center. Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Contains descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 02/2026
Sponsoring organization: Rural Health Value
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Improving the Value Proposition of Critical Access Hospitals – Lessons from Federal and State Initiatives
Report details how federal and state initiatives can support Critical Access Hospitals (CAHs) transition to value-based payment models. Provides examples of initiatives that offer models for use by State Flex Programs (SFPs) for supporting CAHs' transformation to value-based care.
Author(s): John Gale, Rebecca Stearns, Bridget Harr
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Report details how federal and state initiatives can support Critical Access Hospitals (CAHs) transition to value-based payment models. Provides examples of initiatives that offer models for use by State Flex Programs (SFPs) for supporting CAHs' transformation to value-based care.
Author(s): John Gale, Rebecca Stearns, Bridget Harr
Date: 02/2026
Sponsoring organization: Flex Monitoring Team
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Rural–Urban Disparities in Diabetes Quality of Care with Accountable Care Organization Participation
Examines the relationship among diabetes quality of care, accountable care organization (ACO) participation, and rural versus urban health disparities. Utilizes 2011-2018 Wisconsin Collaborative for Healthcare Quality all-patient all-payer data to analyze diabetes care management across ACO versus non-ACO participation and rural versus urban location.
Author(s): Mariétou H. Ouayogodé, Xiyuan Hu
Citation: Journal of Rural Health, 42(1), e70121
Date: 02/2026
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Examines the relationship among diabetes quality of care, accountable care organization (ACO) participation, and rural versus urban health disparities. Utilizes 2011-2018 Wisconsin Collaborative for Healthcare Quality all-patient all-payer data to analyze diabetes care management across ACO versus non-ACO participation and rural versus urban location.
Author(s): Mariétou H. Ouayogodé, Xiyuan Hu
Citation: Journal of Rural Health, 42(1), e70121
Date: 02/2026
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MBQIP Report Resources
Provides a list of resources for State Flex Programs (SFPs) and Critical Access Hospitals (CAHs) to support them in utilizing quarterly Medicare Beneficiary Quality Improvement Project (MBQIP) reports in quality improvement activities.
Date: 01/2026
Sponsoring organization: Flex Monitoring Team
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Provides a list of resources for State Flex Programs (SFPs) and Critical Access Hospitals (CAHs) to support them in utilizing quarterly Medicare Beneficiary Quality Improvement Project (MBQIP) reports in quality improvement activities.
Date: 01/2026
Sponsoring organization: Flex Monitoring Team
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Advancing Diagnostic Excellence in Rural Areas: Proceedings of a Workshop—in Brief
Summarizes proceedings from an October 2025 workshop discussing current diagnostic challenges in rural areas and identifying strategies for improvement. Covers topics including access to diagnosis, diagnosis-related health disparities, new technologies and innovations, workforce training, education, and support, and other innovations in diagnosis and patient-centered care.
Additional links: Read Online
Date: 01/2026
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Summarizes proceedings from an October 2025 workshop discussing current diagnostic challenges in rural areas and identifying strategies for improvement. Covers topics including access to diagnosis, diagnosis-related health disparities, new technologies and innovations, workforce training, education, and support, and other innovations in diagnosis and patient-centered care.
Additional links: Read Online
Date: 01/2026
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Bridging the Gap: A Mixed-Methods Evaluation of a New Rural Maternity Care Center Amid Nationwide Closures
Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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Examines healthcare quality and access following the reopening of a maternity care center at a Critical Access Hospital (CAH) in a rural community that experienced a maternity unit closure. Includes data comparisons of rural maternity care center (MCC) versus suburban tertiary care center patient demographics, delivery outcomes, and patient experiences. Discusses policy efforts to improve access to rural maternal health.
Author(s): Kathryn Wouk, Ellen Chetwynd, Emily C. Sheffield, et al.
Citation: International Journal of Environmental Research and Public Health, 23(1),102
Date: 01/2026
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