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Rural Health
Resources by Topic: Healthcare quality

Burnout: Measurement Tool(s), Cause(s) and Impact(s)
Reports on what is known about burnout among rural healthcare providers, highlighting several research studies. Discusses the impact of burnout on turnover, productivity, healthcare quality, and safety.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 01/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Patients' Experiences in CAHs: HCAHPS Results, 2018
Provides results from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for calendar year 2018. Summarizes reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Mariah Quick, Megan Lahr, Tongtan Chantarat, Ira Moscovice
Date: 01/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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2018 Quality Payment Program Performance Year Data
Provides an overview of the results of the Quality Payment Program for the 2018 performance year. Highlights mean and median final scores and payment adjustments for rural and small practices.
Date: 12/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluation of the Home Health Value-Based Purchasing (HHVBP) Model: Second Annual Report
Evaluates the Home Health Value-Based Purchasing (HHVBP) Model, designed by the Center for Medicare & Medicaid Innovation (CMMI), implemented in nine states: Arizona, Florida, Iowa, Massachusetts, Maryland, Nebraska, North Carolina, Tennessee, and Washington. The HHVBP Model was created to establish the impact of providing financial incentives to home health agencies (HHAs) for improvements in quality of care. The analysis, based on data from the implementation stages (2013-2015) and performance years (2016-2017), reports on the effects of financial incentives on quality of care, Medicare expenditures, patient outcomes, and identifies regional differences in beneficiary demographics, and rural and urban status.
Author(s): Alyssa Pozniak, Marc Turenne, Purna Mukhopadhyay, et al.
Date: 12/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents-Payment Reform
Third annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents by offering incentives for the provision of in-house care to eligible residents, rather than a transfer to a hospital for treatment. Presents details on the effect of the payment model on Medicare expenditures in the participating states: Alabama, Missouri, Indiana, Nevada, New York, and Pennsylvania. Discusses the implication of the payment model in rural facilities.
Date: 12/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Primary Care Providers' Attitudes Towards Sexual and Gender Minorities in a Midwestern State in the USA
Discusses current attitudes of primary care providers practicing in rural Michigan toward lesbian, gay, bisexual, and transgender (LGBT) individuals, and identifies any correlation of attitudes that may influence the quality of healthcare.
Author(s): Akshay Sharma, John C. Shaver, Rob B. Stephenson
Citation: Rural and Remote Health,19(4), 5476
Date: 11/2019
Type: Document
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Rural-Urban Disparities in Health Care in Medicare
Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2018, with breakdowns by race and ethnicity. Focuses on patient experience and clinical care measures, including screening for and management of health conditions and medication-related issues.
Date: 11/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Report of the 2019 Southern LGBTQ Health Survey
Results of a convenience sample of 5,617 respondents detailing their experiences of LGBTQ health and healthcare in the South. Features demographics and self-reported statistics on physical and mental health ratings, healthcare quality, abuse and violence, insurance, dental care, HIV diagnoses, and disparities in reported health ratings by urban or rural location.
Additional links: Executive Summary
Author(s): Chase Harless, Megan Nanney, Austin H. Johnson, et al.
Date: 11/2019
Type: Document
Sponsoring organizations: Southern LGBTQ Health Initiative, Western North Carolina Community Health Services
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Advancing Health Equity Through Community Health Workers and Peer Providers: Mounting Evidence and Policy Recommendations
Reviews the results from nine studies funded by the Patient Centered Outcomes Research Institute (PCORI) supporting the inclusion of community health workers (CHWs) and peer providers (PPs) as effective participants in addressing health and healthcare inequities particularly for diverse communities. Each study presented focuses on a distinct function of utilizing CHWs and/or PPS such as mentoring, managing chronic conditions, and navigator support for serious mental illness and depression. Discusses why payers and providers should include CHWs and PPS in a variety of capacities to improve outcomes, add value to care, and control costs.
Date: 11/2019
Type: Document
Sponsoring organization: Families USA
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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 and Medicaid Services (CMS) and the Center for Medicare and Medicaid Innovation (CMMI). Designed to help rural healthcare leaders identify HHS value-based programs that are suitable for rural participation. Catalog includes descriptions of each demonstration and provides direct links to the corresponding agency web page.
Date: 10/2019
Type: Document
Sponsoring organization: Rural Health Value
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