Rural Health
Resources by Topic: Healthcare quality
Electronic Data Capture of Patient-Report Questionnaire in Patient Management in a Rural Population
Explores the feasibility and acceptability of electronic patient-reported outcomes among metabolic and bariatric surgery patients at an academic medical center in rural West Virginia. Describes results of a patient questionnaire regarding the experience of using a tablet to complete psychosocial evaluations before seeing a behavioral health provider and their preference for using a tablet or traditional paper-and-pencil forms.
Author(s): Hayley Harman, Ashleigh A. Pona, Lawrence Tabone, et al.
Citation: JSLS: Journal of the Society of Laparoscopic & Robotic Surgeons, 29(3), e2025.00068
Date: 09/2025
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Explores the feasibility and acceptability of electronic patient-reported outcomes among metabolic and bariatric surgery patients at an academic medical center in rural West Virginia. Describes results of a patient questionnaire regarding the experience of using a tablet to complete psychosocial evaluations before seeing a behavioral health provider and their preference for using a tablet or traditional paper-and-pencil forms.
Author(s): Hayley Harman, Ashleigh A. Pona, Lawrence Tabone, et al.
Citation: JSLS: Journal of the Society of Laparoscopic & Robotic Surgeons, 29(3), e2025.00068
Date: 09/2025
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Tenecteplase in Practice: A Rural Tele-Stroke Network's Experience
Compares care outcomes of Alteplase and Tenecteplase as thrombolytic agents for acute ischemic stroke in rural populations. Utilizes data of 1,644 patients who received treatment through the Medical University of South Carolina (MUSC) Telestroke Network.
Author(s): Alexander Vorobyev, Marina Buciuc, Kevin Jacks, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(10), 108416
Date: 09/2025
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Compares care outcomes of Alteplase and Tenecteplase as thrombolytic agents for acute ischemic stroke in rural populations. Utilizes data of 1,644 patients who received treatment through the Medical University of South Carolina (MUSC) Telestroke Network.
Author(s): Alexander Vorobyev, Marina Buciuc, Kevin Jacks, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(10), 108416
Date: 09/2025
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Enhancing Primary Care Capacity for Cardiovascular Disease Management Through the ECHO+ Model: A Multistate Rural Collaboration Among West Virginia, Arkansas, and Oklahoma
Examines quality of care and clinician capacity impacts of the ECHO+ cardiovascular disease (CVD) tele-education course, which included asynchronous pre-recorded lectures and a quality improvement learning collaborative for 41 rural primary care providers in West Virginia, Arkansas, and Oklahoma. Provides data on ECHO+ impacts on CVD quality indicators, patient outcomes, and participant feedback.
Author(s): Dru Ricci, Hannah Schmitt, Heidi Ngov, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Examines quality of care and clinician capacity impacts of the ECHO+ cardiovascular disease (CVD) tele-education course, which included asynchronous pre-recorded lectures and a quality improvement learning collaborative for 41 rural primary care providers in West Virginia, Arkansas, and Oklahoma. Provides data on ECHO+ impacts on CVD quality indicators, patient outcomes, and participant feedback.
Author(s): Dru Ricci, Hannah Schmitt, Heidi Ngov, et al.
Citation: Journal of Primary Care & Community Health, 16
Date: 09/2025
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Comparison of Discharge Disposition and AHA Prehospital Stroke Compliance among Urban, Suburban, and Rural EMS Agencies
Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Compares patient outcomes and compliance with quality of care guidelines among rural, suburban, and urban EMS agencies. Utilizes prehospital encounter data from 31 Colorado and Wyoming hospitals from 2020 to 2022.
Author(s): Daria S. Nicke, Courtney Wham, Ian Espinoza, et al.
Citation: Journal of Stroke & Cerebrovascular Diseases, 34(9), 108402
Date: 09/2025
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Bridging Rural Communities: Telehealth Innovations for Appalachia and Beyond
Video series on innovative approaches to telehealth in rural Appalachia, hosted by the Mid-Atlantic Telehealth Center (MATRC) on August 1, 2025. Features speakers on telehealth use in veterans' healthcare, substance use recovery, palliative care, mental health, healthy aging, emergency preparedness and response, cancer screening, and other topics related to healthcare access, quality of care, and healthcare economics. Transcripts are available via video descriptions.
Date: 08/2025
Sponsoring organization: Mid-Atlantic Telehealth Resource Center
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Video series on innovative approaches to telehealth in rural Appalachia, hosted by the Mid-Atlantic Telehealth Center (MATRC) on August 1, 2025. Features speakers on telehealth use in veterans' healthcare, substance use recovery, palliative care, mental health, healthy aging, emergency preparedness and response, cancer screening, and other topics related to healthcare access, quality of care, and healthcare economics. Transcripts are available via video descriptions.
Date: 08/2025
Sponsoring organization: Mid-Atlantic Telehealth Resource Center
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Skill Mix Versus Flexibility: Decoding Nurse Staffing Impacts on Critical Access Hospitals
Presents a study on the skill mix and flexibility of nurse staffing on the financial stability, care quality, and efficacy of Critical Access Hospitals (CAHs) in Pennsylvania from 2000 to 2023. Correlates skill mix and flexibility with hospital outcomes and controls for hospital-specific, socioeconomic, and demographic factors.
Author(s): Dinesh R Pai, Esmaeil Bahalkeh
Citation: Journal of Rural Health, 41(3), e70075
Date: 08/2025
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Presents a study on the skill mix and flexibility of nurse staffing on the financial stability, care quality, and efficacy of Critical Access Hospitals (CAHs) in Pennsylvania from 2000 to 2023. Correlates skill mix and flexibility with hospital outcomes and controls for hospital-specific, socioeconomic, and demographic factors.
Author(s): Dinesh R Pai, Esmaeil Bahalkeh
Citation: Journal of Rural Health, 41(3), e70075
Date: 08/2025
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End-Stage Renal Disease Treatment Choices (ETC) Model: Third Annual Evaluation Report, Calendar Years 2021-2023
Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, waitlisting for a kidney transplant, living donor and deceased donor transplantation, utilization of services, Medicare payments, and quality of care. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the first three years of the ETC Model, 2021-2023. Explores if the impacts of the ETC Model differed by patient subgroup, including rural residence.
Additional links: Appendices, Executive Summary, Findings at a Glance
Date: 08/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
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Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, waitlisting for a kidney transplant, living donor and deceased donor transplantation, utilization of services, Medicare payments, and quality of care. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the first three years of the ETC Model, 2021-2023. Explores if the impacts of the ETC Model differed by patient subgroup, including rural residence.
Additional links: Appendices, Executive Summary, Findings at a Glance
Date: 08/2025
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
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The Impact of Telehealth on Cost and Time Efficiency for Patients With Disabilities During Nonemergency Encounters: A Scoping Review
A scoping review of 2018-2024 studies focused on telehealth and related themes of efficiency, clinical outcomes, patient satisfaction, and increased access to healthcare for people with chronic disabilities. Analyzes 8 studies on telehealth and includes commentary on its effectiveness in rural areas.
Author(s): Kaushalya Mendis, Veda Priya Puligundla, Myles Rosenzweig, et al.
Citation: The Permanente Journal
Date: 08/2025
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A scoping review of 2018-2024 studies focused on telehealth and related themes of efficiency, clinical outcomes, patient satisfaction, and increased access to healthcare for people with chronic disabilities. Analyzes 8 studies on telehealth and includes commentary on its effectiveness in rural areas.
Author(s): Kaushalya Mendis, Veda Priya Puligundla, Myles Rosenzweig, et al.
Citation: The Permanente Journal
Date: 08/2025
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Quantitative Effects of Mechanical Cardiopulmonary Resuscitation Devices in Rural American Emergency Medical Services: A Retrospective Cohort Study
Examines the effect of mechanical cardiopulmonary resuscitation on out-of-hospital cardiac arrest incidents in rural areas and the usefulness of new technologies on rural emergency medical services (EMS). Utilizes 2017–2019 National Emergency Medical Services Information System data to analyze 585 rural cardiac arrests and the impact of mechanical cardiopulmonary resuscitation on EMS care quality.
Author(s): Peter H. King, Esmaeil Bahalkeh
Citation: International Journal of Emergency Medicine, 18, 151
Date: 08/2025
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Examines the effect of mechanical cardiopulmonary resuscitation on out-of-hospital cardiac arrest incidents in rural areas and the usefulness of new technologies on rural emergency medical services (EMS). Utilizes 2017–2019 National Emergency Medical Services Information System data to analyze 585 rural cardiac arrests and the impact of mechanical cardiopulmonary resuscitation on EMS care quality.
Author(s): Peter H. King, Esmaeil Bahalkeh
Citation: International Journal of Emergency Medicine, 18, 151
Date: 08/2025
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CAH Quality Inventory & Assessment - State Flex Program Resources
Provides ancillary materials related to the 2025 Critical Access Hospital (CAH) Quality Inventory & Assessment (Assessment) for State Flex Programs (SFPs). Includes resources on the background and components of the Assessment for State Flex Programs, a template email that State Flex Programs can use to send to CAHs regarding the Assessment, and instructions for State Flex Programs detailing how to use the Assessment Data Tool for 2024 Assessment.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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Provides ancillary materials related to the 2025 Critical Access Hospital (CAH) Quality Inventory & Assessment (Assessment) for State Flex Programs (SFPs). Includes resources on the background and components of the Assessment for State Flex Programs, a template email that State Flex Programs can use to send to CAHs regarding the Assessment, and instructions for State Flex Programs detailing how to use the Assessment Data Tool for 2024 Assessment.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 08/2025
Sponsoring organization: Flex Monitoring Team
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