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Rural Health
Resources by Topic: Healthcare quality

Antibiotic Stewardship Program (ASP) Case Study: Critical Access Hospital - Southwest Health System
Outlines the governance structure, implementation strategies, key milestones, and outcomes from Cortez, Colorado-based Southwest Health System's antimicrobial stewardship program.
Date: 12/2017
Type: Document
Sponsoring organization: Health Research & Educational Trust
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Strengthening Medicaid Long-Term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies that states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings, and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide real-life examples of each strategy, and discusses rural-specific considerations throughout.
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 12/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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MedPAC Report to the Congress: Physician Supervision Requirements in Critical Access Hospitals and Small Rural Hospitals
Provides background information on Medicare physician supervision requirements, and examines how enforcement of these requirements impacts access to care, quality of care, and recruitment efforts in Critical Access Hospitals (CAHs) and small rural hospitals. Findings are based on interviews with CMS officials, hospital association representatives, and CAH administrators in several states.
Date: 12/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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ESRD Facility Characteristics by Rurality and Risk of Closure
Profiles rural end-stage renal disease (ESRD) facilities, especially the ones at greatest risk for closure. Examines the facilities' characteristics, quality of care, and distance their patients would need to travel if the facilities should close. Features statistics with breakdowns by urban and rural locations.
Author(s): Jan M. Eberth, Fozia Ajmal, Kevin Bennett, Janice C. Probst
Date: 11/2017
Type: Document
Sponsoring organization: South Carolina Rural Health Research Center
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Kalispell Regional Healthcare: Managing the Needs of Medically and Socially Complex Patients or Superutilizers
Details how Kalispell Regional Healthcare teamed with Mountain-Pacific Quality Health to introduce a modified transitional care model, which is designed to reduce service utilization and improve the health of high-cost, high-need patients. The initiative is part of a special innovations project through the Centers for Medicare and Medicaid Services (CMS) and uses multidisciplinary "ReSource" teams to coordinate care and services across rural and underserved areas of Montana.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Section for Small or Rural Hospitals
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Delta Memorial Hospital: SRHT Project Well Under Way
Documents Delta Memorial Hospital's (DMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, which it completed during 2017. DMH, a 25-bed Critical Access Hospital (CAH) located in Dumas, Arkansas, focused efforts on improving quality of care and transitions of care throughout its facilities. Six months after implementing the recommendations, improvements can be seen across several measurable and non-measurable outcomes.
Date: 11/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Improving Healthcare Value in Rural America
Identifies and explains the challenges facing rural communities as they work to improve healthcare value. Discusses the distinct differences between urban and rural value initiatives, highlights promising strategies for achieving rural value, and makes the case for using customized approaches rather than one-size-fits-all models.
Date: 10/2017
Type: Document
Sponsoring organization: Healthcare Value Hub
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Mountain-Pacific Quality Health Pilot: Closing the Gaps in Rural Complex Care
Profiles Mountain-Pacific Quality Health, a nonprofit corporation working to connect rural residents of Montana's Flathead Valley with high quality care. Mountain-Pacific is part of a pilot program aimed at improving the health of high-need, rural patients through the use of technology and interdisciplinary care teams. Mountain-Pacific also received a $1 million innovation award from the Center for Medicare and Medicaid Innovation to support their use of ReSource Teams and help care for high-cost, high-need Medicare patients in the region.
Date: 10/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Medicare Payment Basics: Accountable Care Organization Payment Systems
Provides an overview of the payment mechanisms associated with Medicare's three Accountable Care Organization (ACO) programs: the Medicare Shared Savings Program (MSSP), the Next Generation ACO demonstration, and the Medicare ACO Track 1+ model.
Date: 10/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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2017 National Healthcare Quality and Disparities Report: Chartbook on Rural Health Care
Summarizes trends in healthcare quality and disparities for rural populations. Includes quality measures for access to healthcare, patient safety, person- and family-centered care, care coordination, affordability, healthy living, and effective treatment.
Author(s): Barbara Barton, Irim Azam
Date: 10/2017
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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