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Rural Health
Resources by Topic: Healthcare quality

Report to Congress on Medicaid and CHIP, March 2025
Reports on three aspects of Medicaid of interest to Congress: 1) improving the usability and transparency of the managed care external quality review process, 2) improvements on timely access to home- and community-based services (HCBS), and 3) ways to streamline Medicaid Section 1915 authorities for home-and community-based services and reduce the administrative burden.
Date: 03/2025
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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MedPAC Report to the Congress: Medicare Payment Policy: Home Health Care Services: Chapter 7
Discusses payment adequacy for home healthcare services. Features statistics on Medicare margins for home health agencies between 2019-2023 with breakdowns by urban and rural areas, a comparison of patient-experience quality measures by urban and rural status, and the number of home health periods provided to rural beneficiaries.
Date: 03/2025
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Hospital Experiences in the Colorado Hospital Transformation Program
Provides an overview of the Colorado Hospital Transformation Program (CO HTP), a 5-year program that ties Medicaid supplemental payments to hospitals' ability to meet performance targets through September 2026. Describes the experiences of three Critical Access Hospitals (CAHs) and explores how CO HTP impacts rural hospitals. Covers planning and community engagement, quality of care, and healthcare costs.
Date: 03/2025
Sponsoring organization: Rural Health Value
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2024-2025 Pre-Rulemaking Measure Review (PRMR): Recommendations Report
Reviews the 41 pre-rulemaking quality measures the Battelle's Partnership for Quality Measurement (PQM) considered during the 2024-2025 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: 02/2025
Sponsoring organization: Partnership for Quality Measurement
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VHA Office of Rural Health (ORH) Long-Range Operational Plan, FY 2025-2029
Presents the Veterans Health Administration, Office of Rural Health's (ORH) operational plan for 2025-2029. Discusses ORH's 4 main goals going forward: support delivery of accessible integrated care, optimize workforce capacity, enrich research and quality improvement, and to maximize employee performance. Highlights how the ORH goals fit with the VA's strategic and stewardship goals, as well as the broader VHA goals.
Date: 01/2025
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Impact of a Diabetic Retinal Exam Screening Program on Quality Measure Gaps at a Family Medicine Practice
Examines access to diabetic retinal exams and the impact of their availability on quality measures at a rural family medicine center in southwestern Pennsylvania. Includes data on diabetic retinal screenings and associated factors related to exam access.
Author(s): Michael Hair, Alexandra Tardugno, Alyssa Greenaway, Chelse Wisenor, Autumn Stewart-Lynch
Citation: Journal of the American Pharmacists Association, 65(1)
Date: 01/2025
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Antibiotic Stewardship Detailed Data Summarization Tool for State Flex Programs: 2023 Annual Facility Survey
Tool to help state Flex programs summarize and utilize the Core and Detailed Annual Facility Survey antibiotic stewardship data. Provides a core element summary and a question-by-question summary of Critical Access Hospital responses.
Date: 01/2025
Sponsoring organization: Flex Monitoring Team
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Urban and Rural Differences in Cancer Treatment Disruption Among Patients With COVID-19: An Analysis of the US ASCO COVID-19 in Oncology Registry
Examines rural and urban experiences of cancer treatment delay or discontinuation associated with COVID-19 between March 2020 and September 2022, utilizing data of 3,797 cancer patients from the American Society of Clinical Oncology Survey on COVID-19 in Oncology Registry. Includes data breakdowns by demographic and clinical factors.
Author(s): Yu Chen Lin, Kea Turner, Oliver T. Nguyen, et al.
Citation: Cancer Medicine, 14(2), e70512
Date: 01/2025
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Nursing at an Inflection Point: Creating Systems of Care that Support and Value the Contributions of Nurses: 20th Annual Report to the Secretary of the U.S. Department of Health and Human Services and the U.S. Congress
Presents policy and programmatic recommendations to address valuing the impact of nursing care on patient outcomes, strengthening academic-practice partnerships, removing practice barriers for advanced practice registered nursing, and supporting the infusion of technology of nursing education and practice. Includes rural references throughout.
Date: 01/2025
Sponsoring organization: National Advisory Council on Nurse Education and Practice
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Travel Time as an Indicator of Poor Access to Care in Surgical Emergencies
Results of a study to determine how proximity to emergency care impacts disease complexity for patients with acute surgical conditions. Features statistics including sociodemographic and clinical characteristics by travel time, with breakdowns by rural, micropolitan, and metropolitan areas.
Author(s): Nina M. Clark, Alexandra H. Hernandez, Mia S. Bertalan, et al.
Citation: JAMA Network Open, 8(1), e2455258
Date: 01/2025
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