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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare quality

January 2023 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) January 2023 meeting. Covers Medicaid data collection and reporting, nursing facility provider payment principles, challenges for states administering Medicaid home- and community-based services and access barriers for Medicaid beneficiaries, Medicaid managed care quality oversight, the unwinding of the Public Health Emergency, and more. Includes rural references and considerations throughout.
Date: 01/2023
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Telemedicine Use and Quality of Opioid Use Disorder Treatment in the US During the COVID-19 Pandemic
Results of a study of 1,768 clinicians treating 11,801 patients with opioid use disorder (OUD), to examine the association between telemedicine adoption during the COVID-19 pandemic and indicators of OUD treatment quality. Explores medications for OUD (MOUD) prescribing and OUD-related clinical events, including drug overdose, inpatient detoxification, and rehabilitation center stay. Features statistics including patient and clinician characteristics, with breakdowns by metropolitan, micropolitan, small town, and rural location.
Author(s): Ruth Hailu, Ateev Mehrotra, Haiden A. Huskamp, Alisa B. Busch, Michael L. Barnett
Citation: JAMA Network Open, 6(1)
Date: 01/2023
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Ohio 2023 Early Childhood Dashboard
Provides an overview of early childhood health outcomes and overall wellness in Ohio. Covers issues such as birth outcomes, young child health, maternal health, school readiness, healthcare access and quality, economic stability, food insecurity, adverse childhood experiences (ACEs), housing, and more. Includes family profiles and data with comparisons of Ohio's metrics versus the U.S. at large, as well as select data broken down by county, race/ethnicity, and rural versus urban.
Author(s): Carrie Almasi, Hailey Akah, Lexi Chirakos, Brian O'Rourke
Date: 01/2023
Sponsoring organizations: Groundwork Ohio, Health Policy Institute of Ohio
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Rural Federally Qualified Health Centers Financial and Operational Performance Analysis 2018-2021
Examines financial and operational characteristics of rural Federally Qualified Health Centers (FQHCs) from 2018-2021. Explores FQHC growth and expansion, patient and payer mix, revenue and growth mix, financial performance, quality of care, and more. Compares data on rural FQHCs to urban and national FQHC data. Requires name, email address, and organization information to download.
Date: 01/2023
Sponsoring organization: Capital Link
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Use of Telehealth During the COVID-19 Era
Presents a review of more than 300 studies on the use of telehealth published between March 11, 2020, and May 2, 2022. Explores the characteristics of the patients, providers, and health systems using telehealth during the COVID-19 era. Examines the benefits and harms of telehealth, what is considered a successful telehealth intervention, and strategies used to implement telehealth interventions.
Additional links: Executive Summary
Date: 01/2023
Sponsoring organizations: Agency for Healthcare Research and Quality, Johns Hopkins University Evidence-based Practice Center
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Rural Healthy People 2030
Presents literature reviews of 20 rural public health priority topics identified through a survey of rural stakeholders. Reviews the scope of each topic, discusses related goals and objectives from the national Healthy People 2030 initiative, identifies affected populations, highlights interventions and solutions, and more. Topics include mental health, substance use, social determinants of health, access to care, quality of care, chronic health conditions, and COVID-19.
Author(s): Alva O. Ferdinand, Jane N. Bolin, Timothy Callaghan, et al.
Date: 2023
Sponsoring organization: Southwest Rural Health Research Center
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Patient and Provider Perceptions of COVID-19-Driven Telehealth Use From Nurse-Led Care Models in Rural, Frontier, and Urban Colorado Communities
Compares rural/frontier and urban perceptions of telehealth in 3 nurse-led models of care in Colorado: Federally Qualified Health Centers (FQHCs), nurse midwifery practices, and the Nurse-Family partnership program. Analyzes surveys from 308 patient respondents and 88 provider respondents and includes data about respondent characteristics, patient engagement, patient trust, provider experience, quality of healthcare visits, and more.
Author(s): Amy J Barton, Claudia R Amura, Emileigh L Willems, et al.
Citation: Technology and Digital Innovations in Patient Experience, 10
Date: 2023
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Total Knee Arthroplasty in the Outpatient vs Inpatient Settings: Impact of Site of Care on Early Postoperative Economic and Clinical Outcomes
Compares inpatient and outpatient outcomes of total knee arthroplasty adult patients treated with the Attune Knee System implant between October 1, 2015 and December 2020. Table 1 shows comparison of rural patients to urban patients among other demographic characteristics. Discusses the difference in both clinical and financial outcomes when the procedure occurs at rural hospitals as compared to urban hospitals.
Author(s): Jack Mantel, Jill W. Ruppenkamp, Maricruz Cantu, Chantal E. Holy
Citation: Journal of Orthopaedic Surgery and Research, 2023(18), 273
Date: 2023
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5-Year Strategic Plan: How Primary Care Investments Can Increase Access, Improve Quality, Lower Costs, Promote Health Equity & Address Workforce Needs
Details the New Mexico strategic plan to improve primary care by increasing access, improving healthcare quality, implementing financing reforms, promoting workforce sustainability, and integrating behavioral health into primary care. Discusses issues disproportionately represented in rural and frontier areas and provides county-level maps depicting social vulnerability and Medicaid and Children's Health Insurance Program (CHIP) recipients. Provides models and best practices in primary care with examples specific to rural areas.
Date: 2023
Sponsoring organization: New Mexico Primary Care Council
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Disparities in Patient Portal Access by U.S. Adults Before and During the COVID-19 Pandemic
Reports on a population-based survey to determine if socio-demographic disparities exist in accessing online patient portals. Using data from the 2020 U.S. Health Information National Trends Survey, insured adults who had a medical visit in the previous 12 months were asked about their knowledge, access, and use of online medical records. Demographic characteristics of patients who were offered access, and for patients who accessed online portals are compared. Reasons for not using an online portal are discussed. Compares online patient portal use by different patient characteristics, including education, race/ethnicity, sex, age, location (metro vs nonmetro/rural), insurance type, use of internet, and quality of care.
Author(s): Akira Nishii, Celeste Campos-Castillo, Denise Anthony
Citation: JAMIA Open, 5(4)
Date: 12/2022
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