Rural Health
Resources by Topic: Healthcare quality
Medicare: CMS Needs to Address Risks Posed by Provider Enrollment Waivers and Flexibilities
Report discusses the waivers and flexibilities in Medicare requirements that were implemented during the COVID-19 pandemic. Highlights how these waivers, such as fingerprint-based criminal background checks and revalidating provider eligibility, put Medicare at a high risk for fraud, waste, and abuse. Details how these waivers affect rural providers, as well.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Report discusses the waivers and flexibilities in Medicare requirements that were implemented during the COVID-19 pandemic. Highlights how these waivers, such as fingerprint-based criminal background checks and revalidating provider eligibility, put Medicare at a high risk for fraud, waste, and abuse. Details how these waivers affect rural providers, as well.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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HAI/AR Rural, Frontier, and Small LHDs Exploratory Survey and In-Depth Interview Analysis & Resources
Provides information related to Healthcare-Associated Infections (HAIs), Antimicrobial Resistance (AMR), and Antimicrobial Stewardship (AMS) issues in rural, frontier, and small local health departments (LHDs). Includes links to survey results regarding HAIs, AMR, and AMS initiatives; report on HAIs, AMR, and AMS-focused interviews held with LHDs and other rural partners; infographics to explain results of respective survey and report; and a 6-part blog series covering HAIs, AMR, and AMS issues.
Author(s): Jaclyn Abramson
Date: 12/2022
Sponsoring organization: National Association of County and City Health Officials
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Provides information related to Healthcare-Associated Infections (HAIs), Antimicrobial Resistance (AMR), and Antimicrobial Stewardship (AMS) issues in rural, frontier, and small local health departments (LHDs). Includes links to survey results regarding HAIs, AMR, and AMS initiatives; report on HAIs, AMR, and AMS-focused interviews held with LHDs and other rural partners; infographics to explain results of respective survey and report; and a 6-part blog series covering HAIs, AMR, and AMS issues.
Author(s): Jaclyn Abramson
Date: 12/2022
Sponsoring organization: National Association of County and City Health Officials
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COVID-19 in Nursing Homes: Outbreak Duration Averaged 4 Weeks and Was Strongly Associated with Community Spread
Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Sponsoring organization: Government Accountability Office
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CMS Innovation Center: 2022 Report to Congress
Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2020 and September 2022. Includes summaries and updates on multiple rural-relevant models and initiatives, including Community Health Access and Rural Transformation (CHART) Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reports to Congress on payment and service delivery models and initiatives tested or announced by the Center for Medicare and Medicaid Innovation between October 2020 and September 2022. Includes summaries and updates on multiple rural-relevant models and initiatives, including Community Health Access and Rural Transformation (CHART) Model, the Pennsylvania Rural Health Model (PARHM), the Vermont All-Payer Accountable Care Organization Model, and more.
Date: 12/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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MBQIP Quality Measures National Annual Report - 2021
Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2021. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Alyssa Furukawa, Madeleine Pick
Date: 12/2022
Sponsoring organization: Flex Monitoring Team
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Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2021. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Alyssa Furukawa, Madeleine Pick
Date: 12/2022
Sponsoring organization: Flex Monitoring Team
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Medicaid Population-Based Payment: The Current Landscape, Early Insights, and Considerations for Policymakers
Provides an overview of population-based payment (PBP) models and the Medicaid PBP landscape. Identifies promising strategies for designing and implementing PBPs in Medicaid and considerations for state and federal policymakers who want to support these programs. Highlights state PBP approaches, including the Pennsylvania Rural Health Model.
Author(s): Rob Houston, Anne Smithey, Kelsey Brykman
Date: 11/2022
Sponsoring organization: Center for Health Care Strategies
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Provides an overview of population-based payment (PBP) models and the Medicaid PBP landscape. Identifies promising strategies for designing and implementing PBPs in Medicaid and considerations for state and federal policymakers who want to support these programs. Highlights state PBP approaches, including the Pennsylvania Rural Health Model.
Author(s): Rob Houston, Anne Smithey, Kelsey Brykman
Date: 11/2022
Sponsoring organization: Center for Health Care Strategies
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2021
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Offers a summary of the findings from the prior annual reports on the CCBHC demonstration, a comparison of cost and quality in the first two demonstration years, and the results of impact analyses. This is the fifth annual report to Congress on the CCBHC demonstration.
Date: 11/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Offers a summary of the findings from the prior annual reports on the CCBHC demonstration, a comparison of cost and quality in the first two demonstration years, and the results of impact analyses. This is the fifth annual report to Congress on the CCBHC demonstration.
Date: 11/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Fifth Evaluation Report: Next Generation Accountable Care Organization Model Evaluation
Reports on changes to the Next Generation Accountable Care Organization (NGACO) Model in response to the COVID-19 public health emergency (PHE). Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care, as well as impacts observed in 2020, the model's fifth performance year. The appendices include data on community characteristics, including rurality.
Additional links: Technical Appendices
Date: 11/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Reports on changes to the Next Generation Accountable Care Organization (NGACO) Model in response to the COVID-19 public health emergency (PHE). Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care, as well as impacts observed in 2020, the model's fifth performance year. The appendices include data on community characteristics, including rurality.
Additional links: Technical Appendices
Date: 11/2022
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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2022 Rural-Urban Disparities in Health Care in Medicare
Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2021, 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: 11/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Examines rural/urban differences in the quality of healthcare received by Medicare beneficiaries in 2021, 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: 11/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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2022 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability. Includes a discussion of rural hospital closures and the impact on the distance required to access selected healthcare services.
Date: 11/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability. Includes a discussion of rural hospital closures and the impact on the distance required to access selected healthcare services.
Date: 11/2022
Sponsoring organization: Agency for Healthcare Research and Quality
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