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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare quality

Potentially More Out of Reach: Public Reporting Exacerbates Inequities in Home Health Access
Examines the impact of the introduction of home health star ratings on changes in high-quality home health agency utilization. Describes differences in high-quality home health agency use by various demographic and geographic factors.
Author(s): Shekinah A. Fashaw-Walters, Momotazur Rahman, Gilbert Gee, et al.
Citation: Milbank Quarterly, 101(2), 527-559
Date: 03/2023
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A Novel Cardio-Oncology Service Line Model in Optimizing Care Access, Quality and Equity for Large, Multi-Hospital Health Systems
Examines the impact of establishing an academic cardio-oncology service line model for a large, multi-hospital health system to improve access, with rural populations as a primary focus. Discusses multidisciplinary approach, infrastructure elements, quality control, central governance, creation of protocols, and establishment of a cardio-oncology registry.
Author(s): Yan Liu
Citation: Cardio-Oncology, 9, 16
Date: 03/2023
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California Federally Qualified Health Center Alternative Payment Model Implementation Guide
Provides an overview on how the California Federally Qualified Health Center Alternative Payment Model (FQHC APM) may impact FQHCs and how facilities can prepare for the transition. Discusses the financial impact of the FQHC APM and assists facilities and staff in setting priorities, determining staffing needs, understanding necessary data collection, building staff competencies, and more.
Author(s): Greg Howe, Karla Silverman, Rob Houston
Date: 03/2023
Sponsoring organizations: California Health Care Foundation, Center for Health Care Strategies
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Financial Risk Acceptance among Rural Health Care Providers Participating in the Quality Payment Program
Summarizes nonmetropolitan and metropolitan providers' participation in different Quality Payment Program tracks and subdivisions, and evaluates provider and patient-panel characteristics associated with financial risk acceptance. Features statistics on risk acceptance with breakdowns by specialty type and metropolitan status, and patient panel characteristics by risk type.
Author(s): Xi Zhu, Mina Shrestha, Fred Ullrich, Keith Mueller
Date: 03/2023
Sponsoring organization: RUPRI Center for Rural Health Policy Analysis
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2022 National Healthcare Quality and Disparities Report: Chartbook on Patient Safety
Summarizes trends in healthcare quality and disparities for metro (urban) to noncore (rural) populations. Includes quality measures for patient safety, person-centered care, care coordination, effective treatment, healthy living, and affordability.
Author(s): Barbara Barton, Darryl Gray, Cecilia Hahn, et al.
Date: 03/2023
Sponsoring organization: Agency for Healthcare Research and Quality
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RHCs & the Medicare Shared Savings Program - What You Need to Know
Recording of a March 7, 2023, webinar providing an overview of the transition to value-based care, Accountable Care Organizations, and the Medicare Shared Savings Program. Discusses considerations for Rural Health Clinic participation in the Shared Savings Program. Part of the Rural Health Clinic Technical Assistance Series.
Additional links: Presentation Slides, Transcript
Date: 03/2023
Sponsoring organization: National Association of Rural Health Clinics
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CMS Bundled Payments for Care Improvement Advanced Model: Fourth Evaluation Report
Fourth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 3. Analyzes BPCI Advanced outcomes for beneficiaries from underserved communities, including beneficiaries in rural areas and areas with a high Area Deprivation Index (ADI).
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 03/2023
Sponsoring organization: Centers for Medicare and Medicaid Services
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Quality Improvement in Rural Health Care
Policy position paper regarding challenges rural providers face in participating in quality improvement initiatives. Offers policy recommendations on the establishment and support of rural-relevant quality measures.
Author(s): Michelle Mills, Roger Wells
Date: 02/2023
Sponsoring organization: National Rural Health Association
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Center for Medicare & Medicaid Innovation Initiatives to Address Rural Health and Health Disparities
Policy brief describing three national Center for Medicare & Medicaid Innovation (CMMI) value-based initiatives that allow providers to work toward health equity. Provides policy recommendations to design and refine programs to engage rural providers.
Author(s): Andrea Mitchell, Alyssa Meller, Hunter Nostrant
Date: 02/2023
Sponsoring organization: National Rural Health Association
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Health Policy for Rural Illinois, Data for Policy Development
Provides information on various metrics representing healthcare access, cost, quality, and equity in metro and nonmetro areas of Illinois. Includes further breakdowns of data by White, Hispanic, and Black categories and discusses policy issues related to health disparities in nonmetro areas and for various demographic groups.
Author(s): Adee Athiyaman
Date: 02/2023
Sponsoring organization: Illinois Institute for Rural Affairs
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