Rural Health
Resources by Topic: Healthcare quality
Environmental Scan on Consolidation Trends and Impacts in Health Care Markets
Summarizes results of an environmental scan and describes the landscape of healthcare market consolidation across the United States. Analyzes the evidence on consolidation trends and the impacts of these trends on price, quality, and access in healthcare provider and insurance markets. Includes information on the impacts of hospital consolidation on rural healthcare quality and patient access.
Date: 08/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Summarizes results of an environmental scan and describes the landscape of healthcare market consolidation across the United States. Analyzes the evidence on consolidation trends and the impacts of these trends on price, quality, and access in healthcare provider and insurance markets. Includes information on the impacts of hospital consolidation on rural healthcare quality and patient access.
Date: 08/2022
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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2022 Key Rural Measures: An Updated List of Measures to Advance Rural Health Priorities
Report updating a list of key rural measures focused on rural access to care originally outlined in A Core Set of Rural-Relevant Measures and Measuring and Improving Access to Care: 2018 Recommendations from the MAP Rural Health Workgroup. Identifies 17 measures to add to the 2018 list of rural measures, including items related to behavioral and mental health, substance use, infectious disease, access to care, and equity and social determinants of health. Discusses remaining gaps in measurement topic areas.
Date: 08/2022
Sponsoring organization: National Quality Forum
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Report updating a list of key rural measures focused on rural access to care originally outlined in A Core Set of Rural-Relevant Measures and Measuring and Improving Access to Care: 2018 Recommendations from the MAP Rural Health Workgroup. Identifies 17 measures to add to the 2018 list of rural measures, including items related to behavioral and mental health, substance use, infectious disease, access to care, and equity and social determinants of health. Discusses remaining gaps in measurement topic areas.
Date: 08/2022
Sponsoring organization: National Quality Forum
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2020 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2020. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, as well as their mean payment adjustment scores.
Date: 08/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reports on the clinician experience for those participating in the Quality Payment Program in 2020. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, as well as their mean payment adjustment scores.
Date: 08/2022
Sponsoring organization: Centers for Medicare and Medicaid Services
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Hospice Care Index Technical Report
Provides an overview of the Hospice Care Index (HCI), a new Hospice Quality Reporting Program (HQRP) quality measure. Presents data and descriptive trends for the overall index score and each of the ten claims-based indicators that make up the HCI using Medicare claims data from fiscal years 2019-2021. Includes comparisons of hospices by the number of claims, decade of certification, ownership, facility type, region, and urban/rural location.
Date: 07/2022
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Provides an overview of the Hospice Care Index (HCI), a new Hospice Quality Reporting Program (HQRP) quality measure. Presents data and descriptive trends for the overall index score and each of the ten claims-based indicators that make up the HCI using Medicare claims data from fiscal years 2019-2021. Includes comparisons of hospices by the number of claims, decade of certification, ownership, facility type, region, and urban/rural location.
Date: 07/2022
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Rural Local Health Department Partnership in Healthcare Associated Infections (HAI), Antimicrobial Resistance (AMR) and Antimicrobial Stewardship (AMS): In-Depth Interviews Report
Reports on an assessment of rural, frontier, and small local health departments (LHDs) and their engagement with Healthcare Associated Infections (HAI), Antimicrobial Resistance (AMR), and Antimicrobial Stewardship (AMS) initiatives. Provides performance information on LHDs engaged in initiatives to address HAI, AMR, and AMS, barriers preventing LHDs from engaging in initiatives, and overall workforce development and capacity of LHDs. Discusses the May 2022 interviews of 11 LHD representatives and 2 non-local health departments and includes results and recommendations.
Additional links: Infographic
Date: 07/2022
Sponsoring organizations: Health Communications Consultants, Inc., National Association of County and City Health Officials
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Reports on an assessment of rural, frontier, and small local health departments (LHDs) and their engagement with Healthcare Associated Infections (HAI), Antimicrobial Resistance (AMR), and Antimicrobial Stewardship (AMS) initiatives. Provides performance information on LHDs engaged in initiatives to address HAI, AMR, and AMS, barriers preventing LHDs from engaging in initiatives, and overall workforce development and capacity of LHDs. Discusses the May 2022 interviews of 11 LHD representatives and 2 non-local health departments and includes results and recommendations.
Additional links: Infographic
Date: 07/2022
Sponsoring organizations: Health Communications Consultants, Inc., National Association of County and City Health Officials
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Virtual Training and Technical Assistance: A Shift in Behavioral Health Workforce Access and Perceptions of Services During Emergency Restrictions
Compares training and technical assistance (TTA) provision in the six-month period prior to and during early COVID-19 restrictions to determine the extent to which the shift to virtual service provision affected the behavioral health and medical workforce. Examines participants' access to TTA, geographic reach of TTA, and workforce perceptions of satisfaction and utility with TTA provision.
Author(s): Kristen G. Powell, Michael J. Chaple, Maxine Henry, et al.
Citation: BMC Medical Education, 22(575)
Date: 07/2022
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Compares training and technical assistance (TTA) provision in the six-month period prior to and during early COVID-19 restrictions to determine the extent to which the shift to virtual service provision affected the behavioral health and medical workforce. Examines participants' access to TTA, geographic reach of TTA, and workforce perceptions of satisfaction and utility with TTA provision.
Author(s): Kristen G. Powell, Michael J. Chaple, Maxine Henry, et al.
Citation: BMC Medical Education, 22(575)
Date: 07/2022
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Strategies for Enhancing Prehospital Outcomes for Cardiac Arrest (EPOC)
Analyzes results of the National Heart, Lung, and Blood Institute–funded Enhancing Prehospital Outcomes for Cardiac Arrest (EPOC) study, which lays the foundation for future quality improvement efforts in out-of-hospital cardiac arrest (OHCA). Identifies 49 strategies across the incident, stakeholder, and system levels to improve pre-hospital OHCA survival and care delivery. Includes rural references and considerations throughout.
Author(s): Mahshid Abir, Stephen R. Dowker, Wilson Nham, et al.
Date: 07/2022
Sponsoring organization: RAND Corporation
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Analyzes results of the National Heart, Lung, and Blood Institute–funded Enhancing Prehospital Outcomes for Cardiac Arrest (EPOC) study, which lays the foundation for future quality improvement efforts in out-of-hospital cardiac arrest (OHCA). Identifies 49 strategies across the incident, stakeholder, and system levels to improve pre-hospital OHCA survival and care delivery. Includes rural references and considerations throughout.
Author(s): Mahshid Abir, Stephen R. Dowker, Wilson Nham, et al.
Date: 07/2022
Sponsoring organization: RAND Corporation
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Understanding CMS' Changes to Hospital Overall Star Ratings
Summarizes an analysis of the effects of methodological changes to the Centers for Medicare & Medicaid Services (CMS) star ratings system. Compares hospital star ratings in 2020 and 2021 and examines differences in ratings by hospital characteristics. Explores the equitability of the ratings by peer groups. Highlights challenges to comparing the ratings of small hospitals and Critical Access Hospitals. Provides recommendations for CMS to improve the equity of the star ratings.
Date: 07/2022
Sponsoring organization: American Hospital Association
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Summarizes an analysis of the effects of methodological changes to the Centers for Medicare & Medicaid Services (CMS) star ratings system. Compares hospital star ratings in 2020 and 2021 and examines differences in ratings by hospital characteristics. Explores the equitability of the ratings by peer groups. Highlights challenges to comparing the ratings of small hospitals and Critical Access Hospitals. Provides recommendations for CMS to improve the equity of the star ratings.
Date: 07/2022
Sponsoring organization: American Hospital Association
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Definition and Categorization of Rural and Assessment of Realized Access to Care
Examines Health Information National Trends Survey data to determine how 3 different definitions of rural change healthcare utilization, perceived quality, and perceived provider attentiveness metrics. Considers Urban Influence Codes (UIC), Rural-Urban Continuum Codes (RUCC), and Rural-Urban Commuting Area (RUCA).
Author(s): Whitney E. Zahnd, Natalie Del Vecchio, Natoshia Askelson, et al.
Citation: Health Services Research, 57(3), 693-702
Date: 06/2022
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Examines Health Information National Trends Survey data to determine how 3 different definitions of rural change healthcare utilization, perceived quality, and perceived provider attentiveness metrics. Considers Urban Influence Codes (UIC), Rural-Urban Continuum Codes (RUCC), and Rural-Urban Commuting Area (RUCA).
Author(s): Whitney E. Zahnd, Natalie Del Vecchio, Natoshia Askelson, et al.
Citation: Health Services Research, 57(3), 693-702
Date: 06/2022
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Exploring Metro and Non-Metro Differences in Satisfaction with Services and Community Participation among Low-income Personal Assistance Service Users
Examines differences between metropolitan and non-metropolitan users of personal assistance services (PAS), which allow people who need assistance with activities of daily living to remain in their own homes and communities. Discusses factors associated with PAS satisfaction and community participation.
Author(s): Rayna Sage, Krys Standley, Genna M. Mashinchi
Citation: Frontiers in Rehabilitation Sciences, 3, 876047
Date: 06/2022
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Examines differences between metropolitan and non-metropolitan users of personal assistance services (PAS), which allow people who need assistance with activities of daily living to remain in their own homes and communities. Discusses factors associated with PAS satisfaction and community participation.
Author(s): Rayna Sage, Krys Standley, Genna M. Mashinchi
Citation: Frontiers in Rehabilitation Sciences, 3, 876047
Date: 06/2022
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