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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare quality

Patient Transfers to and from Critical Access Hospitals During the COVID-19 Pandemic
Examines inbound and outbound transfer patient volumes among Critical Access Hospitals (CAHs) during the COVID-19 pandemic. Discusses the barriers and facilitators to transferring patients that CAHs experienced. Compares transfer volume and facilitators for outbound transfers by CAH system ownership status.
Author(s): Abigail Wenninger, Madeleine Pick, Megan Lahr
Date: 02/2023
Sponsoring organization: Flex Monitoring Team
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The State of Rural Healthcare: Research Report and Outlook for 2023
Presents results of a survey of 110 rural healthcare organizations across 25 states regarding their financial health and strategic priorities. Identifies the top challenges identified by the surveyed organizations. Discusses how providers are addressing four strategic priorities, including workforce management, patient experience, financial performance, and digital transformation.
Date: 02/2023
Sponsoring organization: Wipfli, LLP
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The Influence of Rural Healthcare Systems and Communities on Surgery and Recovery: A Qualitative Study
Examines the experiences of rural patients during the recovery process following a surgery. Utilizes interview feedback from 30 patients and discusses issues such as community and family support, healthcare access, quality of care, and privacy, trust, and stigma within rural medical contexts.
Author(s): Jordan E. Johnson, Josh Bleicher, Allison N. Blumling, et al.
Citation: Journal of Surgical Research, 281, 155-163
Date: 01/2023
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Iowa's 2023-2027 State Health Improvement Plan
Provides information on the Healthy Iowans Partnership Steering Committee, public health department accreditation process, state health improvement plan (SHIP) and its phases, and population health metrics. Discusses health equity and improving health outcomes for disadvantaged populations, including rural.
Additional links: Summary
Date: 01/2023
Sponsoring organization: Iowa Department of Health and Human Services
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Aging on the Farm: Emerging Issues 2020-2021 Evaluation Report
Highlights 4 projects related to aging on the farm. Includes project descriptions, results, and future plans. Project topics include telehealth occupational therapy, data gathering on farmer needs in order to safely age in place, dementia awareness and healthcare quality, and exercise promotion for farmers with Parkinson's disease.
Author(s): Erica Shuck, Devon Charlier
Date: 01/2023
Sponsoring organization: Upper Midwest Agricultural Safety and Health Center
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Small Health Care Provider Quality Improvement Program, 2022–2026 Grantee Directory
Provides contact information and a brief overview for 21 initiatives funded by the Federal Office of Rural Health Policy through the Small Health Care Provider Quality Improvement Grant Program in the 2022-2026 funding cycle. The program supports rural providers implementing quality improvement activities, with the goal of promoting the development of an evidence-based culture and delivery of coordinated care in the primary care setting.
Date: 01/2023
Sponsoring organization: Federal Office of Rural Health Policy
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Trends in Supply of Nursing Home Beds, 2011-2019
Examines the change in the supply of nursing home beds between 2011 and 2019 while adjusting for the change in the number of older adults in the population. Presents data on the characteristics of counties where the supply of nursing home beds has changed, including rurality and census region. Describes the characteristics of the nursing home beds in counties where the supply has changed, including the percent change in 4- and 5-star beds, for-profit beds, and chain-affiliated beds.
Author(s): Katherine E.M. Miller, Paula Chatterjee, Rachel M. Werner
Citation: JAMA Network Open, 6(3), e230640
Date: 01/2023
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Critical Access Hospital Telehealth Guide
Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, and enhance care coordination. Focuses on Medicare outpatient telehealth services, but also includes information on Medicaid coverage and remote services that may not strictly be considered telehealth.
Date: 01/2023
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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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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