Rural Health
Resources by Topic: Healthcare quality
The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff
Examines how the United States delivers, finances, regulates, and measures the quality of nursing home care. Discusses the nursing home care landscape, quality measurement and improvement, workforce, safety, payment and financing, and health information technology. Identifies seven goals and supporting recommendations that provide a framework for a comprehensive approach to improving the quality of care in nursing homes.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Examines how the United States delivers, finances, regulates, and measures the quality of nursing home care. Discusses the nursing home care landscape, quality measurement and improvement, workforce, safety, payment and financing, and health information technology. Identifies seven goals and supporting recommendations that provide a framework for a comprehensive approach to improving the quality of care in nursing homes.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2022
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Home Blood Pressure Telemonitoring with Remote Hypertension Management in a Rural and Low-Income Population
Explores the feasibility, safety, and effectiveness of home-based blood pressure telemonitoring with remote hypertension management among a predominately rural and low-income population in Mississippi. Summarizes results of a study on 120 individuals conducted from September 4, 2018, through June 15, 2020.
Author(s): Donald Clark, Julia Woods, Yunxi Zhang, et al.
Citation: Hypertension, 78(6), 1927-1929
Date: 12/2021
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Explores the feasibility, safety, and effectiveness of home-based blood pressure telemonitoring with remote hypertension management among a predominately rural and low-income population in Mississippi. Summarizes results of a study on 120 individuals conducted from September 4, 2018, through June 15, 2020.
Author(s): Donald Clark, Julia Woods, Yunxi Zhang, et al.
Citation: Hypertension, 78(6), 1927-1929
Date: 12/2021
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Literature Review on Differences in Care Provided in Urban and Rural Nursing Homes in the United States
Summarizes results of a review of peer-reviewed research on differences in rural and urban nursing home care quality. Covers access to mental health services and supports, hospitalizations and in-hospital deaths, and hospice care utilization. Highlights implications for future research.
Author(s): Denise D. Quigley, Leah V. Estrada, Gregory L. Alexander, Andrew Dick, Patricia W. Stone
Citation: Journal of Gerontological Nursing, 47(12), 48-56
Date: 12/2021
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Summarizes results of a review of peer-reviewed research on differences in rural and urban nursing home care quality. Covers access to mental health services and supports, hospitalizations and in-hospital deaths, and hospice care utilization. Highlights implications for future research.
Author(s): Denise D. Quigley, Leah V. Estrada, Gregory L. Alexander, Andrew Dick, Patricia W. Stone
Citation: Journal of Gerontological Nursing, 47(12), 48-56
Date: 12/2021
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Provider and Patient Perspectives on Labor and Delivery Unit Closures in Rural New Hampshire
Explores how the closure of labor and delivery units in New Hampshire has impacted the providers and patients in the affected communities. Describes the top reasons for labor and delivery unit closures among five hospitals, staffing challenges, and the effect of closures on prenatal and postpartum care for women in the community. Presents recommendations to ensure access to safe and secure pregnancies and deliveries after closures.
Author(s): Sarah Benatar, Stacey McMorrow, Timothy J. Fisher
Date: 12/2021
Sponsoring organization: Urban Institute
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Explores how the closure of labor and delivery units in New Hampshire has impacted the providers and patients in the affected communities. Describes the top reasons for labor and delivery unit closures among five hospitals, staffing challenges, and the effect of closures on prenatal and postpartum care for women in the community. Presents recommendations to ensure access to safe and secure pregnancies and deliveries after closures.
Author(s): Sarah Benatar, Stacey McMorrow, Timothy J. Fisher
Date: 12/2021
Sponsoring organization: Urban Institute
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Trends in Racial, Ethnic, Sex, and Rural-Urban Inequities in Health Care in Medicare Advantage: 2009-2018
Presents an analysis of historical trends in inequities by race and ethnicity, sex, and rural-urban residence among Medicare beneficiaries enrolled in Medicare Advantage (MA) plans nationwide. Uses patient experience and clinical care measures to examine how inequities in healthcare have changed between 2009 and 2018, how scores for each beneficiary group have changed over time, and which inequities remained in 2018.
Date: 12/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Presents an analysis of historical trends in inequities by race and ethnicity, sex, and rural-urban residence among Medicare beneficiaries enrolled in Medicare Advantage (MA) plans nationwide. Uses patient experience and clinical care measures to examine how inequities in healthcare have changed between 2009 and 2018, how scores for each beneficiary group have changed over time, and which inequities remained in 2018.
Date: 12/2021
Sponsoring organizations: Centers for Medicare and Medicaid Services, RAND Corporation
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Association Between Area-Level Socioeconomic Deprivation and Diabetes Care Quality in US Primary Care Practices
Results of a study examining the association between deprived and rural areas and optimal diabetes care, using data from patients who received care at Mayo Clinic or Mayo Clinic Health System primary care practices in Minnesota, Iowa, and Wisconsin in 2019. Features statistics with breakdowns by urban, rural, and highly rural areas.
Author(s): Shaheen Shiraz Kurani, Michelle A. Lampman, Shealeigh A. Funni, et al.
Citation: JAMA Network Open, 4(12)
Date: 12/2021
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Results of a study examining the association between deprived and rural areas and optimal diabetes care, using data from patients who received care at Mayo Clinic or Mayo Clinic Health System primary care practices in Minnesota, Iowa, and Wisconsin in 2019. Features statistics with breakdowns by urban, rural, and highly rural areas.
Author(s): Shaheen Shiraz Kurani, Michelle A. Lampman, Shealeigh A. Funni, et al.
Citation: JAMA Network Open, 4(12)
Date: 12/2021
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2021 National Healthcare Quality and Disparities Report
Provides a comprehensive summary and data analysis of healthcare quality and access in the U.S. Includes a discussion of disparities encountered by race/ethnicity and geographic locations along the rural-urban continuum. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability.
Date: 12/2021
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. Includes a discussion of disparities encountered by race/ethnicity and geographic locations along the rural-urban continuum. Addresses access to healthcare, patient safety, person-centered care, care coordination, effective treatment, healthy living, and care affordability.
Date: 12/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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COVID-19 National Emergency: Early Trends in Hospitalizations for Hospital Readmissions Reduction Program Health Conditions and 30-Day Readmission Rates
Provides an overview of the Hospital Readmissions Reduction Program (HRRP). Describes monthly trends in hospitalizations of Medicare beneficiaries for HRRP conditions before and after the implementation of COVID-19 emergency measures through September 30, 2020. Examines how monthly trends in unadjusted 30-day readmission rates before and after implementation of COVID-19 emergency measures and how these rates differ by sociodemographic characteristics, including rurality. Discusses policy opportunities and interventions to enhance post-discharge follow-up and reduce readmission rates.
Date: 12/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Hospital Readmissions Reduction Program (HRRP). Describes monthly trends in hospitalizations of Medicare beneficiaries for HRRP conditions before and after the implementation of COVID-19 emergency measures through September 30, 2020. Examines how monthly trends in unadjusted 30-day readmission rates before and after implementation of COVID-19 emergency measures and how these rates differ by sociodemographic characteristics, including rurality. Discusses policy opportunities and interventions to enhance post-discharge follow-up and reduce readmission rates.
Date: 12/2021
Sponsoring organization: Centers for Medicare and Medicaid Services
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Understanding the "Tool-ish-ness" of Telehealth: Q&A with Dr. Jonathan Neufeld
An interview with clinical psychologist and program director for the Great Plains Telehealth Resource & Assistance Center, Dr. Jonathan Neufeld. Discusses the role of telehealth in healthcare delivery. Describes how telecommunications tools can be used by providers to bring quality care to rural areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2021
Sponsoring organization: Rural Health Information Hub
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An interview with clinical psychologist and program director for the Great Plains Telehealth Resource & Assistance Center, Dr. Jonathan Neufeld. Discusses the role of telehealth in healthcare delivery. Describes how telecommunications tools can be used by providers to bring quality care to rural areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 12/2021
Sponsoring organization: Rural Health Information Hub
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Quality Time: Sharing PIE - Patient and Family Engagement
Podcast episode discussing ways two Critical Access Hospital (CAH) engage patients and families in the healthcare process, how the CAHs gather feedback about the patient and family experiences, and how the CAHs use this information to inform their quality improvement efforts. Also describes how the COVID-19 pandemic affected patient experience and engagement activities.
Date: 12/2021
Sponsoring organization: Stratis Health
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Podcast episode discussing ways two Critical Access Hospital (CAH) engage patients and families in the healthcare process, how the CAHs gather feedback about the patient and family experiences, and how the CAHs use this information to inform their quality improvement efforts. Also describes how the COVID-19 pandemic affected patient experience and engagement activities.
Date: 12/2021
Sponsoring organization: Stratis Health
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