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Rural Health Information Hub

Rural Health
Resources by Topic: Healthcare quality

2024 New Hampshire Primary Care Sourcebook
Provides information on New Hampshire community health centers and Federally Qualified Health Centers (FQHCs). Includes profiles of the Bi-State Primary Care Association's New Hampshire members, statistics on FQHC funding and various clinical quality measures in 2022, and a county-level map showing locations of New Hampshire FQHCs.
Date: 01/2024
Type: Document
Sponsoring organization: Bi-State Primary Care Association
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Full Committee Oversight Hearing: "Rural Access: Is VA Meeting All Veterans Where They Live?"
The House Committee on Veterans' Affairs full committee oversight hearing discusses rural veteran's access to healthcare through the VA. Features a discussion of the VA's role as both a healthcare provider and a payer via its Community Care Program. Highlights technological challenges related to telehealth, such as lack of broadband connections and technological literacy of older veterans. Presents testimony from the VA, the Government Accountability Office, the Navajo Nation, and veteran advocacy groups, among others.
Additional links: Witnesses' Testimonies
Date: 01/2024
Type: Video/Multimedia
Sponsoring organization: House Committee on Veterans' Affairs
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End-Stage Renal Disease Treatment Choices (ETC) Model: Second Annual Evaluation Report
Evaluation of the End-Stage Renal Disease Treatment Choices (ETC) Model, incorporating analyses of home dialysis use, transplantation, acute care hospitalizations, outpatient ED visits, and hospital readmissions. Features results from interviews and surveys involving model participants and beneficiaries, and examines impacts of the ETC Model during calendar years 2021 and 2022. Includes facility-level statistics with breakdowns by urban and rural areas.
Additional links: Findings at a Glance
Author(s): Brighita Negrusa, Jennifer Wiens, Darin Ullman, et al.
Date: 01/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, The Lewin Group
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VA Health Care: Office of Rural Health Efforts and Recommendations for Improvement
Presents an evaluation of the Veterans Health Administration's Office of Rural Health (ORH). Discusses the methods the ORH uses to improve healthcare quality and access for rural veterans, such as initiatives to expand VHA services to rural veterans and funding research to improve the healthcare quality in rural areas. Evaluates the ORH's efforts and makes recommendations for improvement.
Additional links: Full Report
Date: 01/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Merit-based Incentive Payment System (MIPS): 2024 Eligibility and Participation Quick Start Guide
Provides an overview of the Merit-Based Incentive Payment System (MIPS) eligibility criteria. Addresses calculation of the low-volume threshold exclusion at the individual and group levels, opt-in and voluntary reporting options, and the impact of special status designations such as rural and small practices.
Date: 01/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Telemedicine Use and Decrements to Type 2 Diabetes and Hypertension Care During the COVID-19 Pandemic
Examines type 2 diabetes and/or hypertension quality of care as associated with telemedicine use during the COVID-19 pre-pandemic (March 13, 2019 to December 31, 2019) and pandemic (March 13, 2020 to December 31, 2020) periods. Examines variables such as HbA1c monitoring and control, blood pressure monitoring and control, and telemedicine use. Presents data according to patient demographic information including age, sex, race/ethnicity, marital status, insurance type, health conditions, and metropolitan, micropolitan, small town, or rural residence.
Author(s): Hector P. Rodriguez, Elizabeth Ciemins, Karl Rubio, et al.
Citation: BMC Digital Health, 2, 2
Date: 01/2024
Type: Document
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The Breast-Imaging Operations, Practices and Systems Inventory: A Framework to Examine Mammography Facility Effects on Screening in Rural Communities
Examines how mammogram facility resources, policies, and practices in metro versus nonmetro Appalachia are related to breast cancer burden and outcomes. Analyzes survey data from 192 sites to observe catchment area mammography services such as levels of staffing and available technology, practices and policies that promote screening, and quality review processes.
Author(s): Roger T. Anderson, Marianne M. Hillemeier, Fabian T. Camacho, et al.
Citation: Journal of Rural Health, 40(2), 282-291
Date: 2024
Type: Document
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Final Frontier: IPC Challenges in Rural Health Care
Podcast interview with Dr. Michael Stevens, West Virginia University Health System's Healthcare Epidemiologist. Addresses difficulty in accessing mentoring in infection prevention and control (IPC) in rural facilities, and disconnects between local needs and upper-level mandates. Includes transcript.
Date: 12/2023
Type: Audio
Sponsoring organizations: American Medical Association, CDC's Project Firstline
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A Qualitative Study of Systems-Level Factors That Affect Rural Obstetric Nurses' Work During Clinical Emergencies
Evaluates systems-level factors affecting rural obstetric nurses and their care for patients experiencing clinical deterioration from interviews with 11 nurses and physicians at rural hospitals in Massachusetts and New Hampshire. Identifies challenges and opportunities related to resource shortages, cooperation in the workplace, conflicting workplace responsibilities, facility policies and procedures, and more.
Author(s): Samantha L. Bernstein, Maya Piccolo, Elisabeth Grills, Kenneth Catchpole
Citation: The Joint Commission Journal on Quality and Patient Safety, 2024
Date: 12/2023
Type: Document
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Rural Long-Term Care Services and Supports
Policy position paper regarding challenges related to providing high-quality long-term care for older adults in rural areas. Describes how workforce shortages, long-term care financing, and administrative burden impact rural providers. Outlines policy recommendations for policy reforms to address these challenges and improve access to quality long-term care services.
Author(s): Shakeerah McCoy, Jeff Dunbar, Lex Pierre
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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