Rural Health
Resources by Topic: Healthcare quality
Addressing Rural Health Disparities in a Pandemic
Public Health Review podcast in which 3 speakers discuss the impact of COVID-19 on rural health infrastructure and workforce. Describes how to improve conditions in rural communities, increase access to quality healthcare, and implement innovative strategies for health workforce recruitment and retention.
Date: 08/2020
Sponsoring organization: Association of State and Territorial Health Officials
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Public Health Review podcast in which 3 speakers discuss the impact of COVID-19 on rural health infrastructure and workforce. Describes how to improve conditions in rural communities, increase access to quality healthcare, and implement innovative strategies for health workforce recruitment and retention.
Date: 08/2020
Sponsoring organization: Association of State and Territorial Health Officials
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Texas SORH Fosters Quality Champions in Rural Hospitals Across the State
Details how the Texas State Office of Rural Health (SORH) developed a Quality Improvement Training Program (QITP) and associated fellowship program to improve rural healthcare quality in the state's hospitals. The QITP trains participants, helps them become certified for the Certified Professional in Healthcare Quality (CPHQ) exam, and encourages them to complete quality improvement projects within local hospitals.
Author(s): Beth Blevins
Date: 08/2020
Sponsoring organization: National Organization of State Offices of Rural Health
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Details how the Texas State Office of Rural Health (SORH) developed a Quality Improvement Training Program (QITP) and associated fellowship program to improve rural healthcare quality in the state's hospitals. The QITP trains participants, helps them become certified for the Certified Professional in Healthcare Quality (CPHQ) exam, and encourages them to complete quality improvement projects within local hospitals.
Author(s): Beth Blevins
Date: 08/2020
Sponsoring organization: National Organization of State Offices of Rural Health
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Insights for What Enhances or Undermines Trust in Hospital Settings
Reviews research on the trust rural and underserved populations have in hospitals. Highlights dimensions of patient trust identified by researchers. Profiles a study by the Colorado Hospital Association examining the relationship between patient and family engagement activities and patient trust in rural hospitals. Includes a discussion on the impact of the COVID-19 pandemic on rural hospitals and Critical Access Hospitals.
Author(s): Bonnie Austin Cluxton
Date: 07/2020
Sponsoring organization: AcademyHealth
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Reviews research on the trust rural and underserved populations have in hospitals. Highlights dimensions of patient trust identified by researchers. Profiles a study by the Colorado Hospital Association examining the relationship between patient and family engagement activities and patient trust in rural hospitals. Includes a discussion on the impact of the COVID-19 pandemic on rural hospitals and Critical Access Hospitals.
Author(s): Bonnie Austin Cluxton
Date: 07/2020
Sponsoring organization: AcademyHealth
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Advancing Rural Health: Nursing Education, Policy, and Practice
Recording of a presentation on June 17, 2020, featuring discussion on educational and policy-related nursing practices necessary for providing socially and culturally appropriate healthcare to individuals in rural areas. Presented at the 2020 National Rural Health Association Annual Conference.
Date: 06/2020
Sponsoring organization: Rural Wisconsin Health Cooperative
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Recording of a presentation on June 17, 2020, featuring discussion on educational and policy-related nursing practices necessary for providing socially and culturally appropriate healthcare to individuals in rural areas. Presented at the 2020 National Rural Health Association Annual Conference.
Date: 06/2020
Sponsoring organization: Rural Wisconsin Health Cooperative
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CMS Bundled Payments for Care Improvement Advanced Model: Year 1 Evaluation Annual Report
A formative evaluation 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 quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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A formative evaluation 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 quality of care. Covers the period from October 1, 2018 through March 31, 2019. Describes participants in the model, clinical episodes included, and the reach of the model. Includes information on rural hospital participation in the model.
Additional links: Appendices, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 06/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Characteristics and Costs of Potentially Preventable Inpatient Stays, 2017
Presents national estimates of potentially preventable inpatient stays among children and adults in 36 states and the costs associated with those stays. Includes data on potentially preventable hospitalization rates by the urban-rural status of patients' residences.
Additional links: Data Visualization
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents national estimates of potentially preventable inpatient stays among children and adults in 36 states and the costs associated with those stays. Includes data on potentially preventable hospitalization rates by the urban-rural status of patients' residences.
Additional links: Data Visualization
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2020
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes chapters on value-based payment in Medicare, Accountable Care Organizations (ACOs), the Medicare Advantage quality bonus program, the impact of changes in the 21st Century Cures Act to risk adjustment for Medicare Advantage enrollees, Medicare Part D, separately payable drugs in the hospital outpatient prospective payment system, and the Medicare end-stage renal disease prospective payment system. Examines the current payment policy for low-volume and rural dialysis facilities and proposes changes.
Additional links: Executive Summary
Date: 06/2020
Sponsoring organization: Medicare Payment Advisory Commission
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Maternal and Obstetric Care Challenges in Rural America
Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Provides an overview of the clinical factors and social determinants of health that may increase the risk of maternal morbidity and mortality in rural communities. Discusses the impact of insurance coverage status, hospital and obstetric unit closures, and workforce shortages on rural maternal health. Describes the role of the Department of Health and Human Services in addressing maternal health outcomes. Offers policy recommendations to reduce rural maternal health disparities.
Date: 05/2020
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic
Explores the prevalence of infection prevention and control deficiencies in nursing homes prior to the COVID-19 pandemic. Examines the percentage of nursing homes that had deficiencies cited in multiple years. Provides charts noting the number of nursing homes with an infection prevention and control deficiency by state. Includes a chart that presents the data by urban and rural status.
Additional links: Full Report
Date: 05/2020
Sponsoring organization: Government Accountability Office
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Explores the prevalence of infection prevention and control deficiencies in nursing homes prior to the COVID-19 pandemic. Examines the percentage of nursing homes that had deficiencies cited in multiple years. Provides charts noting the number of nursing homes with an infection prevention and control deficiency by state. Includes a chart that presents the data by urban and rural status.
Additional links: Full Report
Date: 05/2020
Sponsoring organization: Government Accountability Office
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Partnering for Impact: Early Insights from the Accountable Health Communities Model
Provides an overview of the November 11-12, 2019, CMS Accountable Health Communities (AHC) meeting. Summarizes sessions on engaging with Medicaid and Medicare beneficiaries with unique needs, AHC models, addressing service gaps in quality improvement plans, and more. Includes rural references throughout.
Date: 05/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the November 11-12, 2019, CMS Accountable Health Communities (AHC) meeting. Summarizes sessions on engaging with Medicaid and Medicare beneficiaries with unique needs, AHC models, addressing service gaps in quality improvement plans, and more. Includes rural references throughout.
Date: 05/2020
Sponsoring organization: Centers for Medicare and Medicaid Services
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