Rural Health
Resources by Topic: Healthcare quality
MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2020
Comments on an April 24, 2019, Federal Register proposed rule updating payments for Inpatient Rehabilitation Facilities (IRFs) and IRF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an April 24, 2019, Federal Register proposed rule updating payments for Inpatient Rehabilitation Facilities (IRFs) and IRF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Sponsoring organization: Medicare Payment Advisory Commission
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Coteau des Prairies (CDP) Health System: Improving Quality of Care
Features a Critical Access Hospital (CAH) in Sisseton, South Dakota that worked with the Small Rural Hospital Transition (SRHT) project on care transitions and quality improvement. Highlights their successes improving finances, internal communication, patient satisfaction, physician documentation, and quality improvement infrastructure.
Date: 06/2019
Sponsoring organization: National Rural Health Resource Center
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Features a Critical Access Hospital (CAH) in Sisseton, South Dakota that worked with the Small Rural Hospital Transition (SRHT) project on care transitions and quality improvement. Highlights their successes improving finances, internal communication, patient satisfaction, physician documentation, and quality improvement infrastructure.
Date: 06/2019
Sponsoring organization: National Rural Health Resource Center
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Management Methodologies and Value-based Strategies: An Overview for Rural Health Care Leaders
Provides an overview of 8 common management methods for transitioning healthcare organizations to value-based care. Discusses considerations for rural healthcare leaders and provides information and resources for each management method.
Date: 06/2019
Sponsoring organization: Rural Health Value
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Provides an overview of 8 common management methods for transitioning healthcare organizations to value-based care. Discusses considerations for rural healthcare leaders and provides information and resources for each management method.
Date: 06/2019
Sponsoring organization: Rural Health Value
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Rural Success: High-Performing CAHs Take Action for Antibiotic Stewardship
Highlights antibiotic stewardship program best practices and strategies from Critical Access Hospitals (CAHs) based on a series of focus groups. Includes antibiotic stewardship results from a CAH facility survey.
Citation: MBQIP Monthly, 1-3
Date: 06/2019
Sponsoring organization: Stratis Health
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Highlights antibiotic stewardship program best practices and strategies from Critical Access Hospitals (CAHs) based on a series of focus groups. Includes antibiotic stewardship results from a CAH facility survey.
Citation: MBQIP Monthly, 1-3
Date: 06/2019
Sponsoring organization: Stratis Health
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Investing in America's Health Care
Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on a wide variety of healthcare bills addressing funding for community health centers, teaching health centers, the National Health Service Corps, a tribal diabetes program, the National Quality Forum, Medicaid disproportionate share hospital (DSH) payments, and more. Includes testimony from Shasta Community Health Center, Vidant Health, SPAN Parent Advocacy Network, Medicare Rights Center, and others.
Additional links: C. Dean Germano Testimony, Diana Autin Testimony, Fred Riccardi Testimony, Michael Waldrum Testimony, Thomas Barker Testimony
Date: 06/2019
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Recording of a U.S. House Committee on Energy and Commerce Subcommittee on Health hearing on a wide variety of healthcare bills addressing funding for community health centers, teaching health centers, the National Health Service Corps, a tribal diabetes program, the National Quality Forum, Medicaid disproportionate share hospital (DSH) payments, and more. Includes testimony from Shasta Community Health Center, Vidant Health, SPAN Parent Advocacy Network, Medicare Rights Center, and others.
Additional links: C. Dean Germano Testimony, Diana Autin Testimony, Fred Riccardi Testimony, Michael Waldrum Testimony, Thomas Barker Testimony
Date: 06/2019
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Are Rural and Urban Emergency Departments Equally Prepared to Reduce Avoidable Hospitalizations?
Presents the results of a cross-sectional, web-based survey sent to medical directors and/or nurse managers from 135 hospital-based emergency departments (EDs) in Michigan. Examines the rural and urban differences in the presence of clinical pathways, services to reduce admissions, barriers connecting patients to outpatient services, and the availability of resources to reduce or prevent avoidable admissions.
Author(s): Margaret B. Greenwood-Ericksen, Michelle L. Macy, Jason Ham, et al.
Citation: Western Journal of Emergency Medicine, 20(3), 477-484
Date: 05/2019
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Presents the results of a cross-sectional, web-based survey sent to medical directors and/or nurse managers from 135 hospital-based emergency departments (EDs) in Michigan. Examines the rural and urban differences in the presence of clinical pathways, services to reduce admissions, barriers connecting patients to outpatient services, and the availability of resources to reduce or prevent avoidable admissions.
Author(s): Margaret B. Greenwood-Ericksen, Michelle L. Macy, Jason Ham, et al.
Citation: Western Journal of Emergency Medicine, 20(3), 477-484
Date: 05/2019
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Population-Based Trauma Outcomes
Final report of a committee funded by the Department of Health and Human Services to identify and measure concepts, and prioritize measure gaps for evaluating population-based trauma care outcomes. Includes the framework for evaluating trauma care at a regional or population level comprising access to trauma services, cost and resource use, trauma clinical care, and prevention of trauma. Discusses issues related to rural access to trauma care and potential measures and measure adaptations for rural areas, as well as listing measures developed by the University of Minnesota Rural Health Research Center.
Date: 05/2019
Sponsoring organization: National Quality Forum
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Final report of a committee funded by the Department of Health and Human Services to identify and measure concepts, and prioritize measure gaps for evaluating population-based trauma care outcomes. Includes the framework for evaluating trauma care at a regional or population level comprising access to trauma services, cost and resource use, trauma clinical care, and prevention of trauma. Discusses issues related to rural access to trauma care and potential measures and measure adaptations for rural areas, as well as listing measures developed by the University of Minnesota Rural Health Research Center.
Date: 05/2019
Sponsoring organization: National Quality Forum
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The Race to Value-Based Payment
Slides from a presentation at the 2019 National Rural Health Association (NRHA) annual meeting on value-based payment. Highlights different models of payment transitioning from fee-for-service to value-based payment as well as facilitators and strategies used.
Author(s): Keith J. Mueller
Date: 05/2019
Sponsoring organization: Rural Health Value
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Slides from a presentation at the 2019 National Rural Health Association (NRHA) annual meeting on value-based payment. Highlights different models of payment transitioning from fee-for-service to value-based payment as well as facilitators and strategies used.
Author(s): Keith J. Mueller
Date: 05/2019
Sponsoring organization: Rural Health Value
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Rural Success: Abrom Kaplan Memorial Hospital, LA
Highlights the success of a Critical Access Hospital in Louisiana in receiving high cleanliness scores and care transitions scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Discusses their initiative to reduce C. difficile infections, strategies for communication and cleaning, emergency department transitions, and teamwork recognition.
Citation: MBQIP Monthly, 1-2
Date: 05/2019
Sponsoring organization: Stratis Health
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Highlights the success of a Critical Access Hospital in Louisiana in receiving high cleanliness scores and care transitions scores on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. Discusses their initiative to reduce C. difficile infections, strategies for communication and cleaning, emergency department transitions, and teamwork recognition.
Citation: MBQIP Monthly, 1-2
Date: 05/2019
Sponsoring organization: Stratis Health
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Isolated, Small, and Large Hospitals Have Fewer Nursing Resources than Urban Hospitals: Implications for Rural Health Policy
Describes the nurse work environment, nurse education, nursing skill mix, and patient-to-registered nurse (RN) ratios across hospitals in California, Florida, and Pennsylvania. Examines how the findings differ by urban, large, small, and isolated hospitals, and discusses the potential impact on patient outcomes.
Author(s): Jessica G. Smith, Colin M. Plover, Moira C. McChesney, Eileen T. Lake
Citation: Public Health Nursing, 36(4), 469-477
Date: 04/2019
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Describes the nurse work environment, nurse education, nursing skill mix, and patient-to-registered nurse (RN) ratios across hospitals in California, Florida, and Pennsylvania. Examines how the findings differ by urban, large, small, and isolated hospitals, and discusses the potential impact on patient outcomes.
Author(s): Jessica G. Smith, Colin M. Plover, Moira C. McChesney, Eileen T. Lake
Citation: Public Health Nursing, 36(4), 469-477
Date: 04/2019
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