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Rural Health
Resources by Topic: Healthcare quality

ThedaCare: Leveraging Community Paramedics To Bridge Persistent Gaps in Care
Describes ThedaCare, a 2016 participant in the Transforming Complex Care initiative from the Robert Wood Johnson Foundation and Center for Health Care Strategies, a community paramedic (CP) program that works to extend the reach of clinic services to medically and socially complex patients in Northeastern Wisconsin. Discusses program goals, steps to establishing the CP program, and sustainability.
Author(s): Naomi Freundlich
Date: 05/2018
Type: Document
Sponsoring organization: Center for Health Care Strategies
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National Quality Reporting Crosswalk for CAHs
Provides users with information about Critical Access Hospital (CAH) quality reporting initiatives occurring on a national level, including purpose, measures used, and any overlap in measures across initiatives.
Date: 05/2018
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stratis Health
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Nursing Home Infection Control Program Characteristics, CMS Citations, and Implementation of Antibiotic Stewardship Policies: A National Study
Results of a study of 2,514 nursing homes to assess infection preventionist training and certification, staff turnover, and infection control program characteristics. Features statistics on facility characteristics, with breakdowns by locations in metro, large urban, small urban, or rural areas.
Author(s): Patricia W. Stone, Carolyn T.A. Herzig, Mansi Agarwal, Monika Pogorzelska-Maziarz, Andrew W. Dick
Citation: Inquiry, 55:1-7
Date: 05/2018
Type: Document
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Delta Memorial Hospital's SEAL Team
Describes Delta Memorial Hospital's (DMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, completed in 2017, focused on improving quality of care and transition of care. DMH is a 25-bed Critical Access Hospital located in Dumas, Arkansas. 12 months after implementing the recommendations, DMH met two of their three measurable goals. The SEAL team, or Service Excellence Advisor Leaders, are charged with regularly reviewing patient satisfaction surveys to identify service areas that need improvement.
Date: 05/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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MAP 2018: Recommendations for a Core Set of Rural-Relevant Measures for Hospitals and Selected Ambulatory Care Settings and Measuring and Improving Access to Care
Describes selection criteria and processes used to create a draft core set of measures, lists the measures, and describes measurement gap areas identified by the Measures Applications Partnership (MAP) Rural Health Workgroup, a public-private partnership of healthcare stakeholders. Second in a series of 3 reports documenting the Workgroup's continuing efforts.
Date: 05/2018
Type: Document
Sponsoring organization: National Quality Forum MAP Rural Health Advisory Workgroup
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Stroke Care Quality Improvement Initiatives in Critical Access Hospitals
Highlights successful evidenced-based programs implemented by Critical Access Hospitals (CAHs) and other rural hospitals to improve stroke care. Reviews key program elements, quality improvement stroke data measures, and CAH participation for state-level initiatives and covers national stroke care quality improvement initiatives.
Author(s): Megan Lahr
Date: 05/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Evaluation of the Comprehensive Primary Care Initiative: Fourth Annual Report
Final report evaluating the Centers for Medicare and Medicaid Services four-year Comprehensive Primary Care (CPC) initiative. Examines CPC participants, program implementation, and impact of CPC on clinicians and staff, patient experience, cost, service use, and quality of care. Includes information on rural practices participating in the CPC.
Author(s): Deborah Peikes, Grace Anglin, Stacy Dale, et al.
Date: 05/2018
Type: Document
Sponsoring organization: Mathematica Policy Research
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The Health Care Workforce: Addressing Shortages and Improving Care
Testimony in the U.S. Senate Committee on Health, Education, Labor & Pensions on May 22, 2018. Examines the growing problem of healthcare shortages in rural areas and the response by the federal government. Also explores how well healthcare professionals are being trained and why they choose the geographical areas where they work. Focuses on shortages of physicians, nurses, and professionals specializing in care of older adults.
Additional links: Testimony by Elizabeth A. Phelan, Testimony by Julie Tanner Sanford, Testimony by Kristen H. Goodell
Author(s): Kristen Goodell, Julie Sanford, Elizabeth Phelan
Date: 05/2018
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Leaving the Emergency Department Without Complete Care: Disparities In American Indian Children
Examines children who leave the emergency department (ED) without complete evaluation or care (LWCET) in American Indian (AI) pediatric populations between June 2011 and May 2012. Analyzes 68,461 visits made by 47,228 children to 5 EDs and investigates factors such as demographic characteristics of patient, triage level, distance from the ED, timing of visit, ED activity level, and more.
Author(s): Tess L. Weber, Katherine M. Ziegler, Anupam B. Kharbanda, et al.
Citation: BMC Health Services Research, 18(267)
Date: 04/2018
Type: Document
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Atmore Community Hospital: Consistent Implementation Leads to Results
Describes the success of Atmore Community Hospital, located in Atmore, Alabama, after participating in the Small Rural Hospital Transition project. During the project, the 49-bed short-term acute care hospital focused on maximizing the influence from leadership rounds, increasing marketing to communicate accomplishments to the community, and tracking patient satisfaction scores to improve clinic operations.
Date: 04/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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