Rural Health
Resources by Topic: Healthcare quality
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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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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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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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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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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Policy Solutions Addressing Psychiatric Boarding of Rural Youth
Policy position paper regarding psychiatric boarding - holding patients in an emergency department after the decision to admit or transfer has been made, but no beds are available - of rural children and adolescents. Describes recent trends in pediatric psychiatric boarding in rural areas. Offers policy recommendations to reduce boarding times and improve mental health outcomes in rural communities.
Author(s): Amah Riley, Jonathan Updike, Lauren Wood
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Policy position paper regarding psychiatric boarding - holding patients in an emergency department after the decision to admit or transfer has been made, but no beds are available - of rural children and adolescents. Describes recent trends in pediatric psychiatric boarding in rural areas. Offers policy recommendations to reduce boarding times and improve mental health outcomes in rural communities.
Author(s): Amah Riley, Jonathan Updike, Lauren Wood
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Medicare Advantage Growth and Its Impact on Rural Health Care
Policy position paper regarding the impact of the increase of Medicare Advantage (MA) enrollment in rural areas on healthcare access, delivery, and financial viability. Offers policy recommendations to support rural MA beneficiaries, healthcare providers, and hospitals at a local level, as well as rural healthcare provision within the MA framework.
Author(s): Carrie Shaver, Kevin Lambing, Lisa Rantz
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Policy position paper regarding the impact of the increase of Medicare Advantage (MA) enrollment in rural areas on healthcare access, delivery, and financial viability. Offers policy recommendations to support rural MA beneficiaries, healthcare providers, and hospitals at a local level, as well as rural healthcare provision within the MA framework.
Author(s): Carrie Shaver, Kevin Lambing, Lisa Rantz
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Improving the Maternity Care Safety Net: Establishing Maternal Mortality Surveillance for Non-Obstetric Providers and Institutions
Examines a quality improvement plan implemented by the Veterans Health Administration (VA) that utilizes system-level surveillance to monitor non-obstetric care for pregnant veterans. Examines maternal mortality of veterans using VA maternity care benefits, with 2011-2020 data broken down by age, race/ethnicity, and rural versus urban location.
Author(s): Joan L. Combellick, Bridget Basile Ibrahim, Aryan Esmaeili, et al.
Citation: International Journal of Environmental Research and Public Health, 21(1), 37
Date: 12/2023
Type: Document
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Examines a quality improvement plan implemented by the Veterans Health Administration (VA) that utilizes system-level surveillance to monitor non-obstetric care for pregnant veterans. Examines maternal mortality of veterans using VA maternity care benefits, with 2011-2020 data broken down by age, race/ethnicity, and rural versus urban location.
Author(s): Joan L. Combellick, Bridget Basile Ibrahim, Aryan Esmaeili, et al.
Citation: International Journal of Environmental Research and Public Health, 21(1), 37
Date: 12/2023
Type: Document
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Health Equity: A Native American Perspective
Discusses health equity from a Native American perspective. Highlights a model of equity that goes beyond overcoming barriers around access and incorporates cultural knowledge, spiritual well-being, and community involvement, among other factors.
Author(s): John Lowe
Citation: Milbank Quarterly
Date: 12/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Discusses health equity from a Native American perspective. Highlights a model of equity that goes beyond overcoming barriers around access and incorporates cultural knowledge, spiritual well-being, and community involvement, among other factors.
Author(s): John Lowe
Citation: Milbank Quarterly
Date: 12/2023
Type: Document
Sponsoring organization: Milbank Memorial Fund
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2023 Technical Expert Panel Meetings: Expanded Home Health Value-Based Purchasing Model Summary Report
Provides an overview of the Home Health Value-Based Purchasing (HHVBP) Model and the Expanded HHVBP Model. Summarizes discussions and feedback from the Expanded HHVBP Technical Expert Panel in 2023, including health equity approaches, performance measures, measure weights, and performance reporting. Includes rural references and considerations throughout.
Date: 12/2023
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Provides an overview of the Home Health Value-Based Purchasing (HHVBP) Model and the Expanded HHVBP Model. Summarizes discussions and feedback from the Expanded HHVBP Technical Expert Panel in 2023, including health equity approaches, performance measures, measure weights, and performance reporting. Includes rural references and considerations throughout.
Date: 12/2023
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Thrive 2022: Veterans Health Administration Office of Rural Health Annual Report
Details a report on the objectives and outcomes of the VA's Office of Rural Health's (ORH) mission to improve the health and well being of rural veterans. Presents the ORH's efforts to improve access and quality of care, as well as plans to address future challenges.
Date: 12/2023
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Details a report on the objectives and outcomes of the VA's Office of Rural Health's (ORH) mission to improve the health and well being of rural veterans. Presents the ORH's efforts to improve access and quality of care, as well as plans to address future challenges.
Date: 12/2023
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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