Rural Health
Resources by Topic: Healthcare quality
Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report
Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Sponsoring organization: Flex Monitoring Team
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Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Sponsoring organization: Flex Monitoring Team
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Report to Congress: Current State of Technology-Enabled Collaborative Learning and Capacity Building Models
Reports on the impact of technology-enabled collaborative learning and capacity building models as required by the Expanding Capacity for Health Outcomes (ECHO) Act. Examines how such models are being used to improve healthcare quality and address health workforce capacity, particularly in rural areas, the evidence behind model effectiveness, and evidence gaps. Provides recommendations on expanding model adoption and its use in continuing medical education. Appendix includes an inventory of Project ECHO models and other similar models by state and in several other countries.
Additional links: Appendix F: Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models
Date: 02/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on the impact of technology-enabled collaborative learning and capacity building models as required by the Expanding Capacity for Health Outcomes (ECHO) Act. Examines how such models are being used to improve healthcare quality and address health workforce capacity, particularly in rural areas, the evidence behind model effectiveness, and evidence gaps. Provides recommendations on expanding model adoption and its use in continuing medical education. Appendix includes an inventory of Project ECHO models and other similar models by state and in several other countries.
Additional links: Appendix F: Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models
Date: 02/2019
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: First Annual Report
Evaluates the first year of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; approaches used to implement the model; preventative care efforts; experiences with CMS support tools for the project; and reasons for joining and leaving the model.
Author(s): Leslie Conwell, Linda Barterian, Adam Rose, et al.
Date: 02/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Evaluates the first year of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; approaches used to implement the model; preventative care efforts; experiences with CMS support tools for the project; and reasons for joining and leaving the model.
Author(s): Leslie Conwell, Linda Barterian, Adam Rose, et al.
Date: 02/2019
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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A Nine-Step Roadmap for Implementing Lean in Rural Hospitals
Provides highlights from a speaker at the AHA 2019 Rural Health Care Leadership Conference on how rural hospitals can implement Lean principles to improve quality, reduce costs, and make processes more efficient.
Date: 02/2019
Sponsoring organization: American Hospital Association
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Provides highlights from a speaker at the AHA 2019 Rural Health Care Leadership Conference on how rural hospitals can implement Lean principles to improve quality, reduce costs, and make processes more efficient.
Date: 02/2019
Sponsoring organization: American Hospital Association
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Roosevelt General Hospital Excels in Early Project Implementation
Highlights a rural, Short Term Acute Care (STAC) hospital in New Mexico that worked with the Small Rural Hospital Transition (SRHT) project in relation to Financial and Operational Assessment (FOA). Summarizes project implementation, successes, and impacts.
Date: 02/2019
Sponsoring organization: National Rural Health Resource Center
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Highlights a rural, Short Term Acute Care (STAC) hospital in New Mexico that worked with the Small Rural Hospital Transition (SRHT) project in relation to Financial and Operational Assessment (FOA). Summarizes project implementation, successes, and impacts.
Date: 02/2019
Sponsoring organization: National Rural Health Resource Center
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Putting Patients First: Today's Disparities Research Leading to Health Equity Tomorrow
Editorial describing efforts of the Centers for Medicare & Medicaid Services to promote health equity in urban and rural areas, through increasing awareness of disparities, developing solutions, and implementing actions. Summarizes articles included in a special Health Services Research issue devoted to health disparities research.
Author(s): Cara V. James
Citation: Health Services Research, 54(1), Part II, 203-205
Date: 02/2019
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Editorial describing efforts of the Centers for Medicare & Medicaid Services to promote health equity in urban and rural areas, through increasing awareness of disparities, developing solutions, and implementing actions. Summarizes articles included in a special Health Services Research issue devoted to health disparities research.
Author(s): Cara V. James
Citation: Health Services Research, 54(1), Part II, 203-205
Date: 02/2019
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National Racial/Ethnic and Geographic Disparities in Experiences with Health Care Among Adult Medicaid Beneficiaries
Investigates whether experiences of adult Medicaid beneficiaries differ by race or ethnicity and rural or urban status, using data from 270,243 respondents to the 2014‐2015 Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers and Systems Survey. Features statistics with breakdowns by large urban, small urban, or small town locations.
Author(s): Steven C. Martino, Megan Mathews, Denis Agniel, Nate Orr, Shondelle Wilson-Frederick, et al.
Citation: Health Services Research, 54(1), Part II, 287-296
Date: 02/2019
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Investigates whether experiences of adult Medicaid beneficiaries differ by race or ethnicity and rural or urban status, using data from 270,243 respondents to the 2014‐2015 Nationwide Adult Medicaid Consumer Assessment of Healthcare Providers and Systems Survey. Features statistics with breakdowns by large urban, small urban, or small town locations.
Author(s): Steven C. Martino, Megan Mathews, Denis Agniel, Nate Orr, Shondelle Wilson-Frederick, et al.
Citation: Health Services Research, 54(1), Part II, 287-296
Date: 02/2019
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Neighborhood Disadvantage and Chronic Disease Management
Assesses the relationship between neighborhood disadvantage and control of blood pressure, diabetes, and cholesterol in the Medicare Advantage population. Features demographic statistics with breakdowns by 6 levels of population density.
Author(s): Shayla N.M. Durfey, Amy J.H. Kind, William R. Buckingham, Eva H. DuGoff, Amal N. Trivedi
Citation: Health Services Research, 54(1), Part II, 206-216
Date: 02/2019
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Assesses the relationship between neighborhood disadvantage and control of blood pressure, diabetes, and cholesterol in the Medicare Advantage population. Features demographic statistics with breakdowns by 6 levels of population density.
Author(s): Shayla N.M. Durfey, Amy J.H. Kind, William R. Buckingham, Eva H. DuGoff, Amal N. Trivedi
Citation: Health Services Research, 54(1), Part II, 206-216
Date: 02/2019
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Operative Time and Cost Variability for Functional Endoscopic Sinus Surgery
Examines the sources of variation in costs of endoscopic sinus surgery (ESS) to determine the value of the procedure by analyzing cost and operative time data from 13 different facilities (four community rural hospitals, seven community urban centers, and two tertiary care centers) within Intermountain Healthcare (IHC).
Author(s): Andrew J. Thomas, Kristine A. Smith, Christopher I. Newberry, et al.
Citation: International Forum of Allergy & Rhinology, 9(1), 23-29
Date: 01/2019
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Examines the sources of variation in costs of endoscopic sinus surgery (ESS) to determine the value of the procedure by analyzing cost and operative time data from 13 different facilities (four community rural hospitals, seven community urban centers, and two tertiary care centers) within Intermountain Healthcare (IHC).
Author(s): Andrew J. Thomas, Kristine A. Smith, Christopher I. Newberry, et al.
Citation: International Forum of Allergy & Rhinology, 9(1), 23-29
Date: 01/2019
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Improving Rural Systems of Care for Time Critical Diagnoses: A Review of State Flex Program Activities
Examines state Flex program initiatives to improve time critical diagnoses (TCD) care systems and integrate rural emergency medical services (EMS) into area care systems, particularly Critical Access Hospitals (CAHs). Briefly describes what each of the 17 participating states did to collaborate with EMS stakeholders, enhance TCD capacity, support EMS training, provide technical assistance to local EMS agencies, and collect EMS and TCD data.
Author(s): John A. Gale, Karen Pearson
Date: 01/2019
Sponsoring organization: Flex Monitoring Team
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Examines state Flex program initiatives to improve time critical diagnoses (TCD) care systems and integrate rural emergency medical services (EMS) into area care systems, particularly Critical Access Hospitals (CAHs). Briefly describes what each of the 17 participating states did to collaborate with EMS stakeholders, enhance TCD capacity, support EMS training, provide technical assistance to local EMS agencies, and collect EMS and TCD data.
Author(s): John A. Gale, Karen Pearson
Date: 01/2019
Sponsoring organization: Flex Monitoring Team
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