Rural Health
Resources by Topic: Healthcare quality
Perspectives of Physicians in Small Rural Practices on the Medicare Quality Payment Program
Provides feedback from small, rural practices on the implementation of Medicare's Quality Payment Program (QPP), which includes the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Identifies challenges rural physicians face and offers recommendations to help more small practices participate in the program.
Author(s): Peter Mendel, Christine Buttorff, Peggy G. Chen, et al.
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Provides feedback from small, rural practices on the implementation of Medicare's Quality Payment Program (QPP), which includes the Merit-Based Incentive Payment System (MIPS) and Advanced Alternative Payment Models (APMs). Identifies challenges rural physicians face and offers recommendations to help more small practices participate in the program.
Author(s): Peter Mendel, Christine Buttorff, Peggy G. Chen, et al.
Date: 2019
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Practice Rurality of Family Physicians Enrolled in a Practice Transformation Network
An analysis of the enrollment of small and rural practices in the Transforming Clinical Practice Initiative (TCPI), supporting nationwide, collaborative and peer-based learning, to determine if a greater proportion of rural practices are enrolled in Practice Transformation Networks (PTNs) than are found among non-enrolled practices. In addition, the analysis includes the enrollment of family physicians across states and PTNs. Rural Urban Commuting Area (RUCA, version 2.0) codes were used to determine rurality. TCPI enrollment variation within rural practices is discussed.
Author(s): Robert L. Phillips, Elizabeth M. Bishop, Lars E. Peterson, et al.
Citation: Journal of the American Board of Family Medicine, 31(6), 952-956
Date: 11/2018
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An analysis of the enrollment of small and rural practices in the Transforming Clinical Practice Initiative (TCPI), supporting nationwide, collaborative and peer-based learning, to determine if a greater proportion of rural practices are enrolled in Practice Transformation Networks (PTNs) than are found among non-enrolled practices. In addition, the analysis includes the enrollment of family physicians across states and PTNs. Rural Urban Commuting Area (RUCA, version 2.0) codes were used to determine rurality. TCPI enrollment variation within rural practices is discussed.
Author(s): Robert L. Phillips, Elizabeth M. Bishop, Lars E. Peterson, et al.
Citation: Journal of the American Board of Family Medicine, 31(6), 952-956
Date: 11/2018
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Motivators, Barriers, and Facilitators to Traveling to the Safest Hospitals in the United States for Complex Cancer Surgery
Results of a nationally representative survey conducted in January 2018, in which 1,016 adults were asked what factors they would consider when deciding whether to seek cancer treatment at their local hospital or at a specialized facility an hour or more away from their home. Table 1 features demographic information including breakdowns by metropolitan or nonmetropolitan residence.
Author(s): Benjamin J. Resio, Alexander S. Chiu, Jessica R. Hoag, et al.
Citation: JAMA Network Open, 1(7)
Date: 11/2018
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Results of a nationally representative survey conducted in January 2018, in which 1,016 adults were asked what factors they would consider when deciding whether to seek cancer treatment at their local hospital or at a specialized facility an hour or more away from their home. Table 1 features demographic information including breakdowns by metropolitan or nonmetropolitan residence.
Author(s): Benjamin J. Resio, Alexander S. Chiu, Jessica R. Hoag, et al.
Citation: JAMA Network Open, 1(7)
Date: 11/2018
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Washington County Memorial Hospital Improving Patient Experience
Highlights a Critical Access Hospital (CAH) in Potosi, Missouri that participated in the Small Rural Hospital Transition (SRHT) project. Improvements focused on quality reporting, patient communication, patient rounding, and more.
Date: 11/2018
Sponsoring organization: National Rural Health Resource Center
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Highlights a Critical Access Hospital (CAH) in Potosi, Missouri that participated in the Small Rural Hospital Transition (SRHT) project. Improvements focused on quality reporting, patient communication, patient rounding, and more.
Date: 11/2018
Sponsoring organization: National Rural Health Resource Center
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Leveraging Telehealth to Support Aging Americans
Reviews the potential benefits of telehealth for Americans 65 and older. Covers remote patient monitoring, federal and state regulations, and best practices from health insurers and healthcare providers. Includes case studies from rural areas.
Date: 10/2018
Sponsoring organizations: AHIP, Coalition to Transform Advanced Care
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Reviews the potential benefits of telehealth for Americans 65 and older. Covers remote patient monitoring, federal and state regulations, and best practices from health insurers and healthcare providers. Includes case studies from rural areas.
Date: 10/2018
Sponsoring organizations: AHIP, Coalition to Transform Advanced Care
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Northern Maine Medical Center – Fort Kent, Maine: Purchase of Retail Pharmacy Enhances Services to the Community
Profiles a hospital in rural Maine that purchased a community pharmacy to offer prevention and wellness services, reduce readmissions, and improve medication adherence.
Date: 10/2018
Sponsoring organization: American Hospital Association
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Profiles a hospital in rural Maine that purchased a community pharmacy to offer prevention and wellness services, reduce readmissions, and improve medication adherence.
Date: 10/2018
Sponsoring organization: American Hospital Association
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CMS Bundled Payments for Care Improvement Initiative Models 2-4: Year 5 Evaluation & Monitoring Annual Report
Shares findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Shares findings from an evaluation of Models 2, 3, and 4 of the Bundled Payments for Care Improvement (BPCI) initiative, linking provider payments for an episode of care with the goal of decreasing cost of care while improving quality. Includes information specific to rural BPCI-participating hospitals.
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 10/2018
Sponsoring organization: Centers for Medicare and Medicaid Services
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Healthy Clinic Assessments (HCAs)
Describes promising practices and the benefits of healthy clinic assessments (HCAs). Lists the goals of HCAs, and identifies emerging trends and needs based on the 98 HCAs completed at rural and frontier clinics in Colorado since 2009. Covers a Critical Access Hospital case study example.
Date: 10/2018
Sponsoring organization: Colorado Rural Health Center
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Describes promising practices and the benefits of healthy clinic assessments (HCAs). Lists the goals of HCAs, and identifies emerging trends and needs based on the 98 HCAs completed at rural and frontier clinics in Colorado since 2009. Covers a Critical Access Hospital case study example.
Date: 10/2018
Sponsoring organization: Colorado Rural Health Center
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Ensuring Access to Quality Health Care in Vulnerable Communities
Highlights the health characteristics and conditions of vulnerable populations in rural and urban communities, and the essential healthcare services as identified by the American Hospital Association Task Force on Ensuring Access in Vulnerable Communities. Discusses several strategies recommended by the task force to address social determinants of health, enhance virtual care services to reform healthcare delivery and payment methods, and support hospitals in their efforts to provide the needed health services.
Author(s): Jay Bhatt, Priya Bathija
Citation: Academic Medicine, 93(9), 1271-1275
Date: 09/2018
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Highlights the health characteristics and conditions of vulnerable populations in rural and urban communities, and the essential healthcare services as identified by the American Hospital Association Task Force on Ensuring Access in Vulnerable Communities. Discusses several strategies recommended by the task force to address social determinants of health, enhance virtual care services to reform healthcare delivery and payment methods, and support hospitals in their efforts to provide the needed health services.
Author(s): Jay Bhatt, Priya Bathija
Citation: Academic Medicine, 93(9), 1271-1275
Date: 09/2018
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Promising Practice: Texas SORH's Handheld Ultrasound Project - An Innovative Approach to Providing Training & Technology to Small Rural Hospitals
Details a pilot program implemented by the Texas State Office of Rural Health that allows rural hospitals to use handheld ultrasound machines as a cost-effective method for improving quality of care.
Author(s): Beth Blevins
Date: 09/2018
Sponsoring organization: National Organization of State Offices of Rural Health
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Details a pilot program implemented by the Texas State Office of Rural Health that allows rural hospitals to use handheld ultrasound machines as a cost-effective method for improving quality of care.
Author(s): Beth Blevins
Date: 09/2018
Sponsoring organization: National Organization of State Offices of Rural Health
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