Rural Health
Resources by Topic: Healthcare quality
Evergreen Medical Center Remains Committed to Quality Care
Describes Evergreen Medical Center's (EMC) progress as part of the Small Rural Hospital Transition (SRHT) Project, focused on care transitions and healthcare quality. EMC is a short-term acute care hospital located in Evergreen, Alabama. EMC focused on patient satisfaction, clinical documentation, preventing readmissions by improving care transitions, and quality reporting.
Date: 09/2018
Sponsoring organization: National Rural Health Resource Center
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Describes Evergreen Medical Center's (EMC) progress as part of the Small Rural Hospital Transition (SRHT) Project, focused on care transitions and healthcare quality. EMC is a short-term acute care hospital located in Evergreen, Alabama. EMC focused on patient satisfaction, clinical documentation, preventing readmissions by improving care transitions, and quality reporting.
Date: 09/2018
Sponsoring organization: National Rural Health Resource Center
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A Small Town Stroke
Narrative essay by a medical student reflecting on his family medicine rotation in a hospital in rural Minnesota. Describes the process through which he came to understand that patients in well-supported rural hospitals might have access to therapeutic relationships not available in large urban medical centers.
Author(s): William Hoffman
Citation: Family Medicine, 50(8), 623-624
Date: 09/2018
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Narrative essay by a medical student reflecting on his family medicine rotation in a hospital in rural Minnesota. Describes the process through which he came to understand that patients in well-supported rural hospitals might have access to therapeutic relationships not available in large urban medical centers.
Author(s): William Hoffman
Citation: Family Medicine, 50(8), 623-624
Date: 09/2018
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nevada. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Sponsoring organization: U.S. Department of Health and Human Services
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Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nevada. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Sponsoring organization: U.S. Department of Health and Human Services
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Community Reinvestment Program
Profiles the Eastern Oregon Coordinated Care Organization (EOCCO), a rural program that received community reinvestment funding from the Oregon Health Authority to invest in the community and provide care for Oregon's Medicaid recipients using a fixed global budget system. EOCCO engaged a community advisory council (CAC) comprising local individuals that showed an active interest in improving their own and the community's health. EOCCO in turn reinvests the money they receive in projects targeted to improving priority health concerns determined by local community health assessments.
Date: 09/2018
Sponsoring organization: Rural Health Value
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Profiles the Eastern Oregon Coordinated Care Organization (EOCCO), a rural program that received community reinvestment funding from the Oregon Health Authority to invest in the community and provide care for Oregon's Medicaid recipients using a fixed global budget system. EOCCO engaged a community advisory council (CAC) comprising local individuals that showed an active interest in improving their own and the community's health. EOCCO in turn reinvests the money they receive in projects targeted to improving priority health concerns determined by local community health assessments.
Date: 09/2018
Sponsoring organization: Rural Health Value
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2017 QIO Program Progress Report: Putting Patients at the Core
Describes the impact of Medicare's Quality Improvement Organization (QIO) Program throughout the U.S. in 2017. Highlights a number of successful projects in rural areas focused on diabetes management, care coordination, hypertension management, and more.
Date: 09/2018
Sponsoring organization: Quality Improvement Organizations
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Describes the impact of Medicare's Quality Improvement Organization (QIO) Program throughout the U.S. in 2017. Highlights a number of successful projects in rural areas focused on diabetes management, care coordination, hypertension management, and more.
Date: 09/2018
Sponsoring organization: Quality Improvement Organizations
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Tallahatchie General Hospital: 5-Star HCAHPs Facility
Describes Tallahatchie General Hospital's (TGH) progress as part of the Small Rural Hospital Transition (SRHT) Project focused on care transitions and healthcare quality. TGH is a Critical Access Hospital located in Charleston, Mississippi that also operates three Rural Health Clinics. TGH engaged all department heads in quality efforts and focused on communication, population health, and staff engagement.
Date: 08/2018
Sponsoring organization: National Rural Health Resource Center
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Describes Tallahatchie General Hospital's (TGH) progress as part of the Small Rural Hospital Transition (SRHT) Project focused on care transitions and healthcare quality. TGH is a Critical Access Hospital located in Charleston, Mississippi that also operates three Rural Health Clinics. TGH engaged all department heads in quality efforts and focused on communication, population health, and staff engagement.
Date: 08/2018
Sponsoring organization: National Rural Health Resource Center
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Advanced Primary Care: A Key Contributor to Successful ACOs
Reviews the literature on accountable care organizations (ACOs) regarding characteristics of successful ACOs and outcomes for cost, quality, and utilization, including literature on rural ACOs. Analyzes Medicare and National Committee for Quality Assurance (NCQA) data on ACO cost and quality outcomes to assess the role of advanced primary care models such as patient-centered medical homes on ACO success.
Additional links: Executive Summary, White Paper
Author(s): Yalda Jabbarpour, Megan Coffman, Andy Habib, et al.
Date: 08/2018
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Reviews the literature on accountable care organizations (ACOs) regarding characteristics of successful ACOs and outcomes for cost, quality, and utilization, including literature on rural ACOs. Analyzes Medicare and National Committee for Quality Assurance (NCQA) data on ACO cost and quality outcomes to assess the role of advanced primary care models such as patient-centered medical homes on ACO success.
Additional links: Executive Summary, White Paper
Author(s): Yalda Jabbarpour, Megan Coffman, Andy Habib, et al.
Date: 08/2018
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Implementing Team Huddles in Small Rural Hospitals: How Does the Kotter Model of Change Apply?
Discusses how the Kotter model of change and team huddles were implemented through the TeamSTEPPS program at 8 Critical Access Hospitals in Iowa. Describes how team huddles can promote patient safety. Examines different implementation strategies, the scope of implementation, and other factors that supported or hindered the performance of teams executing the Kotter model of change.
Author(s): Jure Baloh, Xi Zhu, Marcia M. Ward
Citation: Journal of Nursing Management, 26(5), 571-578
Date: 07/2018
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Discusses how the Kotter model of change and team huddles were implemented through the TeamSTEPPS program at 8 Critical Access Hospitals in Iowa. Describes how team huddles can promote patient safety. Examines different implementation strategies, the scope of implementation, and other factors that supported or hindered the performance of teams executing the Kotter model of change.
Author(s): Jure Baloh, Xi Zhu, Marcia M. Ward
Citation: Journal of Nursing Management, 26(5), 571-578
Date: 07/2018
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Rural Health Clinic Participation in the Merit-Based Incentive System and Other Quality Reporting Initiatives: Challenges and Opportunities
Reports on past and current RHC quality reporting initiatives in relation to the Merit-Based Incentive Payment System (MIPS). Explores options for RHCs to voluntarily participate in MIPS and covers challenges for RHCs participating in quality reporting.
Author(s): John A. Gale, Zachariah Croll, Andrew F. Coburn
Date: 07/2018
Sponsoring organization: Maine Rural Health Research Center
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Reports on past and current RHC quality reporting initiatives in relation to the Merit-Based Incentive Payment System (MIPS). Explores options for RHCs to voluntarily participate in MIPS and covers challenges for RHCs participating in quality reporting.
Author(s): John A. Gale, Zachariah Croll, Andrew F. Coburn
Date: 07/2018
Sponsoring organization: Maine Rural Health Research Center
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Exploring Bright Spots in Appalachian Health: Case Studies
In-depth studies of 10 Appalachian counties with health outcomes that are better than expected, given their characteristics and resources. Identifies actions these areas are taking to improve health and well-being. Features statistics including demographics and health-related data, and maps showing economic status of Appalachian counties. Third in a series of reports exploring health issues in Appalachia.
Author(s): Nancy M. Lane, G. Mark Holmes, Thomas A. Arcury, et al.
Date: 07/2018
Sponsoring organizations: Appalachian Regional Commission, Burness, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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In-depth studies of 10 Appalachian counties with health outcomes that are better than expected, given their characteristics and resources. Identifies actions these areas are taking to improve health and well-being. Features statistics including demographics and health-related data, and maps showing economic status of Appalachian counties. Third in a series of reports exploring health issues in Appalachia.
Author(s): Nancy M. Lane, G. Mark Holmes, Thomas A. Arcury, et al.
Date: 07/2018
Sponsoring organizations: Appalachian Regional Commission, Burness, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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