Rural Health
Resources by Topic: Healthcare quality
Identifying a Core Set of Rural-Relevant Measures for Hospital and Ambulatory Settings
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 Rural Health Workgroup, a public-private partnership of healthcare stakeholders. First in a series of 3 reports documenting the Workgroup's continuing efforts.
Date: 02/2018
Sponsoring organization: National Quality Forum MAP Rural Health Advisory Workgroup
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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 Rural Health Workgroup, a public-private partnership of healthcare stakeholders. First in a series of 3 reports documenting the Workgroup's continuing efforts.
Date: 02/2018
Sponsoring organization: National Quality Forum MAP Rural Health Advisory Workgroup
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Patient Safety and Adverse Events, 2011 and 2014
Reports on patient safety and adverse events and medical or surgical cases that may be at risk for a patient safety or adverse event, based on data from 34 states. Data is for all community, non-rehabilitation hospitals and discharges from all payers, including the uninsured. Includes overall patient safety data for rural and urban hospitals.
Author(s): Pamela L. Owens, Rhona Limcangco, Marguerite L. Barrett, Kevin C. Heslin, Brian J. Moore
Date: 02/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Reports on patient safety and adverse events and medical or surgical cases that may be at risk for a patient safety or adverse event, based on data from 34 states. Data is for all community, non-rehabilitation hospitals and discharges from all payers, including the uninsured. Includes overall patient safety data for rural and urban hospitals.
Author(s): Pamela L. Owens, Rhona Limcangco, Marguerite L. Barrett, Kevin C. Heslin, Brian J. Moore
Date: 02/2018
Sponsoring organization: Agency for Healthcare Research and Quality
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Evaluation of the Department of Veterans Affairs Mental Health Services
Report by a committee of experts detailing veterans' ability to access mental health services through the Department of Veterans Affairs. Analyzes access to care, quality of care, and current barriers to both. Presents effective and efficient models for providing mental healthcare to veterans. Mentions rural throughout the report.
Additional links: Key Findings and Recommendations, Read Online
Author(s): Committee to Evaluate the Department of Veterans Affairs Mental Health Services
Date: 01/2018
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Report by a committee of experts detailing veterans' ability to access mental health services through the Department of Veterans Affairs. Analyzes access to care, quality of care, and current barriers to both. Presents effective and efficient models for providing mental healthcare to veterans. Mentions rural throughout the report.
Additional links: Key Findings and Recommendations, Read Online
Author(s): Committee to Evaluate the Department of Veterans Affairs Mental Health Services
Date: 01/2018
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Affiliation Partners Sought to Prepare Small Hospital for Value-Based Care
Details how Grinnell Regional Medical Center (GRMC) in Grinnell, Iowa, followed a robust due diligence process to identify affiliation partners and prepare for participation in risk-based reimbursement models. GRMC is a 49-bed private, nonprofit medical center that serves 6 rural counties in Iowa.
Date: 01/2018
Sponsoring organization: Rural Health Value
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Details how Grinnell Regional Medical Center (GRMC) in Grinnell, Iowa, followed a robust due diligence process to identify affiliation partners and prepare for participation in risk-based reimbursement models. GRMC is a 49-bed private, nonprofit medical center that serves 6 rural counties in Iowa.
Date: 01/2018
Sponsoring organization: Rural Health Value
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Taking Stock: Policy Opportunities for Advancing Rural Health
Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program
Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Sponsoring organization: Flex Monitoring Team
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Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Sponsoring organization: Flex Monitoring Team
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Transforming Health Care from the Ground Up
Describes two examples of innovation driven by doctors, nurses, administrators, entrepreneurs, and patients involving a major transformation of healthcare delivery. One example was an initiative developed through the University of Mississippi Medical Center where a telehealth network was created to increase patient access to care in rural areas with a focus on Critical Access Hospitals (CAHs).
Author(s): Vijay Govindarajan, Ravi Ramamurti
Citation: Harvard Business Review
Date: 2018
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Describes two examples of innovation driven by doctors, nurses, administrators, entrepreneurs, and patients involving a major transformation of healthcare delivery. One example was an initiative developed through the University of Mississippi Medical Center where a telehealth network was created to increase patient access to care in rural areas with a focus on Critical Access Hospitals (CAHs).
Author(s): Vijay Govindarajan, Ravi Ramamurti
Citation: Harvard Business Review
Date: 2018
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Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations
Results of a study using Medicare claims data for patients obtaining care from a sample of 6,551 primary care physicians. Features statistics including physician characteristics associated with providing continuity of care, with breakdowns by 5 levels of population density.
Author(s): Andrew Bazemore, Stephen Petterson, Lars E. Peterson, et al.
Citation: Annals of Family Medicine, 16(6), 492-497
Date: 2018
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Results of a study using Medicare claims data for patients obtaining care from a sample of 6,551 primary care physicians. Features statistics including physician characteristics associated with providing continuity of care, with breakdowns by 5 levels of population density.
Author(s): Andrew Bazemore, Stephen Petterson, Lars E. Peterson, et al.
Citation: Annals of Family Medicine, 16(6), 492-497
Date: 2018
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Integrating Department of Defense and Department of Veterans Affairs Purchased Care: Preliminary Feasibility Assessment
Examines the feasibility of integrating the Department of Defense and Department of Veterans Affairs healthcare systems. Explores the potential impact on healthcare access, quality, and costs for beneficiaries, addressing implications for rural areas throughout. Discusses changes that would need to be made at a legislative, policy, and contractual level if an integrated purchased care program was implemented.
Author(s): Carrie M. Farmer, Terri Tanielian, Christine Buttorff, et al.
Date: 2018
Sponsoring organization: RAND Corporation
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Examines the feasibility of integrating the Department of Defense and Department of Veterans Affairs healthcare systems. Explores the potential impact on healthcare access, quality, and costs for beneficiaries, addressing implications for rural areas throughout. Discusses changes that would need to be made at a legislative, policy, and contractual level if an integrated purchased care program was implemented.
Author(s): Carrie M. Farmer, Terri Tanielian, Christine Buttorff, et al.
Date: 2018
Sponsoring organization: RAND Corporation
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Case Study: High-Tech OB Simulation Training Educates OB Teams, Improves Quality of Rural Health Care
Reports on a pilot obstetrics simulation training program intended to help rural family physicians and obstetric care teams recognize and react to complications related to pregnancy, initially focusing on hemorrhaging. Identifies planned quality improvement measures resulting from the training and includes program contact information. Program targeted 12 rural hospitals in Nebraska.
Date: 2018
Sponsoring organizations: Bryan Health, Heartland Health Alliance
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Reports on a pilot obstetrics simulation training program intended to help rural family physicians and obstetric care teams recognize and react to complications related to pregnancy, initially focusing on hemorrhaging. Identifies planned quality improvement measures resulting from the training and includes program contact information. Program targeted 12 rural hospitals in Nebraska.
Date: 2018
Sponsoring organizations: Bryan Health, Heartland Health Alliance
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