Rural Health
Resources by Topic: Healthcare quality
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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Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain
A guide to help primary care providers, practices, and healthcare systems manage patients who are on long-term opioid therapy. Provides an evidence-based prescribing guideline, quality improvement measures, and practice-level care coordination strategies. Appendix F provides examples of comprehensive management approaches, including discussion of telehealth approaches that could be used in rural communities.
Date: 2018
Sponsoring organization: Centers for Disease Control and Prevention
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A guide to help primary care providers, practices, and healthcare systems manage patients who are on long-term opioid therapy. Provides an evidence-based prescribing guideline, quality improvement measures, and practice-level care coordination strategies. Appendix F provides examples of comprehensive management approaches, including discussion of telehealth approaches that could be used in rural communities.
Date: 2018
Sponsoring organization: Centers for Disease Control and Prevention
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State Innovation Models (SIM) Round 2: Model Test Annual Report Two
Second annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Covers adoption of delivery models and payment reforms related to value-based purchasing and alternative payment models (APMs); strategies to support healthcare delivery transformation related to quality, health information technology, and workforce; and population health strategies.
Date: 2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Second annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Covers adoption of delivery models and payment reforms related to value-based purchasing and alternative payment models (APMs); strategies to support healthcare delivery transformation related to quality, health information technology, and workforce; and population health strategies.
Date: 2018
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Models and Strategies to Integrate Palliative Care Principles into Care for People with Serious Illness: Proceedings of a Workshop
Summarizes presentations, discussions, and workshop participant suggestions for improving the quality of, expanding access to, and supporting policies for community-based palliative care. Provides examples of community-based palliative care models, including a model for reaching patients in rural underserved areas.
Additional links: Read Online, Workshop Highlights
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 2018
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes presentations, discussions, and workshop participant suggestions for improving the quality of, expanding access to, and supporting policies for community-based palliative care. Provides examples of community-based palliative care models, including a model for reaching patients in rural underserved areas.
Additional links: Read Online, Workshop Highlights
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 2018
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Patients' Experiences in CAHs: HCAHPS Results, 2016
Shares results from the calendar year 2016 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, summarizing reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Megan Lahr, Alex Evenson, Tongtan Chantarat, Michelle Casey
Date: 12/2017
Sponsoring organization: Flex Monitoring Team
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Shares results from the calendar year 2016 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, summarizing reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Megan Lahr, Alex Evenson, Tongtan Chantarat, Michelle Casey
Date: 12/2017
Sponsoring organization: Flex Monitoring Team
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MedPAC Report to the Congress: Physician Supervision Requirements in Critical Access Hospitals and Small Rural Hospitals
Provides background information on Medicare physician supervision requirements, and examines how enforcement of these requirements impacts access to care, quality of care, and staffing needs in Critical Access Hospitals (CAHs) and small rural hospitals. Findings are based on interviews with CMS officials, hospital association representatives, and CAH administrators in several states.
Date: 12/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Provides background information on Medicare physician supervision requirements, and examines how enforcement of these requirements impacts access to care, quality of care, and staffing needs in Critical Access Hospitals (CAHs) and small rural hospitals. Findings are based on interviews with CMS officials, hospital association representatives, and CAH administrators in several states.
Date: 12/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Worsening Rural-Urban Gap in Hospital Mortality
Results of a study of nonmaternal, nonneonatal hospitalizations in 2008 and 2013, showing the association between rural or urban residence and hospital mortality. Features statistics on hospital mortality by condition in 2013 and hospital deaths among rural patients by year and payer status.
Author(s): Nicole Villapiano, Theodore J. Iwashyna, Matthew M. Davis
Citation: Journal of the American Board of Family Medicine, 30(6), 816-823
Date: 11/2017
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Results of a study of nonmaternal, nonneonatal hospitalizations in 2008 and 2013, showing the association between rural or urban residence and hospital mortality. Features statistics on hospital mortality by condition in 2013 and hospital deaths among rural patients by year and payer status.
Author(s): Nicole Villapiano, Theodore J. Iwashyna, Matthew M. Davis
Citation: Journal of the American Board of Family Medicine, 30(6), 816-823
Date: 11/2017
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