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Rural Health
Resources by Topic: Healthcare quality

Value-Based Strategic Planning Guide: 2017 Rural Hospital Value-Based Strategy Summit
Customizable strategy resources to help small and rural hospital leaders develop, manage, measure, and implement their strategic plans. Templates focus on preparing rural hospitals to transition to value-based care and population health.
Additional links: Balanced Scorecard Template, Strategy Map Template
Date: 08/2017
Sponsoring organization: National Rural Health Resource Center
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Creating a Framework to Support Measure Development for Telehealth
Reports on efforts intended to advance telehealth quality measurement by developers, researchers, analysts, and other members of the healthcare community. Includes case studies of several programs geared toward patients in rural areas.
Date: 08/2017
Sponsoring organization: National Quality Forum
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Providing Patient-Centered Enhanced Discharge Planning and Rural Transition Support: Building a Rural Transitions Network Between Regional Referral and Critical Access Hospitals
Details manual procedures used in Western Montana to develop a model to improve the likelihood of a good recovery for patients and decreasing chances of re-hospitalization. Includes a guide to ethical considerations in discharge and rural transition planning.
Author(s): Tom Seekins, Heidi Boehm, Jennifer Wong, Linda Yearous, AnnaJean Smith
Date: 08/2017
Sponsoring organization: University of Montana: Rural Institute for Inclusive Communities
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Commentary: Increasing Rural Veterans' Access to Care Through Research
Summarizes the challenges of delivering quality healthcare to rural veterans. Discusses the role of research and innovation as a means of meeting those challenges.
Author(s): Thomas F. Klobucar
Date: 08/2017
Sponsoring organization: VA Health Systems Research, Office of Research & Development
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Health Disparities in Appalachia
Measures population health in Appalachia and explores disparities within the region and between Appalachia and the country as a whole. Features statistics on mortality, morbidity, behavioral health, child health, community characteristics, lifestyle, healthcare systems, quality of care, and social determinants, with breakdowns between urban and rural areas.
Author(s): Julie L. Marshall, Logan Thomas, Nancy M. Lane, et al.
Date: 08/2017
Sponsoring organizations: Appalachian Regional Commission, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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Magnolia Regional Medical Center Excels as a Hospital in Transition
Documents Magnolia Regional Medical Center's (MRMC) top accomplishments after participating in the Small Rural Hospital Transition (SRHT) project and completing a financial operational assessment (FOA). Major areas of improvement include net income, net patient revenue, days cash on hand, swing bed utilization, and overall quality ratings.
Date: 07/2017
Sponsoring organization: National Rural Health Resource Center
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How Western Kentucky Leveraged Medicaid Expansion to Increase Access to Health Care
Describes improvements in healthcare access and quality in Paducah and nearby counties from 2011-2014, when almost 500,000 people were added to the Medicaid rolls. Includes demographic statistics, difference in health system rank from 2012 to 2016, and map showing locations of 9 clinics that have opened or expanded during that time.
Author(s): Sarah Klein, Martha Hostetter, Douglas McCarthy
Date: 07/2017
Sponsoring organization: Commonwealth Fund
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Implementation of Antibiotic Stewardship Core Elements at Small and Critical Access Hospitals
Presents strategies for implementing antibiotic stewardship programs in critical access hospitals (CAHs). Includes examples of improved antibiotic-use strategies and guidelines for the prescribing physician, nurses, and pharmacists.
Date: 07/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Changes in Hospital Quality Associated with Hospital Value-Based Purchasing
Examines whether quality improved more in acute care hospitals exposed to Medicare's Hospital Value-Based Purchasing (HVBP) program. Uses Critical Access Hospitals as a comparison for clinical process, patient experience, and mortality measures.
Author(s): Andrew M. Ryan, Sam Krinsky, Kristen A. Maurer, Justin B. Dimick
Citation: New England Journal of Medicine, 376(24), 2358-2366
Date: 06/2017
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Potentially Preventable Medication-Related Hospitalizations: A Clinical Pharmacist Approach to Assessment, Categorization, and Quality Improvement
Examines pharmacist-led quality improvement practices, implemented across rural and urban counties in Hawaii, to identify and categorize potentially preventable medication-related hospital admissions. Describes how data collected during the investigation is used to improve pharmacist interventions focused on reducing medication-related readmissions.
Author(s): Karen L. Pellegrin, Elizabeth Lee, Reece Uyeno, Chris Ayson, Roy Goo
Citation: Journal of the American Pharmacies Association, 57(6), 711-716
Date: 06/2017
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