Rural Health
Resources by Topic: Healthcare quality
MBQIP Quality Measure Trends, 2011-2016
Examines trends in 37 Medicare Beneficiary Quality Improvement Project (MBQIP) quality measures from 2011 to 2016. Groups Critical Access Hospitals (CAHs) within 45 State Flex Programs into five regions, and organizes data into tables and figures which allow in-depth comparisons of the national, regional, and state trends for each MBQIP measure. Presents findings across five quality measure domains: patient engagement, care transitions, outpatient, inpatient, and patient safety.
Author(s): Tami Swenson, Michelle Casey
Date: 11/2016
Sponsoring organization: Flex Monitoring Team
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Examines trends in 37 Medicare Beneficiary Quality Improvement Project (MBQIP) quality measures from 2011 to 2016. Groups Critical Access Hospitals (CAHs) within 45 State Flex Programs into five regions, and organizes data into tables and figures which allow in-depth comparisons of the national, regional, and state trends for each MBQIP measure. Presents findings across five quality measure domains: patient engagement, care transitions, outpatient, inpatient, and patient safety.
Author(s): Tami Swenson, Michelle Casey
Date: 11/2016
Sponsoring organization: Flex Monitoring Team
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"How Can We Talk about Patient-centered Care without Patients at the Table?" Lessons Learned from Patient Advisory Councils
Reports on a survey of patient advisory council (PAC) members associated with 8 primary care clinics and Federally Qualified Health Clinics (FQHCs), both rural and urban, in Northern California. Focuses on how PACs are developed, challenges faced, and the benefits of effective PACs.
Author(s): Anjana E. Sharma, Rachel Willard-Grace, Andrew Willis, et al.
Citation: Journal of the American Board of Family Medicine, 29(6), 775-784
Date: 11/2016
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Reports on a survey of patient advisory council (PAC) members associated with 8 primary care clinics and Federally Qualified Health Clinics (FQHCs), both rural and urban, in Northern California. Focuses on how PACs are developed, challenges faced, and the benefits of effective PACs.
Author(s): Anjana E. Sharma, Rachel Willard-Grace, Andrew Willis, et al.
Citation: Journal of the American Board of Family Medicine, 29(6), 775-784
Date: 11/2016
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Impact of Race/Ethnicity and Socioeconomic Status on Risk-Adjusted Readmission Rates: Implications for the Hospital Readmissions Reduction Program
Examines what would happen to hospitals' excess readmission ratios and potential penalties if socioeconomic status and race/ethnicity were added to the Centers for Medicare & Medicaid Services risk-adjustment algorithm. Includes information on potential change in penalties for metropolitan, micropolitan, and nonmetro hospitals.
Author(s): Grant R. Martsolf, Marguerite L. Barrett, Audrey J. Weiss, et al.
Citation: Inquiry, 53
Date: 10/2016
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Examines what would happen to hospitals' excess readmission ratios and potential penalties if socioeconomic status and race/ethnicity were added to the Centers for Medicare & Medicaid Services risk-adjustment algorithm. Includes information on potential change in penalties for metropolitan, micropolitan, and nonmetro hospitals.
Author(s): Grant R. Martsolf, Marguerite L. Barrett, Audrey J. Weiss, et al.
Citation: Inquiry, 53
Date: 10/2016
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Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care
Explores concerns about inadequate healthcare quality provided in Indian Health Service (IHS) hospitals. Makes recommendations for implementing several oversight measures and identifies problem areas that will need to be addressed in order to improve healthcare quality in IHS hospitals. See companion report: Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care. Focuses on challenges related to quality reporting, Area Office vacancies, and health information technology.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Explores concerns about inadequate healthcare quality provided in Indian Health Service (IHS) hospitals. Makes recommendations for implementing several oversight measures and identifies problem areas that will need to be addressed in order to improve healthcare quality in IHS hospitals. See companion report: Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care. Focuses on challenges related to quality reporting, Area Office vacancies, and health information technology.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care
Study completed in response to concerns over inadequate quality of care being provided in Indian Health Service (IHS) hospitals. Included in the report are findings from a series of leadership and staff interviews, questionnaires, and document reviews. Recommendations for improving quality of care are made to IHS and the Office of the Secretary of Health and Human Services. Additional recommendations for improving quality through oversight measures can be found in the companion report: Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care Addresses healthcare access difficulties, health workforce challenges, and more.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Study completed in response to concerns over inadequate quality of care being provided in Indian Health Service (IHS) hospitals. Included in the report are findings from a series of leadership and staff interviews, questionnaires, and document reviews. Recommendations for improving quality of care are made to IHS and the Office of the Secretary of Health and Human Services. Additional recommendations for improving quality through oversight measures can be found in the companion report: Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care Addresses healthcare access difficulties, health workforce challenges, and more.
Date: 10/2016
Sponsoring organization: Office of Inspector General (HHS)
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Adequacy of EMS Systems of Care Protocols for Adults with OHCA, STEMI & Stroke in Oregon: A Structured Review
Examines the emergency medical services (EMS) treatment protocols practiced in ambulance agencies in Oregon. Focuses on how they align with evidence-based practices for EMS treatment for adult patients with out-of-hospital cardiac arrest (OHCA), STEMI (ST Elevation Myocardial Infarction), and stroke. Includes rural/urban comparisons.
Additional links: Executive Report
Author(s): Paul S. Rostykus
Date: 10/2016
Sponsoring organization: Oregon Office of Rural Health
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Examines the emergency medical services (EMS) treatment protocols practiced in ambulance agencies in Oregon. Focuses on how they align with evidence-based practices for EMS treatment for adult patients with out-of-hospital cardiac arrest (OHCA), STEMI (ST Elevation Myocardial Infarction), and stroke. Includes rural/urban comparisons.
Additional links: Executive Report
Author(s): Paul S. Rostykus
Date: 10/2016
Sponsoring organization: Oregon Office of Rural Health
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North Sunflower Medical Center Successfully Addressing Chronic Care Management
Documents North Sunflower Medical Center's (NSMC) progress as part of the Small Rural Hospital Transition (SRHT) project, particularly in the areas of discharge planning and follow-up, placing patients in the correct level of care, and chronic disease management. NSMC is a 25-bed Critical Access Hospital located in Ruleville, Mississippi.
Date: 09/2016
Sponsoring organization: National Rural Health Resource Center
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Documents North Sunflower Medical Center's (NSMC) progress as part of the Small Rural Hospital Transition (SRHT) project, particularly in the areas of discharge planning and follow-up, placing patients in the correct level of care, and chronic disease management. NSMC is a 25-bed Critical Access Hospital located in Ruleville, Mississippi.
Date: 09/2016
Sponsoring organization: National Rural Health Resource Center
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Variation in the Rate of Cesarean Section Across U.S. Hospitals, 2013
Provides data on the rate of total and low-risk C-sections across U.S. hospitals in 2013, looking at variations in C-section rates by hospital characteristics. Figure 3 provides data for metropolitan, micropolitan, and rural hospitals.
Author(s): Kamila Mistry, Kathryn R. Fingar, Anne Elixhauser
Date: 09/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides data on the rate of total and low-risk C-sections across U.S. hospitals in 2013, looking at variations in C-section rates by hospital characteristics. Figure 3 provides data for metropolitan, micropolitan, and rural hospitals.
Author(s): Kamila Mistry, Kathryn R. Fingar, Anne Elixhauser
Date: 09/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Emergency Transport of Stroke Suspects in a Rural State: Opportunities for Improvement
Examines transport time and destinations for stroke suspects in Arkansas. Focuses on transportation to facilities that commonly provide acute stroke therapy and offers recommendations for emergency medical service agencies.
Author(s): Aliza T. Brown, Feifei Wei, William C. Culp, et al.
Citation: American Journal of Emergency Medicine, 34(8), 1640-1644
Date: 08/2016
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Examines transport time and destinations for stroke suspects in Arkansas. Focuses on transportation to facilities that commonly provide acute stroke therapy and offers recommendations for emergency medical service agencies.
Author(s): Aliza T. Brown, Feifei Wei, William C. Culp, et al.
Citation: American Journal of Emergency Medicine, 34(8), 1640-1644
Date: 08/2016
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Surgical Care Improvement Project Measures among Rural and Urban Hospitals in West Virginia
Reviews data from the Centers for Medicare and Medicaid Services Surgical Care Improvement Project (SCIP) from 10 rural community hospitals in West Virginia to determine the quality of surgical care given by rural providers. Data reported was compared to a set of process measures demonstrating the rates of surgical morbidity and mortality, surgical site infections, and other complications following surgery.
Author(s): Yuya K. Kudo, Linda V. Davis, Dustin M. Long, John C. Honaker, Don K. Nakayama
Citation: American Surgeon, 82(1), E20-E22
Date: 08/2016
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Reviews data from the Centers for Medicare and Medicaid Services Surgical Care Improvement Project (SCIP) from 10 rural community hospitals in West Virginia to determine the quality of surgical care given by rural providers. Data reported was compared to a set of process measures demonstrating the rates of surgical morbidity and mortality, surgical site infections, and other complications following surgery.
Author(s): Yuya K. Kudo, Linda V. Davis, Dustin M. Long, John C. Honaker, Don K. Nakayama
Citation: American Surgeon, 82(1), E20-E22
Date: 08/2016
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