Rural Health
Resources by Topic: Healthcare quality
Hospital Value-based Purchasing: Initial Results Show Modest Effects on Medicare Payments and No Apparent Change in Quality-of-Care Trends
Evaluates the initial effects of the Hospital Value-based Purchasing (HVBP) program on Medicare bonus payments and penalties, the quality of care provided, and selected quality improvement efforts during FY 2013-15. Analyzes data from safety net, small urban, and small rural hospitals.
Additional links: Full Report
Date: 10/2015
Sponsoring organization: Government Accountability Office
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Evaluates the initial effects of the Hospital Value-based Purchasing (HVBP) program on Medicare bonus payments and penalties, the quality of care provided, and selected quality improvement efforts during FY 2013-15. Analyzes data from safety net, small urban, and small rural hospitals.
Additional links: Full Report
Date: 10/2015
Sponsoring organization: Government Accountability Office
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A Cross-Sectional Study on Health Differences Between Rural and Non-Rural U.S. Counties Using the County Health Rankings
Examines the rural and urban differences in health and healthcare within the U.S. using data accessed from the 2013 County Health Rankings and Roadmaps. Vital health factors evaluated include mortality, morbidity, health behaviors, clinical care, social and economic factors, and the physical environment.
Author(s): Timothy J. Anderson, Daniel M. Saman, Martin S. Lipsky, M. Nawal Lutfiyya
Citation: BMC Health Services Research, 15, 441
Date: 10/2015
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Examines the rural and urban differences in health and healthcare within the U.S. using data accessed from the 2013 County Health Rankings and Roadmaps. Vital health factors evaluated include mortality, morbidity, health behaviors, clinical care, social and economic factors, and the physical environment.
Author(s): Timothy J. Anderson, Daniel M. Saman, Martin S. Lipsky, M. Nawal Lutfiyya
Citation: BMC Health Services Research, 15, 441
Date: 10/2015
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Performance Measurement for Rural Low-Volume Providers: Final Report
Identifies challenges to measuring healthcare performance among low-volume rural providers, and presents recommendations to meet these challenges. Primary focus is on finding appropriate quality measures for use within Centers for Medicare and Medicaid Services' (CMS) pay-for-performance programs and encouraging rural participation in CMS quality improvement initiatives.
Date: 09/2015
Sponsoring organization: National Quality Forum
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Identifies challenges to measuring healthcare performance among low-volume rural providers, and presents recommendations to meet these challenges. Primary focus is on finding appropriate quality measures for use within Centers for Medicare and Medicaid Services' (CMS) pay-for-performance programs and encouraging rural participation in CMS quality improvement initiatives.
Date: 09/2015
Sponsoring organization: National Quality Forum
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Evidence-Based Programs and Strategies for Reducing Healthcare-Associated Infections in Critical Access Hospitals
Highlights successful, evidence-based programs and approaches that Critical Access Hospitals (CAHs) may use to curb healthcare-associated infections (HAIs).
Author(s): Michelle Casey, Shailendra Prasad, Emma Distel, Alex Evenson
Date: 09/2015
Sponsoring organization: Flex Monitoring Team
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Highlights successful, evidence-based programs and approaches that Critical Access Hospitals (CAHs) may use to curb healthcare-associated infections (HAIs).
Author(s): Michelle Casey, Shailendra Prasad, Emma Distel, Alex Evenson
Date: 09/2015
Sponsoring organization: Flex Monitoring Team
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Reporting of Healthcare-Associated Infections by Critical Access Hospitals
Describes state requirements for reporting healthcare-associated infections (HAIs) and the implications for Critical Access Hospitals (CAHs). Also analyzes HAI data reported by CAHs via Hospital Compare.
Author(s): Michelle Casey, Emma Distel, Alex Evenson, Shailendra Prasad, Peiyin Hung
Date: 09/2015
Sponsoring organization: Flex Monitoring Team
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Describes state requirements for reporting healthcare-associated infections (HAIs) and the implications for Critical Access Hospitals (CAHs). Also analyzes HAI data reported by CAHs via Hospital Compare.
Author(s): Michelle Casey, Emma Distel, Alex Evenson, Shailendra Prasad, Peiyin Hung
Date: 09/2015
Sponsoring organization: Flex Monitoring Team
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Variations in Guideline-Concordant Breast Cancer Adjuvant Therapy in Rural Georgia
Results of a study of 844 women from rural southwest Georgia who were diagnosed with primary, invasive, early-stage breast cancer between 2001 and 2003, and who received guideline-concordant adjuvant therapy within the study region. Features statistics including breakdowns by age, race, marital status, insurance status, socioeconomic status, rural status, and number of comorbid conditions.
Author(s): Gery P. Guy, Joseph Lipscomb, Theresa W. Gillespie, et al.
Citation: Health Services Research, 50(4), 1088-1108
Date: 08/2015
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Results of a study of 844 women from rural southwest Georgia who were diagnosed with primary, invasive, early-stage breast cancer between 2001 and 2003, and who received guideline-concordant adjuvant therapy within the study region. Features statistics including breakdowns by age, race, marital status, insurance status, socioeconomic status, rural status, and number of comorbid conditions.
Author(s): Gery P. Guy, Joseph Lipscomb, Theresa W. Gillespie, et al.
Citation: Health Services Research, 50(4), 1088-1108
Date: 08/2015
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Peer Coaches to Improve Diabetes Outcomes in Rural Alabama: A Cluster Randomized Trial
Discusses the results of a study comparing the effects of peer-coaching intervention that includes brief education versus brief education alone on diabetes patients living in under resourced settings of rural Alabama.
Author(s): Monika M. Safford, Susan Andreae, Andrea L. Cherrington, et al.
Citation: Annals of Family Medicine, 13(Suppl 1), S18–S26
Date: 08/2015
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Discusses the results of a study comparing the effects of peer-coaching intervention that includes brief education versus brief education alone on diabetes patients living in under resourced settings of rural Alabama.
Author(s): Monika M. Safford, Susan Andreae, Andrea L. Cherrington, et al.
Citation: Annals of Family Medicine, 13(Suppl 1), S18–S26
Date: 08/2015
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Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration
Reports on a 3 year demonstration project regarding the change of Federally Qualified Health Centers (FQHCs) into advanced primary care practices (APCPs) that provide comprehensive patient-centered healthcare for Medicare beneficiaries. Examines the processes and challenges involved in this change and the effects of the APCP model on access, quality and cost of care delivered to Medicare and Medicaid patients. Includes a rural/urban comparison of findings and data.
Author(s): Katherine L. Kahn, Justin W. Timbie, Mark W. Friedberg, et al.
Date: 07/2015
Sponsoring organization: RAND Corporation
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Reports on a 3 year demonstration project regarding the change of Federally Qualified Health Centers (FQHCs) into advanced primary care practices (APCPs) that provide comprehensive patient-centered healthcare for Medicare beneficiaries. Examines the processes and challenges involved in this change and the effects of the APCP model on access, quality and cost of care delivered to Medicare and Medicaid patients. Includes a rural/urban comparison of findings and data.
Author(s): Katherine L. Kahn, Justin W. Timbie, Mark W. Friedberg, et al.
Date: 07/2015
Sponsoring organization: RAND Corporation
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Trends in Observed Adult Inpatient Mortality for High-Volume Conditions, 2002-2012
Provides data on adult inpatient mortality between 2002 and 2012 for four high-volume conditions: pneumonia, acute myocardial infarction, congestive heart failure, and stroke. Figure 4 and Table 4 provide information by location of patient residence, for rural, micropolitan, and metropolitan areas.
Author(s): Anika L. Hines, Kevin C. Heslin, H. Joanna Jiang, Rosanna Coffey
Date: 07/2015
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides data on adult inpatient mortality between 2002 and 2012 for four high-volume conditions: pneumonia, acute myocardial infarction, congestive heart failure, and stroke. Figure 4 and Table 4 provide information by location of patient residence, for rural, micropolitan, and metropolitan areas.
Author(s): Anika L. Hines, Kevin C. Heslin, H. Joanna Jiang, Rosanna Coffey
Date: 07/2015
Sponsoring organization: Agency for Healthcare Research and Quality
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Examining the Relationship Between Health IT and Ambulatory Care Workflow Redesign
Analyzes the implementation of health information technology (HIT) in ambulatory care settings to better understand the underlying associations between HIT and workflow processes. Examines data from 6 ambulatory care practices that included 5 primary care practices in rural locations.
Author(s): Kai Zheng, Elizabeth L. Ciemins, Holly J. Lanham, Curt Lindberg
Date: 07/2015
Sponsoring organization: Agency for Healthcare Research and Quality
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Analyzes the implementation of health information technology (HIT) in ambulatory care settings to better understand the underlying associations between HIT and workflow processes. Examines data from 6 ambulatory care practices that included 5 primary care practices in rural locations.
Author(s): Kai Zheng, Elizabeth L. Ciemins, Holly J. Lanham, Curt Lindberg
Date: 07/2015
Sponsoring organization: Agency for Healthcare Research and Quality
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