Rural Health
Resources by Topic: Service delivery models
Rural Maternal Health Series: Implementing Patient Safety Bundles in Rural Hospitals
Webinar recording, third of a 4-part series, discusses the Alliance for Innovation on Maternal Health (AIM) bundles, a standardized set of processes for improving maternal healthcare quality and safety in rural hospitals. Features presentations from representatives of the American College of Obstetricians and Gynecologists (ACOG), Alliance for Innovation on Maternal Health (AIM), the Iowa Maternal Quality Care Collaborative, and Gundersen Palmer Hospital in West Union, Iowa.
Additional links: Audio Recording, Webinar Slides
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Webinar recording, third of a 4-part series, discusses the Alliance for Innovation on Maternal Health (AIM) bundles, a standardized set of processes for improving maternal healthcare quality and safety in rural hospitals. Features presentations from representatives of the American College of Obstetricians and Gynecologists (ACOG), Alliance for Innovation on Maternal Health (AIM), the Iowa Maternal Quality Care Collaborative, and Gundersen Palmer Hospital in West Union, Iowa.
Additional links: Audio Recording, Webinar Slides
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Quality in Motion: Acting on the CMS National Quality Strategy
Provides an overview of the Centers for Medicare & Medicaid Services (CMS) 2022 National Quality Strategy (NQS). Describes actions CMS has taken to meet the eight NQS goals across four priority areas: outcomes and alignment, equity and engagement, safety and resiliency, and interoperability and scientific achievement. Includes rural references throughout.
Date: 04/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Provides an overview of the Centers for Medicare & Medicaid Services (CMS) 2022 National Quality Strategy (NQS). Describes actions CMS has taken to meet the eight NQS goals across four priority areas: outcomes and alignment, equity and engagement, safety and resiliency, and interoperability and scientific achievement. Includes rural references throughout.
Date: 04/2024
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Geographic Disparities in Telemedicine Mental Health Use by Applying Three Way ANOVA on Medicaid Claims Population Data
Examines geographic differences in telemedicine use for mental healthcare visits in Texas. Analyzes 2012 to 2018 Medicaid claims data by urban, suburban, and rural geography, as well as additional sociodemographic variables.
Author(s): Benjamin Ukert, Mark Lawley, Hye-Chung Kum
Citation: BMC Health Services Research, 24, 494
Date: 04/2024
Type: Document
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Examines geographic differences in telemedicine use for mental healthcare visits in Texas. Analyzes 2012 to 2018 Medicaid claims data by urban, suburban, and rural geography, as well as additional sociodemographic variables.
Author(s): Benjamin Ukert, Mark Lawley, Hye-Chung Kum
Citation: BMC Health Services Research, 24, 494
Date: 04/2024
Type: Document
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Creating a Sustainable Future for Value-Based Care: A Playbook of Voluntary Best Practices for VBC Payment Arrangements
Describes themes that emerged from workgroup meetings regarding the implementation of value-based care (VBC) models, with a focus on total cost of care arrangements. Outlines voluntary best practices and domains within VBC payment arrangements for health plans, facilities, clinicians, and VBC entities to consider during the design, implementation, and evaluation of VBC participation. Includes rural information and considerations throughout.
Date: 04/2024
Type: Document
Sponsoring organizations: AHIP, American Medical Association, National Association of ACOs
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Describes themes that emerged from workgroup meetings regarding the implementation of value-based care (VBC) models, with a focus on total cost of care arrangements. Outlines voluntary best practices and domains within VBC payment arrangements for health plans, facilities, clinicians, and VBC entities to consider during the design, implementation, and evaluation of VBC participation. Includes rural information and considerations throughout.
Date: 04/2024
Type: Document
Sponsoring organizations: AHIP, American Medical Association, National Association of ACOs
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Medicare Accountable Care Organizations: Past Performance and Future Directions
Summarizes research findings about Medicare accountable care organizations (ACOs) from recent peer-reviewed journals, official evaluations of Medicare ACOs, and research organization reports. Describes characteristics of certain ACOs associated with greater savings and factors that limit ACOs' ability to achieve net budgetary savings for the Medicare program. Identifies policy approaches that could increase savings for Medicare through ACOs and the Medicare Shared Savings Program. Includes a brief discussion of challenges facing ACOs in rural and underserved areas.
Date: 04/2024
Type: Document
Sponsoring organization: Congressional Budget Office
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Summarizes research findings about Medicare accountable care organizations (ACOs) from recent peer-reviewed journals, official evaluations of Medicare ACOs, and research organization reports. Describes characteristics of certain ACOs associated with greater savings and factors that limit ACOs' ability to achieve net budgetary savings for the Medicare program. Identifies policy approaches that could increase savings for Medicare through ACOs and the Medicare Shared Savings Program. Includes a brief discussion of challenges facing ACOs in rural and underserved areas.
Date: 04/2024
Type: Document
Sponsoring organization: Congressional Budget Office
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Health Subcommittee Hearing: "Legislative Proposals to Support Patient Access to Telehealth Services"
Recording of an April 10, 2024, House Energy & Commerce Committee Subcommittee on Health, hearing on legislative proposals that would support patients' access to telehealth services. Discusses the impact of the COVID-19 pandemic-era regulatory flexibilities on telehealth use and access to care.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Hearing Memorandum
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Recording of an April 10, 2024, House Energy & Commerce Committee Subcommittee on Health, hearing on legislative proposals that would support patients' access to telehealth services. Discusses the impact of the COVID-19 pandemic-era regulatory flexibilities on telehealth use and access to care.
Additional links: Ateev Mehrotra, Harvard Medical School and Beth Israel Deaconess Medical Center - Testimony, Hearing Memorandum
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: House Energy and Commerce Committee, Subcommittee on Health
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Coast Guard Health Care: Information on Telehealth Usage
Describes how the Coast Guard uses telehealth to provide medical care to its active duty personnel. Discusses the development of the Coast Guard's telehealth program, services offered, the extent to which video telehealth services are used, and benefits and challenges the Coast Guard experiences related to telehealth.
Additional links: Full Report
Date: 04/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Describes how the Coast Guard uses telehealth to provide medical care to its active duty personnel. Discusses the development of the Coast Guard's telehealth program, services offered, the extent to which video telehealth services are used, and benefits and challenges the Coast Guard experiences related to telehealth.
Additional links: Full Report
Date: 04/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Evaluation of the Maryland Total Cost of Care Model: Progress Report
Provides an overview of the Maryland Total Cost of Care Model and evaluates the first four years of the program, 2019-2022. Explores the effects of the model on Medicare spending; service use, including preventable hospital use; and healthcare quality measures. Estimates the potential impact of switching Maryland to the Medicare prospective payment system (PPS) on Medicare spending and service use, including implications for rural and safety net hospitals.
Additional links: Appendices, Findings at a Glance, Transformation Spotlight
Date: 04/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Provides an overview of the Maryland Total Cost of Care Model and evaluates the first four years of the program, 2019-2022. Explores the effects of the model on Medicare spending; service use, including preventable hospital use; and healthcare quality measures. Estimates the potential impact of switching Maryland to the Medicare prospective payment system (PPS) on Medicare spending and service use, including implications for rural and safety net hospitals.
Additional links: Appendices, Findings at a Glance, Transformation Spotlight
Date: 04/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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2023 National CAH Quality Inventory & Assessment National Report
Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Telehealth Use and Health Equity for Mental Health and Substance Use Disorder During the COVID-19 Pandemic: An Updated Systematic Review
Systematic review investigating the impact of telehealth use on health equity for patients with mental health conditions and substance use disorders during COVID-19. Discusses findings in light of previous research. Includes rurality as a demographic group assessed.
Author(s): J. Priyanka Vakkalanka, Khyathi Gadag, Lauren Lavin, et al.
Date: 04/2024
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Systematic review investigating the impact of telehealth use on health equity for patients with mental health conditions and substance use disorders during COVID-19. Discusses findings in light of previous research. Includes rurality as a demographic group assessed.
Author(s): J. Priyanka Vakkalanka, Khyathi Gadag, Lauren Lavin, et al.
Date: 04/2024
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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