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The Rural Monitor
Articles by Topic: Healthcare quality

Rural Community Health Worker Programs: Proving Value and Finding Sustainability

July 24, 2024
For decades, community health workers (CHWs) provided their services outside usual healthcare reimbursement models. In recent years, with research supporting CHWs as professionals effectively assisting patients with navigating health-related social determinants, federal and private payers are exploring reimbursement mechanisms. Four rural healthcare organizations share both the impact and the continued sustainability challenges — and successes — of their CHW programs.

The Codes of Care: How Words and Numbers Have Transformative Power for Rural Healthcare

April 13, 2022
The greatest opportunity to tell the rural healthcare delivery story is an opportunity often missed — and that opportunity involves translating clinical documentation into medical codes. In addition to describing how the story and quality of clinical care gets translated from words into alphanumeric numbers, medical coding experts also pointed to aligned efforts to familiarize those in graduate medical education settings with the impact of their clinical documentation.

“It's the relationships”: Q&A with Peggy Broussard Wheeler

January 19, 2022
Peggy Broussard Wheeler, Vice President of Policy at the California Hospital Association, discusses the challenges that the hospitals in her state and nationwide have faced before and during the COVID-19 pandemic. She also shares rural hospitals' unique strengths and the importance of collaboration and relationships.

Understanding the “Tool-ish-ness” of Telehealth: Q&A with Dr. Jonathan Neufeld

December 8, 2021
Clinical psychologist and program director for the Great Plains Telehealth Resource & Assistance Center, Dr. Jonathan Neufeld, clarifies telehealth as an "enabler" of healthcare delivery. Emphasizing that telehealth is only a set of telecommunication tools, he details how the unique use and flexibility of these tools by skilled providers can bring quality care and impact rural health equity.

Understanding the Rural Swing Bed: More than Just a Reimbursement Policy

August 11, 2021
"Swing bed" is that oft-heard phrase describing not a physical hospital bed, but post-acute care for the rural patient who is well enough to leave the acute care hospital but not well enough to be safe at home. In this 2-part story, experts and hospital administrators review the swing bed program's historical implementation and provide stories and examples of the value this over 40-year-old healthcare delivery and reimbursement model brings to patients, to the hospitals providing their care, and ultimately to rural communities.

Healthcare Professionals' Mental Health Needs: Where Can They Go?

January 29, 2020
Recent research has found that not only are nearly 40% of surveyed physicians burned out, but 40% are also experiencing depression. For many reasons — stigma among them — these professionals are not getting mental health support. Physician health programs, in collaboration with professional societies, are trying to change that by working with state licensure boards and other groups.

Burnout: Measurement Tool(s), Cause(s) and Impact(s)

January 22, 2020
Over 40% of today's physicians are burned out. A closer look at research indicates that not only is this a system problem rather than an individual problem, but that burnout impacts a system's revenue streams, healthcare quality, and patient safety and satisfaction. Experts suggest the problem may even be of more concern in rural areas.