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Rural Health Information Hub

Rural Healthcare Quality – Resources

Selected recent or important resources focusing on Rural Healthcare Quality.

2020 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2020. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, as well as their mean payment adjustment scores.
Date: 07/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Merit-Based Incentive Payment System (MIPS): Traditional MIPS Scoring Guide for the 2022 Performance Year
Provides details on how scores are calculated for the Merit-Based Incentive Payment System (MIPS), one of two payment options under the Medicare Quality Payment Program. Explains the four performance categories that affect Medicare Physician Fee Schedule payments: quality, cost, improvement activities, and promoting interoperability. Includes information for small and rural practices.
Date: 06/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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2022 Key Rural Measures: An Updated List of Measures to Advance Rural Health Priorities
Draft report updating a list of key rural measures focused on rural access to care originally outlined in A Core Set of Rural-Relevant Measures and Measuring and Improving Access to Care: 2018 Recommendations from the MAP Rural Health Workgroup. Identifies 17 measures to add to the 2018 list of rural measures, including items related to behavioral and mental health, substance use, infectious disease, access to care, and equity and social determinants of health. Discusses remaining gaps in measurement topic areas.
Date: 06/2022
Type: Document
Sponsoring organization: National Quality Forum
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2022 MIPS Eligibility Decision Tree
Presents information to determine if providers are eligible to participate in the Merit-Based Incentive Payment System (MIPS) in the 2022 Performance Year. Includes information on the low-volume threshold criteria.
Date: 05/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Leveraging Quality Measurement to Improve Rural Health: Final Environmental Scan - Rural Core Measure Set
Presents the results of an environmental scan of changes in healthcare quality measures since 2017. Provides an overview of updates to the existing core measure set and identifies potential measures for addition based on rural-relevant topics and emerging issues. Highlights emerging areas of rural-relevant quality measurement.
Date: 05/2022
Type: Document
Sponsoring organization: National Quality Forum
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Rural Health Quality: How CMS Initiatives Improve How We Measure and Address Gaps in Care
Recording of an April 2022 webinar regarding healthcare quality measurement in rural areas. Discusses measurement challenges in rural areas and how CMS is working to mitigate these issues. Presents resources and programs for rural providers to improve healthcare quality. Transcript is available by clicking the dots above the Subscribe button, then selecting Open Transcript.
Additional links: Presentation Slides
Date: 04/2022
Type: Video/Multimedia
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Codes of Care: How Words and Numbers Have Transformative Power for Rural Healthcare
Describes the process of translating clinical documentation into medical codes and the impact coding has on healthcare quality and population health. Highlights coding issues specific to rural settings. Also discusses graduate medical education efforts addressing clinical documentation and medical coding.
Author(s): Kay Miller Temple
Date: 04/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Digital Quality Measurement Strategic Roadmap
Discusses how the interoperability of healthcare data from electronic health records can improve Centers for Medicare & Medicaid Services (CMS) quality measurement systems. Provides an overview of Outlines actions in four domains - improving data quality, advancing technology, optimizing data aggregation, and enabling alignment of measures - to advance digital quality measurement.
Date: 03/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Merit-based Incentive Payment System (MIPS): Eligibility and Participation in the 2022 Performance Year - Traditional MIPS
Provides an overview of the Merit-Based Incentive Payment System (MIPS) eligibility criteria. Addresses calculation of the low-volume threshold exclusion at the individual and group levels, opt-in and voluntary reporting options, and the impact of special status designations such as rural and small practices.
Date: 03/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Merit-Based Incentive Payment System (MIPS): Participating in the Improvement Activities Performance Category in the 2022 Performance Year - Traditional MIPS
Provides details on how to participate in the performance improvement part of the Merit-Based Incentive Payment System (MIPS), one of two payment options under the Medicare Quality Payment Program. Identifies differences for small practices and clinicians located in a rural or Health Professional Shortage Area.
Date: 03/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Last Updated: 8/2/2022