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Rural Health Information Hub

Rural Healthcare Quality – Resources

Selected recent or important resources focusing on Rural Healthcare Quality.

Rural Community Engagement Resource Guide
Describes the importance of community engagement in developing and implementing strategies to improve health, increase value, and drive equitable care delivery. Outlines a variety of toolkits, strategies, and resources to help initiate, improve, and inspire community engagement strategies that support value-based care.
Additional links: Community Engagement and Value Based Care Infographic
Date: 2023
Sponsoring organization: Rural Health Value
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Rural Health Equity and Quality Summit Report
Summarizes a June 2022 summit with experts in rural healthcare policy, health equity, value-based care, and clinical quality to explore the roles of small rural hospitals and Rural Health Clinics in achieving health equity. Discusses barriers and challenges to achieving rural health equity. Presents best practices and innovative models in promoting health equity in rural areas.
Date: 09/2022
Sponsoring organization: National Rural Health Resource Center
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2022 Key Rural Measures: An Updated List of Measures to Advance Rural Health Priorities
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: 08/2022
Sponsoring organization: National Quality Forum
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Advancing Primary Care Innovation in Medicaid Managed Care: A Toolkit for States
Designed to help states leverage their Medicaid managed care contracts and request for proposals (RFPs) to advance primary care innovation (PCI). Outlines strategies for states to conceptualize and design advanced primary care core functions and use managed care contract levers to drive uptake and spread. Provides examples of state approaches, with rural considerations, for identifying and addressing social determinants of health, integrating behavioral healthcare, developing team-based care, implementing technology to improve access, and more.
Date: 08/2022
Sponsoring organization: Center for Health Care Strategies
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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 between 2017 and 2022. 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
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 three dots above the video description, then selecting Show Transcript.
Additional links: Presentation Slides
Date: 04/2022
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
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. 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
Sponsoring organization: Centers for Medicare and Medicaid Services
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Quality of Home Health Agencies Serving Rural Medicare Beneficiaries
Describes a study examining the quality of home health agencies (HHAs) that serve rural beneficiaries, based on ratings from the Centers for Medicare and Medicaid Services star rating system. Features statistics including characteristics of HHAs, patient care ratings, and patient experience ratings in 2018 by rural-serving status.
Date: 02/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Quality of Skilled Nursing Facilities Serving Rural Medicare Beneficiaries
Policy paper describing a study examining the quality of skilled nursing facilities (SNFs) that serve rural beneficiaries, based on ratings from the Centers for Medicare and Medicaid Services star rating system. Features statistics including characteristics of SNFs, overall star ratings, and staff star ratings in 2018 by rural-serving status.
Date: 02/2022
Sponsoring organization: WWAMI Rural Health Research Center
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Last Updated: 9/3/2025