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Rural Health
Resources by Topic: Healthcare quality

Rural Pediatric Readiness: Improving Emergency Care for Kids
Features rural providers in Texas and Wyoming working to improve their ability to provide quality emergency care to pediatric patients, as well as a pediatric readiness training program in Georgia.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2026
Sponsoring organization: Rural Health Information Hub
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Inpatient Outcomes and Complications After Left Atrial Appendage Occlusion in Rural Versus Urban Hospitals in the United States
Examines how outcomes and complications of left atrial appendage occlusion for treatment of atrial fibrillation differed by rural or urban hospital location, using 2016-2020 National Inpatient Sample data.
Author(s): Amanda Nguyen, Muhammad Zia Khan, Joseph Neely, et al.
Citation: Clinical Cardiology, 49(7), e70397
Date: 06/2026
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Rural–Urban Disparities in Acute Pancreatitis Outcomes: A Retrospective Cohort Study using the National Inpatient Sample (2016–2021)
Compares rural and urban acute pancreatitis hospitalization costs, mortality, length of stay, complications, and other healthcare outcomes, using 2016-2021 National Inpatient Sample data.
Author(s): Fatima Rashid, Kasim Syed Jafri, Niloy Ghosh, et al.
Citation: Medicine, 105(23), e49138
Date: 06/2026
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Factors Influencing Rural Hospitals to Participate and Remain in Accountable Care Organizations
Examines factors that impact rural hospital participation in Medicare and accountable care organization (ACO) models. Utilizes interview feedback from rural hospital executives regarding ACO participation and discusses themes such as financial incentives, value-based reimbursement, population health, healthcare quality, and more.
Author(s): Emily J. Lawton, Jenah McCarty, Thomas E. Vaughn, Fred Ullrich, Keith J. Mueller
Citation: Journal of Rural Health, 42(2), e70179
Date: 06/2026
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Rural-Urban Disparities in Epilepsy Outcomes in the United States
Examines rural and urban differences in epilepsy outcomes using 2016-2021 National Inpatient Sample data. Provides data on in-hospital mortality, treatments received, length of stay, and more.
Author(s): Edward R. Bader, William S. Kemball-Cook, Joshua A. Benton, et al.
Citation: Neurology, 107(1), e218053
Date: 06/2026
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Impact and Opportunities for Certified Community Behavioral Health Clinics in Rural Communities
Examines ways in which Certified Community Behavioral Health Clinics (CCBHCs) are improving access to and quality of care in rural areas. Highlights opportunities and strategies for CCBHCs to fill service gaps in rural areas and to meet or exceed program requirements.
Author(s): Renee Boak
Date: 06/2026
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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MBQIP Quality Measures National Annual Report - 2024
Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2024. Presents data on the five Medicare Beneficiary Quality Improvement Project (MBQIP) domains: global measures, patient safety, patient engagement, care coordination, and emergency department.
Date: 06/2026
Sponsoring organization: Flex Monitoring Team
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MBQIP Report Resources
Provides a list of resources for State Flex Programs (SFPs) and Critical Access Hospitals (CAHs) to support them in utilizing quarterly Medicare Beneficiary Quality Improvement Project (MBQIP) reports in quality improvement activities.
Date: 06/2026
Sponsoring organization: Flex Monitoring Team
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When Ambulances Wait at the Emergency Department: Hospital Factors and Offload times in California
Analyzes ambulance patient offload time (APOT) between emergency medical services (EMS) and 310 emergency departments (ED) in California in 2022 to determine associations with hospital characteristics including rurality and number of ED treatment stations. The study data precedes a 2023 state law establishing statewide standards for APOT and so aims to offer baseline metrics for understanding policy impact.
Author(s): Esmeralda Melgoza, Madeline Fedmeier, Crystal Chen, Hiram Beltrán-Sánchez, Renee Y. Hsia
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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Dementia Diagnostic Deserts: Workforce and Geographic Inequities in the Diagnostic Pathway for Cognitive Impairment
Describes the "Triple Disadvantage Zones" or the places where rurality, Primary Care Health Professional Shortage Areas, and social deprivation converge to create a dementia diagnostic desert resulting in both delayed diagnosis and over-testing. Discusses training gaps for nurse practitioners and physician assistants as well as policy measures to mitigate diagnosis errors.
Author(s): Zhijing Xu, Ying Xue, Yaguang Zheng, Bei Wu
Citation: Health Affairs Scholar, 4(5)
Date: 05/2026
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