Rural Health
Resources by Topic: Healthcare quality
Rural-Urban Differences in Long-Term Mortality and Readmission Following COVID-19 Hospitalization, 2020 to 2023
Analyzes rural-urban disparities in mortality and hospital readmission among 9,325 patients hospitalized with COVID-19 from March 2020 to July 2022, with follow-up data through May 2023. Includes data on demographic and clinical factors associated with rural dwelling.
Author(s): Mohammed Yousufuddin, Maryam Mahmood, Ebrahim Barkoudah, et al.
Citation: Open Forum Infectious Diseases, 11(5)
Date: 04/2024
Type: Document
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Analyzes rural-urban disparities in mortality and hospital readmission among 9,325 patients hospitalized with COVID-19 from March 2020 to July 2022, with follow-up data through May 2023. Includes data on demographic and clinical factors associated with rural dwelling.
Author(s): Mohammed Yousufuddin, Maryam Mahmood, Ebrahim Barkoudah, et al.
Citation: Open Forum Infectious Diseases, 11(5)
Date: 04/2024
Type: Document
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Health Centers Serving Veterans: Improving Identification of Military Veteran Patient Characteristic
A recorded webinar that discusses how to more effectively screen veteran patients in health centers to understand needs and improve service delivery. Includes information on veteran screening methodology in rural health centers.
Additional links: Slides, Transcript
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: National Association of Community Health Centers
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A recorded webinar that discusses how to more effectively screen veteran patients in health centers to understand needs and improve service delivery. Includes information on veteran screening methodology in rural health centers.
Additional links: Slides, Transcript
Date: 04/2024
Type: Video/Multimedia
Sponsoring organization: National Association of Community Health Centers
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Transforming Oral Health Care in North Carolina
Makes recommendations for improving oral health access, supporting oral care workforce and providers, and promoting oral health quality and equity in North Carolina. Discusses oral health in rural and underserved areas throughout, including coverage of workforce distribution, dental safety net, and access barriers.
Date: 04/2024
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Makes recommendations for improving oral health access, supporting oral care workforce and providers, and promoting oral health quality and equity in North Carolina. Discusses oral health in rural and underserved areas throughout, including coverage of workforce distribution, dental safety net, and access barriers.
Date: 04/2024
Type: Document
Sponsoring organization: North Carolina Institute of Medicine
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Disparities in Maternal Health Visits Between Rural and Urban Communities in the United States, 2016–2018
Analyzes data from the Pregnancy Risk Assessment and Monitoring System between 2016 and 2018 to compare rural and urban differences in prepregnancy, prenatal, and postpartum healthcare access and quality for 103,425 patients in 40 states, New York City, and Puerto Rico. Includes a rural and urban break down of patient demographics, insurance status, and chronic conditions. Discusses the role telehealth may play in closing gaps in care.
Author(s): Burcu Bozkurt, Arrianna Marie Planey, Monisa Aijaz, et al.
Citation: The Permanente Journal, 28(2), 36-46
Date: 04/2024
Type: Document
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Analyzes data from the Pregnancy Risk Assessment and Monitoring System between 2016 and 2018 to compare rural and urban differences in prepregnancy, prenatal, and postpartum healthcare access and quality for 103,425 patients in 40 states, New York City, and Puerto Rico. Includes a rural and urban break down of patient demographics, insurance status, and chronic conditions. Discusses the role telehealth may play in closing gaps in care.
Author(s): Burcu Bozkurt, Arrianna Marie Planey, Monisa Aijaz, et al.
Citation: The Permanente Journal, 28(2), 36-46
Date: 04/2024
Type: Document
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Rural Maternal Health Series: Implementing Patient Safety Bundles in Rural Hospitals
Webinar recording, third in a 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 in a 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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Indian Health Service Health Equity Report
Reports on efforts to advance health equity in the Indian Health Service (IHS). Discusses strategies and funding supporting access to facilities and services, quality of care, cultural appropriateness, wellness and disease prevention, and more.
Date: 04/2024
Type: Document
Sponsoring organization: Indian Health Service
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Reports on efforts to advance health equity in the Indian Health Service (IHS). Discusses strategies and funding supporting access to facilities and services, quality of care, cultural appropriateness, wellness and disease prevention, and more.
Date: 04/2024
Type: Document
Sponsoring organization: Indian Health Service
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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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Patient-Centered Respectful Maternity Care: A Factor Analysis Contextualizing Marginalized Identities, Trust, and Informed Choice
Examines issues of maternal autonomy and respect related to a pregnant person's experiences in the healthcare system. Utilizes the Mothers on Respect Index (MORi) and Mothers Autonomy in Decision Making (MADM) scales to analyze data from 484 patients regarding trust, informed choice, and identity. Includes statistics broken down by race, educational attainment, employment, justice involvement, disabilities, social risks, and rural-urban commuting area (RUCA) codes across 7 RUCA categories, from rural area to metropolitan core.
Author(s): Annie Glover, Carly Holman, Patrick Boise
Citation: BMC Pregnancy and Childbirth, 24, 267
Date: 04/2024
Type: Document
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Examines issues of maternal autonomy and respect related to a pregnant person's experiences in the healthcare system. Utilizes the Mothers on Respect Index (MORi) and Mothers Autonomy in Decision Making (MADM) scales to analyze data from 484 patients regarding trust, informed choice, and identity. Includes statistics broken down by race, educational attainment, employment, justice involvement, disabilities, social risks, and rural-urban commuting area (RUCA) codes across 7 RUCA categories, from rural area to metropolitan core.
Author(s): Annie Glover, Carly Holman, Patrick Boise
Citation: BMC Pregnancy and Childbirth, 24, 267
Date: 04/2024
Type: Document
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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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