Rural Health
Resources by Topic: Healthcare quality
Environmental Scan on Developing and Implementing Performance Measures for Population-Based Total Cost of Care (PB-TCOC) Models
Presents results of an environmental scan regarding the development and implementation of population-based total cost of care (PB-TCOC) payment models. Describes types of performance measures used in value-based payment models and pay-for-reporting programs, data sources used for constructing performance measures, features of PB-TCOC models, challenges in developing and implementing performance measures and opportunities for Alternative Payment Models (APMs) and PB-TCOC models to address these challenges, trends in existing performance measures across several Center for Medicare and Medicaid Innovation (CMMI) models and Medicare value-based care programs, and more. Includes rural references and considerations throughout.
Date: 03/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Presents results of an environmental scan regarding the development and implementation of population-based total cost of care (PB-TCOC) payment models. Describes types of performance measures used in value-based payment models and pay-for-reporting programs, data sources used for constructing performance measures, features of PB-TCOC models, challenges in developing and implementing performance measures and opportunities for Alternative Payment Models (APMs) and PB-TCOC models to address these challenges, trends in existing performance measures across several Center for Medicare and Medicaid Innovation (CMMI) models and Medicare value-based care programs, and more. Includes rural references and considerations throughout.
Date: 03/2024
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Satisfaction with Care among Cancer Survivors with Medicare Coverage: Are there Rural Versus Urban Inequities?
Analyzes rural and urban satisfaction with a variety of aspects of healthcare among cancer survivors, including convenience of getting to providers and ability to meet all healthcare needs at a single location. Utilizes 2020 Medicare Current Beneficiary Survey data adjusted for demographic factors, health insurance, and overall health.
Author(s): Tyrone F. Borders
Citation: Journal of Primary Care & Community Health, 15
Date: 03/2024
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Analyzes rural and urban satisfaction with a variety of aspects of healthcare among cancer survivors, including convenience of getting to providers and ability to meet all healthcare needs at a single location. Utilizes 2020 Medicare Current Beneficiary Survey data adjusted for demographic factors, health insurance, and overall health.
Author(s): Tyrone F. Borders
Citation: Journal of Primary Care & Community Health, 15
Date: 03/2024
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2023 National Healthcare Quality and Disparities Report: Chartbook on Patient Safety
Summarizes trends in healthcare quality across 28 measures of patient safety. Presents findings for four settings of care: ambulatory care, home health, hospitals, and nursing homes. Highlights differences in maternal morbidity and mortality measures by rurality.
Author(s): Barbara Barton, Darryl Gray, Cecilia Hahn, et al.
Date: 03/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Summarizes trends in healthcare quality across 28 measures of patient safety. Presents findings for four settings of care: ambulatory care, home health, hospitals, and nursing homes. Highlights differences in maternal morbidity and mortality measures by rurality.
Author(s): Barbara Barton, Darryl Gray, Cecilia Hahn, et al.
Date: 03/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report
Evaluates the quality measures used across 26 Centers for Medicare & Medicaid Services (CMS) quality reporting programs. Explores whether quality measure scores during the COVID-19 public health emergency (2020-2021) differed from expected trends. Analyzes how urban and rural residents performed at a national level in order to inform future quality measure development. Provides statistics concerning participation and performance within Medicare quality reporting programs, including statistics specific to rural populations and facilities.
Additional links: Appendices ZIP File
Date: 03/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Evaluates the quality measures used across 26 Centers for Medicare & Medicaid Services (CMS) quality reporting programs. Explores whether quality measure scores during the COVID-19 public health emergency (2020-2021) differed from expected trends. Analyzes how urban and rural residents performed at a national level in order to inform future quality measure development. Provides statistics concerning participation and performance within Medicare quality reporting programs, including statistics specific to rural populations and facilities.
Additional links: Appendices ZIP File
Date: 03/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Breast Cancer Screening among Medicare Advantage Enrollees with Dementia
Compares rates of mammogram screening among screening-eligible women with Alzheimer's disease and related dementias (ADRD) using 2012-2019 Medicare Current Beneficiary Survey data. Compares screening rates of Medicare Advantage and fee-for-service Medicare enrollees, with data breakdowns by race and ethnicity, rural versus urban status, and more. Identifies potential risks related to over-screening.
Author(s): Eli Raver, Wendy Y. Xu, Jean Jung, Sunmin Lee
Citation: BMC Health Services Research, 24, 283
Date: 03/2024
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Compares rates of mammogram screening among screening-eligible women with Alzheimer's disease and related dementias (ADRD) using 2012-2019 Medicare Current Beneficiary Survey data. Compares screening rates of Medicare Advantage and fee-for-service Medicare enrollees, with data breakdowns by race and ethnicity, rural versus urban status, and more. Identifies potential risks related to over-screening.
Author(s): Eli Raver, Wendy Y. Xu, Jean Jung, Sunmin Lee
Citation: BMC Health Services Research, 24, 283
Date: 03/2024
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Consensus-Based Entity 2023 Annual Report to Congress and the Secretary of Health and Human Services: Final Report
Summarizes the 2023 work of Battelle's Partnership for Quality Measurement (PQM) to measure healthcare quality. Includes a discussion on engaging rural perspectives to consider the unique challenges experienced in rural communities.
Date: 02/2024
Sponsoring organization: Partnership for Quality Measurement
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Summarizes the 2023 work of Battelle's Partnership for Quality Measurement (PQM) to measure healthcare quality. Includes a discussion on engaging rural perspectives to consider the unique challenges experienced in rural communities.
Date: 02/2024
Sponsoring organization: Partnership for Quality Measurement
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Optimizing Postpartum Care in Rural Communities: Insights from Women in Arizona and Implications for Policy
Analyzes the postpartum care needs of women living in rural Arizona. Reports on interview feedback from 30 women structured around themes of maternity care and networks of care, structural support and systems, and health information and literacy. Discusses potential implications for policy and practice related to rural postpartum care.
Author(s): Abidemi Okechukwu, Priscilla Magrath, Halimatou Alaofe, et al.
Citation: Maternal and Child Health Journal, 28, 1148-1159
Date: 02/2024
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Analyzes the postpartum care needs of women living in rural Arizona. Reports on interview feedback from 30 women structured around themes of maternity care and networks of care, structural support and systems, and health information and literacy. Discusses potential implications for policy and practice related to rural postpartum care.
Author(s): Abidemi Okechukwu, Priscilla Magrath, Halimatou Alaofe, et al.
Citation: Maternal and Child Health Journal, 28, 1148-1159
Date: 02/2024
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The Agency for Healthcare Research and Quality's Investments in Primary Care Research for 2021 and 2022
Provides an overview of the Agency for Healthcare Research and Quality's (AHRQ) primary care research investments in 2021 and 2022. Highlights rural grants, research programs, and care delivery models throughout.
Additional links: AHRQ's Recent Investments in Primary Care Research: At-a-Glance
Author(s): Jessie Gerteis, Ellen Childs, Bill Villalba, et al.
Date: 02/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides an overview of the Agency for Healthcare Research and Quality's (AHRQ) primary care research investments in 2021 and 2022. Highlights rural grants, research programs, and care delivery models throughout.
Additional links: AHRQ's Recent Investments in Primary Care Research: At-a-Glance
Author(s): Jessie Gerteis, Ellen Childs, Bill Villalba, et al.
Date: 02/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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The Rural Nursing Home Landscape
White paper describing the current rural nursing home landscape. Cover the importance of nursing homes in rural communities, the characteristics of these facilities, and the importance of future research to understand and prevent future nursing home closures.
Author(s): Nicole Galler, Casey P. Balio, Qian Huang, Kate Beatty
Date: 02/2024
Sponsoring organization: National Rural Health Association
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White paper describing the current rural nursing home landscape. Cover the importance of nursing homes in rural communities, the characteristics of these facilities, and the importance of future research to understand and prevent future nursing home closures.
Author(s): Nicole Galler, Casey P. Balio, Qian Huang, Kate Beatty
Date: 02/2024
Sponsoring organization: National Rural Health Association
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Maternal Health in Rural America
White paper describing factors contributing to rural maternal health disparities, including financial barriers to providing obstetric services at rural hospitals, maternal health workforce shortages, access to care, and quality of care. Outlines policy considerations to increase access to maternal health services in rural areas.
Author(s): Hailey Waldman, Alexandra Zimmerman
Date: 02/2024
Sponsoring organization: National Rural Health Association
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White paper describing factors contributing to rural maternal health disparities, including financial barriers to providing obstetric services at rural hospitals, maternal health workforce shortages, access to care, and quality of care. Outlines policy considerations to increase access to maternal health services in rural areas.
Author(s): Hailey Waldman, Alexandra Zimmerman
Date: 02/2024
Sponsoring organization: National Rural Health Association
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