Rural Health
Resources by Topic: Healthcare quality
Population Health Outcome Measurement Strategies for State Flex Programs
Presents a framework for population health outcome measurement strategies for State Flex Programs (SFPs). Outlines a series of sequential steps, including identifying the needs to be addressed, educational programming, developing shared learning collaboratives/cohorts to support performance improvement, and implementing interventions. Offers practical examples of population health improvement performance improvement activities with short, intermediate, and long-term outcomes to document program impact over time.
Author(s): John Gale, Celia Jewell, Sara Kahn-Troster
Date: 07/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Presents a framework for population health outcome measurement strategies for State Flex Programs (SFPs). Outlines a series of sequential steps, including identifying the needs to be addressed, educational programming, developing shared learning collaboratives/cohorts to support performance improvement, and implementing interventions. Offers practical examples of population health improvement performance improvement activities with short, intermediate, and long-term outcomes to document program impact over time.
Author(s): John Gale, Celia Jewell, Sara Kahn-Troster
Date: 07/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Emergency Medical Services Outcome Measurement Strategies for State Flex Programs
Presents a framework regarding emergency medical services (EMS) outcome measurement for State Flex Programs (SFPs). Outlines a series of sequential steps, including identifying the needs to be addressed, educational programming, developing shared learning collaboratives/cohorts to support performance improvement, and implementing interventions. Offers practical examples of EMS performance improvement activities with short, intermediate, and long-term outcomes.
Author(s): John Gale, Karen Pearson, Celia Jewell, Sara Kahn-Troster, Kenneth Rosati
Date: 07/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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Presents a framework regarding emergency medical services (EMS) outcome measurement for State Flex Programs (SFPs). Outlines a series of sequential steps, including identifying the needs to be addressed, educational programming, developing shared learning collaboratives/cohorts to support performance improvement, and implementing interventions. Offers practical examples of EMS performance improvement activities with short, intermediate, and long-term outcomes.
Author(s): John Gale, Karen Pearson, Celia Jewell, Sara Kahn-Troster, Kenneth Rosati
Date: 07/2023
Type: Document
Sponsoring organization: Flex Monitoring Team
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The Other Side of Rural Health Care
Podcast episode with Terry Scoggin, CEO of Titus Regional Medical Center in northeast Texas, discussing how the hospital uses innovative data to understand and meet the needs of its community.
Date: 07/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Podcast episode with Terry Scoggin, CEO of Titus Regional Medical Center in northeast Texas, discussing how the hospital uses innovative data to understand and meet the needs of its community.
Date: 07/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Quality Time: Sharing PIE - Fall Prevention Strategies
Podcast episode discussing how two quality improvement leaders implemented fall prevention strategies at their Critical Access Hospitals. Describes different strategies to identify and reduce fall risks.
Date: 07/2023
Type: Audio
Sponsoring organization: Stratis Health
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Podcast episode discussing how two quality improvement leaders implemented fall prevention strategies at their Critical Access Hospitals. Describes different strategies to identify and reduce fall risks.
Date: 07/2023
Type: Audio
Sponsoring organization: Stratis Health
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Accommodation and Acceptability of Health Care by Non-Metropolitan/Metropolitan and Race/Ethnicity Status
Provides an overview of the "5 A's of Access" in healthcare: availability, accessibility, affordability, accommodation, and acceptability. Uses data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) to explore differences in accommodation and acceptability in rural and urban areas of eight states. Presents data on non-financial reasons for delaying care and satisfaction with the care received by urban/rural status and among rural respondents by race and ethnicity.
Author(s): Whitney E. Zahnd, Radhika Ranganathan, Elizabeth L. Crouch, et al.
Date: 07/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Provides an overview of the "5 A's of Access" in healthcare: availability, accessibility, affordability, accommodation, and acceptability. Uses data from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) to explore differences in accommodation and acceptability in rural and urban areas of eight states. Presents data on non-financial reasons for delaying care and satisfaction with the care received by urban/rural status and among rural respondents by race and ethnicity.
Author(s): Whitney E. Zahnd, Radhika Ranganathan, Elizabeth L. Crouch, et al.
Date: 07/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events
Examines how the Indian Health Service (IHS) uses its electronic health record system to monitor healthcare quality and adverse events at federally-operated facilities. Discusses how IHS informs clinicians and patients about options for telehealth use. Offers recommendations to IHS regarding regularly reviewing adverse event trends, making improvements, and disseminating best practices.
Additional links: Full Report
Date: 07/2023
Type: Document
Sponsoring organization: Government Accountability Office
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Examines how the Indian Health Service (IHS) uses its electronic health record system to monitor healthcare quality and adverse events at federally-operated facilities. Discusses how IHS informs clinicians and patients about options for telehealth use. Offers recommendations to IHS regarding regularly reviewing adverse event trends, making improvements, and disseminating best practices.
Additional links: Full Report
Date: 07/2023
Type: Document
Sponsoring organization: Government Accountability Office
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2021 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2021. 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: 07/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Reports on the clinician experience for those participating in the Quality Payment Program in 2021. 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: 07/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Nursing Home Staffing Study: Comprehensive Report
Examines the level and type of staffing needed to promote acceptable nursing home quality and safety. Explores the potential implications and feasibility of increased staffing and costs to nursing homes. Presents four options for minimum staffing requirements and their cost, quality, and safety impacts. Includes rural references and considerations throughout.
Additional links: Literature Review Results Table, State Minimum Staffing Requirement
Date: 06/2023
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Examines the level and type of staffing needed to promote acceptable nursing home quality and safety. Explores the potential implications and feasibility of increased staffing and costs to nursing homes. Presents four options for minimum staffing requirements and their cost, quality, and safety impacts. Includes rural references and considerations throughout.
Additional links: Literature Review Results Table, State Minimum Staffing Requirement
Date: 06/2023
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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A Rural Accountable Care Organization's Journey
Profiles South East Rural Physicians Alliance Accountable Care Organization (SERPA‐ACO), a physician‐led ACO consisting of 16 Nebraska clinics - 13 of which are rural. Describes various value-based payment models SERPA-ACO clinics participated in and activities the clinics use to succeed in these models. Includes recommendations for primary care clinics considering joining an ACO.
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Value
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Profiles South East Rural Physicians Alliance Accountable Care Organization (SERPA‐ACO), a physician‐led ACO consisting of 16 Nebraska clinics - 13 of which are rural. Describes various value-based payment models SERPA-ACO clinics participated in and activities the clinics use to succeed in these models. Includes recommendations for primary care clinics considering joining an ACO.
Date: 06/2023
Type: Document
Sponsoring organization: Rural Health Value
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Revisions and Deletions Related to the Standards Simplification Project: Critical Access Hospital (CAH) Accreditation Program
Outlines Joint Commission accreditation requirements for Critical Access Hospitals (CAHs) that are above and beyond the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs) and will be combined, revised, or deleted effective August 27, 2023. Covers the information management; medication management; National Patient Safety Goals (NPSG); and provision of care, treatment, and services chapters, among others.
Date: 06/2023
Type: Document
Sponsoring organization: Joint Commission
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Outlines Joint Commission accreditation requirements for Critical Access Hospitals (CAHs) that are above and beyond the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs) and will be combined, revised, or deleted effective August 27, 2023. Covers the information management; medication management; National Patient Safety Goals (NPSG); and provision of care, treatment, and services chapters, among others.
Date: 06/2023
Type: Document
Sponsoring organization: Joint Commission
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