Rural Health
Resources by Topic: Healthcare quality
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
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
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
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
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
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
Sponsoring organizations: AHIP, American Medical Association, National Association of ACOs
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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
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
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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2023 National CAH Quality Inventory & Assessment National Report
Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
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Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
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Obstetric Imaging Practice Characteristics Associated with Prenatal Detection of Critical Congenital Heart Disease in a Rural US Region over 20 Years
Analyzes practice characteristics associated with frequency of prenatal critical congenital heart disease (CCHD) detection from 2002-2021 at a tertiary academic hospital and 11 low-volume, rural hospitals providing obstetric services in rural areas of Vermont and New York. Provides data on CCHD detection frequency by practice type, patient volume, and physician or sonographer specialty. Includes additional data on changes in CCHD detection frequency over time.
Author(s): Kelley C. McLean, Marjorie C. Meyer, Sarah R. Peters, et al.
Citation: Prenatal Diagnosis, 44(6-7), 698-705
Date: 03/2024
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Analyzes practice characteristics associated with frequency of prenatal critical congenital heart disease (CCHD) detection from 2002-2021 at a tertiary academic hospital and 11 low-volume, rural hospitals providing obstetric services in rural areas of Vermont and New York. Provides data on CCHD detection frequency by practice type, patient volume, and physician or sonographer specialty. Includes additional data on changes in CCHD detection frequency over time.
Author(s): Kelley C. McLean, Marjorie C. Meyer, Sarah R. Peters, et al.
Citation: Prenatal Diagnosis, 44(6-7), 698-705
Date: 03/2024
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Rural Health Research Recap: Quality Star Ratings: Hospitals, Skilled Nursing Facilities, and Home Health Agencies
Examines the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Rating system among hospitals, skilled nursing facilities, and home health agencies in 2021 and 2022. Features statistics including number of rural hospitals without a star rating with breakdowns by census region, and percentage of hospitals without star rating, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 03/2024
Sponsoring organization: Rural Health Research Gateway
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Examines the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Rating system among hospitals, skilled nursing facilities, and home health agencies in 2021 and 2022. Features statistics including number of rural hospitals without a star rating with breakdowns by census region, and percentage of hospitals without star rating, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 03/2024
Sponsoring organization: Rural Health Research Gateway
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Experiences with and Outcomes of Oral Health Care - Perspectives from Nationally Representative Data
Report discusses the outcomes and experiences with oral healthcare from patients across the United States surveyed in January - February 2023. Details patients experience with access to care, attitudes about co-location of oral healthcare and other types of care, value-based care, telehealth usage, and discrimination in healthcare, among other topics. Breaks down demographic data of survey participants by age, sex, and urbanicity, among other measures.
Author(s): Lisa J. Heaton, Morgan Santoro, Paige Martin, Eric P. Tranby
Date: 03/2024
Sponsoring organization: CareQuest Institute for Oral Health
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Report discusses the outcomes and experiences with oral healthcare from patients across the United States surveyed in January - February 2023. Details patients experience with access to care, attitudes about co-location of oral healthcare and other types of care, value-based care, telehealth usage, and discrimination in healthcare, among other topics. Breaks down demographic data of survey participants by age, sex, and urbanicity, among other measures.
Author(s): Lisa J. Heaton, Morgan Santoro, Paige Martin, Eric P. Tranby
Date: 03/2024
Sponsoring organization: CareQuest Institute for Oral Health
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Pre-COVID-19 Hospital Quality and Hospital Response to COVID-19: Examining Associations Between Risk-adjusted Mortality for Patients Hospitalised with COVID-19 and Pre-COVID-19 Hospital Quality
Examines whether pre-pandemic hospital quality was associated with in-hospital and 30-day mortality rates among Medicare patients hospitalized with COVID-19 from April 1, 2020, through September 30, 2021. Explores the relationship between COVID-19 outcomes and hospital COVID-19 burden. Compares pre-pandemic hospital quality and COVID-19 outcomes by hospital characteristics, including urban/rural location and Critical Access Hospital status.
Author(s): Doris Peter, Shu-Xia Li, Yongfei Wang, et al.
Citation: BMJ Open, 14(3), e077394
Date: 03/2024
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Examines whether pre-pandemic hospital quality was associated with in-hospital and 30-day mortality rates among Medicare patients hospitalized with COVID-19 from April 1, 2020, through September 30, 2021. Explores the relationship between COVID-19 outcomes and hospital COVID-19 burden. Compares pre-pandemic hospital quality and COVID-19 outcomes by hospital characteristics, including urban/rural location and Critical Access Hospital status.
Author(s): Doris Peter, Shu-Xia Li, Yongfei Wang, et al.
Citation: BMJ Open, 14(3), e077394
Date: 03/2024
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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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