Rural Health
Resources by Topic: Healthcare quality
Patient and Provider Perceptions of COVID-19-Driven Telehealth Use From Nurse-Led Care Models in Rural, Frontier, and Urban Colorado Communities
Compares rural/frontier and urban perceptions of telehealth in 3 nurse-led models of care in Colorado: Federally Qualified Health Centers (FQHCs), nurse midwifery practices, and the Nurse-Family partnership program. Analyzes surveys from 308 patient respondents and 88 provider respondents and includes data about respondent characteristics, patient engagement, patient trust, provider experience, quality of healthcare visits, and more.
Author(s): Amy J Barton, Claudia R Amura, Emileigh L Willems, et al.
Citation: Technology and Digital Innovations in Patient Experience, 10
Date: 2023
Type: Document
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Compares rural/frontier and urban perceptions of telehealth in 3 nurse-led models of care in Colorado: Federally Qualified Health Centers (FQHCs), nurse midwifery practices, and the Nurse-Family partnership program. Analyzes surveys from 308 patient respondents and 88 provider respondents and includes data about respondent characteristics, patient engagement, patient trust, provider experience, quality of healthcare visits, and more.
Author(s): Amy J Barton, Claudia R Amura, Emileigh L Willems, et al.
Citation: Technology and Digital Innovations in Patient Experience, 10
Date: 2023
Type: Document
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Total Knee Arthroplasty in the Outpatient vs Inpatient Settings: Impact of Site of Care on Early Postoperative Economic and Clinical Outcomes
Compares inpatient and outpatient outcomes of total knee arthroplasty adult patients treated with the Attune Knee System implant between October 1, 2015 and December 2020. Table 1 shows comparison of rural patients to urban patients among other demographic characteristics. Discusses the difference in both clinical and financial outcomes when the procedure occurs at rural hospitals as compared to urban hospitals.
Author(s): Jack Mantel, Jill W. Ruppenkamp, Maricruz Cantu, Chantal E. Holy
Citation: Journal of Orthopaedic Surgery and Research, 2023(18), 273
Date: 2023
Type: Document
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Compares inpatient and outpatient outcomes of total knee arthroplasty adult patients treated with the Attune Knee System implant between October 1, 2015 and December 2020. Table 1 shows comparison of rural patients to urban patients among other demographic characteristics. Discusses the difference in both clinical and financial outcomes when the procedure occurs at rural hospitals as compared to urban hospitals.
Author(s): Jack Mantel, Jill W. Ruppenkamp, Maricruz Cantu, Chantal E. Holy
Citation: Journal of Orthopaedic Surgery and Research, 2023(18), 273
Date: 2023
Type: Document
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Seventh Biennial Report 2023: Health Issues for the State of North Dakota
Updates the previous six editions of this report with a comprehensive examination of healthcare workforce licensure data related to number of licensed professionals, locations, specialties, and demographics in rural and urban North Dakota. Includes a new chapter on pandemic planning and highlights the state's response to the COVID-19 pandemic.
Date: 2023
Type: Document
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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Updates the previous six editions of this report with a comprehensive examination of healthcare workforce licensure data related to number of licensed professionals, locations, specialties, and demographics in rural and urban North Dakota. Includes a new chapter on pandemic planning and highlights the state's response to the COVID-19 pandemic.
Date: 2023
Type: Document
Sponsoring organization: University of North Dakota School of Medicine & Health Sciences
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5-Year Strategic Plan: How Primary Care Investments Can Increase Access, Improve Quality, Lower Costs, Promote Health Equity & Address Workforce Needs
Details the New Mexico strategic plan to improve primary care by increasing access, improving healthcare quality, implementing financing reforms, promoting workforce sustainability, and integrating behavioral health into primary care. Discusses issues disproportionately represented in rural and frontier areas and provides county-level maps depicting social vulnerability and Medicaid and Children's Health Insurance Program (CHIP) recipients. Provides models and best practices in primary care with examples specific to rural areas.
Date: 2023
Type: Document
Sponsoring organization: New Mexico Primary Care Council
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Details the New Mexico strategic plan to improve primary care by increasing access, improving healthcare quality, implementing financing reforms, promoting workforce sustainability, and integrating behavioral health into primary care. Discusses issues disproportionately represented in rural and frontier areas and provides county-level maps depicting social vulnerability and Medicaid and Children's Health Insurance Program (CHIP) recipients. Provides models and best practices in primary care with examples specific to rural areas.
Date: 2023
Type: Document
Sponsoring organization: New Mexico Primary Care Council
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Disparities in Patient Portal Access by U.S. Adults Before and During the COVID-19 Pandemic
Reports on a population-based survey to determine if socio-demographic disparities exist in accessing online patient portals. Using data from the 2020 U.S. Health Information National Trends Survey, insured adults who had a medical visit in the previous 12 months were asked about their knowledge, access, and use of online medical records. Demographic characteristics of patients who were offered access, and for patients who accessed online portals are compared. Reasons for not using an online portal are discussed. Compares online patient portal use by different patient characteristics, including education, race/ethnicity, sex, age, location (metro vs nonmetro/rural), insurance type, use of internet, and quality of care.
Author(s): Akira Nishii, Celeste Campos-Castillo, Denise Anthony
Citation: JAMIA Open, 5(4)
Date: 12/2022
Type: Document
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Reports on a population-based survey to determine if socio-demographic disparities exist in accessing online patient portals. Using data from the 2020 U.S. Health Information National Trends Survey, insured adults who had a medical visit in the previous 12 months were asked about their knowledge, access, and use of online medical records. Demographic characteristics of patients who were offered access, and for patients who accessed online portals are compared. Reasons for not using an online portal are discussed. Compares online patient portal use by different patient characteristics, including education, race/ethnicity, sex, age, location (metro vs nonmetro/rural), insurance type, use of internet, and quality of care.
Author(s): Akira Nishii, Celeste Campos-Castillo, Denise Anthony
Citation: JAMIA Open, 5(4)
Date: 12/2022
Type: Document
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Medicare: CMS Needs to Address Risks Posed by Provider Enrollment Waivers and Flexibilities
Report discusses the waivers and flexibilities in Medicare requirements that were implemented during the COVID-19 pandemic. Highlights how these waivers, such as fingerprint-based criminal background checks and revalidating provider eligibility, put Medicare at a high risk for fraud, waste, and abuse. Details how these waivers affect rural providers, as well.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Report discusses the waivers and flexibilities in Medicare requirements that were implemented during the COVID-19 pandemic. Highlights how these waivers, such as fingerprint-based criminal background checks and revalidating provider eligibility, put Medicare at a high risk for fraud, waste, and abuse. Details how these waivers affect rural providers, as well.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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HAI/AR Rural, Frontier, and Small LHDs Exploratory Survey and In-Depth Interview Analysis & Resources
Provides information related to Healthcare-Associated Infections (HAIs), Antimicrobial Resistance (AMR), and Antimicrobial Stewardship (AMS) issues in rural, frontier, and small local health departments (LHDs). Includes links to survey results regarding HAIs, AMR, and AMS initiatives; report on HAIs, AMR, and AMS-focused interviews held with LHDs and other rural partners; infographics to explain results of respective survey and report; and a 6-part blog series covering HAIs, AMR, and AMS issues.
Author(s): Jaclyn Abramson
Date: 12/2022
Type: Website
Sponsoring organization: National Association of County and City Health Officials
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Provides information related to Healthcare-Associated Infections (HAIs), Antimicrobial Resistance (AMR), and Antimicrobial Stewardship (AMS) issues in rural, frontier, and small local health departments (LHDs). Includes links to survey results regarding HAIs, AMR, and AMS initiatives; report on HAIs, AMR, and AMS-focused interviews held with LHDs and other rural partners; infographics to explain results of respective survey and report; and a 6-part blog series covering HAIs, AMR, and AMS issues.
Author(s): Jaclyn Abramson
Date: 12/2022
Type: Website
Sponsoring organization: National Association of County and City Health Officials
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COVID-19 in Nursing Homes: Outbreak Duration Averaged 4 Weeks and Was Strongly Associated with Community Spread
Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Examines how COVID-19 outbreaks affected nursing homes. Explores factors that were associated with the duration of COVID-19 outbreaks, including community-level transmission, staffing levels, nursing home size, and type of nursing home ownership. Includes rural references throughout.
Additional links: Full Report
Date: 12/2022
Type: Document
Sponsoring organization: Government Accountability Office
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Interpretation Services for Patients with Limited English Proficiency in Critical Access Hospitals
Discusses the importance of language interpretation services and guidelines for communication and language assistance in healthcare. Describes common themes that emerged through interviews with six Critical Access Hospitals (CAHs) located in areas with a high proportion of patients with limited English proficiency (LEP) regarding the provision of language translation services, and identifies best practices that CAHs can emulate.
Author(s): Madeleine Pick, Megan Lahr, Shehrose Charania
Date: 12/2022
Type: Document
Sponsoring organization: Flex Monitoring Team
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Discusses the importance of language interpretation services and guidelines for communication and language assistance in healthcare. Describes common themes that emerged through interviews with six Critical Access Hospitals (CAHs) located in areas with a high proportion of patients with limited English proficiency (LEP) regarding the provision of language translation services, and identifies best practices that CAHs can emulate.
Author(s): Madeleine Pick, Megan Lahr, Shehrose Charania
Date: 12/2022
Type: Document
Sponsoring organization: Flex Monitoring Team
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OIG's Top Unimplemented Recommendations: Solutions To Reduce Fraud, Waste, and Abuse in HHS Programs: December 2022
Annual report identifying the top 25 unimplemented recommendations from the Office of Inspector General (OIG) that, in OIG's view, would have the most substantial positive impact on Health and Human Services (HHS) programs. Positive impact may refer to cost savings, program efficacy and efficiency, and/or quality improvement. Primary areas of interest in the December 2022 edition include: ensuring that incidents of potential abuse or neglect of Medicare and Medicaid beneficiaries are identified and reported; addressing inappropriate nursing home discharges; reforming the hospital wage index system; increasing access to treatments for opioid use disorder; ensuring that Medicaid managed care enrollees have timely access to behavioral health services; and developing and implementing a staffing program for recruiting, retaining, and transitioning staff and leadership to remote Indian Health Service hospitals.
Date: 12/2022
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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Annual report identifying the top 25 unimplemented recommendations from the Office of Inspector General (OIG) that, in OIG's view, would have the most substantial positive impact on Health and Human Services (HHS) programs. Positive impact may refer to cost savings, program efficacy and efficiency, and/or quality improvement. Primary areas of interest in the December 2022 edition include: ensuring that incidents of potential abuse or neglect of Medicare and Medicaid beneficiaries are identified and reported; addressing inappropriate nursing home discharges; reforming the hospital wage index system; increasing access to treatments for opioid use disorder; ensuring that Medicaid managed care enrollees have timely access to behavioral health services; and developing and implementing a staffing program for recruiting, retaining, and transitioning staff and leadership to remote Indian Health Service hospitals.
Date: 12/2022
Type: Document
Sponsoring organization: Office of Inspector General (HHS)
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