Rural Health
Resources by Topic: Healthcare quality
CMS Bundled Payments for Care Improvement Advanced Model: Fifth Annual Evaluation Report
Fifth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 4. Describes changes to the model that were implemented in Model Year 4 and how BPCI Advanced relates to Medicare Accountable Care Organizations (ACOs). Includes rural references throughout.
Additional links: Appendices, Executive Summary, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 05/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Fifth annual report of the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model, which tests whether linking payments for a clinical episode of care can reduce Medicare expenditures while maintaining or improving the quality of care. Explores the impact of BPCI Advanced on episode payments, utilization, and quality of care, as well as estimates of Medicare program savings in Model Year 4. Describes changes to the model that were implemented in Model Year 4 and how BPCI Advanced relates to Medicare Accountable Care Organizations (ACOs). Includes rural references throughout.
Additional links: Appendices, Executive Summary, Findings at a Glance
Author(s): The Lewin Group, Abt Associates, GDIT, Telligen
Date: 05/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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With New EMS Quality Measures, Florida Aims to Have a National Impact on Rural Care
Features the Feasible, Actionable, Impactful and Relevant (FAIR) EMS Measurement Project, an initiative by the Florida Department of Health which developed rural-relevant EMS quality measures for use in the state and nationally.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 05/2024
Sponsoring organization: Rural Health Information Hub
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Features the Feasible, Actionable, Impactful and Relevant (FAIR) EMS Measurement Project, an initiative by the Florida Department of Health which developed rural-relevant EMS quality measures for use in the state and nationally.
Author(s): Gretel Kauffman
Citation: Rural Monitor
Date: 05/2024
Sponsoring organization: Rural Health Information Hub
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Calculation of Overall Hospital Quality Star Ratings With and Without Inclusion of the Peer Grouping Step
Examines potential implications of including a peer grouping step in the calculation of Centers for Medicare & Medicaid Services (CMS) Overall Star Ratings. Uses January 2023 Medicare Care Compare data on 3,076 hospitals that received a star rating to calculate the peer groups based on the number of quality measure groups for which hospitals had 3 or more reported measures. Presents data on the characteristics of each peer group, the distribution of star ratings whether the peer grouping step was used or not used, and the number of hospitals with a higher, lower, or identical star rating when the peer grouping step was applied. Compares data by hospital characteristics, including safety-net status, Critical Access Hospital status, rural or urban location, and more.
Author(s): Cameron J. Gettel, Kyle Bagshaw, Li Qin, et al.
Citation: JAMA Network Open, 7(5), e2411933
Date: 05/2024
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Examines potential implications of including a peer grouping step in the calculation of Centers for Medicare & Medicaid Services (CMS) Overall Star Ratings. Uses January 2023 Medicare Care Compare data on 3,076 hospitals that received a star rating to calculate the peer groups based on the number of quality measure groups for which hospitals had 3 or more reported measures. Presents data on the characteristics of each peer group, the distribution of star ratings whether the peer grouping step was used or not used, and the number of hospitals with a higher, lower, or identical star rating when the peer grouping step was applied. Compares data by hospital characteristics, including safety-net status, Critical Access Hospital status, rural or urban location, and more.
Author(s): Cameron J. Gettel, Kyle Bagshaw, Li Qin, et al.
Citation: JAMA Network Open, 7(5), e2411933
Date: 05/2024
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Rural Comprehensive Cancer Care: Qualitative Analysis of Current Challenges and Opportunities
Highlights a study aiming to understand the challenges in providing comprehensive cancer care in rural hospitals from the perspective of rural providers. Bases finding on interviews with 13 practitioners providing cancer care in rural hospitals in Iowa. Identifies strengths and barriers to providing cancer care in rural hospitals.
Author(s): Sydney Evans, Aaron T. Seaman, Erin C. Johnson, et al.
Citation: Journal of Rural Health, 40(4), 634-644
Date: 05/2024
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Highlights a study aiming to understand the challenges in providing comprehensive cancer care in rural hospitals from the perspective of rural providers. Bases finding on interviews with 13 practitioners providing cancer care in rural hospitals in Iowa. Identifies strengths and barriers to providing cancer care in rural hospitals.
Author(s): Sydney Evans, Aaron T. Seaman, Erin C. Johnson, et al.
Citation: Journal of Rural Health, 40(4), 634-644
Date: 05/2024
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State Innovations to Advance Respite Care: Policy Strategies Shared at the State-Federal Respite Summit
Presents strategies utilized by states to improve access to and quality of respite care services for family caregivers. Strategies cover awareness and outreach, respite workforce education, and serving diverse populations. Highlights strategies from Colorado, North Dakota, and Oklahoma focused on rural areas.
Author(s): Kimberly Hodges, Ella Taggart, Salom Teshale
Date: 05/2024
Sponsoring organization: National Academy for State Health Policy
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Presents strategies utilized by states to improve access to and quality of respite care services for family caregivers. Strategies cover awareness and outreach, respite workforce education, and serving diverse populations. Highlights strategies from Colorado, North Dakota, and Oklahoma focused on rural areas.
Author(s): Kimberly Hodges, Ella Taggart, Salom Teshale
Date: 05/2024
Sponsoring organization: National Academy for State Health Policy
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Care Fragmentation and Readmission Mortality and Length of Stay Before and During the COVID-19 Pandemic: Data from the National Readmissions Database, 2018–2020
Examines fragmented readmissions, in which a patient returns to a hospital that is different than their prior admission, and the impact on in-hospital mortality and longer lengths-of-stay (LOS). Analyzes readmission data during the COVID-19 pandemic against 2018-2019 data and includes breakdowns according to patient sex, age, income, insurance status, and health condition, as well as hospital type and large metropolitan area, small metropolitan area, micropolitan, or non-metropolitan/non-micropolitan location.
Author(s): Sara Turbow, Tiffany Walker, Steven Culler, Mohammed K. Ali
Citation: BMC Health Services Research, 24, 622
Date: 05/2024
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Examines fragmented readmissions, in which a patient returns to a hospital that is different than their prior admission, and the impact on in-hospital mortality and longer lengths-of-stay (LOS). Analyzes readmission data during the COVID-19 pandemic against 2018-2019 data and includes breakdowns according to patient sex, age, income, insurance status, and health condition, as well as hospital type and large metropolitan area, small metropolitan area, micropolitan, or non-metropolitan/non-micropolitan location.
Author(s): Sara Turbow, Tiffany Walker, Steven Culler, Mohammed K. Ali
Citation: BMC Health Services Research, 24, 622
Date: 05/2024
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Community Health Centers: Providers, Partners and Employers of Choice - 2024 Chartbook
Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' financial health, workforce status, economic impact, challenges to meeting the demand for healthcare needs, and more. Section 5 presents statistics on telehealth service offerings between 2018 and 2022 with breakdowns by urban or rural status. Contains maps with data by state throughout.
Date: 05/2024
Sponsoring organization: National Association of Community Health Centers
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Presents graphs, charts, and data highlighting services provided by Community Health Centers, characteristics of the patients served, and progress made in improving access to healthcare. Reports on health centers' financial health, workforce status, economic impact, challenges to meeting the demand for healthcare needs, and more. Section 5 presents statistics on telehealth service offerings between 2018 and 2022 with breakdowns by urban or rural status. Contains maps with data by state throughout.
Date: 05/2024
Sponsoring organization: National Association of Community Health Centers
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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. Transcript available below description.
Additional links: Slides, Transcript
Date: 05/2024
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. Transcript available below description.
Additional links: Slides, Transcript
Date: 05/2024
Sponsoring organization: National Association of Community Health Centers
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Quality Payment Program (QPP) 2022: Participation and Payment Results At-a-Glance
Provides an overview of the results of the Quality Payment Program (QPP) for the 2022 performance year. Highlights the percentage of small and rural providers receiving negative, neutral, and positive payment adjustments for 2024.
Date: 05/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Provides an overview of the results of the Quality Payment Program (QPP) for the 2022 performance year. Highlights the percentage of small and rural providers receiving negative, neutral, and positive payment adjustments for 2024.
Date: 05/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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2022 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2022. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, mean and median final scores for 2022 and 2024 payment adjustments, and payment adjustment trends from 2019 through 2022.
Date: 05/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Reports on the clinician experience for those participating in the Quality Payment Program in 2022. Presents data on Merit-based Incentive Payment System (MIPS) eligibility and participation rates for clinicians in small practices and rural areas, mean and median final scores for 2022 and 2024 payment adjustments, and payment adjustment trends from 2019 through 2022.
Date: 05/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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