Rural Health
Resources by Topic: Healthcare quality
Pride in Idaho Care Neighborhoods Roadmap - A Guide For Healthcare Communities
Presents a model for delivering culturally appropriate care to LGBTQ+ people living in rural areas. Discusses the application of this model to the state of Idaho and highlights recommendations for providers, and healthcare facilities in general, on how to provide comprehensive care to a marginalized group in a rural area. Includes a resource library for LGBTQ+ support programs and information.
Additional links: Resource Library
Date: 08/2022
Type: Document
Sponsoring organization: Cornerstone Whole Healthcare Organization, Inc.
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Presents a model for delivering culturally appropriate care to LGBTQ+ people living in rural areas. Discusses the application of this model to the state of Idaho and highlights recommendations for providers, and healthcare facilities in general, on how to provide comprehensive care to a marginalized group in a rural area. Includes a resource library for LGBTQ+ support programs and information.
Additional links: Resource Library
Date: 08/2022
Type: Document
Sponsoring organization: Cornerstone Whole Healthcare Organization, Inc.
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Association of Rurality, Race and Ethnicity, and Socioeconomic Status With the Surgical Management of Colon Cancer and Postoperative Outcomes Among Medicare Beneficiaries
Results of a study of 57,710 fee-for-service Medicare beneficiaries 65 years or older diagnosed with colon cancer between April 2016, and September 2018, with follow-up until December 2018. Features demographics and statistics with breakdowns by metropolitan, micropolitan, or small town/rural location.
Author(s): Niveditta Ramkumar, Carrie H. Colla, Qianfei Wang, et al.
Citation: JAMA Network Open, 5(8)
Date: 08/2022
Type: Document
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Results of a study of 57,710 fee-for-service Medicare beneficiaries 65 years or older diagnosed with colon cancer between April 2016, and September 2018, with follow-up until December 2018. Features demographics and statistics with breakdowns by metropolitan, micropolitan, or small town/rural location.
Author(s): Niveditta Ramkumar, Carrie H. Colla, Qianfei Wang, et al.
Citation: JAMA Network Open, 5(8)
Date: 08/2022
Type: Document
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What Happens When a Hospital Closes?
Podcast episode discussing the impact of rural hospital closures and obstetrics units on their communities. Explores why facilities and units close and the impact of closures on mortality, prenatal care, maternal and infant health outcomes, and access to quality care.
Date: 08/2022
Type: Audio
Sponsoring organization: Freakonomics
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Podcast episode discussing the impact of rural hospital closures and obstetrics units on their communities. Explores why facilities and units close and the impact of closures on mortality, prenatal care, maternal and infant health outcomes, and access to quality care.
Date: 08/2022
Type: Audio
Sponsoring organization: Freakonomics
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MedPAC Comment on CMS's Proposed Rule on the Home Health Prospective Payment System for CY 2023
Comments on a June 23, 2022, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding the collection of data on the use of telecommunications technology under the Medicare home health benefit and quality measure stratification as a tool to address healthcare disparities and advance health equity.
Date: 08/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a June 23, 2022, Federal Register proposed rule related to Medicare payment policies for home health agencies. Includes comments regarding the collection of data on the use of telecommunications technology under the Medicare home health benefit and quality measure stratification as a tool to address healthcare disparities and advance health equity.
Date: 08/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Environmental Scan on Consolidation Trends and Impacts in Health Care Markets
Summarizes results of an environmental scan and describes the landscape of healthcare market consolidation across the United States. Analyzes the evidence on consolidation trends and the impacts of these trends on price, quality, and access in healthcare provider and insurance markets. Includes information on the impacts of hospital consolidation on rural healthcare quality and patient access.
Date: 08/2022
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Summarizes results of an environmental scan and describes the landscape of healthcare market consolidation across the United States. Analyzes the evidence on consolidation trends and the impacts of these trends on price, quality, and access in healthcare provider and insurance markets. Includes information on the impacts of hospital consolidation on rural healthcare quality and patient access.
Date: 08/2022
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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2022 Key Rural Measures: An Updated List of Measures to Advance Rural Health Priorities
Report updating a list of key rural measures focused on rural access to care originally outlined in A Core Set of Rural-Relevant Measures and Measuring and Improving Access to Care: 2018 Recommendations from the MAP Rural Health Workgroup. Identifies 17 measures to add to the 2018 list of rural measures, including items related to behavioral and mental health, substance use, infectious disease, access to care, and equity and social determinants of health. Discusses remaining gaps in measurement topic areas.
Date: 08/2022
Type: Document
Sponsoring organization: National Quality Forum
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Report updating a list of key rural measures focused on rural access to care originally outlined in A Core Set of Rural-Relevant Measures and Measuring and Improving Access to Care: 2018 Recommendations from the MAP Rural Health Workgroup. Identifies 17 measures to add to the 2018 list of rural measures, including items related to behavioral and mental health, substance use, infectious disease, access to care, and equity and social determinants of health. Discusses remaining gaps in measurement topic areas.
Date: 08/2022
Type: Document
Sponsoring organization: National Quality Forum
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2020 Quality Payment Program Experience Report
Reports on the clinician experience for those participating in the Quality Payment Program in 2020. 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: 08/2022
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 2020. 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: 08/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Hospice Care Index Technical Report
Provides an overview of the Hospice Care Index (HCI), a new Hospice Quality Reporting Program (HQRP) quality measure. Presents data and descriptive trends for the overall index score and each of the ten claims-based indicators that make up the HCI using Medicare claims data from fiscal years 2019-2021. Includes comparisons of hospices by the number of claims, decade of certification, ownership, facility type, region, and urban/rural location.
Date: 07/2022
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Provides an overview of the Hospice Care Index (HCI), a new Hospice Quality Reporting Program (HQRP) quality measure. Presents data and descriptive trends for the overall index score and each of the ten claims-based indicators that make up the HCI using Medicare claims data from fiscal years 2019-2021. Includes comparisons of hospices by the number of claims, decade of certification, ownership, facility type, region, and urban/rural location.
Date: 07/2022
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Small Health Care Provider Quality Improvement Program Sourcebook, 2019-2022
Provides a brief overview of the grant projects and achievements of the 31 grantees funded by the Federal Office of Rural Health Policy through the Small Health Care Provider Quality Improvement Grant Program in the 2019-2022 funding cycle. The program supports rural providers implementing quality improvement activities, with the goal of promoting the development of an evidence-based culture and delivery of coordinated care in the primary care setting.
Date: 07/2022
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Provides a brief overview of the grant projects and achievements of the 31 grantees funded by the Federal Office of Rural Health Policy through the Small Health Care Provider Quality Improvement Grant Program in the 2019-2022 funding cycle. The program supports rural providers implementing quality improvement activities, with the goal of promoting the development of an evidence-based culture and delivery of coordinated care in the primary care setting.
Date: 07/2022
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
Related funding:
Small Health Care Provider Quality Improvement Grant Program
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Rural Local Health Department Partnership in Healthcare Associated Infections (HAI), Antimicrobial Resistance (AMR) and Antimicrobial Stewardship (AMS): In-Depth Interviews Report
Reports on an assessment of rural, frontier, and small local health departments (LHDs) and their engagement with Healthcare Associated Infections (HAI), Antimicrobial Resistance (AMR), and Antimicrobial Stewardship (AMS) initiatives. Provides performance information on LHDs engaged in initiatives to address HAI, AMR, and AMS, barriers preventing LHDs from engaging in initiatives, and overall workforce development and capacity of LHDs. Discusses the May 2022 interviews of 11 LHD representatives and 2 non-local health departments and includes results and recommendations.
Additional links: Infographic
Date: 07/2022
Type: Document
Sponsoring organizations: Health Communications Consultants, Inc., National Association of County and City Health Officials
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Reports on an assessment of rural, frontier, and small local health departments (LHDs) and their engagement with Healthcare Associated Infections (HAI), Antimicrobial Resistance (AMR), and Antimicrobial Stewardship (AMS) initiatives. Provides performance information on LHDs engaged in initiatives to address HAI, AMR, and AMS, barriers preventing LHDs from engaging in initiatives, and overall workforce development and capacity of LHDs. Discusses the May 2022 interviews of 11 LHD representatives and 2 non-local health departments and includes results and recommendations.
Additional links: Infographic
Date: 07/2022
Type: Document
Sponsoring organizations: Health Communications Consultants, Inc., National Association of County and City Health Officials
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