Rural Health
Resources by Topic: Healthcare quality
Virtual Training and Technical Assistance: A Shift in Behavioral Health Workforce Access and Perceptions of Services During Emergency Restrictions
Compares training and technical assistance (TTA) provision in the six-month period prior to and during early COVID-19 restrictions to determine the extent to which the shift to virtual service provision affected the behavioral health and medical workforce. Examines participants' access to TTA, geographic reach of TTA, and workforce perceptions of satisfaction and utility with TTA provision.
Author(s): Kristen G. Powell, Michael J. Chaple, Maxine Henry, et al.
Citation: BMC Medical Education, 22(575)
Date: 07/2022
Type: Document
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Compares training and technical assistance (TTA) provision in the six-month period prior to and during early COVID-19 restrictions to determine the extent to which the shift to virtual service provision affected the behavioral health and medical workforce. Examines participants' access to TTA, geographic reach of TTA, and workforce perceptions of satisfaction and utility with TTA provision.
Author(s): Kristen G. Powell, Michael J. Chaple, Maxine Henry, et al.
Citation: BMC Medical Education, 22(575)
Date: 07/2022
Type: Document
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Quality and Performance Improvement Across Nebraska
Explains the Plan-Do-Study-Act (PDSA) model for quality improvement in Nebraska hospitals. Names goals such as improving behavioral health, improving patient safety, and reducing readmissions, with a focus on the specific needs of rural communities.
Date: 07/2022
Type: Document
Sponsoring organization: Nebraska Hospital Association
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Explains the Plan-Do-Study-Act (PDSA) model for quality improvement in Nebraska hospitals. Names goals such as improving behavioral health, improving patient safety, and reducing readmissions, with a focus on the specific needs of rural communities.
Date: 07/2022
Type: Document
Sponsoring organization: Nebraska Hospital Association
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Strategies for Enhancing Prehospital Outcomes for Cardiac Arrest (EPOC)
Analyzes results of the National Heart, Lung, and Blood Institute–funded Enhancing Prehospital Outcomes for Cardiac Arrest (EPOC) study, which lays the foundation for future quality improvement efforts in out-of-hospital cardiac arrest (OHCA). Identifies 49 strategies across the incident, stakeholder, and system levels to improve pre-hospital OHCA survival and care delivery. Includes rural references and considerations throughout.
Author(s): Mahshid Abir, Stephen R. Dowker, Wilson Nham, et al.
Date: 07/2022
Type: Document
Sponsoring organization: RAND Corporation
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Analyzes results of the National Heart, Lung, and Blood Institute–funded Enhancing Prehospital Outcomes for Cardiac Arrest (EPOC) study, which lays the foundation for future quality improvement efforts in out-of-hospital cardiac arrest (OHCA). Identifies 49 strategies across the incident, stakeholder, and system levels to improve pre-hospital OHCA survival and care delivery. Includes rural references and considerations throughout.
Author(s): Mahshid Abir, Stephen R. Dowker, Wilson Nham, et al.
Date: 07/2022
Type: Document
Sponsoring organization: RAND Corporation
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Understanding CMS' Changes to Hospital Overall Star Ratings
Summarizes an analysis of the effects of methodological changes to the Centers for Medicare & Medicaid Services (CMS) star ratings system. Compares hospital star ratings in 2020 and 2021 and examines differences in ratings by hospital characteristics. Explores the equitability of the ratings by peer groups. Highlights challenges to comparing the ratings of small hospitals and Critical Access Hospitals. Provides recommendations for CMS to improve the equity of the star ratings.
Date: 07/2022
Type: Document
Sponsoring organization: American Hospital Association
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Summarizes an analysis of the effects of methodological changes to the Centers for Medicare & Medicaid Services (CMS) star ratings system. Compares hospital star ratings in 2020 and 2021 and examines differences in ratings by hospital characteristics. Explores the equitability of the ratings by peer groups. Highlights challenges to comparing the ratings of small hospitals and Critical Access Hospitals. Provides recommendations for CMS to improve the equity of the star ratings.
Date: 07/2022
Type: Document
Sponsoring organization: American Hospital Association
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Definition and Categorization of Rural and Assessment of Realized Access to Care
Examines Health Information National Trends Survey data to determine how 3 different definitions of rural change healthcare utilization, perceived quality, and perceived provider attentiveness metrics. Considers Urban Influence Codes (UIC), Rural-Urban Continuum Codes (RUCC), and Rural-Urban Commuting Area (RUCA).
Author(s): Whitney E. Zahnd, Natalie Del Vecchio, Natoshia Askelson, et al.
Citation: Health Services Research, 57(3), 693-702
Date: 06/2022
Type: Document
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Examines Health Information National Trends Survey data to determine how 3 different definitions of rural change healthcare utilization, perceived quality, and perceived provider attentiveness metrics. Considers Urban Influence Codes (UIC), Rural-Urban Continuum Codes (RUCC), and Rural-Urban Commuting Area (RUCA).
Author(s): Whitney E. Zahnd, Natalie Del Vecchio, Natoshia Askelson, et al.
Citation: Health Services Research, 57(3), 693-702
Date: 06/2022
Type: Document
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Exploring Metro and Non-Metro Differences in Satisfaction with Services and Community Participation among Low-income Personal Assistance Service Users
Examines differences between metropolitan and non-metropolitan users of personal assistance services (PAS), which allow people who need assistance with activities of daily living to remain in their own homes and communities. Discusses factors associated with PAS satisfaction and community participation.
Author(s): Rayna Sage, Krys Standley, Genna M. Mashinchi
Citation: Frontiers in Rehabilitation Sciences, 3, 876047
Date: 06/2022
Type: Document
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Examines differences between metropolitan and non-metropolitan users of personal assistance services (PAS), which allow people who need assistance with activities of daily living to remain in their own homes and communities. Discusses factors associated with PAS satisfaction and community participation.
Author(s): Rayna Sage, Krys Standley, Genna M. Mashinchi
Citation: Frontiers in Rehabilitation Sciences, 3, 876047
Date: 06/2022
Type: Document
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2023
Comments on a May 10, 2022, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS, promoting stability in the IPPS and LTCH PPS, creating a permanent supplemental payment for Puerto Rico and Indian Health Service (IHS) hospitals, establishing a payment adjustment for domestic N95 respirators, adding new measures to the LTCH quality reporting program, and establishing overarching principles for measuring equity and health care quality disparities across CMS quality programs.
Date: 06/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on a May 10, 2022, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems (PPS). Discusses proposals on rate-setting in both the inpatient prospective payment systems (IPPS) and LTCH PPS, promoting stability in the IPPS and LTCH PPS, creating a permanent supplemental payment for Puerto Rico and Indian Health Service (IHS) hospitals, establishing a payment adjustment for domestic N95 respirators, adding new measures to the LTCH quality reporting program, and establishing overarching principles for measuring equity and health care quality disparities across CMS quality programs.
Date: 06/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Health Care Professionals' Perspectives on Healthcare in Rural America
Presents results of a survey of over 10,000 healthcare professionals from December 2021 - March 2022. Explores the relationship between social determinants of health and providers' perceptions of health access, quality, and outcomes. Discusses providers' comfort levels, interest in, and perceptions of patient benefits from health technology. Compares survey results from rural and non-rural providers throughout.
Date: 06/2022
Type: Document
Sponsoring organizations: Medscape, Walmart
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Presents results of a survey of over 10,000 healthcare professionals from December 2021 - March 2022. Explores the relationship between social determinants of health and providers' perceptions of health access, quality, and outcomes. Discusses providers' comfort levels, interest in, and perceptions of patient benefits from health technology. Compares survey results from rural and non-rural providers throughout.
Date: 06/2022
Type: Document
Sponsoring organizations: Medscape, Walmart
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State Innovation Model Testing Awards from the Centers for Medicare & Medicaid Services Innovation Center: Highlighting Rural Focus
Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Type: Document
Sponsoring organization: Rural Health Value
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Summarizes the activities and accomplishments of rural-specific State Innovation Models (SIM) in 11 states: Arkansas, Colorado, Idaho, Iowa, Maine, Michigan, Minnesota, New York, Ohio, Oregon, and Vermont. Describes the SIM initiative, which began in 2012 to support states committed to designing and testing strategies for payment model and delivery system reform.
Date: 06/2022
Type: Document
Sponsoring organization: Rural Health Value
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Rx for the Rural Healthcare Workforce and Access to Care
Podcast with Tom Morris of the Federal Office of Rural Health Policy about trends related to the rural healthcare workforce and efforts to overcome challenges. Discusses the effect of the COVID-19 pandemic, rural hospital closures, telehealth, graduate medical education in rural areas, community health workers and community paramedics, funding opportunities to promote healthcare access in rural areas, the opioid crisis, and more.
Author(s): Jessica Nicholson
Date: 05/2022
Type: Audio
Sponsoring organization: The Conference Board
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Podcast with Tom Morris of the Federal Office of Rural Health Policy about trends related to the rural healthcare workforce and efforts to overcome challenges. Discusses the effect of the COVID-19 pandemic, rural hospital closures, telehealth, graduate medical education in rural areas, community health workers and community paramedics, funding opportunities to promote healthcare access in rural areas, the opioid crisis, and more.
Author(s): Jessica Nicholson
Date: 05/2022
Type: Audio
Sponsoring organization: The Conference Board
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