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Rural Health
Resources by Topic: Healthcare quality

Care Outcomes Among Black or African American Persons with Diagnosed HIV in Rural, Urban, and Metropolitan Statistical Areas — 42 U.S. Jurisdictions, 2018
Examines HIV care outcomes among Black people with diagnosed HIV infection living in rural (less than 50,000 population), urban (50,000–499,999 population), and metropolitan (500,000 population or more) areas. Provides rural/urban/metropolitan data by age group, gender, and transmission category addressing: stage of diagnosis, linkage to care within one month of diagnosis, and viral suppression within 6 months of diagnosis.
Author(s): Shacara Johnson Lyons, André F. Dailey, Chenchen Yu, Anna Satcher Johnson
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(7), 229-235
Date: 02/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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MBQIP Quality Measures National Annual Report - 2019
Summarizes quality measure reporting rates and performance among Critical Access Hospitals (CAHs) in 2019. Presents data on the four Medicare Beneficiary Quality Improvement Project (MBQIP) domains: patient safety/inpatient, outpatient, patient engagement, and care transitions.
Author(s): Megan Lahr, Madeleine Pick, Tongtan Chantarat, Nathan Bean, Ira Moscovice
Date: 02/2021
Type: Document
Sponsoring organization: Flex Monitoring Team
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Quality Time: Sharing PIE - Involving Board and Leadership to Drive Quality Outcomes
Podcast recording exploring how a Critical Access Hospital (CAH) board and leadership are engaged with and support quality improvement work. Features quality, clinical, and board representatives from Paris Community Hospital, a CAH in Paris, Illinois.
Date: 02/2021
Type: Audio
Sponsoring organization: Stratis Health
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MBQIP Fundamentals Guide for State Flex Programs
Provides information about the history and status of the Medicare Beneficiary Quality Improvement Project (MBQIP). Developed for the benefit of Flex Program personnel and subcontractors and includes resources to support their work, including data report release timelines, MBQIP acronyms, and MBQIP measure change summaries.
Date: 02/2021
Type: Document
Sponsoring organization: Stratis Health
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January 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2021 meeting. Features a discussion on the expansion of telehealth in Medicare. Also covers payment adequacy and updates for hospital inpatient and outpatient services and the mandated report expanding the post-acute care transfer policy to hospice, physician and other health professional services, ambulatory surgical center services, outpatient dialysis services, hospice services, skilled nursing facility services, home health agency services, inpatient rehabilitation facility services, long-term care hospital services, and CMMI's development and implementation of alternative payment models.
Date: 01/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Patient Satisfaction with Medications for Opioid Use Disorder Treatment via Telemedicine: Brief Literature Review and Development of a New Assessment
Study assessing patient satisfaction with telemedicine-delivered medications for opioid use disorder (tMOUD). Discusses barriers to delivery of medications for opioid use disorder in rural areas. Offers a literature review and pilot survey data from 65 patients at a treatment clinic on Maryland's Eastern Shore, addressing future directions for telemedicine use in opioid use disorder (OUD) treatment programs.
Author(s): Thomas O. Cole, Darlene Robinson, Andrea Kelley-Freeman, et al.
Citation: Frontiers in Public Health, 8, 557275
Date: 01/2021
Type: Document
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Telehealth After COVID-19: Clarifying Policy Goals for a Way Forward
Examines how telehealth may be used to improve healthcare quality, reduce costs, improve access to care, and meet other policy objections. Presents recommendations for telehealth policy after the COVID-19 pandemic.
Author(s): Lori Uscher-Pines, Monique Martineau
Date: 01/2021
Type: Document
Sponsoring organization: RAND Corporation
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Serving High Need/High Cost Patients in the Emergency Department
Provides an overview of high-need/high-cost (HNHC) patient program design, implementation, operation, and assessment for rural hospitals to improve participant health, reduce emergency department (ED) visits, and decrease hospital charges. Includes links to additional resources and HNHC patient program case studies.
Author(s): A. Clinton MacKinney, Christopher Stamy
Date: 01/2021
Type: Document
Sponsoring organization: Rural Health Value
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Care Transformation Toolkit
Provides an overview of common approaches and best practices Medicare Accountable Care Organizations (ACOs) utilize to improve healthcare quality, lower healthcare costs, and enhance patient experiences. Describes ACO programs designed to use telehealth to expand access to care and improve efficiency, support high-risk beneficiaries through home visits, and provide timely access to skilled nursing care through Medicare waivers. Discusses lessons learned, options available to ACOs, and possible implementation challenges.
Date: 01/2021
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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One in Three Adults Used Telehealth during the First Six Months of the Pandemic, but Unmet Needs for Care Persisted
Examines the use of telehealth among nonelderly adults during the first 6 months of the COVID-19 pandemic. Explores overall telehealth utilization, patient satisfaction, wanting telehealth services but not receiving them, the share of patients who went without care, and reasons for not using telehealth. Includes data on race/ethnicity, type of insurance coverage, urban or rural residence, health status, and number of chronic conditions.
Author(s): Laura Barrie Smith, Fredric Blavin
Date: 01/2021
Type: Document
Sponsoring organization: Urban Institute
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