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Rural Health
Resources by Topic: Healthcare quality

Antibiotic Resistance: Additional Federal Actions Needed to Better Determine Magnitude and Reduce Impact
Explores four challenges that federal agencies face in addressing antibiotic resistance. Provides eight recommendations for federal agencies to strengthen their efforts to combat antibiotic resistance. Includes references to antibiotic stewardship guidance and programs for Critical Access Hospitals throughout.
Additional links: Full Report
Date: 03/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Identifying Measures and Data Elements for the HRSA Evidence-Based Tele-Emergency Network Grant Program
Research brief identifying the standardized set of measures used for data collection by the Evidence-Based Tele-Emergency Network Grant Program grantees. Explores ways in which emergency department-based telehealth services can be used in rural hospital emergency departments.
Author(s): Marcia M. Ward, Fred Ullrich, Kimberly A.S. Merchant, et al.
Date: 03/2020
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Interim Evaluation of California's Public Hospital Redesign and Incentives in Mediā€Cal (PRIME) Program
Reports on California's Public Hospital Redesign and Incentives in Medi-Cal Program (PRIME), approved by the Centers for Medicare and Medicaid Services (CMS) to modify Medicaid programs and implement innovative delivery reforms. PRIME uses evidence-based quality improvement methods that require hospitals to establish performance baselines, institute targets for improvement, and evaluate the success of quality improvement interventions on an ongoing basis. The analysis of the program included 52 designated public hospitals and district/municipal hospitals, with 17 of the latter being Critical Access Hospitals (CAHs).
Author(s): Nadereh Pourat, Xiao Chen, Ana E. Martinez, et al.
Date: 03/2020
Type: Document
Sponsoring organizations: California Department of Health Care Services, UCLA Center for Health Policy Research
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Exploring State Data Sources to Monitor Rural Emergency Medical Services Performance Improvement
Examines potential sources of data that State Flex Programs (SFPs) could utilize to analyze and improve rural emergency medical services (EMS). Discusses challenges facing rural EMS systems and the assessment of these systems by SFPs. Explores how SFPs can support rural EMS data collection initiatives.
Author(s): John Gale, Karen Pearson, Yvonne Jonk
Date: 03/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Hospital Compare Quality Measure Results for CAHs, 2018
Describes the rates at which Critical Access Hospitals (CAHs) reported quality improvement measures in 2018. Reports state rankings based on reporting rates. Includes national CAH performance results of selected inpatient and outpatient quality measures. Contains links to state-specific reports.
Additional links: State Profiles
Author(s): Megan Lahr, Tongtan Chantarat, Ira Moscovice
Date: 03/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Val Verde Regional Medical Center Implements SMART ER
Describes Val Verde Regional Medical Center's (VVRMC) progress as part of the Small Rural Hospital Transition (SRHT) Project focused on care transitions and healthcare quality. VVRMC is a 47-bed hospital in Del Rio, Texas. Discusses how VVRMC collected data and implemented protocols to improve patient satisfaction.
Date: 02/2020
Type: Document
Sponsoring organization: National Rural Health Resource Center
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A Best Practices Approach to Treating Maternal Hemorrhage
Provides an overview of how Titus Regional Medical Center in Mount Pleasant, Texas, developed and implemented protocols to improve maternal hemorrhage outcomes. Discusses the impact and lessons learned from implementing the protocols as well, as future maternal health improvement goals at the medical center.
Date: 02/2020
Type: Document
Sponsoring organization: American Hospital Association
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Small Healthcare Provider Quality Improvement: Sourcebook, 2016-2019
Detailed descriptions of 32 rural quality improvement initiatives funded through the Small Health Care Provider Quality Improvement grant program during the 2016-2019 grant period. Initiatives focused on enhancing chronic disease management, increasing patient and caregiver engagement, improving quality of care, and better health outcomes.
Date: 02/2020
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Williamson Health and Wellness Center: Williamson, WV
Highlights a Community-Driven Health Equity Action Plan as implemented by the Williamson Health and Wellness Center in West Virginia. Details the goals and focus of the program.
Additional links: Summary
Date: 02/2020
Type: Document
Sponsoring organization: National Academy of Medicine
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Gorge Health Equity Collaborative: Columbia Gorge Region, OR and WA
Presents a Community-Driven Health Equity Action Plan as implemented by the Gorge Health Equity Collaborative in Washington and Oregon. Highlights health and healthcare access of children and adults in the Columbia Gorge region.
Additional links: Full Report
Date: 02/2020
Type: Document
Sponsoring organization: National Academy of Medicine
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