Rural Health
Resources by Topic: Healthcare quality
2023 National CAH Quality Inventory & Assessment National Report
Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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MBQIP 2025 Measure Core Set Information Guide
Provides an overview of the 2025 Core Measure Set adopted by the Federal Office of Rural Health Policy (FORHP) for use in the Medicare Beneficiary Quality Improvement Project (MBQIP). Offers descriptions, rationales, data elements, data availability, resources, and more for each new and continuing measure.
Date: 04/2024
Type: Document
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Provides an overview of the 2025 Core Measure Set adopted by the Federal Office of Rural Health Policy (FORHP) for use in the Medicare Beneficiary Quality Improvement Project (MBQIP). Offers descriptions, rationales, data elements, data availability, resources, and more for each new and continuing measure.
Date: 04/2024
Type: Document
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Obstetric Imaging Practice Characteristics Associated with Prenatal Detection of Critical Congenital Heart Disease in a Rural US Region over 20 Years
Analyzes practice characteristics associated with frequency of prenatal critical congenital heart disease (CCHD) detection from 2002-2021 at a tertiary academic hospital and 11 low-volume, rural hospitals providing obstetric services in rural areas of Vermont and New York. Provides data on CCHD detection frequency by practice type, patient volume, and physician or sonographer specialty. Includes additional data on changes in CCHD detection frequency over time.
Author(s): Kelley C. McLean, Marjorie C. Meyer, Sarah R. Peters, et al.
Citation: Prenatal Diagnosis, 44(6-7), 698-705
Date: 03/2024
Type: Document
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Analyzes practice characteristics associated with frequency of prenatal critical congenital heart disease (CCHD) detection from 2002-2021 at a tertiary academic hospital and 11 low-volume, rural hospitals providing obstetric services in rural areas of Vermont and New York. Provides data on CCHD detection frequency by practice type, patient volume, and physician or sonographer specialty. Includes additional data on changes in CCHD detection frequency over time.
Author(s): Kelley C. McLean, Marjorie C. Meyer, Sarah R. Peters, et al.
Citation: Prenatal Diagnosis, 44(6-7), 698-705
Date: 03/2024
Type: Document
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Rural Maternal Health Series: Engaging with Perinatal Quality Collaboratives for Rural Hospitals
Webinar recording, second in a series, discusses the role Perinatal Quality Collaboratives (PQCs) play in making improvements in maternal and infant healthcare and outcomes in rural hospitals. Features presentations from representatives of the CDC's Perinatal & Infant Health Team, Washington State Department of Health, and University of Montana Rural Institute for Inclusive Communities.
Additional links: Audio Recording, Webinar Slides
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Webinar recording, second in a series, discusses the role Perinatal Quality Collaboratives (PQCs) play in making improvements in maternal and infant healthcare and outcomes in rural hospitals. Features presentations from representatives of the CDC's Perinatal & Infant Health Team, Washington State Department of Health, and University of Montana Rural Institute for Inclusive Communities.
Additional links: Audio Recording, Webinar Slides
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Rural Health Research Recap: Quality Star Ratings: Hospitals, Skilled Nursing Facilities, and Home Health Agencies
Examines the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Rating system among hospitals, skilled nursing facilities, and home health agencies in 2021 and 2022. Features statistics including number of rural hospitals without a star rating with breakdowns by census region, and percentage of hospitals without star rating, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Examines the Centers for Medicare & Medicaid Services Overall Hospital Quality Star Rating system among hospitals, skilled nursing facilities, and home health agencies in 2021 and 2022. Features statistics including number of rural hospitals without a star rating with breakdowns by census region, and percentage of hospitals without star rating, with breakdowns by urban or rural location.
Author(s): Per Ostmo
Date: 03/2024
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Experiences with and Outcomes of Oral Health Care - Perspectives from Nationally Representative Data
Report discusses the outcomes and experiences with oral healthcare from patients across the United States surveyed in January - February 2023. Details patients experience with access to care, attitudes about co-location of oral healthcare and other types of care, value-based care, telehealth usage, and discrimination in healthcare, among other topics. Breaks down demographic data of survey participants by age, gender, race/ethnicity, and urbanicity, among other measures.
Author(s): Lisa J. Heaton, Morgan Santoro, Paige Martin, Eric P. Tranby
Date: 03/2024
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
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Report discusses the outcomes and experiences with oral healthcare from patients across the United States surveyed in January - February 2023. Details patients experience with access to care, attitudes about co-location of oral healthcare and other types of care, value-based care, telehealth usage, and discrimination in healthcare, among other topics. Breaks down demographic data of survey participants by age, gender, race/ethnicity, and urbanicity, among other measures.
Author(s): Lisa J. Heaton, Morgan Santoro, Paige Martin, Eric P. Tranby
Date: 03/2024
Type: Document
Sponsoring organization: CareQuest Institute for Oral Health
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Pre-COVID-19 Hospital Quality and Hospital Response to Covid-19: Examining Associations Between Risk-adjusted Mortality for Patients Hospitalised with COVID-19 and Pre-COVID-19 Hospital Quality
Examines whether pre-pandemic hospital quality was associated with in-hospital and 30-day mortality rates among Medicare patients hospitalized with COVID-19 from April 1, 2020, through September 30, 2021. Explores the relationship between COVID-19 outcomes and hospital COVID-19 burden. Compares pre-pandemic hospital quality and COVID-19 outcomes by hospital characteristics, including urban/rural location and Critical Access Hospital status.
Author(s): Doris Peter, Shu-Xia Li, Yongfei Wang, et al.
Citation: BMJ Open, 14(3), e077394
Date: 03/2024
Type: Document
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Examines whether pre-pandemic hospital quality was associated with in-hospital and 30-day mortality rates among Medicare patients hospitalized with COVID-19 from April 1, 2020, through September 30, 2021. Explores the relationship between COVID-19 outcomes and hospital COVID-19 burden. Compares pre-pandemic hospital quality and COVID-19 outcomes by hospital characteristics, including urban/rural location and Critical Access Hospital status.
Author(s): Doris Peter, Shu-Xia Li, Yongfei Wang, et al.
Citation: BMJ Open, 14(3), e077394
Date: 03/2024
Type: Document
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Environmental Scan on Developing and Implementing Performance Measures for Population-Based Total Cost of Care (PB-TCOC) Models
Presents results of an environmental scan regarding the development and implementation of population-based total cost of care (PB-TCOC) payment models. Describes types of performance measures used in value-based payment models and pay-for-reporting programs, data sources used for constructing performance measures, features of PB-TCOC models, challenges in developing and implementing performance measures and opportunities for Alternative Payment Models (APMs) and PB-TCOC models to address these challenges, trends in existing performance measures across several Center for Medicare and Medicaid Innovation (CMMI) models and Medicare value-based care programs, and more. Includes rural references and considerations throughout.
Date: 03/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Presents results of an environmental scan regarding the development and implementation of population-based total cost of care (PB-TCOC) payment models. Describes types of performance measures used in value-based payment models and pay-for-reporting programs, data sources used for constructing performance measures, features of PB-TCOC models, challenges in developing and implementing performance measures and opportunities for Alternative Payment Models (APMs) and PB-TCOC models to address these challenges, trends in existing performance measures across several Center for Medicare and Medicaid Innovation (CMMI) models and Medicare value-based care programs, and more. Includes rural references and considerations throughout.
Date: 03/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, NORC at the University of Chicago
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Satisfaction with Care among Cancer Survivors with Medicare Coverage: Are there Rural Versus Urban Inequities?
Analyzes rural and urban satisfaction with a variety of aspects of healthcare among cancer survivors, including convenience of getting to providers and ability to meet all healthcare needs at a single location. Utilizes 2020 Medicare Current Beneficiary Survey data adjusted for demographic factors, health insurance, and overall health.
Author(s): Tyrone F. Borders
Citation: Journal of Primary Care & Community Health, 15
Date: 03/2024
Type: Document
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Analyzes rural and urban satisfaction with a variety of aspects of healthcare among cancer survivors, including convenience of getting to providers and ability to meet all healthcare needs at a single location. Utilizes 2020 Medicare Current Beneficiary Survey data adjusted for demographic factors, health insurance, and overall health.
Author(s): Tyrone F. Borders
Citation: Journal of Primary Care & Community Health, 15
Date: 03/2024
Type: Document
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Rural Maternal Health Series: Achieving Birthing-Friendly Status in Rural Hospitals
Webinar recording discusses the quality maternity care improvements rural hospitals must make to earn the Birthing-Friendly designation from CMS. Features presentations from representatives of the Federal Office of Rural Health Policy (FORHP), the CMS Center for Clinical Standards and Quality (CCSQ), and the Maternal and Child Health Bureau (MCHB).
Additional links: Audio Recording, Webinar Slides
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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Webinar recording discusses the quality maternity care improvements rural hospitals must make to earn the Birthing-Friendly designation from CMS. Features presentations from representatives of the Federal Office of Rural Health Policy (FORHP), the CMS Center for Clinical Standards and Quality (CCSQ), and the Maternal and Child Health Bureau (MCHB).
Additional links: Audio Recording, Webinar Slides
Date: 03/2024
Type: Video/Multimedia
Sponsoring organization: Rural Health Information Hub
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