Rural Health
Resources by Topic: Healthcare quality
Addressing Low Case-Volume in Healthcare Performance Measurement of Rural Providers: Recommendations from the MAP Rural Health Technical Expert Panel
Final report recommending how to measure healthcare performance in low case-volume situations, such as rural providers. Reviews existing and proposed low-volume healthcare quality measures, how measures are calculated, data use, and data analysis techniques. Focuses on Centers for Medicare and Medicaid Services (CMS) quality programs reporting requirements.
Date: 03/2019
Type: Document
Sponsoring organization: National Quality Forum MAP Rural Health Advisory Workgroup
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Final report recommending how to measure healthcare performance in low case-volume situations, such as rural providers. Reviews existing and proposed low-volume healthcare quality measures, how measures are calculated, data use, and data analysis techniques. Focuses on Centers for Medicare and Medicaid Services (CMS) quality programs reporting requirements.
Date: 03/2019
Type: Document
Sponsoring organization: National Quality Forum MAP Rural Health Advisory Workgroup
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Recorded Webinar: The ABCs of Antibiotic Stewardship (Part 1)
Provides a webinar recording addressing antibiotic stewardship for Critical Access Hospitals. Focuses on the core elements of antibiotic stewardship, the related Medicare Beneficiary Quality Improvement Project (MBQIP) measure for CAHs, and the current performance of Oklahoma's CAHs on antibiotic stewardship implementation.
Date: 03/2019
Type: Video/Multimedia
Sponsoring organizations: Oklahoma State University Center for Rural Health, Stratis Health
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Provides a webinar recording addressing antibiotic stewardship for Critical Access Hospitals. Focuses on the core elements of antibiotic stewardship, the related Medicare Beneficiary Quality Improvement Project (MBQIP) measure for CAHs, and the current performance of Oklahoma's CAHs on antibiotic stewardship implementation.
Date: 03/2019
Type: Video/Multimedia
Sponsoring organizations: Oklahoma State University Center for Rural Health, Stratis Health
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Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents - Payment Reform
Second annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents. Appendices include findings from participating programs in Alabama, Missouri, Indiana, Nevada, Colorado, New York, and Pennsylvania. Addresses challenges for rural participants throughout.
Additional links: Findings at a Glance
Date: 03/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Second annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents. Appendices include findings from participating programs in Alabama, Missouri, Indiana, Nevada, Colorado, New York, and Pennsylvania. Addresses challenges for rural participants throughout.
Additional links: Findings at a Glance
Date: 03/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Strengthening Medicaid Long-term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Pender Community Hospital Uses SRHT Project to Propel Forward
Highlights a Critical Access Hospital in Nebraska that participated in a Small Rural Hospital Transition (SRHT) project focused on discharge issues, electronic health record improvements, and Patient Centered Medical Home (PCMH) status for system clinics. Discusses project implementation, hospital culture, and project outcomes.
Date: 03/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Highlights a Critical Access Hospital in Nebraska that participated in a Small Rural Hospital Transition (SRHT) project focused on discharge issues, electronic health record improvements, and Patient Centered Medical Home (PCMH) status for system clinics. Discusses project implementation, hospital culture, and project outcomes.
Date: 03/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Where Are They Now: Indian Programs on the GAO High Risk List
Features a Senate Committee on Indian Affairs oversight hearing discussing three high risk programs serving American Indians and Alaska Natives. Features testimony from representatives of the Government Accountability Office, the Bureau of Indian Education, the Bureau of Indian Affairs, and the Indian Health Service.
Date: 03/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Features a Senate Committee on Indian Affairs oversight hearing discussing three high risk programs serving American Indians and Alaska Natives. Features testimony from representatives of the Government Accountability Office, the Bureau of Indian Education, the Bureau of Indian Affairs, and the Indian Health Service.
Date: 03/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Indian Affairs
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Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report
Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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Reports on the implementation of the Flex Program and the integration of the Innovative Health Care Models (Innovative Projects) program area in 7 states focused on telehealth, care coordination, and quality improvement. Highlights lessons learned, program discussion, and the evaluation methods for each of the projects. Builds on a 2018 briefing paper, An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program.
Author(s): John A. Gale, Sara Kahn-Troster, Andrew Coburn
Date: 03/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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Report to Congress: Current State of Technology-Enabled Collaborative Learning and Capacity Building Models
Reports on the impact of technology-enabled collaborative learning and capacity building models as required by the Expanding Capacity for Health Outcomes (ECHO) Act. Examines how such models are being used to improve healthcare quality and address health workforce capacity, particularly in rural areas, the evidence behind model effectiveness, and evidence gaps. Provides recommendations on expanding model adoption and its use in continuing medical education. Appendix includes an inventory of Project ECHO models and other similar models by state and in several other countries.
Additional links: Appendix F: Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models
Date: 02/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Reports on the impact of technology-enabled collaborative learning and capacity building models as required by the Expanding Capacity for Health Outcomes (ECHO) Act. Examines how such models are being used to improve healthcare quality and address health workforce capacity, particularly in rural areas, the evidence behind model effectiveness, and evidence gaps. Provides recommendations on expanding model adoption and its use in continuing medical education. Appendix includes an inventory of Project ECHO models and other similar models by state and in several other countries.
Additional links: Appendix F: Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models
Date: 02/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: First Annual Report
Evaluates the first year of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; approaches used to implement the model; preventative care efforts; experiences with CMS support tools for the project; and reasons for joining and leaving the model.
Author(s): Leslie Conwell, Linda Barterian, Adam Rose, et al.
Date: 02/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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Evaluates the first year of the Centers for Medicare and Medicaid Services (CMS) Million Hearts Cardiovascular Disease Risk Reduction Model to determine whether, and how, it reduces first-time strokes, heart attacks, and Medicare spending. Covers participant characteristics, including rural or urban status and organization type; approaches used to implement the model; preventative care efforts; experiences with CMS support tools for the project; and reasons for joining and leaving the model.
Author(s): Leslie Conwell, Linda Barterian, Adam Rose, et al.
Date: 02/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica Policy Research
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A Nine-Step Roadmap for Implementing Lean in Rural Hospitals
Provides highlights from a speaker at the AHA 2019 Rural Health Care Leadership Conference on how rural hospitals can implement Lean principles to improve quality, reduce costs, and make processes more efficient.
Date: 02/2019
Type: Document
Sponsoring organization: American Hospital Association
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Provides highlights from a speaker at the AHA 2019 Rural Health Care Leadership Conference on how rural hospitals can implement Lean principles to improve quality, reduce costs, and make processes more efficient.
Date: 02/2019
Type: Document
Sponsoring organization: American Hospital Association
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