Rural Health
Resources by Topic: Healthcare quality
Quality Measures for Critical Access Hospital Swing-Bed Patients
Policy brief describing a study to identify quality measures for Critical Access Hospital (CAH) swing-bed patients, focused on outcome and functional status measures. Includes information from key informant interviews on discharge disposition and 30-day follow-up status.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 10/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief describing a study to identify quality measures for Critical Access Hospital (CAH) swing-bed patients, focused on outcome and functional status measures. Includes information from key informant interviews on discharge disposition and 30-day follow-up status.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 10/2019
Sponsoring organization: University of Minnesota Rural Health Research Center
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Cascades of Care After Incidental Findings in a US National Survey of Physicians
Results of a study estimating the national frequency and consequences of cascades of testing and treatment after incidental findings on screening and diagnostic tests. Features statistics including physician characteristics associated with self-reported harm from cascades, with breakdowns by practice location in urban, suburban, or rural areas.
Author(s): Ishani Ganguli, Arabella L. Simpkin, Claire Lupo
Citation: JAMA Network Open, 2(10)
Date: 10/2019
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Results of a study estimating the national frequency and consequences of cascades of testing and treatment after incidental findings on screening and diagnostic tests. Features statistics including physician characteristics associated with self-reported harm from cascades, with breakdowns by practice location in urban, suburban, or rural areas.
Author(s): Ishani Ganguli, Arabella L. Simpkin, Claire Lupo
Citation: JAMA Network Open, 2(10)
Date: 10/2019
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Antibiotic Stewardship Implementation: Suggested Strategies from High Performing Critical Access Hospitals
Describes antibiotic stewardship (AS) best practices identified through focus groups of 34 high performing Critical Access Hospitals across 25 states. Provides an overview of focus group findings on the seven core elements of hospital AS and identifies recurring themes.
Date: 09/2019
Sponsoring organization: Stratis Health
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Describes antibiotic stewardship (AS) best practices identified through focus groups of 34 high performing Critical Access Hospitals across 25 states. Provides an overview of focus group findings on the seven core elements of hospital AS and identifies recurring themes.
Date: 09/2019
Sponsoring organization: Stratis Health
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Russell County Hospital Listens to their Community to Improve Transitions of Care
Highlights quality improvement activities underway at a 25-bed Critical Access Hospital (CAH) in rural Kentucky. Discusses community collaboration efforts, expansion of specialty services, renovations, a focus on staff satisfaction, and care coordination activities.
Date: 09/2019
Sponsoring organization: National Rural Health Resource Center
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Highlights quality improvement activities underway at a 25-bed Critical Access Hospital (CAH) in rural Kentucky. Discusses community collaboration efforts, expansion of specialty services, renovations, a focus on staff satisfaction, and care coordination activities.
Date: 09/2019
Sponsoring organization: National Rural Health Resource Center
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Serving Rural America: Health Insurance Providers at Work
Offers 5 case studies to showcase the ways in which health insurance providers are working to ensure access to high quality healthcare in rural areas. Examples feature 8 insurance providers in Maryland, Pennsylvania, California, and Oregon sharing different approaches to healthcare delivery, financing, and community engagement.
Date: 09/2019
Sponsoring organization: AHIP
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Offers 5 case studies to showcase the ways in which health insurance providers are working to ensure access to high quality healthcare in rural areas. Examples feature 8 insurance providers in Maryland, Pennsylvania, California, and Oregon sharing different approaches to healthcare delivery, financing, and community engagement.
Date: 09/2019
Sponsoring organization: AHIP
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Hospital Merger Benefits: Views from Hospital Leaders and Econometric Analysis - An Update
Revisits a study from 2016 on the effects of hospital acquisitions in terms of cost, care quality, and revenue. Highlights data by hospital type, including rural status, as well as several performance measures.
Author(s): Monica Noether, Sean May, Ben Stearns
Date: 09/2019
Sponsoring organization: American Hospital Association
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Revisits a study from 2016 on the effects of hospital acquisitions in terms of cost, care quality, and revenue. Highlights data by hospital type, including rural status, as well as several performance measures.
Author(s): Monica Noether, Sean May, Ben Stearns
Date: 09/2019
Sponsoring organization: American Hospital Association
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Implementation Challenges and Opportunities Related to HPV Vaccination Quality Improvement in Primary Care Clinics in a Rural State
Examines quality improvement interventions to increase human papillomavirus (HPV) vaccination rates in a rural Midwestern state. Describes the disparity in HPV vaccination rates between rural and urban areas. Discusses the roles of providers, clinics, and health systems in implementing interventions.
Author(s): Natoshia M. Askelson, Grace Ryan, Laura Seegmiller, et al.
Citation: Journal of Community Health, 44(4), 790-795
Date: 08/2019
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Examines quality improvement interventions to increase human papillomavirus (HPV) vaccination rates in a rural Midwestern state. Describes the disparity in HPV vaccination rates between rural and urban areas. Discusses the roles of providers, clinics, and health systems in implementing interventions.
Author(s): Natoshia M. Askelson, Grace Ryan, Laura Seegmiller, et al.
Citation: Journal of Community Health, 44(4), 790-795
Date: 08/2019
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Transformation Support Provided Remotely to a National Cohort of Optometry Practices
Describes the results of a practice transformation and quality improvement project for optometry practices. Compares cost-savings and emergency department avoidance data between rural and urban practices.
Author(s): Ronald N. Adler, Warren J. Ferguson, Hussein Antar, et al.
Citation: Annals of Family Medicine, 17(Suppl 1), S33-S39
Date: 08/2019
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Describes the results of a practice transformation and quality improvement project for optometry practices. Compares cost-savings and emergency department avoidance data between rural and urban practices.
Author(s): Ronald N. Adler, Warren J. Ferguson, Hussein Antar, et al.
Citation: Annals of Family Medicine, 17(Suppl 1), S33-S39
Date: 08/2019
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Medicaid: Efforts to Identify, Predict, or Manage High-Expenditure Beneficiaries
Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Sponsoring organization: Government Accountability Office
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Describes strategies used in 7 states to manage beneficiaries' healthcare costs while ensuring quality care, and lists resources the Centers for Medicare and Medicaid Services provides to help states identify, predict, and manage high-expenditure beneficiaries. Discusses effects of social determinants of health and staff shortages in rural areas. Includes statistics for Medicaid expenditures among beneficiaries enrolled only in Medicaid, for fiscal years 2009-2011.
Additional links: Full Report
Date: 08/2019
Sponsoring organization: Government Accountability Office
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Small Rural Hospital Transition (SRHT) Project Guide: A Rural Hospital Guide to Improving Care Management: 2019 Update
A guide for rural hospital leadership that identifies best practices in care management. Addresses care management roles and staffing needs and covers utilization review and discharge planning. Helps identify opportunities for process improvement. Also discusses competencies needed to transition to a value-based reimbursement environment focused on population health.
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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A guide for rural hospital leadership that identifies best practices in care management. Addresses care management roles and staffing needs and covers utilization review and discharge planning. Helps identify opportunities for process improvement. Also discusses competencies needed to transition to a value-based reimbursement environment focused on population health.
Date: 08/2019
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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