Rural Health
Resources by Topic: Healthcare quality
Taking Stock: Policy Opportunities for Advancing Rural Health
Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Examines the progress of health system transformation and discusses the challenges that remain for rural people, places, and providers. Organized around seven main topics: Medicare, Medicaid and CHIP, insurance coverage and affordability, quality, healthcare finance and system transformation, workforce, and population health. Provides background information on each topic and shares policy suggestions for addressing each topic's most pressing issues.
Author(s): Keith J. Mueller, Charles Alfero, Andrew F. Coburn, et al.
Date: 01/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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An Interim Evaluation Report of the Innovative Projects Portfolio of the Medicare Flex Grant Program
Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Provides background on the Flex Program and the Integration of Innovative Health Care Models (Innovative Projects) program area. Evaluates the impact of the Innovative Projects program area across seven participating states, focusing on activities involving the transition to value-based care, telehealth, care coordination, quality improvement, and system delivery in rural communities. Final implementation results are described in Implementation and Early Results of the Flex Program's Innovative Models Program Area: Final Evaluation Report.
Author(s): Sara Kahn-Troster, John Gale, Anush Hansen, Andrew Coburn
Date: 01/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Transforming Health Care from the Ground Up
Describes two examples of innovation driven by doctors, nurses, administrators, entrepreneurs, and patients involving a major transformation of healthcare delivery. One example was an initiative developed through the University of Mississippi Medical Center where a telehealth network was created to increase patient access to care in rural areas with a focus on Critical Access Hospitals (CAHs).
Author(s): Vijay Govindarajan, Ravi Ramamurti
Citation: Harvard Business Review
Date: 2018
Type: Document
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Describes two examples of innovation driven by doctors, nurses, administrators, entrepreneurs, and patients involving a major transformation of healthcare delivery. One example was an initiative developed through the University of Mississippi Medical Center where a telehealth network was created to increase patient access to care in rural areas with a focus on Critical Access Hospitals (CAHs).
Author(s): Vijay Govindarajan, Ravi Ramamurti
Citation: Harvard Business Review
Date: 2018
Type: Document
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Higher Primary Care Physician Continuity is Associated With Lower Costs and Hospitalizations
Results of a study using Medicare claims data for patients obtaining care from a sample of 6,551 primary care physicians. Features statistics including physician characteristics associated with providing continuity of care, with breakdowns by 5 levels of population density.
Author(s): Andrew Bazemore, Stephen Petterson, Lars E. Peterson, et al.
Citation: Annals of Family Medicine, 16(6), 492-497
Date: 2018
Type: Document
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Results of a study using Medicare claims data for patients obtaining care from a sample of 6,551 primary care physicians. Features statistics including physician characteristics associated with providing continuity of care, with breakdowns by 5 levels of population density.
Author(s): Andrew Bazemore, Stephen Petterson, Lars E. Peterson, et al.
Citation: Annals of Family Medicine, 16(6), 492-497
Date: 2018
Type: Document
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Integrating Department of Defense and Department of Veterans Affairs Purchased Care: Preliminary Feasibility Assessment
Examines the feasibility of integrating the Department of Defense and Department of Veterans Affairs healthcare systems. Explores the potential impact on healthcare access, quality, and costs for beneficiaries, addressing implications for rural areas throughout. Discusses changes that would need to be made at a legislative, policy, and contractual level if an integrated purchased care program was implemented.
Author(s): Carrie M. Farmer, Terri Tanielian, Christine Buttorff, et al.
Date: 2018
Type: Document
Sponsoring organization: RAND Corporation
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Examines the feasibility of integrating the Department of Defense and Department of Veterans Affairs healthcare systems. Explores the potential impact on healthcare access, quality, and costs for beneficiaries, addressing implications for rural areas throughout. Discusses changes that would need to be made at a legislative, policy, and contractual level if an integrated purchased care program was implemented.
Author(s): Carrie M. Farmer, Terri Tanielian, Christine Buttorff, et al.
Date: 2018
Type: Document
Sponsoring organization: RAND Corporation
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Case Study: High-Tech OB Simulation Training Educates OB Teams, Improves Quality of Rural Health Care
Reports on a pilot obstetrics simulation training program intended to help rural family physicians and obstetric care teams recognize and react to complications related to pregnancy, initially focusing on hemorrhaging. Identifies planned quality improvement measures resulting from the training and includes program contact information. Program targeted 12 rural hospitals in Nebraska.
Date: 2018
Type: Document
Sponsoring organizations: Bryan Health, Heartland Health Alliance
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Reports on a pilot obstetrics simulation training program intended to help rural family physicians and obstetric care teams recognize and react to complications related to pregnancy, initially focusing on hemorrhaging. Identifies planned quality improvement measures resulting from the training and includes program contact information. Program targeted 12 rural hospitals in Nebraska.
Date: 2018
Type: Document
Sponsoring organizations: Bryan Health, Heartland Health Alliance
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Quality Improvement and Care Coordination: Implementing the CDC Guideline for Prescribing Opioids for Chronic Pain
A guide to help primary care providers, practices, and healthcare systems manage patients who are on long-term opioid therapy. Provides an evidence-based prescribing guideline, quality improvement measures, and practice-level care coordination strategies. Appendix F provides examples of comprehensive management approaches, including discussion of telehealth approaches that could be used in rural communities.
Date: 2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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A guide to help primary care providers, practices, and healthcare systems manage patients who are on long-term opioid therapy. Provides an evidence-based prescribing guideline, quality improvement measures, and practice-level care coordination strategies. Appendix F provides examples of comprehensive management approaches, including discussion of telehealth approaches that could be used in rural communities.
Date: 2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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State Innovation Models (SIM) Round 2: Model Test Annual Report Two
Second annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Covers adoption of delivery models and payment reforms related to value-based purchasing and alternative payment models (APMs); strategies to support healthcare delivery transformation related to quality, health information technology, and workforce; and population health strategies.
Date: 2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Second annual report on the Round 2 State Innovation Models (SIM) program across eleven participating states - Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Ohio, Rhode Island, Tennessee, and Washington. Covers adoption of delivery models and payment reforms related to value-based purchasing and alternative payment models (APMs); strategies to support healthcare delivery transformation related to quality, health information technology, and workforce; and population health strategies.
Date: 2018
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Health Equity Report 2017
Reports on trends in health equity and health disparities in the U.S. Provides statistics and information on multiple program areas, including: maternal and child health, primary care, access, quality, HIV/AIDS, mental and behavioral health, chronic disease, health promotion, health workforce, rural versus urban, and geographic disparities. Addresses disparity patterns for 3 priority areas: mental health, opioid use, and childhood obesity.
Author(s): Gopal K. Singh, Andrew "Drew" De Los Reyes, Michelle Allender, et al.
Date: 2018
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Reports on trends in health equity and health disparities in the U.S. Provides statistics and information on multiple program areas, including: maternal and child health, primary care, access, quality, HIV/AIDS, mental and behavioral health, chronic disease, health promotion, health workforce, rural versus urban, and geographic disparities. Addresses disparity patterns for 3 priority areas: mental health, opioid use, and childhood obesity.
Author(s): Gopal K. Singh, Andrew "Drew" De Los Reyes, Michelle Allender, et al.
Date: 2018
Type: Document
Sponsoring organization: Health Resources and Services Administration
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Models and Strategies to Integrate Palliative Care Principles into Care for People with Serious Illness: Proceedings of a Workshop
Summarizes presentations, discussions, and workshop participant suggestions for improving the quality of, expanding access to, and supporting policies for community-based palliative care. Provides examples of community-based palliative care models, including a model for reaching patients in rural underserved areas.
Additional links: Read Online, Workshop Highlights
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 2018
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes presentations, discussions, and workshop participant suggestions for improving the quality of, expanding access to, and supporting policies for community-based palliative care. Provides examples of community-based palliative care models, including a model for reaching patients in rural underserved areas.
Additional links: Read Online, Workshop Highlights
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 2018
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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