Rural Health
Resources by Topic: Healthcare quality
Iowa's Marketplace Choice Summative Report
Summarizes an evaluation of the implementation of Iowa's Marketplace Choice Plan (MPC), a premium support health insurance plan for Iowans from 101-133% of the federal poverty level (FPL). Discusses the effects of the plan on member access to care, quality of care, insurance coverage gaps, and costs of providing care. Also examines the effects of the premium incentive and copayment disincentive programs on plan enrollees and the adequacy of the plan's provider network.
Author(s): Elizabeth T. Momany, Suzanne E. Bentler, Susan C. McKernan, et al.
Date: 12/2017
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Summarizes an evaluation of the implementation of Iowa's Marketplace Choice Plan (MPC), a premium support health insurance plan for Iowans from 101-133% of the federal poverty level (FPL). Discusses the effects of the plan on member access to care, quality of care, insurance coverage gaps, and costs of providing care. Also examines the effects of the premium incentive and copayment disincentive programs on plan enrollees and the adequacy of the plan's provider network.
Author(s): Elizabeth T. Momany, Suzanne E. Bentler, Susan C. McKernan, et al.
Date: 12/2017
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Getting to Healthcare Value: Redirecting the Policy Debate Toward Lower Costs and Better Quality
Report reflecting discussions and views of participants of the Healthcare Value Hub meeting in New Orleans, November 6-8, 2017. Includes a section on challenges and opportunities for healthcare value in rural areas.
Date: 12/2017
Type: Document
Sponsoring organization: Healthcare Value Hub
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Report reflecting discussions and views of participants of the Healthcare Value Hub meeting in New Orleans, November 6-8, 2017. Includes a section on challenges and opportunities for healthcare value in rural areas.
Date: 12/2017
Type: Document
Sponsoring organization: Healthcare Value Hub
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Rural Hospital High Reliability
Shares details from Central Peninsula Hospital's (CPH) pursuit of high reliability patient care, with the goal of eliminating all serious harm to patients by 2020. Located in Soldotna, Alaska, CPH is a 49-bed nonprofit rural hospital striving to provide error-free care in a high-hazard environment and become the safest hospital in Alaska.
Date: 12/2017
Type: Document
Sponsoring organization: Rural Health Value
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Shares details from Central Peninsula Hospital's (CPH) pursuit of high reliability patient care, with the goal of eliminating all serious harm to patients by 2020. Located in Soldotna, Alaska, CPH is a 49-bed nonprofit rural hospital striving to provide error-free care in a high-hazard environment and become the safest hospital in Alaska.
Date: 12/2017
Type: Document
Sponsoring organization: Rural Health Value
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Patients' Experiences in CAHs: HCAHPS Results, 2016
Shares results from the calendar year 2016 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, summarizing reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Megan Lahr, Alex Evenson, Tongtan Chantarat, Michelle Casey
Date: 12/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
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Shares results from the calendar year 2016 Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey, summarizing reporting rates and performance among all U.S. Critical Access Hospitals (CAHs). Includes detailed tables that allow state-by-state comparison of response rates and overall CAH performance.
Author(s): Megan Lahr, Alex Evenson, Tongtan Chantarat, Michelle Casey
Date: 12/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
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MedPAC Report to the Congress: Physician Supervision Requirements in Critical Access Hospitals and Small Rural Hospitals
Provides background information on Medicare physician supervision requirements, and examines how enforcement of these requirements impacts access to care, quality of care, and staffing needs in Critical Access Hospitals (CAHs) and small rural hospitals. Findings are based on interviews with CMS officials, hospital association representatives, and CAH administrators in several states.
Date: 12/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Provides background information on Medicare physician supervision requirements, and examines how enforcement of these requirements impacts access to care, quality of care, and staffing needs in Critical Access Hospitals (CAHs) and small rural hospitals. Findings are based on interviews with CMS officials, hospital association representatives, and CAH administrators in several states.
Date: 12/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Worsening Rural-Urban Gap in Hospital Mortality
Results of a study of nonmaternal, nonneonatal hospitalizations in 2008 and 2013, showing the association between rural or urban residence and hospital mortality. Features statistics on hospital mortality by condition in 2013 and hospital deaths among rural patients by year and payer status.
Author(s): Nicole Villapiano, Theodore J. Iwashyna, Matthew M. Davis
Citation: Journal of the American Board of Family Medicine, 30(6), 816-823
Date: 11/2017
Type: Document
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Results of a study of nonmaternal, nonneonatal hospitalizations in 2008 and 2013, showing the association between rural or urban residence and hospital mortality. Features statistics on hospital mortality by condition in 2013 and hospital deaths among rural patients by year and payer status.
Author(s): Nicole Villapiano, Theodore J. Iwashyna, Matthew M. Davis
Citation: Journal of the American Board of Family Medicine, 30(6), 816-823
Date: 11/2017
Type: Document
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ESRD Facility Characteristics by Rurality and Risk of Closure
Profiles rural end-stage renal disease (ESRD) facilities, especially the ones at greatest risk for closure. Examines the facilities' characteristics, quality of care, and distance their patients would need to travel if the facilities should close. Features statistics with breakdowns by urban and rural locations.
Author(s): Jan M. Eberth, Fozia Ajmal, Kevin Bennett, Janice C. Probst
Date: 11/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Profiles rural end-stage renal disease (ESRD) facilities, especially the ones at greatest risk for closure. Examines the facilities' characteristics, quality of care, and distance their patients would need to travel if the facilities should close. Features statistics with breakdowns by urban and rural locations.
Author(s): Jan M. Eberth, Fozia Ajmal, Kevin Bennett, Janice C. Probst
Date: 11/2017
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Kalispell Regional Healthcare: Managing the Needs of Medically and Socially Complex Patients or Superutilizers
Details how Kalispell Regional Healthcare teamed with Mountain-Pacific Quality Health to introduce a modified transitional care model, which is designed to reduce service utilization and improve the health of high-cost, high-need patients. Initiative is part of a special innovations project through the Centers for Medicare and Medicaid Services (CMS) and uses multidisciplinary "ReSource" teams to coordinate care and services across rural and underserved areas of Montana.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Details how Kalispell Regional Healthcare teamed with Mountain-Pacific Quality Health to introduce a modified transitional care model, which is designed to reduce service utilization and improve the health of high-cost, high-need patients. Initiative is part of a special innovations project through the Centers for Medicare and Medicaid Services (CMS) and uses multidisciplinary "ReSource" teams to coordinate care and services across rural and underserved areas of Montana.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Delta Memorial Hospital: SRHT Project Well Under Way
Documents Delta Memorial Hospital's (DMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, which it completed during 2017. DMH, a 25-bed Critical Access Hospital (CAH) located in Dumas, Arkansas, focused efforts on improving quality of care and transitions of care throughout its facilities. Explores how implementing the recommendations impacted several measurable and non-measurable outcomes.
Date: 11/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Documents Delta Memorial Hospital's (DMH) progress as part of the Small Rural Hospital Transition (SRHT) Project, which it completed during 2017. DMH, a 25-bed Critical Access Hospital (CAH) located in Dumas, Arkansas, focused efforts on improving quality of care and transitions of care throughout its facilities. Explores how implementing the recommendations impacted several measurable and non-measurable outcomes.
Date: 11/2017
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Improving Healthcare Value in Rural America
Identifies and explains the challenges facing rural communities as they work to improve healthcare value. Discusses the distinct differences between urban and rural value initiatives and highlights effective and ineffective strategies for rural areas. Covers health workforce issues, telehealth, care coordination, and payment models.
Date: 10/2017
Type: Document
Sponsoring organization: Healthcare Value Hub
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Identifies and explains the challenges facing rural communities as they work to improve healthcare value. Discusses the distinct differences between urban and rural value initiatives and highlights effective and ineffective strategies for rural areas. Covers health workforce issues, telehealth, care coordination, and payment models.
Date: 10/2017
Type: Document
Sponsoring organization: Healthcare Value Hub
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