Rural Health
Resources by Topic: Healthcare quality
Rural Hospital Performance in Guideline-Recommended Ischemic Stroke Thrombolysis, Secondary Prevention, and Outcomes
Examines the performance of rural versus urban stroke center and non-stroke center hospitals in delivering guideline-recommended ischemic stroke thrombolysis, providing secondary prevention, and producing favorable outcomes among patients treated for acute ischemic stroke. Utilizes 2017-2019 Get With the Guidelines-Stroke hospital data of 692,839 patients.
Author(s): Shumei Man, David Bruckman, Ken Uchino, et al.
Citation: Stroke, 55(10), 2472-2481
Date: 09/2024
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Examines the performance of rural versus urban stroke center and non-stroke center hospitals in delivering guideline-recommended ischemic stroke thrombolysis, providing secondary prevention, and producing favorable outcomes among patients treated for acute ischemic stroke. Utilizes 2017-2019 Get With the Guidelines-Stroke hospital data of 692,839 patients.
Author(s): Shumei Man, David Bruckman, Ken Uchino, et al.
Citation: Stroke, 55(10), 2472-2481
Date: 09/2024
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Diagnostic Excellence in U.S. Rural Healthcare: A Call to Action
Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Issue brief exploring challenges to diagnostic quality in rural healthcare. Provides an overview of the topic of diagnostic errors in rural settings, and provides suggestions related to resource and workforce limitations, access to care, care coordination and other service delivery models, and social determinants of health.
Author(s): Kisha J. Ali, Nick J. Galvez, Sarah Craig, et al.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Age-Friendly Health Systems Integration into Rural Primary Care Clinics: A Journey of One Geriatric Workforce Enhancement Program
Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
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Examines implementation of the Age-Friendly Health Systems (AFHS) 4Ms Framework in rural Arkansas primary care clinics. Details program aspects related to workforce training, workplace culture, and resource provision and discusses evidence-based approaches to implementation. Provides data on the AFHS 4Ms Framework's impact on patient engagement and healthcare quality for older adults in rural settings.
Author(s): Leah Tobey-Moore, Katherine Scalzo, Stacie Massey, Robin McAtee
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
Date: 09/2024
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Obstetric Outcomes among Rural Parturients across US Urban and Rural Hospitals
Examines severe maternal morbidity and mortality (SMM) among rural parturients giving birth at rural versus urban hospitals, utilizing 2015-2022 Vizient Clinical Data Base (CDB) data of 214,296 patients. Includes data and discussion of the relationship between SMM and receipt of blood transfusion, race and ethnicity, type of hospital, and other clinical and demographic factors.
Author(s): Courtney L Strickland, Dmitry Tumin, Alyssa Harris, Hannah Murphy, James L Whiteside
Citation: Rural and Remote Health, 24(3), 8836
Date: 09/2024
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Examines severe maternal morbidity and mortality (SMM) among rural parturients giving birth at rural versus urban hospitals, utilizing 2015-2022 Vizient Clinical Data Base (CDB) data of 214,296 patients. Includes data and discussion of the relationship between SMM and receipt of blood transfusion, race and ethnicity, type of hospital, and other clinical and demographic factors.
Author(s): Courtney L Strickland, Dmitry Tumin, Alyssa Harris, Hannah Murphy, James L Whiteside
Citation: Rural and Remote Health, 24(3), 8836
Date: 09/2024
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Final Report of the Rural Texas Obstetrics Study
Uses data analysis, interviews, and surveys to report on rural obstetrics access issues in Texas. Discusses facility closures, distance to care, provider shortages, reimbursements, and healthcare quality. Offers an analysis of 15 facilities that closed OB departments to understand potential drivers of closures. Email address required to access report.
Date: 09/2024
Sponsoring organization: Stroudwater Associates
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Uses data analysis, interviews, and surveys to report on rural obstetrics access issues in Texas. Discusses facility closures, distance to care, provider shortages, reimbursements, and healthcare quality. Offers an analysis of 15 facilities that closed OB departments to understand potential drivers of closures. Email address required to access report.
Date: 09/2024
Sponsoring organization: Stroudwater Associates
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Rural-Urban Disparities in Hospital Services and Outcomes for Children With Medical Complexity
Examines differences in availability of hospital pediatric services for rural and urban children with medical complexity requiring hospitalization, and analyzes whether hospitals' availability of pediatric services influences rural-urban health outcome disparities. Utilizes 2012-2017 claims data of 36,943 children with medical complexity. Includes data on hospitalization patterns, service availability, quality measures, and mortality.
Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, et al.
Citation: JAMA Network Open, 7(9), e2435187
Date: 09/2024
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Examines differences in availability of hospital pediatric services for rural and urban children with medical complexity requiring hospitalization, and analyzes whether hospitals' availability of pediatric services influences rural-urban health outcome disparities. Utilizes 2012-2017 claims data of 36,943 children with medical complexity. Includes data on hospitalization patterns, service availability, quality measures, and mortality.
Author(s): JoAnna K. Leyenaar, Seneca D. Freyleue, Mary Arakelyan, et al.
Citation: JAMA Network Open, 7(9), e2435187
Date: 09/2024
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Family Medicine Presence on Labor and Delivery: Effect on Safety Culture and Cesarean Delivery
Examines the presence of family medicine (FM) physicians and obstetricians (OBs) during labor and delivery. Utilizes survey data from 849 clinicians at 39 Iowa hospitals to analyze hospitals with FMs, OBs, or both and the association to safety culture and caesarean birth rates. Discusses the importance of FM physicians having intrapartum training and the impact on rural access to pregnancy care.
Author(s): Emily White VanGompel, Lavisha Singh, Francesca Carlock, et al.
Citation: The Annals of Family Medicine, 22(5), 375-382
Date: 09/2024
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Examines the presence of family medicine (FM) physicians and obstetricians (OBs) during labor and delivery. Utilizes survey data from 849 clinicians at 39 Iowa hospitals to analyze hospitals with FMs, OBs, or both and the association to safety culture and caesarean birth rates. Discusses the importance of FM physicians having intrapartum training and the impact on rural access to pregnancy care.
Author(s): Emily White VanGompel, Lavisha Singh, Francesca Carlock, et al.
Citation: The Annals of Family Medicine, 22(5), 375-382
Date: 09/2024
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September 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2024 meeting. Covers Medicare's overall financial situation, cost-sharing for outpatient services at Critical Access Hospitals, and experiences and challenges of measuring the quality of care provided by rural providers.
Additional links: Cost Sharing for Outpatient Services at Critical Access Hospitals - Presentation Slides, Medicare's Measurement of Rural Provider Quality - Presentation Slides
Date: 09/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2024 meeting. Covers Medicare's overall financial situation, cost-sharing for outpatient services at Critical Access Hospitals, and experiences and challenges of measuring the quality of care provided by rural providers.
Additional links: Cost Sharing for Outpatient Services at Critical Access Hospitals - Presentation Slides, Medicare's Measurement of Rural Provider Quality - Presentation Slides
Date: 09/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Innovations in Rural Obstetrics to Maintain Access to Care
Discusses closures of rural hospitals and labor and delivery services and the impact on maternity care access. Provides examples of 6 approaches to sustain obstetric care: partnerships, community-centered care, quality initiatives, culturally competent care, rural workforce development, and maternity care as an equity issue.
Author(s): Mary Louise Gilburg, Morgan McDonald, Erin E. Sullivan
Date: 09/2024
Sponsoring organization: Milbank Memorial Fund
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Discusses closures of rural hospitals and labor and delivery services and the impact on maternity care access. Provides examples of 6 approaches to sustain obstetric care: partnerships, community-centered care, quality initiatives, culturally competent care, rural workforce development, and maternity care as an equity issue.
Author(s): Mary Louise Gilburg, Morgan McDonald, Erin E. Sullivan
Date: 09/2024
Sponsoring organization: Milbank Memorial Fund
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Exploring the State of Value-Based Care
Slides presented to the South Dakota Rural Health Equity Summit on September 5, 2024. Provides an overview of value-based care and payment models and progress toward value-based care models. Describes potential strategies state agencies and organizations may use to assist rural healthcare organizations to deliver value-based care and receive value-based payments. Highlights state-level engagements to advance rural value-based care and payment in North Dakota and Pennsylvania.
Author(s): Karla Weng
Date: 09/2024
Sponsoring organization: Rural Health Value
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Slides presented to the South Dakota Rural Health Equity Summit on September 5, 2024. Provides an overview of value-based care and payment models and progress toward value-based care models. Describes potential strategies state agencies and organizations may use to assist rural healthcare organizations to deliver value-based care and receive value-based payments. Highlights state-level engagements to advance rural value-based care and payment in North Dakota and Pennsylvania.
Author(s): Karla Weng
Date: 09/2024
Sponsoring organization: Rural Health Value
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