Rural Health
Resources by Topic: Healthcare quality
Community Reinvestment Program
Profiles the Eastern Oregon Coordinated Care Organization (EOCCO), a rural program that received community reinvestment funding from the Oregon Health Authority to invest in the community and provide care for Oregon's Medicaid recipients using a fixed global budget system. EOCCO engaged a community advisory council (CAC) comprising local individuals that showed an active interest in improving their own and the community's health. EOCCO in turn reinvests the money they receive in projects targeted to improving priority health concerns determined by local community health assessments.
Date: 09/2018
Sponsoring organization: Rural Health Value
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Profiles the Eastern Oregon Coordinated Care Organization (EOCCO), a rural program that received community reinvestment funding from the Oregon Health Authority to invest in the community and provide care for Oregon's Medicaid recipients using a fixed global budget system. EOCCO engaged a community advisory council (CAC) comprising local individuals that showed an active interest in improving their own and the community's health. EOCCO in turn reinvests the money they receive in projects targeted to improving priority health concerns determined by local community health assessments.
Date: 09/2018
Sponsoring organization: Rural Health Value
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2017 QIO Program Progress Report: Putting Patients at the Core
Describes the impact of Medicare's Quality Improvement Organization (QIO) Program throughout the U.S. in 2017. Highlights a number of successful projects in rural areas focused on diabetes management, care coordination, hypertension management, and more.
Date: 09/2018
Sponsoring organization: Quality Improvement Organizations
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Describes the impact of Medicare's Quality Improvement Organization (QIO) Program throughout the U.S. in 2017. Highlights a number of successful projects in rural areas focused on diabetes management, care coordination, hypertension management, and more.
Date: 09/2018
Sponsoring organization: Quality Improvement Organizations
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Tallahatchie General Hospital: 5-Star HCAHPs Facility
Describes Tallahatchie General Hospital's (TGH) progress as part of the Small Rural Hospital Transition (SRHT) Project focused on care transitions and healthcare quality. TGH is a Critical Access Hospital located in Charleston, Mississippi that also operates three Rural Health Clinics. TGH engaged all department heads in quality efforts and focused on communication, population health, and staff engagement.
Date: 08/2018
Sponsoring organization: National Rural Health Resource Center
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Describes Tallahatchie General Hospital's (TGH) progress as part of the Small Rural Hospital Transition (SRHT) Project focused on care transitions and healthcare quality. TGH is a Critical Access Hospital located in Charleston, Mississippi that also operates three Rural Health Clinics. TGH engaged all department heads in quality efforts and focused on communication, population health, and staff engagement.
Date: 08/2018
Sponsoring organization: National Rural Health Resource Center
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Advanced Primary Care: A Key Contributor to Successful ACOs
Reviews the literature on accountable care organizations (ACOs) regarding characteristics of successful ACOs and outcomes for cost, quality, and utilization, including literature on rural ACOs. Analyzes Medicare and National Committee for Quality Assurance (NCQA) data on ACO cost and quality outcomes to assess the role of advanced primary care models such as patient-centered medical homes on ACO success.
Additional links: Executive Summary, White Paper
Author(s): Yalda Jabbarpour, Megan Coffman, Andy Habib, et al.
Date: 08/2018
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Reviews the literature on accountable care organizations (ACOs) regarding characteristics of successful ACOs and outcomes for cost, quality, and utilization, including literature on rural ACOs. Analyzes Medicare and National Committee for Quality Assurance (NCQA) data on ACO cost and quality outcomes to assess the role of advanced primary care models such as patient-centered medical homes on ACO success.
Additional links: Executive Summary, White Paper
Author(s): Yalda Jabbarpour, Megan Coffman, Andy Habib, et al.
Date: 08/2018
Sponsoring organizations: Primary Care Collaborative, Robert Graham Center
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Implementing Team Huddles in Small Rural Hospitals: How Does the Kotter Model of Change Apply?
Discusses how the Kotter model of change and team huddles were implemented through the TeamSTEPPS program at 8 Critical Access Hospitals in Iowa. Describes how team huddles can promote patient safety. Examines different implementation strategies, the scope of implementation, and other factors that supported or hindered the performance of teams executing the Kotter model of change.
Author(s): Jure Baloh, Xi Zhu, Marcia M. Ward
Citation: Journal of Nursing Management, 26(5), 571-578
Date: 07/2018
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Discusses how the Kotter model of change and team huddles were implemented through the TeamSTEPPS program at 8 Critical Access Hospitals in Iowa. Describes how team huddles can promote patient safety. Examines different implementation strategies, the scope of implementation, and other factors that supported or hindered the performance of teams executing the Kotter model of change.
Author(s): Jure Baloh, Xi Zhu, Marcia M. Ward
Citation: Journal of Nursing Management, 26(5), 571-578
Date: 07/2018
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Exploring Bright Spots in Appalachian Health: Case Studies
In-depth studies of 10 Appalachian counties with health outcomes that are better than expected, given their characteristics and resources. Identifies actions these areas are taking to improve health and well-being. Features statistics including demographics and health-related data, and maps showing economic status of Appalachian counties. Third in a series of reports exploring health issues in Appalachia.
Author(s): Nancy M. Lane, G. Mark Holmes, Thomas A. Arcury, et al.
Date: 07/2018
Sponsoring organizations: Appalachian Regional Commission, Burness, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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In-depth studies of 10 Appalachian counties with health outcomes that are better than expected, given their characteristics and resources. Identifies actions these areas are taking to improve health and well-being. Features statistics including demographics and health-related data, and maps showing economic status of Appalachian counties. Third in a series of reports exploring health issues in Appalachia.
Author(s): Nancy M. Lane, G. Mark Holmes, Thomas A. Arcury, et al.
Date: 07/2018
Sponsoring organizations: Appalachian Regional Commission, Burness, PDA, Inc., The Cecil G. Sheps Center for Health Services Research
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Rural Health Clinic Participation in the Merit-Based Incentive System and Other Quality Reporting Initiatives: Challenges and Opportunities
Reports on past and current RHC quality reporting initiatives in relation to the Merit-Based Incentive Payment System (MIPS). Explores options for RHCs to voluntarily participate in MIPS and covers challenges for RHCs participating in quality reporting.
Author(s): John A. Gale, Zachariah Croll, Andrew F. Coburn
Date: 07/2018
Sponsoring organization: Maine Rural Health Research Center
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Reports on past and current RHC quality reporting initiatives in relation to the Merit-Based Incentive Payment System (MIPS). Explores options for RHCs to voluntarily participate in MIPS and covers challenges for RHCs participating in quality reporting.
Author(s): John A. Gale, Zachariah Croll, Andrew F. Coburn
Date: 07/2018
Sponsoring organization: Maine Rural Health Research Center
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Quality Peer Group Indicators for Critical Access Hospitals
Describes the results of a study to identify Critical Access Hospital (CAH) peer groups for the purposes of analyzing quality performance indicators.
Author(s): Michelle Casey, Ira Moscovice, Peiyin Hung
Date: 07/2018
Sponsoring organization: Flex Monitoring Team
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Describes the results of a study to identify Critical Access Hospital (CAH) peer groups for the purposes of analyzing quality performance indicators.
Author(s): Michelle Casey, Ira Moscovice, Peiyin Hung
Date: 07/2018
Sponsoring organization: Flex Monitoring Team
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Medicaid Expansion and Community Health Centers: Care Quality and Service Use Increased for Rural Patients
Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA).
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
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Reports on a study to assess the impact of Medicaid expansion on quality of care and insurance coverage in rural and urban community health centers (CHCs), and to examine the impact of expansion on the volume of healthcare services provided by CHCs. Uses data from the 2011-15 or 2012-15 Uniform Data System collected by the Bureau of Primary Health Care of the Health Resources and Services Administration (HRSA).
Author(s): Megan B. Cole, Brad Wright, Ira B. Wilson, Omar Galárraga, Amal N. Trivedi
Citation: Health Affairs, 37(6), 900-907
Date: 06/2018
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Changes in Influenza Vaccination Requirements for Health Care Personnel in US Hospitals
Results of a study comparing proportions of 1,062 hospitals that did or did not require personnel to be vaccinated for influenza between 2013-2017. Features statistics with breakdowns by urban or rural location and Veterans Affairs (VA) or non-VA hospital type.
Author(s): M. Todd Greene, Karen E. Fowler, David Ratz, et al.
Citation: JAMA Network Open 1(2)
Date: 06/2018
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Results of a study comparing proportions of 1,062 hospitals that did or did not require personnel to be vaccinated for influenza between 2013-2017. Features statistics with breakdowns by urban or rural location and Veterans Affairs (VA) or non-VA hospital type.
Author(s): M. Todd Greene, Karen E. Fowler, David Ratz, et al.
Citation: JAMA Network Open 1(2)
Date: 06/2018
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