Rural Health
Resources by Topic: Healthcare quality
Magnolia Regional Medical Center Excels as a Hospital in Transition
Documents Magnolia Regional Medical Center's (MRMC) top accomplishments after participating in the Small Rural Hospital Transition (SRHT) project and completing a financial operational assessment (FOA). Major areas of improvement include net income, net patient revenue, days cash on hand, swing bed utilization, and overall quality ratings.
Date: 07/2017
Sponsoring organization: National Rural Health Resource Center
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Documents Magnolia Regional Medical Center's (MRMC) top accomplishments after participating in the Small Rural Hospital Transition (SRHT) project and completing a financial operational assessment (FOA). Major areas of improvement include net income, net patient revenue, days cash on hand, swing bed utilization, and overall quality ratings.
Date: 07/2017
Sponsoring organization: National Rural Health Resource Center
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How Western Kentucky Leveraged Medicaid Expansion to Increase Access to Health Care
Describes improvements in healthcare access and quality in Paducah and nearby counties from 2011-2014, when almost 500,000 people were added to the Medicaid rolls. Includes demographic statistics, difference in health system rank from 2012 to 2016, and map showing locations of 9 clinics that have opened or expanded during that time.
Author(s): Sarah Klein, Martha Hostetter, Douglas McCarthy
Date: 07/2017
Sponsoring organization: Commonwealth Fund
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Describes improvements in healthcare access and quality in Paducah and nearby counties from 2011-2014, when almost 500,000 people were added to the Medicaid rolls. Includes demographic statistics, difference in health system rank from 2012 to 2016, and map showing locations of 9 clinics that have opened or expanded during that time.
Author(s): Sarah Klein, Martha Hostetter, Douglas McCarthy
Date: 07/2017
Sponsoring organization: Commonwealth Fund
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Implementation of Antibiotic Stewardship Core Elements at Small and Critical Access Hospitals
Presents strategies for implementing antibiotic stewardship programs in Critical Access Hospitals (CAHs). Includes examples of improved antibiotic-use strategies and guidelines for the prescribing physician, nurses, and pharmacists.
Date: 07/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Presents strategies for implementing antibiotic stewardship programs in Critical Access Hospitals (CAHs). Includes examples of improved antibiotic-use strategies and guidelines for the prescribing physician, nurses, and pharmacists.
Date: 07/2017
Sponsoring organization: Centers for Disease Control and Prevention
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Changes in Hospital Quality Associated with Hospital Value-Based Purchasing
Examines whether quality improved more in acute care hospitals exposed to Medicare's Hospital Value-Based Purchasing (HVBP) program. Uses Critical Access Hospitals as a comparison for clinical process, patient experience, and mortality measures.
Author(s): Andrew M. Ryan, Sam Krinsky, Kristen A. Maurer, Justin B. Dimick
Citation: New England Journal of Medicine, 376(24), 2358-2366
Date: 06/2017
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Examines whether quality improved more in acute care hospitals exposed to Medicare's Hospital Value-Based Purchasing (HVBP) program. Uses Critical Access Hospitals as a comparison for clinical process, patient experience, and mortality measures.
Author(s): Andrew M. Ryan, Sam Krinsky, Kristen A. Maurer, Justin B. Dimick
Citation: New England Journal of Medicine, 376(24), 2358-2366
Date: 06/2017
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Potentially Preventable Medication-Related Hospitalizations: A Clinical Pharmacist Approach to Assessment, Categorization, and Quality Improvement
Examines pharmacist-led quality improvement practices, implemented across rural and urban counties in Hawaii, to identify and categorize potentially preventable medication-related hospital admissions. Describes how data collected during the investigation is used to improve pharmacist interventions focused on reducing medication-related readmissions.
Author(s): Karen L. Pellegrin, Elizabeth Lee, Reece Uyeno, Chris Ayson, Roy Goo
Citation: Journal of the American Pharmacies Association, 57(6), 711-716
Date: 06/2017
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Examines pharmacist-led quality improvement practices, implemented across rural and urban counties in Hawaii, to identify and categorize potentially preventable medication-related hospital admissions. Describes how data collected during the investigation is used to improve pharmacist interventions focused on reducing medication-related readmissions.
Author(s): Karen L. Pellegrin, Elizabeth Lee, Reece Uyeno, Chris Ayson, Roy Goo
Citation: Journal of the American Pharmacies Association, 57(6), 711-716
Date: 06/2017
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Medical Center Barbour Reduces Readmission Rates
Highlights the accomplishments of Medical Center Barbour (MCB), a prospective payment system (PPS) hospital located in Eufaula, Alabama, as it progressed through a Small Rural Hospital Transition (SRHT) quality of care and transition of care project. MCB's top accomplishments include reducing readmissions, improving communication among staff and patients, and enhancing the discharge process.
Additional links: One-Page Summary
Date: 06/2017
Sponsoring organization: National Rural Health Resource Center
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Highlights the accomplishments of Medical Center Barbour (MCB), a prospective payment system (PPS) hospital located in Eufaula, Alabama, as it progressed through a Small Rural Hospital Transition (SRHT) quality of care and transition of care project. MCB's top accomplishments include reducing readmissions, improving communication among staff and patients, and enhancing the discharge process.
Additional links: One-Page Summary
Date: 06/2017
Sponsoring organization: National Rural Health Resource Center
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Advancing Care Coordination and Interoperability for Underserved Communities through Health IT Training
Provides an overview of the Office of the National Coordinator for Health Information Technology's (ONC) workforce initiative, which is designed to help build a skilled health information technology (HIT) workforce. Two program recipients - the University of Texas Health Science Center at Houston (UTH) and Columbia University - are focusing their efforts on improving care coordination and interoperability by training professionals who work with underserved patients in rural or urban settings.
Date: 06/2017
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Provides an overview of the Office of the National Coordinator for Health Information Technology's (ONC) workforce initiative, which is designed to help build a skilled health information technology (HIT) workforce. Two program recipients - the University of Texas Health Science Center at Houston (UTH) and Columbia University - are focusing their efforts on improving care coordination and interoperability by training professionals who work with underserved patients in rural or urban settings.
Date: 06/2017
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Rural Wisconsin Health 2017
Reports on Wisconsin rural health outcomes and factors, including health behaviors, clinical care, and social and economic factors. Covers information on the built and physical environment. Provides rural, urban, and statewide data.
Date: 06/2017
Sponsoring organization: Wisconsin Office of Rural Health
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Reports on Wisconsin rural health outcomes and factors, including health behaviors, clinical care, and social and economic factors. Covers information on the built and physical environment. Provides rural, urban, and statewide data.
Date: 06/2017
Sponsoring organization: Wisconsin Office of Rural Health
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Hospital Value-Based Purchasing: CMS Should Take Steps to Ensure Lower Quality Hospitals Do Not Qualify for Bonuses
Examines the scoring methodology used by the Hospital Value-Based Purchasing (HVBP) program, which measures quality and efficiency within multiple hospital types including small, rural, and safety-net hospitals. Addresses differences in how safety net, small rural, and small urban hospitals performed, how payment adjustments changed for them over time, and the impact of an efficiency score on payment adjustments. Supports revising the methodology to apply the standards more evenly.
Additional links: Full Report
Date: 06/2017
Sponsoring organization: Government Accountability Office
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Examines the scoring methodology used by the Hospital Value-Based Purchasing (HVBP) program, which measures quality and efficiency within multiple hospital types including small, rural, and safety-net hospitals. Addresses differences in how safety net, small rural, and small urban hospitals performed, how payment adjustments changed for them over time, and the impact of an efficiency score on payment adjustments. Supports revising the methodology to apply the standards more evenly.
Additional links: Full Report
Date: 06/2017
Sponsoring organization: Government Accountability Office
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CMS Hospital Quality Star Rating: For 762 Rural Hospitals, No Stars Is the Problem
Examines the characteristics of rural hospitals with and without quality star ratings, and explains how the current methodology disproportionately affects rural hospitals. Makes recommendations for improving the utility of the Hospital Quality Star Rating system, especially for the purpose of comparing quality among rural hospitals or between rural and urban hospitals.
Author(s): Kristie W. Thompson, Randy K. Randolph, Kristin L. Reiter, George H. Pink, G. Mark Holmes
Date: 06/2017
Sponsoring organization: North Carolina Rural Health Research Program
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Examines the characteristics of rural hospitals with and without quality star ratings, and explains how the current methodology disproportionately affects rural hospitals. Makes recommendations for improving the utility of the Hospital Quality Star Rating system, especially for the purpose of comparing quality among rural hospitals or between rural and urban hospitals.
Author(s): Kristie W. Thompson, Randy K. Randolph, Kristin L. Reiter, George H. Pink, G. Mark Holmes
Date: 06/2017
Sponsoring organization: North Carolina Rural Health Research Program
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