Rural Health
Resources by Topic: Healthcare quality
Critical Access Hospital Telehealth Guide
Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, enhance care coordination, and address health inequity. Focuses on Medicare outpatient telehealth services, but also includes information on Medicaid coverage and remote services that may not strictly be considered telehealth.
Date: 02/2024
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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Provides practical guidance on implementing and sustaining telehealth in Critical Access Hospitals, to optimize healthcare delivery, expand access, enhance care coordination, and address health inequity. Focuses on Medicare outpatient telehealth services, but also includes information on Medicaid coverage and remote services that may not strictly be considered telehealth.
Date: 02/2024
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Northwest Regional Telehealth Resource Center
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Current Medicare Beneficiary Quality Improvement Project (MBQIP) Measures
Chart outlining the required and optional MBQIP measures. Measures are broken down into two categories, core and additional, and then into five domains: global measures, patient safety, patient engagement, care coordination, and emergency department. MBQIP is a Medicare Rural Hospital Flexibility (Flex) quality improvement grant program for Critical Access Hospitals.
Date: 02/2024
Type: Document
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Chart outlining the required and optional MBQIP measures. Measures are broken down into two categories, core and additional, and then into five domains: global measures, patient safety, patient engagement, care coordination, and emergency department. MBQIP is a Medicare Rural Hospital Flexibility (Flex) quality improvement grant program for Critical Access Hospitals.
Date: 02/2024
Type: Document
Sponsoring organization: Rural Quality Improvement Technical Assistance (RQITA) Resource Center
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Value-Based Care Assessment Tool
Online tool that assesses 80 different value-based care capacities in eight categories and creates a value-based care readiness report that can be used to support strategic planning. Tool is designed to be used by your healthcare organization's senior leadership team.
Date: 02/2024
Type: Tool
Sponsoring organization: Rural Health Value
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Online tool that assesses 80 different value-based care capacities in eight categories and creates a value-based care readiness report that can be used to support strategic planning. Tool is designed to be used by your healthcare organization's senior leadership team.
Date: 02/2024
Type: Tool
Sponsoring organization: Rural Health Value
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Mapping AHRQ's 30-Year Investment in Primary Care Research (1990-2020)
Reports on Agency for Healthcare Research and Quality (AHRQ) primary care research and its impacts on care delivery from 1990 to 2020. Discusses healthcare quality, equity, care models, person-centered care, workforce, technology, and more. Highlights rural-focused programs and research.
Author(s): M. Rockwell, J. Holtrop, A. Eden, et al.
Date: 01/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Reports on Agency for Healthcare Research and Quality (AHRQ) primary care research and its impacts on care delivery from 1990 to 2020. Discusses healthcare quality, equity, care models, person-centered care, workforce, technology, and more. Highlights rural-focused programs and research.
Author(s): M. Rockwell, J. Holtrop, A. Eden, et al.
Date: 01/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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2023 Uniform Data Set (UDS) Measure Crosswalk to Other Quality Reporting Programs
Chart listing National Quality Forum measures and the related 2023 measures for the Uniform Data Set (UDS), CMS eCQM (electronic clinical quality measures), National Quality Forum (NQF), CMS Quality Payment Program (QPP), Medicare Shared Savings Program (MSSP), Healthcare Effectiveness Data and Information Set (HEDIS), CMS Universal Foundation, and Child and Adult Health Care Quality Measures (Medicaid Core Sets). Can be used to identify which UDS measures are being used by other programs.
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Value
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Chart listing National Quality Forum measures and the related 2023 measures for the Uniform Data Set (UDS), CMS eCQM (electronic clinical quality measures), National Quality Forum (NQF), CMS Quality Payment Program (QPP), Medicare Shared Savings Program (MSSP), Healthcare Effectiveness Data and Information Set (HEDIS), CMS Universal Foundation, and Child and Adult Health Care Quality Measures (Medicaid Core Sets). Can be used to identify which UDS measures are being used by other programs.
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Value
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The State of Rural Healthcare: Research Report and Outlook for 2024
Presents results of a survey of 106 rural healthcare organizations across 25 states regarding their financial health and strategic priorities. Identifies the top challenges identified by the surveyed organizations. Discusses how providers are addressing three strategic priorities in 2024, including people management, revenue capture, and digital capabilities.
Date: 01/2024
Type: Document
Sponsoring organization: Wipfli, LLP
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Presents results of a survey of 106 rural healthcare organizations across 25 states regarding their financial health and strategic priorities. Identifies the top challenges identified by the surveyed organizations. Discusses how providers are addressing three strategic priorities in 2024, including people management, revenue capture, and digital capabilities.
Date: 01/2024
Type: Document
Sponsoring organization: Wipfli, LLP
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Value-Based Care and North Dakota
Slides presented to the North Dakota legislature on January 30, 2024, providing an overview of an initiative assisting rural North Dakota Critical Access Hospitals (CAHs) in preparing for value-based care and payment. Discusses principles of the transition from volume-based to value-based payment. Outlines the technical assistance the initiative provides to five core CAHs in the state and a summary of a high-level financial analysis.
Author(s): Clint MacKinney
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Value
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Slides presented to the North Dakota legislature on January 30, 2024, providing an overview of an initiative assisting rural North Dakota Critical Access Hospitals (CAHs) in preparing for value-based care and payment. Discusses principles of the transition from volume-based to value-based payment. Outlines the technical assistance the initiative provides to five core CAHs in the state and a summary of a high-level financial analysis.
Author(s): Clint MacKinney
Date: 01/2024
Type: Document
Sponsoring organization: Rural Health Value
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CAH Staff Perspectives on use of EHRs for Quality Measure Activities
Summarizes interviews with eight Critical Access Hospitals (CAHs) regarding electronic health record (EHR) use for quality measurement and improvement activities. Describes strengths and challenges for CAHs using EHRs for quality-related activities. Discusses the CAHs' readiness for, and concerns about, new health equity and social drivers of health quality measures.
Author(s): Madeleine Pick, Megan Lahr, Abigail Wenninger, Dori Cross, Ben C.D. Weideman
Date: 01/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Summarizes interviews with eight Critical Access Hospitals (CAHs) regarding electronic health record (EHR) use for quality measurement and improvement activities. Describes strengths and challenges for CAHs using EHRs for quality-related activities. Discusses the CAHs' readiness for, and concerns about, new health equity and social drivers of health quality measures.
Author(s): Madeleine Pick, Megan Lahr, Abigail Wenninger, Dori Cross, Ben C.D. Weideman
Date: 01/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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EHR Capabilities and Interoperability in Critical Access Hospitals
Explores the electronic health record (EHR) and interoperable health information exchange capabilities among Critical Access Hospitals (CAHs) in 2019. Analyzes 2019 American Hospital Association Information Technology Supplement (AHAIT) survey data, which includes data from nearly 700 CAHs. Compares EHR capabilities and the use of electronic methods for four interoperability domains by CAH status and system affiliation. Discusses how to support CAHs in advancing information sharing and using comprehensive EHRs.
Author(s): Madeleine Pick, Alyssa Furukawa, Megan Lahr, Dori Cross
Date: 01/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Explores the electronic health record (EHR) and interoperable health information exchange capabilities among Critical Access Hospitals (CAHs) in 2019. Analyzes 2019 American Hospital Association Information Technology Supplement (AHAIT) survey data, which includes data from nearly 700 CAHs. Compares EHR capabilities and the use of electronic methods for four interoperability domains by CAH status and system affiliation. Discusses how to support CAHs in advancing information sharing and using comprehensive EHRs.
Author(s): Madeleine Pick, Alyssa Furukawa, Megan Lahr, Dori Cross
Date: 01/2024
Type: Document
Sponsoring organization: Flex Monitoring Team
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Evaluation of the Next Generation Accountable Care Organization (NGACO) Model: Final Report
Sixth and final evaluation report on the Next Generation Accountable Care Organization (NGACO) Model. Summarizes findings from across all six performance years (2016-2021) and explores how participating entities responded to the model and how they did or did not achieve model goals. Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care; variations in model outcomes by organization characteristics; spending patterns of beneficiaries served by NGACOs; population health strategies and pathways to reduced spending; lessons learned; and more. The appendices include data on community and beneficiary characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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Sixth and final evaluation report on the Next Generation Accountable Care Organization (NGACO) Model. Summarizes findings from across all six performance years (2016-2021) and explores how participating entities responded to the model and how they did or did not achieve model goals. Presents information on cumulative model-wide impacts on Medicare spending, utilization, and quality of care; variations in model outcomes by organization characteristics; spending patterns of beneficiaries served by NGACOs; population health strategies and pathways to reduced spending; lessons learned; and more. The appendices include data on community and beneficiary characteristics, including rurality.
Additional links: Findings at a Glance, Technical Appendices
Date: 01/2024
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, NORC at the University of Chicago
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