Rural Health
Resources by Topic: Healthcare quality
Will Bundling Work in Rural America? Analysis of the Feasibility and Consequences of Bundled Payments for Rural Health Providers and Patients
Assesses how bundled payments may affect both healthcare quality and access among rural providers, and explains the financial and operational challenges associated with implementing bundled payments in low-volume providers such as Critical Access Hospitals (CAHs).
Author(s): Robert Town, Walter Gregg, Ira Moscovice, Shailendra Prasad, Jill Klingner
Date: 09/2011
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Assesses how bundled payments may affect both healthcare quality and access among rural providers, and explains the financial and operational challenges associated with implementing bundled payments in low-volume providers such as Critical Access Hospitals (CAHs).
Author(s): Robert Town, Walter Gregg, Ira Moscovice, Shailendra Prasad, Jill Klingner
Date: 09/2011
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Handling the Handoff: Rural and Race-Based Disparities in Post Hospitalization Follow-up Care Among Medicare Beneficiaries with Diabetes
Estimates hospital admission rates for rural Medicare beneficiaries with diabetes, tracks the proportion of patients who receive adequate outpatient care post discharge, and assesses hospital readmissions. Explores the potential for race-based disparities in care for diabetes.
Additional links: Fact Sheet
Author(s): Kevin J. Bennett, Robert Chen, Medha Vyavaharkar, Saundra H. Glover, Janice C. Probst
Date: 09/2011
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Estimates hospital admission rates for rural Medicare beneficiaries with diabetes, tracks the proportion of patients who receive adequate outpatient care post discharge, and assesses hospital readmissions. Explores the potential for race-based disparities in care for diabetes.
Additional links: Fact Sheet
Author(s): Kevin J. Bennett, Robert Chen, Medha Vyavaharkar, Saundra H. Glover, Janice C. Probst
Date: 09/2011
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Quality of Care and Patient Outcomes in Critical Access Hospitals
Compares quality of care and patient outcomes for Critical Access Hospitals (CAHs) and non-CAHs using national data from 2008 and 2009.
Author(s): Karen E. Joynt, Yael Harris, E. John Orav, Ashish K. Jha
Citation: JAMA: Journal of the American Medical Association, 306(1), 45-52
Date: 07/2011
Type: Document
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Compares quality of care and patient outcomes for Critical Access Hospitals (CAHs) and non-CAHs using national data from 2008 and 2009.
Author(s): Karen E. Joynt, Yael Harris, E. John Orav, Ashish K. Jha
Citation: JAMA: Journal of the American Medical Association, 306(1), 45-52
Date: 07/2011
Type: Document
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Pneumonia Quality Improvement Programs and Strategies in Critical Access Hospitals
Discusses several quality improvement (QI) strategies that have been shown to improve pneumonia care and may be replicable in Critical Access Hospital (CAHs). Includes a reference table to help in determining which strategies may be useful for implementation in hospitals.
Author(s): Michelle Casey, Jill Klingner, Shailendra Prasad, Walter Gregg, Ira Moscovice
Date: 06/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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Discusses several quality improvement (QI) strategies that have been shown to improve pneumonia care and may be replicable in Critical Access Hospital (CAHs). Includes a reference table to help in determining which strategies may be useful for implementation in hospitals.
Author(s): Michelle Casey, Jill Klingner, Shailendra Prasad, Walter Gregg, Ira Moscovice
Date: 06/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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Improving Hospital Patient Safety Through Teamwork: The Use of TeamSTEPPS in Critical Access Hospitals
Provides information on how state Flex programs and Critical Access Hospital (CAHs) have successfully adapted and used TeamSTEPPS to improve patient safety through team training.
Author(s): Andrew Coburn, Zach Gage-Croll
Date: 06/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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Provides information on how state Flex programs and Critical Access Hospital (CAHs) have successfully adapted and used TeamSTEPPS to improve patient safety through team training.
Author(s): Andrew Coburn, Zach Gage-Croll
Date: 06/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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Critical Access Hospital Year 6 Hospital Compare Participation and Quality Measure Results
Examines 2009 participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database for hospital quality measures.
Author(s): Michelle Casey, Michele Burlew, Ira Moscovice
Date: 04/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines 2009 participation and quality measure results for Critical Access Hospitals (CAHs) in the Centers for Medicare and Medicaid Services (CMS) Hospital Compare public reporting database for hospital quality measures.
Author(s): Michelle Casey, Michele Burlew, Ira Moscovice
Date: 04/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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Rural Challenges for HHS in Implementing the Community-Based Care Transitions Program (CCTP)
Covers rural challenges for HHS in Implementing the Community-Based Care Transitions Program (CCTP). Recommends steps to more effectively and equitably assess those proposals that might be submitted for CCTP funding from rural areas.
Date: 03/2011
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Covers rural challenges for HHS in Implementing the Community-Based Care Transitions Program (CCTP). Recommends steps to more effectively and equitably assess those proposals that might be submitted for CCTP funding from rural areas.
Date: 03/2011
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Care Transitions: "Time to Come Home"
Examines care coordination with a focus on transitions from inpatient care back to the rural community and suggests ways of measuring the quality of care coordination on discharge from the hospital.
Additional links: Policy Brief
Author(s): Shailendra Prasad, Jill M. Klingner, Ira Moscovice
Date: 03/2011
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Examines care coordination with a focus on transitions from inpatient care back to the rural community and suggests ways of measuring the quality of care coordination on discharge from the hospital.
Additional links: Policy Brief
Author(s): Shailendra Prasad, Jill M. Klingner, Ira Moscovice
Date: 03/2011
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Rural Residence Is Associated with Delayed Care Entry and Increased Mortality among Veterans with Human Immunodeficiency Virus Infection
Details a study of the rural-urban variation in mortality tied to delayed treatment of veterans with HIV. Looks at a variety of participant characteristics, such as alcohol abuse, drug use, and the co-occurrence of hepatitis C and B, as well as several other factors.
Author(s): Michael Ohl, Janet Tate, Mona Duggal, et al.
Citation: Medical Care, 48(12), 1064-1070
Date: 12/2010
Type: Document
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Details a study of the rural-urban variation in mortality tied to delayed treatment of veterans with HIV. Looks at a variety of participant characteristics, such as alcohol abuse, drug use, and the co-occurrence of hepatitis C and B, as well as several other factors.
Author(s): Michael Ohl, Janet Tate, Mona Duggal, et al.
Citation: Medical Care, 48(12), 1064-1070
Date: 12/2010
Type: Document
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Nurse Staffing and Rural Hospital Performance Improvement
Examines the impact of nurse staffing on hospital performance improvement, with a comparison of rural and urban hospitals. Analyses the relationship between registered nurse (RN) hours per patient day to quality measure scores for pneumonia, heart failure, acute myocardial infarction (AMI), and a hospital-wide composite measure.
Author(s): Gestur Davidson, Kathy Belk, Ira Moscovice
Date: 12/2010
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Examines the impact of nurse staffing on hospital performance improvement, with a comparison of rural and urban hospitals. Analyses the relationship between registered nurse (RN) hours per patient day to quality measure scores for pneumonia, heart failure, acute myocardial infarction (AMI), and a hospital-wide composite measure.
Author(s): Gestur Davidson, Kathy Belk, Ira Moscovice
Date: 12/2010
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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