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Rural Health
Resources by Topic: Healthcare quality

Implementing Patient Safety Initiatives in Rural Hospitals: An Evaluation of the Tennessee Rural Hospital Patient Safety Demonstration
Executive summary of a report describing a project to improve patient safety in eight rural hospitals by strengthening their capacity to implement priority patient safety initiatives.
Author(s): Jill Klingner, Ira Moscovice, Mary Wakefield, Marlene Miller
Date: 08/2007
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Ambulatory Care Sensitive Condition Hospitalizations Among Rural Children
Reports results from a study examining children's inpatient hospitalizations for Ambulatory Care Sensitive Conditions (ACSCs), rural residence, poverty, health insurance, and physician supply. Admission rates for five conditions were examined: asthma, diabetes short-term complications, gastroenteritis, urinary tract infection, and perforated appendix.
Author(s): Michelle Casey, Alana Knudson, Michele Burlew, Gestur Davidson
Date: 06/2007
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Myocardial Infarction Mortality in Rural and Urban Hospitals: Rethinking Measures of Quality of Care
Compares outcomes for patients treated at rural and urban Iowa hospitals after experiencing a heart attack, using an alternate approach to measuring quality of care.
Author(s): Paul A. James, Pengxiang Li, Marcia M. Ward
Citation: Annals of Family Medicine, 5(2), 105-111
Date: 04/2007
Type: Document
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Critical Access Hospital Year 2 Hospital Compare Participation and Quality Measure Results
Examines the second year 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.
Additional links: Policy Brief, May 2007
Author(s): Michelle Casey, Michele Burlew, Ira Moscovice
Date: 04/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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Rural Hospital Emergency Department Quality Measures: Aggregate Data Report
Reports findings from a project that tested emergency department quality measures in a voluntary sample of Critical Access Hospitals (CAHs) in Washington State.
Author(s): Jill Klingner, Ira Moscovice
Date: 03/2007
Type: Document
Sponsoring organization: Flex Monitoring Team
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Hospital Size, Uncertainty and Pay-for-Performance
Describes the Hospital Quality Incentive Demonstration (HQID). Describes methods to factor hospital size into appropriately ranking pay-for-performance results. Discusses policy implications of including small, rural hospitals in pay-for-performance programs that use ranking to identify quality.
Additional links: Policy Brief: Does Hospital Size Affect Our Ability to Accurately Identify High Quality Care in Pay-for-Performance Programs?, May 2007
Author(s): Gestur Davidson, Ira Moscovice, Denise Remus
Date: 02/2007
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Quality Through Collaboration: The Future of Rural & Frontier Emergency Medical Services in the U.S. Health System
Compares the findings of the Institute of Medicine's Future of Emergency Care reports with previous work on rural health and with the Rural and Frontier EMS Agenda for the Future and HRSA Model Trauma System Planning and Evaluation document. Identifies similarities and overlaps of the recommendations and approaches.
Date: 2007
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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Rural and Frontier EMS Agenda for the Future: A Service Chief's Guide to Creating Community Support of Excellence in EMS
Identifies ideas that can be applied in rural and frontier EMS agencies to support rural EMS services. A companion document to the 2004 report, the Rural and Frontier EMS Agenda for the Future.
Date: 2007
Type: Document
Sponsoring organization: Federal Office of Rural Health Policy
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The Implementation of Pay-For-Performance in Rural Hospitals: Lessons from the Hospital Quality Incentive Demonstration Project
Reports the findings of a national study designed to identify institutional, organizational, and environmental factors that influence the experience of rural hospitals in the Hospital Quality Incentive Demonstration Project.
Author(s): Walter Gregg, Ira Moscovice, Denise Remus
Date: 09/2006
Type: Document
Sponsoring organization: Upper Midwest Rural Health Research Center
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Quality and Performance Improvement Grant Activities Under the Flex Program
Describes quality and performance improvement activities proposed by states during the 2005 grant year under the Medicare Rural Health Flexibility Program (Flex Program).
Date: 08/2006
Type: Document
Sponsoring organization: Flex Monitoring Team
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