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Rural Healthcare Quality – Resources

Selected recent or important resources focusing on Rural Healthcare Quality.

2021 CMS Hospital Quality Star Ratings of Rural Hospitals
Results of a study comparing the 2021 Centers for Medicare & Medicaid Services (CMS) Hospital Quality Star Rating results for rural and urban hospitals, comparing the 2021 and 2016 results for rural hospitals, and identifying implications for the usefulness of these ratings for rural hospitals. Features statistics including percentages of hospitals by Star Ratings with breakdowns by urban or rural location, and numbers of unrated rural hospitals by Medicare payment classification, net patient revenue, and census region.
Author(s): Laura Bozovich, Randall John, Kristie Thompson, George H. Pink
Date: 10/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Measure Applications Partnership 2021-2022 Considerations for Measure Set Removal in Federal Programs: Final Report
Describes the Measure Set Review (MSR) process and the consideration of quality measures for potential removal from Medicare quality programs. Summarizes the National Quality Foundation (NQF) Coordinating Committee discussion and public input on selected hospital quality measures, including the impact of these measures on rural providers. Offers future considerations for the MSR process.
Date: 10/2021
Type: Document
Sponsoring organization: National Quality Forum
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Medicare: Provider Performance and Experiences Under the Merit-Based Incentive Payment System
Examines Centers for Medicare and Medicaid Services (CMS) data on Merit-Based Incentive Payment System (MIPS) performance category scores, final scores, and payment adjustments from performance years 2017 through 2019. Summarizes interviews with 11 stakeholder groups and identifies strengths and challenges of the MIPS program. Presents data on MIPS performance scores and related payment adjustments by practice size, geographic location, method of participation, and specialty.
Additional links: Full Report
Date: 10/2021
Type: Document
Sponsoring organization: Government Accountability Office
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Maternal Morbidity and Mortality Measurement Recommendations Report
Provides an overview of two measurement frameworks, one for maternal morbidity and one for maternal mortality. Includes a list of short- and long-term recommendations for each measurement topic, which cover equitable treatment; timely access to treatment and services; follow-up and care coordination of care; protocols and guidelines; substance use disorders, mental health, and behavioral health; access to pain management and labor support; and patient- and family-reported outcomes and experiences of care. Discusses three potential, actionable measure concepts for maternal mortality.
Date: 08/2021
Type: Document
Sponsoring organization: National Quality Forum
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Place Matters: Closing the Gap on Rural Primary Care Quality Improvement Capacity - The Healthy Hearts Northwest Study
Compares the primary care practices in rural and urban settings in Washington, Oregon, and Idaho. Looks at quality improvement capacity, performance metrics, and workforce issues, among other measures.
Author(s): Lyle J. Fagnan, Katrina Ramsey, Caitlin Dickinson, et al.
Citation: The Journal of the American Board of Family Medicine, 34 (4), 753-761
Date: 07/2021
Type: Document
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Leveraging Quality Measurement to Improve Rural Health, Telehealth, and Healthcare System Readiness: Final Environmental Scan Report
Presents the results of an environmental scan of literature related to barriers and facilitators of rural telehealth for healthcare system readiness, as well as a scan of quality measures relevant to rural telehealth during emergencies. Summarizes policies and practices related to telehealth and the healthcare system, with a focus on federal policy changes due to the COVID-19 pandemic.
Date: 07/2021
Type: Document
Sponsoring organization: National Quality Forum
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Quality Time: Sharing PIE - Using "Small Data" to Drive Big Improvements
Podcast episode exploring how two Critical Access Hospital (CAH) leaders utilize data for quality improvement. Discusses how different kinds of data have informed quality improvement initiatives and considerations for analyzing data in low-volume contexts.
Date: 06/2021
Type: Audio
Sponsoring organization: Stratis Health
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Interpreting MBQIP Hospital Data Reports for Quality Improvement
Designed to help Critical Access Hospital (CAH) staff use Medicare Beneficiary Quality Improvement Project (MBQIP) Hospital Data Reports to support quality improvement efforts and improve patient care in their facility. Includes examples of how to interpret MBQIP reports, links to additional resources, and a glossary of keywords.
Date: 03/2021
Type: Document
Sponsoring organization: Stratis Health
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MBQIP Fundamentals Guide for State Flex Programs
Provides information about the history and status of the Medicare Beneficiary Quality Improvement Project (MBQIP). Developed for the benefit of Flex Program personnel and subcontractors and includes resources to support their work, including data report release timelines, MBQIP acronyms, and MBQIP measure change summaries.
Date: 02/2021
Type: Document
Sponsoring organization: Stratis Health
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Serving High Need/High Cost Patients in the Emergency Department
Provides an overview of high-need/high-cost (HNHC) patient program design, implementation, operation, and assessment for rural hospitals to improve participant health, reduce emergency department (ED) visits, and decrease hospital charges. Includes links to additional resources and HNHC patient program case studies.
Author(s): A. Clinton MacKinney, Christopher Stamy
Date: 01/2021
Type: Document
Sponsoring organization: Rural Health Value
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Last Updated: 6/27/2024