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Critical Access Hospital Participation in the Hospital Quality Alliance and Initial Quality Measure Results

Funder: Office of Rural Health Policy (ORHP)
Research center: Minnesota Rural Health Research Center
Phone: 612.624.6151
Lead researcher: Ira Moscovice, PhD
Contact: Michelle Casey, MS, 612.623.8316, mcasey@umn.edu
Project completed:February 2006
Topics: Critical Access Hospitals and Rural Hospital Flexibility Program
Quality

The purpose of this project is to:

  • Estimate the proportion of Critical Access Hospitals (CAHs) that are participating partially or fully in the Hospital Quality Alliance
  • Assess the key factors related to CAH participation in the Hospital Quality Alliance
  • Determine how many CAHs have sufficient sample sizes to calculate accurate rates for specific measures
  • Compare the initial year of quality measure results for CAHs with relevant hospital subgroups.

This project will use secondary data from CMS on CAH participation in the Hospital Quality Alliance, as well as data from the AHA Annual Survey and the Area Resource File on hospital characteristics that may affect CAH participation.

Publications

  • CAH Participation in Hospital Compare and Initial Results
    Author(s): Michelle Casey, Ira Moscovice
    Report Number: Flex Monitoring Team Briefing Paper No. 9
    Date: 02 / 2006
    Examines the participation of Critical Access Hospitals (CAHs) in public reporting of quality measures in the Centers for Medicare and Medicaid Services Hospital Compare database. It presents the initial Hospital Compare results for CAHs and comparisons with other groups of hospitals on quality measures for three conditions: acute myocardial infarction (heart attack), heart failure and pneumonia. Although CAHs do not face the same financial incentives as Prospective Payment System hospitals to participate, the Hospital Compare initiative provides an important opportunity for CAHs to assess and improve their performance on national standards of care. Report produced by the Flex Monitoring Project, funded by the Office of Rural Health Policy.