Quality of Care in Rural Hospitals
Link | View Research Recap | |
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Date | 01/2019 | |
Description | This Rural Health Research Recap looks at hospital quality-of-care measures and the difficulties of developing quality measures, especially for rural hospitals with low patient volumes. | |
Topics | Critical Access Hospitals, Hospitals and clinics, Quality |
Rural Health Research Products Included in this Recap
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CMS Hospital Quality Star Rating: For 762 Rural Hospitals, No Stars Is the Problem
Policy Brief
Rapid Response to Requests for Rural Data Analysis
Date: 06/2017
The purpose of this brief is to look more closely at the characteristics of rural hospitals with and without CMS Hospital Quality Star Ratings to help inform ongoing discussions about the usefulness of the quality star rating for comparing hospital quality and possible ways to improve the star rating initiative. -
Critical Access Hospital Swing-Bed Quality Measures: Findings From Key Informant Interviews
Policy Brief
University of Minnesota Rural Health Research Center
Date: 04/2018
This study examines how Critical Access Hospitals (CAHs) are currently assessing the quality of care provided to their swing-bed patients. -
Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study
Policy Brief
University of Minnesota Rural Health Research Center
Date: 05/2017
Analyzes the prevalence of Adverse Drug Events (ADEs) in rural hospitals, including both CAHs and rural PPS hospitals, related to four categories of drugs: steroids, antibiotics, opiates / narcotics, and anticoagulants in 2013 for eight states. It also examines whether or not these hospitals' ADE rates varied based on hospital characteristics. -
Nurse Staffing Levels and Quality of Care in Rural Nursing Homes
Policy Brief
University of Minnesota Rural Health Research Center
Date: 01/2015
This study's purpose was to examine the relationship between nurse staffing levels and care quality in rural nursing homes and to assess potential differences between hospital-based and freestanding rural nursing homes. -
Rural Hospital and Physician Participation in Private Sector Quality Initiatives
Policy Brief
University of Minnesota Rural Health Research Center
Date: 10/2015
This project examined private sector quality reporting and quality improvement initiatives being implemented by dominant insurers in states with significant rural populations. The policy brief profiles 12 initiatives, half focused on physician quality improvement and half focused on hospital quality improvement. -
Rural Medicare Beneficiaries Have Fewer Follow-Up Visits and Greater Emergency Department Use Post-Discharge
Journal Article
North Carolina Rural Health Research and Policy Analysis Center
Date: 09/2015
Compares rates of post hospital discharge care among Medicare beneficiaries in rural and urban settings. Discusses the effect on policies for follow-up care and readmission penalties. -
Rural-Urban Differences in Medicare Quality Scores Persist After Adjusting for Sociodemographic and Environmental Characteristics
Journal Article
University of Minnesota Rural Health Research Center
Date: 09/2017
Patient sociodemographic characteristics, such as age, race, gender, income, and education, can affect health outcomes and healthcare providers' performance on quality measures. The discussion about how to tackle these issues around quality measurement haven't included rurality, but this study examines it. -
Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare?
Journal Article
RUPRI Center for Rural Health Policy Analysis
Date: 02/2016
Examines how Critical Access Hospitals perform compared to Prospective Payment System hospitals on measures of quality. -
Use and Performance Variations in U.S. Rural Emergency Departments: Implications for Improving Care Quality and Reducing Costs
Policy Brief
North Dakota and NORC Rural Health Reform Policy Research Center
Date: 02/2015
This brief describes the variation in emergency department use for non-emergent health conditions across rural and urban areas as well as by U.S. Census regions. Potential risk factors, including patients' socioeconomic characteristics and levels of primary care resources, are identified. Quality of care indicators are also addressed.