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Project Information
FY 2007-2008:
- The Nursing Workforce Impact on Rural Hospital Performance Improvement in the Hospital Quality Incentive Demonstration Project -- The purpose of this project is to examine the impact of nurse staffing on hospital performance improvement in the CMS/Premier Inc. Hospital Quality Incentive Demonstration project with specific interest in whether and how this relationship differs in rural hospitals as compared to urban hospitals.
For more information, contact: Ira Moscovice at (612) 624-8618 or mosco001@umn.edu or Gestur Davidson at (612) 623-8322 or david064@tc.umn.edu.
- The Impact of Expansion of Ambulatory Surgery Centers on Rural Hospitals and Communities -- The purpose of this project is to examine the extent of freestanding ambulatory surgery center (ASC) expansion into rural communities between 1998 and 2005, the market factors driving that expansion, and the impact of ASCs on the operational and financial viability of rural hospitals located in the same communities.
For more information, contact: Walt Gregg at (612) 623-8320 or gregg006@umn.edu.
- Patient Assessments and Quality of Care in Rural Hospitals -- The purpose of this project is to: 1) analyze the relationships between rural patients’ perspectives of hospital quality of care and key hospital characteristics that may influence patients’ experiences of hospital care; and 2) assess whether rural patients’ perspectives of hospital quality of care are related to quality measures focused on the provision of recommended care for medical conditions.
For more information, contact: Michelle Casey at (612) 623-8316 or mcasey@umn.edu
FY 2006-2007:
- Beyond Simple Ranking: Identifying and Empirically Testing Alternative Approaches for Recognizing Quality in Rural Hospitals -- The purpose of this project is to explore several alternative methods for assessing the relative quality of hospitals using data from the Hospital Quality Incentive Demonstration Project and Hospital Compare.
For more information related to this project, contact Gestur Davidson at (612) 623-8322.
- Developing Quality Measures and Communication Strategies for Rural Patient Transfers -- The purpose of this project is to quantify the complexity of the coordination of patient care in rural health care systems and to expand our work on developing quality measures for rural patients whose care is transferred between providers.
For more information related to this project, contact Ira Moscovice at (612) 624-8618.
- Implementation of Telepharmacy in Rural Hospitals: Potential for Improving Medication Safety -- The purpose of this project is to describe successful telepharmacy activities and to analyze policy issues related to the implementation of telepharmacy projects in rural hospitals. These policy issues include the potential impact of telepharmacy use on the quality of pharmaceutical services and medication safety for rural patients.
For more information related to this project, contact Michelle Casey at (612) 623-8316.
FY 2005-2006:
- Rural Emergency Department Staffing: Implications for the Quality of Emergency Care Provided in Rural Areas -- The purpose of this project is: 1) to describe how rural hospitals are staffing their emergency departments (EDs); 2) to determine how the certification, training, and experience of ED physicians and other providers in different ED staffing models vary; and 3) to assess the implications of rural ED staffing for the quality of emergency care in rural areas, continuity of care, and rural EDs’ role as safety net providers.
Contact Michelle Casey at (612) 623-8316 for more information.
- Hospitalizations of Rural Children for
Ambulatory-Sensitive Conditions -- The purpose of this project is: 1) to describe the conditions for which rural children are hospitalized, including ambulatory care sensitive conditions, and the procedures they undergo; 2) to describe the characteristics of hospitals where rural children are admitted for inpatient care; and 3) to determine what patient-level factors and characteristics of the local health care system are related to ACSC admissions for rural children.
Contact Alana Knudson at (701) 777-4205 for more information.
- The Role of Rural Hospitals in Community-Centered Systems of Care: Supporting Population Health Improvement for Rural Communities -- The purpose of this project is: 1) to determine which community-centered, population-based services are being offered by rural hospitals; 2) to determine what characteristics of rural hospitals and service area populations are associated with greater participation in community-centered, population-based service activities; and 3) to assess the implications of rural hospital participation in population-based services for achieving the Institute of Medicine rural quality goals.
Contact Walt Gregg at (612) 623-8320 for more information.
FY 2004-2005:
- Successful Implementation of Medication Safety Initiatives in Rural Hospitals: The Role of Pharmacists and Technology -- The purpose of this project is to assess the capacity of rural hospitals to implement medication safety practices that reduce the likelihood of serious adverse drug events, and to identify factors that facilitate successful implementation of medication safety practices in rural hospitals.
For more information, contact Michelle Casey at (612) 623-8316.
- Pay for Performance and Quality Improvement in Rural Hospitals -- The purpose of this project is to 1) estimate the impact on rural hospitals of a pay-for-performance (PFP) program similar to the Centers for Medicare and Medicaid Services (CMS)-sponsored Premier, Inc. Hospital Quality Incentive Demonstration; 2) complete a synthesis of the major factors that will influence the inclusion of rural hospitals in PFP programs; and 3) make recommendations for the design of PFP programs that will appropriately reward rural hospitals for improving quality.
For more information related to this project, contact Ira Moscovice at (612) 624-8618.
- The Impact of Health Insurance Coverage on Native Elder Health: Implications for Addressing the Health Care Needs for Rural Native Elders -- The purpose of this project is to 1) determine what types of health insurance coverage rural Native American elders, ages 55 and older, have and 2) examine how different types of health insurance coverage and lack of health insurance coverage impact access to health care services among Native American elders by geographic location (frontier, rural, and urban).
For more information related to this project, contact Alana Knudson at (701) 777-4205, or Jacque Gray at (701) 777-0582.
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