More than 59 million Americans—approximately 19 percent of the U.S. population—live in rural areas. Data indicate that individuals who live in rural parts of the country may be more disadvantaged overall than those in urban or suburban areas, particularly with respect to sociodemographic factors, health status and behaviors, and access to the healthcare delivery system.
Healthcare providers serving in rural areas face many challenges in reporting quality measurement data and implementing care improvement efforts to address the needs of their populations. Some rural providers may have relatively few patients or relatively few patients who have certain conditions or receive certain types of services. This low case-volume challenge can affect the reliability, validity, and utility of performance metrics that might otherwise be available to rural providers for measuring care quality. Moreover, due to factors such as geographic isolation or small practice size, rural providers may have limited time, staff, and infrastructure for internal quality improvement efforts and effective participation in quality reporting and value-based purchasing programs.
NQF will continue its efforts to improve the health and healthcare of those who live in rural areas of the U.S. by once again convening the MAP Rural Health Workgroup.
About the Project
In this project, the MAP Rural Health Workgroup, with oversight from the MAP Coordinating Committee, will continue to provide recommendations on issues related to healthcare performance measurement challenges for the rural population. Key activities under this project will include:
- Participation by the MAP Rural Health Workgroup in the CMS pre-rulemaking process by providing feedback on clinician specific measures included on the 2018 Measures Under Consideration (MUC) list;
- Presentation of the Rural Health Workgroup’s most recent recommendations to the MAP Hospital, Clinician, and PAC/LTC Workgroups; and
- Formation of a three-member Technical Expert Panel (TEP) to provide feedback and recommendations to address the low case-volume challenge faced by many rural providers.
NQF will reconvene the MAP Rural Health Workgroup to participate in the 2018-2019 pre-rulemaking process for the clinician setting and convene a Technical Expert Panel (TEP) to develop recommendations for addressing the low case-volume challenge.
This project is funded under NQF’s contract with the Department of Health and Human Services.
For more information, contact the project team via email at firstname.lastname@example.org.