Rural Relevant Quality Measures for Critical Access Hospitals

Michelle M Casey, Ira S Moscovice, Jill M Klingner, Shailey Prasad

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Purpose: To identify current and future relevant quality measures for Critical Access Hospitals (CAHs). Methods: Three criteria (patient volume, internal usefulness for quality improvement, and external usefulness for public reporting and payment reform) were used to analyze quality measures for their relevance for CAHs. A 6-member panel with expertise in rural hospital quality measurement and improvement provided input regarding the final measure selection. Findings: The relevant quality measures for CAHs include measures that are ready for reporting now and measures that need specifications to be finalized and/or a data reporting mechanism to be established. They include inpatient measures for specific medical conditions, global measures that address appropriate care across multiple medical conditions, and Emergency Department measures. Conclusions: All CAHs should publicly report on relevant quality measures. Acceptance of a single consolidated set of quality measures with common specifications for CAHs by all entities involved in regulation, accreditation, and payment; a phased process to implement the relevant measures; and the provision of technical assistance would help CAHs meet the challenge of reporting.

Original languageEnglish (US)
Pages (from-to)159-171
Number of pages13
JournalJournal of Rural Health
Issue number2
StatePublished - Mar 2013


  • Hospitals
  • Medicare
  • Quality
  • Rural


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