Patient safety standards and systems have been developed and conducted in large, urban hospitals and the relevance of such standards and systems for smaller, rural hospitals has not been established. The purpose of this project is to test the feasibility, cost, and impact of implementing patient safety standards in small, rural hospitals. Working with 8 hospitals in Tennessee, this project will create a sustainable infrastructure for assisting rural hospitals to implement critical safety improvements and to more toward a universal culture of safety. The resulting materials and tools will allow for broader replication in Tennessee and other states.
Cutler Institute for Health and Social Policy
Tennessee Rural Hospital Patient Safety Project
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Dr. Ziller to speak on Rural Implementation and Impact of Medicaid Expansions
The impact of the ACA Medicaid expansion on health care coverage and access in rural areas is largely unknown and will depend on the different state policy contexts in which the expansions are implemented and on existing system capacity. Understanding how many rural residents are likely to become newly eligible for Medicaid under the ACA, as well as their characteristics and health status, will provide important information to aid policymakers in structuring outreach and enrollment strategies and ensuring that the healthcare infrastructure and delivery systems in rural areas can address the needs of these individuals.
On March 18th, Dr. Ziller, Deputy Director of the Maine Rural Health Research Center at the University of Southern Maine, will present via a SHARE webinar, nationally representative information identifying rural-urban differences among low-income non-elderly adults (18 to 65) in the following areas:
- Medicaid eligibility, pre-ACA
- Medicaid participation, pre-ACA
- New Medicaid eligibility in 2014
Dr. Ziller will also analyze the characteristics associated with any rural-urban differences in the above areas. Characteristics to be considered include age, gender, employment, education, income, Census region, health status, current relationship to primary care provider, primary care supply, and FQHC availability.