The Rural Quality Improvement Technical Assistance (RQITA) Resource Center was created to help rural healthcare organizations overcome challenges and improve healthcare and quality of care using data, measurement and improvement activities. Through RQITA support, Telligen aims to assist small rural and critical access hospitals in improving health outcomes in rural communities across the United States. RQITA Resource Center staff provide technical assistance for rural healthcare organizations to expand capacity in quality improvement and ensure success in future models based on high-quality, high-value patient care.
Telligen supports small, rural healthcare organizations by:
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- Expanding capacity to use data for quality improvement
- Providing technical assistance to improve the use of health information technology and related quality measurement and improvement efforts
- Supporting implementation of quality measures, measure reporting and rural-relevant measures
- Identifying and disseminating evidence-based strategies for quality improvement
Key Resources and Tools
Data Reporting
- MBQIP Data Submission Deadlines
- CMS Abstraction & Reporting Tool (Outpatient)
- CAH Quality Infrastructure Measure Specifications
- Emergency Department Transfer Communication Specification Manual
- Hospital Inpatient Specifications Manuals | CMS
- Hospital Outpatient Specifications Manuals | CMS
- Hospital Quality Reporting (HQR) Data Reporting Tutorials | CMS
- QualityNet Training & Guides | CMS
- QualityNet Support | CMS
- Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS)
- HCAHPS Overview: Vendor Directory | National Rural Health Resource Center
- HCP Flu Vaccination | HPS | NHSN | CDC
- Patient Safety Component and Add/Find Annual Surveys | CDC
Quality Improvement Tools and Templates
Quality Improvement Workbook
This workbook provides valuable resources to support your team’s quality improvement efforts, including an interactive timeline, quality improvement goal statement template and ways to track progress during your organization’s quality improvement journey.
Plan-Do-Study-Act Tools
Measure Specific Resources
Patient Safety
Adverse Drug Events
Glycemic Control
Opioids
Anticoagulation Therapy
Antibiotic Stewardship
- Antibiotic Stewardship Change Pathway
- Antibiotic Stewardship Core Elements at Small and Critical Access Hospitals
- Core Elements of Hospital Antibiotic Stewardship Programs | Antibiotic Use | CDC
- Priorities for Hospital Core Element Implementation | Antibiotic Use | CDC
- Current Report | Antibiotic Use | CDC
- Antimicrobial Stewardship (ahaphysicianforum.org)
- Annual Surveys, Locations & Monthly Reporting | PSC | NHSN | CDC
- Improving Antibiotic Stewardship Use, Current Report | CDC
CDC AUR Measure
Your hospital may be eligible for reporting the Antimicrobial Use and Resistance (AUR) Measure. FORHP and CDC co-hosted a webinar for CAHs about CAH eligibility and reporting criteria. This is a GREAT resource to get up to speed on the Antimicrobial Use and Resistance (AUR) Measure within the Centers for Medicare and Medicaid Services (CMS) Promoting Interoperability Program and using the National Healthcare Safety Network (NHSN) Antimicrobial Use (AU) data for action in critical access hospitals. Watch the webinar here.
For additional information on the AUR measure visit the NHSN website.
Any hospital could and should connect with their state HAI/AR program. These programs are part of the state health department. Every state has a link to their program here and can help hospitals with reporting. Find your state program.
eCQMs
Falls
Resources coming soon!
Healthcare-Associated Infections (HAI)
- Multi-drug Resistant Organisms – Infection Prevention Back to Basics: Multi-Drug Resistant Organisms (MDROs)
- Infection Prevention Orientation Checklist
- CDI Root Cause Analysis Tool – Multi-Drug-Resistant-Organisms-MDRO-Template
- MDRO Line List Template coming soon.
- CLABSI resource coming soon.
- CAUTI resource coming soon.
- Surgical Site Infections resource coming soon.
Patient Safety Culture Survey
Resources coming soon!
Perinatal Care
Resources coming soon!
Safe Use of Opioids Concurrent Prescribing
Vaccinations
- Visit Telligen’s Vax Hub for on-demand tools, resources and learning modules related to influenza, pneumonia, COVID-19 and RSV vaccines.
- Download Telligen’s Influenza and Pneumococcal Immunization Toolkit
- CDC Healthcare Personnel Flu Vaccination data collection forms and instructions
- CDC Healthcare Personnel Flu Vaccination trainings
- NHSN Submission Tips
- NHSN Healthcare Personnel Flu Vaccination (CDC)
Patient Experience
Emergency Department Patient Experience
Resources coming soon!
Care Coordination
Claims-Based Measures
Discharge Planning
Hybrid Hospital-Wide Readmissions
- Measure information
- Measure specifications and data elements
- Data Submission Guide for Hybrid Hospital-Wide Readmission
- How to submit Hybrid Measures and View Outcomes
- Reporting the Hybrid Hospital-Wide Readmission Measure to the Hospital IQR Program (qualityreportingcenter.com)
- Hybrid Measure Overview (cms.gov)
- CMS Implementation Guide for QRDA 1 Implementation Guide
Medication Reconciliation
Social Drivers of Health
- Data Submission Guide for Screening for Social Drivers of Health
- Data Submission Guide for Screen Positive Rate for Social Drivers of Health
- Measure Specifications and FAQs
- How to Submit SDOH Measures
- Social Needs Screening Tool Comparison Table | SIREN (ucsf.edu)
- Guide to Social Needs Screening (aafp.org)
- Rural Health Disparities Overview – Rural Health Information Hub
- National Resource Assistance to Address Social Drivers of Health
Swing Bed Care
Resources coming soon!
Emergency Department
ED Throughput Measures
- Improving Patient Flow and Reducing Emergency Department Crowding: A Guide for Hospitals (ahrq.gov)
- Emergency Severity Index (ESI): A Triage Tool for Emergency Departments (ahrq.gov)
- Hospital Outpatient Quality Measure Specifications, ED-Throughput OP-18 | CMS
- Improving Patient Flow and Reducing Emergency Department Crowding (ahrq.gov)
- Hospital Quality Reporting | HARP site
Chest Pain/AMI
Resources coming soon!
- Aspirin at Arrival
- Median Time to ECG
- Fibrinolytic Therapy
- Median Time to Transfer
Global Measures
CAH Quality Infrastructure
Don’t see what you are looking for or needing technical assistance? Click below to enter an online request for the RQITA Resource Center team!
Meet the Team
Meg Nugent, MHA, RN
Alaina Brothersen, MPH
Quality Improvement Lead
Alaina Brothersen has been working in healthcare quality improvement for nine years. She has provided technical assistance for hospitals and rural nursing homes across the country through quality improvement projects in evaluative roles. With a background in public health and program evaluation, she has provided measure development, quality improvement intervention development, technical assistance and evaluations for numerous federal quality programs.
Susan Buchanan, MPH
Principal Investigator
Susan Buchanan is a Director at Telligen with 30 years of experience in quality improvement, health IT and value-based payment models. She has led the charge in many of Telligen’s rural-focused federal programs including the Frontier Community Health Integration Project; Quality Payment Program Small, Underserved, Rural Support program; Transforming Clinical Practice Initiative and Regional Health IT Extension Center. These programs provide technical assistance with performance measurement and improvement interventions.
Ann Loges, BSN, RN
Senior Quality Improvement Facilitator
Ann Loges is a Senior Quality Improvement Facilitator at Telligen with 31 years of nursing experience. Her major accomplishments include leadership in multi-hospital improvement initiatives, EHR implementation responsibilities and hospital strategic planning with ties to point of care goals. Ann has experience in the full spectrum of quality data; from patient level chart abstraction, data reporting and use of data measures to drive improvement. This includes practicing as a Quality Director in a critical assess hospital and offering direct technical assistance to multiple hospitals while collaborating with state and federal partners.
Courtnay Ryan
Senior Quality Improvement Facilitator
Courtnay Ryan has over 20 years of experience in the healthcare industry. At Telligen, she supports long-term care facilities with quality measure reporting, teaches quality improvement methodologies, assists the Learning and Action Network (LAN) QIN-QIO strategy for events and provides technical assistance. Her work in healthcare has spanned across many areas including being a certified nursing assistant, performing administrative duties including ED admissions/discharges, billing and coding and serving as a Quality Improvement Specialist for the Colorado State Office of Rural Health.
This publication is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $640,000 with 0% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official view of, nor an endorsement, by HRSA, HHS or the U.S. Government. For more information, please visit HRSA.gov.