Small Health Care Provider Quality Improvement (Rural Quality) Grant Program

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Small Health Care Provider Quality Improvement
(Rural Quality) Grant Program

• Elizabeth Rezai-zadeh, MPH
• U.S. Department of Health Human Services
• Health Resources Services Administration
• Office of Rural Health Policy
• November 6, 2008

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Background

• The program was authorized under the Public
  Health Service Act, Title II, Section 330A(g) in
  2002
• ORHP delayed the start of this program to
  incorporate recommendations from the rural IOM
  report, Quality Through Collaboration The
  Future of Rural Health, released in November
  2004.
• The two-year program began in fiscal year 2006
  15 awards were made (up to 50,000/year).
• The program was re-competed in fiscal year 2008
  55 new awards have been made (up to
  75,000/year).

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Purpose

• The purpose of the Rural Quality Grant Program is
  to improve patient care and chronic disease
  outcomes for diabetes mellitus (DM) and
  cardiovascular disease (CVD) by assisting rural
  primary care providers with the implementation of
  quality improvement strategies.
• The program focuses on DM in year one and CVD in
  year two.
• Improvements are achieved by
• Use of an electronic patient registry system to
  track and report health indicators
• Conducting organizational needs assessments to
  identify areas of improvement and implementing
  additional quality improvement activities
• Participating in monthly technical assistance
  calls and 4 peer-learning workshops with fellow
  grantees

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Rural Quality Grantees

• Eligible entities
• Rural health clinics (for-profit and
  not-for-profit)
• Critical access hospitals (for-profit and
  not-for-profit)
• Other rural health care providers
• Grants
• Awarded 55 Grants
• Total Funding
• FY 08 4.03 million
• FY 09 3.99 million

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Grantee Focus Areas

• Implement an electronic patient registry system
• Use the Chronic Care Model for Improvement Plan
  (i.e., Plan- Do- Study-Act)
• Self-management and patient-centered care
• Measure and track performance with health
  indicator data
• Six Rural Quality Health Indicators

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Thank You!

• Please visit our webpage at http//ruralhealth.hr
  sa.gov/funding/SHCPQI.asp
• Rural Quality Program Coordinator
• Elizabeth Rezai-zadeh
• erezai_at_hrsa.gov
• [phone]