JAMA Article reports CAH quality concerns

The Journal of the America Medical Association (JAMA)
released a report on July 5, 2011 entitled “
Quality of Care and
Patient Outcomes in Critical Access Rural Hospitals
” which concluded that
compared with non-Critical Access Hospitals (CAH), CAH’s had fewer clinical
capabilities, worse measured process of care, and higher mortality rates for
patients with AMI, CHF or Pneumonia. “The report is simply deficient when it
comes to understanding the basic role of a Critical Access Hospital within a
rural community,” said Alan Morgan, NRHA CEO.  “The current quality
measurement systems available do not adequately reflect the core work of what
rural hospitals do on a daily basis.”

One thought on “JAMA Article reports CAH quality concerns

  1. Ashish Jha

    As the senior author of this much maligned but little read paper, I just want to say that I’m sorry our little paper has been misunderstood. We say, throughout the paper, that CAHs play a critically important role. Their tasks are herculean.
    My concern is not with any one agency — but the policy approach at large, which has done an inadequate job helping these hospitals improve.

    We need to redouble our efforts and our resources to ensure better care.

    The argument that some people have advanced — that expecting high quality care from rural hospitals is a “big city bias” is wrong. Americans living in rural areas are just as deserving of good care — and I know that most CAHs are trying to deliver it to them. As a country, we could be doing more to help these hospitals.

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