The Panel welcomes the opportunity to submit comments on Addressing the Low Case-Volume Challenge in Healthcare Performance Measurement of Rural Providers: Recommendations from the MAP Rural Health Technical Expert Panel.
The RUPRI Health Panel strongly supports the NQF Measure Applications Partnership Rural Health Workgroup. Valid and reliable quality performance measures are critically important to rural health
care organizations. Low-case volumes may be the most challenging rural quality measurement issue;
i.e., rural health care organization quality measurement has been statistically challenged by low case volumes, and rural health care organizations have been historically precluded from many health care reform demonstrations due to low case-volumes.