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Rural Health
Resources by Topic: Home and community-based services

States Use Appendix K Waivers to Support Home- and Community-Based Services in Response to COVID-19
Describes how states are utilizing Appendix K waivers to promote flexibility and modify their home- and community-based services for older adults and their family caregivers during the COVID-19 pandemic. Includes an interactive map and chart outlining each state's modifications.
Date: 08/2021
Type: Website
Sponsoring organization: National Academy for State Health Policy
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Personal Care Assistance in Rural America
Explores where people with disabilities who need help with self-care and daily activities live, and compares that to where Personal Care Aides (PCAs) are located. Includes demographics on PCAs, with breakdowns by urban and rural location, and county-level maps showing metropolitan, micropolitan, and noncore areas, and levels of mismatch in numbers of PCAs per 1,000 people with self-care disabilities.
Author(s): Rayna A. Sage, Lillie Greiman, Susan A. Chapman, et al.
Date: 05/2021
Type: Document
Sponsoring organizations: Research and Training Center on Disability in Rural Communities, University of California San Francisco, Health Workforce Research Center on Long Term Care
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Examining the Potential for Additional Rebalancing of Long-Term Services and Supports
Explores efforts to rebalance long-term services and supports (LTSS) for older adults and people with disabilities toward home and community-based settings. Profiles five states with lower levels of rebalancing compared to the national average: Louisiana, Mississippi, New Jersey, North Dakota, and West Virginia. Presents findings from interviews with federal and state officials, as well as other stakeholders involved with Medicaid LTSS systems and beneficiaries. Discusses how the COVID-19 public health emergency and flexibilities influenced LTSS services in these states. Offers future considerations for federal and state governments when addressing barriers to home and community-based services.
Date: 04/2021
Type: Document
Sponsoring organizations: Center for Health Care Strategies, Medicaid and CHIP Payment and Access Commission, RTI International
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Looking at the Rural Homelessness Experience: Definitions, Data, and Solutions
Explains how homelessness impacts health. Features a Vermont organization's work using the evidence-based Housing First model to help people with mental health and substance use challenges and others who lack social supports and have housing needs.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 04/2021
Type: Document
Sponsoring organization: Rural Health Information Hub
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Collecting Early Childhood Obesity Measurements Through a Home Visiting Program: A Proof-of-Concept Study
Describes the development, implementation, and evaluation of a proof-of-concept protocol for collecting data on weight and length/height of children aged 6 months to 5 years through existing home visiting programs in rural and urban areas of South Carolina, Texas, Illinois, and Florida. Features a measurement checklist for parent educators and discusses implications for public health, such as obesity prevention.
Author(s): Julie Kapp, Brian Hall, Allison Kemner
Citation: Preventing Chronic Disease, 17
Date: 12/2020
Type: Document
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Lakewood Engage Tackles Food Insecurity in Rural Minnesota
Features a community-based program in rural Minnesota that addresses food insecurity through multiple initiatives, including distribution of fresh produce through a food "prescription" program, home delivery of meals to post-acute care patients and those in COVID-19 quarantine, and a farmers market.
Author(s): Kathryn Rutz
Citation: Rural Monitor
Date: 12/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Differences in Characteristics of Adult Day Services Centers, by Level of Medical Service Provision
Presents results from the adult day services centers (ADSCs) component of the 2016 National Study of Long-Term Care Providers. Describes ADSCs by level of medical service provision, organizational characteristics, participant case-mix, and geographic characteristics. Figure 15 identifies the percentage of ADSCs according to metropolitan statistical area status and by level of medical services provided.
Author(s): Vincent Rome, Jessica Penn Lendon, Lauren Harris-Kojetin
Date: 10/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Rigorous Evaluation in Tribal MIECHV: A Series of Briefs
Discusses the process of developing an evaluation program for Tribal Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program grantees. Highlights evaluation challenges, methods for meeting evaluation requirements, and engaging tribal communities, among other issues, in a series of 5 briefs.
Additional links: Full Report
Date: 08/2020
Type: Document
Sponsoring organizations: Administration for Children and Families, Office of Planning, Research, and Evaluation
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Living at Home in Rural America: Improving Accessibility for Older Adults and People with a Disability
Information on current federal resources, programs, and initiatives intended to improve home safety and accessibility for rural older adults and people with disabilities. Supports the Rural Health Strategy, launched by the Centers for Medicare and Medicaid Services in 2018 to improve health care in rural America by leveraging partnerships on the federal, regional, state, and local levels.
Date: 08/2020
Type: Document
Sponsoring organizations: Administration for Community Living, Centers for Disease Control and Prevention, Centers for Medicare and Medicaid Services, Health Resources and Services Administration, U.S. Department of Agriculture, U.S. Department of Housing and Urban Development
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Improving Rural Health: State Policy Options for Increasing Access to Care
Discusses strategies from state legislatures and other stakeholders to increase access to healthcare in rural areas. Focuses on policies and policy options for state legislatures in three areas: improving health insurance coverage, safeguarding rural health facilities, and changing rural healthcare delivery. Features examples from Colorado, Georgia, Pennsylvania, and Wisconsin.
Author(s): Jack Pitsor
Date: 06/2020
Type: Document
Sponsoring organization: National Conference of State Legislatures
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