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

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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States Use Appendix K Waivers to Support Home- and Community-Based Services in Response to COVID-19
Provides an overview of 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: 10/2020
Type: Website
Sponsoring organization: National Academy for State Health Policy
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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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The Most Costly Chronic Medical Condition in America: Experts Talk About the Rural Aspects of Alzheimer's Disease and Related Dementias
Describes the impact of Alzheimer's Disease and other dementias in rural areas, the challenges of providing treatment and care, and initiatives underway to address dementia in rural communities.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Helping Patients Living in Rural Areas Transition from Hospital to Home - The ROADMAP Study
Evaluates a hospital discharge planning program's effectiveness in providing support to rural patients returning home after staying in a hospital. Includes patients' demographic information and compares the number of emergency department visits and rehospitalizations of the control group with those of the intervention group.
Author(s): Tom Seekins, Jennifer Wong, Lynda Yearous, et al.
Date: 2020
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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The Evolving Policy Landscape of Telehealth Services Delivered in the Home and Other Nonclinical Settings
Issue brief identifying key findings for state officials considering adopting new policies for home-based telehealth services. Describes Medicaid and Medicare coverage for telehealth services, including those provided in rural and Health Professional Shortage Areas, Critical Access Hospitals, and Rural Health Clinics.
Author(s): Brittany Lazur, Andrea Bennett, Valerie King
Date: 08/2019
Type: Document
Sponsoring organization: Milbank Memorial Fund
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Supportive Services and Caregiving for Older Rural Adults: Policy Brief and Recommendations to the Secretary
Provides an overview of current supportive services and caregiving policies for rural seniors, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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National Program Helps Older Adults in Rural Maine and Hawaii Feel More CAPABLE
Highlights CAPABLE (Community Aging in Place—Advancing Better Living for Elders), a national model that connects low-income older adults with an occupational therapist, registered nurse, and home repair services. Features programs implemented in Hawaii and Maine based on this model.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Support and Services at Home (SASH) Evaluation: SASH Evaluation Findings, 2010-2016
Evaluates the Support and Services at Home (SASH) program in Vermont, which provides support services and care coordination for older adults and people with disabilities in conjunction with affordable housing. Addresses Medicaid and Medicare expenditures, medication management, property management, challenges, and lessons learned. Identifies the percent of rural SASH host properties and differences for rural areas.
Additional links: Highlights
Date: 07/2019
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Older Americans Act: HHS Could Help Rural Service Providers by Centralizing Information on Promising Practices
Focuses on services and resources authorized by the Older Americans Act to help older adults age in place in rural communities. Addresses challenges accessing home and community-based services in rural areas and information on strategies for addressing those challenges. Covers home-delivered meals, congregate meals, transportation, family caregiver services, case management, and homemaker services. Research included interviews with ACL officials, rural area agencies on aging (AAA) in 8 states, rural health experts, and stakeholder groups; a literature review; and site visits.
Date: 05/2019
Type: Document
Sponsoring organization: Government Accountability Office
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