Rural Health
Resources by Topic: Home and community-based services
The Impact of the Vermont Support and Services at Home Program on Healthcare Expenditures
The Support and Services at Home (SASH) program helps rural and urban program participants access healthcare and support services in order to maintain their health and age securely and safely in their homes. Report estimates the impact of the Vermont SASH program on Medicare expenditures.
Author(s): Amy Kandilov, Vince Keyes, Martijn van Hasselt, et al.
Citation: Cityscape, 20(2)
Date: 2018
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The Support and Services at Home (SASH) program helps rural and urban program participants access healthcare and support services in order to maintain their health and age securely and safely in their homes. Report estimates the impact of the Vermont SASH program on Medicare expenditures.
Author(s): Amy Kandilov, Vince Keyes, Martijn van Hasselt, et al.
Citation: Cityscape, 20(2)
Date: 2018
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Rural Long-Term Services and Supports: A Primer
Discusses the basics of rural long-term services and supports (LTSS) for older adults including system fundamentals, access, and opportunities and limitations of current policy. Includes models for rural LTSS and suggests priority areas for a high-performing rural health delivery system.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, Erin M. Mobley
Date: 11/2017
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Discusses the basics of rural long-term services and supports (LTSS) for older adults including system fundamentals, access, and opportunities and limitations of current policy. Includes models for rural LTSS and suggests priority areas for a high-performing rural health delivery system.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, Erin M. Mobley
Date: 11/2017
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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No Wrong Door: Supporting Community Living for Veterans
Reports on several Veteran-Directed Home- and Community-Based Services (VD-HCBS) programs in 7 states. Presents a breakdown of each program and highlights challenges each program had to overcome. Bases analysis on 2 separate state surveys. Also includes tools useful to building collaborative partnerships between VA medical providers and aging and disability agencies in order to better serve veterans in their communities.
Author(s): Christina Neill Bowen, Wendy Fox-Grage, Kali Thomas, James Rudolph
Date: 11/2017
Sponsoring organization: AARP Public Policy Institute
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Reports on several Veteran-Directed Home- and Community-Based Services (VD-HCBS) programs in 7 states. Presents a breakdown of each program and highlights challenges each program had to overcome. Bases analysis on 2 separate state surveys. Also includes tools useful to building collaborative partnerships between VA medical providers and aging and disability agencies in order to better serve veterans in their communities.
Author(s): Christina Neill Bowen, Wendy Fox-Grage, Kali Thomas, James Rudolph
Date: 11/2017
Sponsoring organization: AARP Public Policy Institute
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State of Care: Wisconsin's Home Care Landscape
Provides a snapshot of the home care landscape in Wisconsin. Includes information on the quality of care, workforce compensation, training, scope of practice, recruitment and retention, and unique challenges in rural areas. Includes statistics on home care workforce demographics in Wisconsin and at the national level, older adult population by county, and labor force participation as well as unemployment rates in Wisconsin by age, education, gender and family composition, and poverty.
Date: 09/2017
Sponsoring organization: PHI
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Provides a snapshot of the home care landscape in Wisconsin. Includes information on the quality of care, workforce compensation, training, scope of practice, recruitment and retention, and unique challenges in rural areas. Includes statistics on home care workforce demographics in Wisconsin and at the national level, older adult population by county, and labor force participation as well as unemployment rates in Wisconsin by age, education, gender and family composition, and poverty.
Date: 09/2017
Sponsoring organization: PHI
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Aging in Place in Small Urban and Rural Communities
Examines the current state of aging in place, including cost benefits of rural residents living independently and using home health services and public transportation, rather than relocating to assisted living facilities. Includes statistics on costs of various types of senior living situations in North Carolina, Pennsylvania, Missouri, Wisconsin, Mississippi, Maine, New Mexico, and Montana, and aging in place cost savings forecasts for these states.
Additional links: Executive Summary
Author(s): Del Peterson, Ted Rieck
Date: 08/2017
Sponsoring organization: Upper Great Plains Transportation Institute
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Examines the current state of aging in place, including cost benefits of rural residents living independently and using home health services and public transportation, rather than relocating to assisted living facilities. Includes statistics on costs of various types of senior living situations in North Carolina, Pennsylvania, Missouri, Wisconsin, Mississippi, Maine, New Mexico, and Montana, and aging in place cost savings forecasts for these states.
Additional links: Executive Summary
Author(s): Del Peterson, Ted Rieck
Date: 08/2017
Sponsoring organization: Upper Great Plains Transportation Institute
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State of Care: Minnesota's Home Care Landscape
Provides a snapshot of the home care landscape in Minnesota. Includes information on the quality of care, workforce compensation, training, and unique challenges and changing demographics in rural areas. Includes statistics on home care workforce demographics in Minnesota and at the national level, and older adult population by county.
Date: 07/2017
Sponsoring organization: PHI
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Provides a snapshot of the home care landscape in Minnesota. Includes information on the quality of care, workforce compensation, training, and unique challenges and changing demographics in rural areas. Includes statistics on home care workforce demographics in Minnesota and at the national level, and older adult population by county.
Date: 07/2017
Sponsoring organization: PHI
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Rebalance Without the Balance: A Research Note on the Availability of Community-Based Services in Areas Where Nursing Homes Have Closed
Describes the existing distribution, including a rural and urban comparison, of community-based services (CBS) in areas where nursing homes have closed, and examines differences in CBS availability. Analysis uses data from local market and population characteristics as well as differences in state policies.
Author(s): Denise A. Tyler, Mary L. Fennell
Citation: Research on Aging, 39(5), 597-611
Date: 06/2017
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Describes the existing distribution, including a rural and urban comparison, of community-based services (CBS) in areas where nursing homes have closed, and examines differences in CBS availability. Analysis uses data from local market and population characteristics as well as differences in state policies.
Author(s): Denise A. Tyler, Mary L. Fennell
Citation: Research on Aging, 39(5), 597-611
Date: 06/2017
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Mental Health Services in Greater Minnesota
A discussion of mobile crisis teams in the treatment of and access to mental healthcare in rural Minnesota. Includes information about community-based services and barriers to care such as workforce shortages, variable population rates, and impacts on law enforcement officials. County-by-county data and statistics for the state are also provided.
Additional links: Fact Sheet
Date: 05/2017
Sponsoring organization: Center for Rural Policy and Development
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A discussion of mobile crisis teams in the treatment of and access to mental healthcare in rural Minnesota. Includes information about community-based services and barriers to care such as workforce shortages, variable population rates, and impacts on law enforcement officials. County-by-county data and statistics for the state are also provided.
Additional links: Fact Sheet
Date: 05/2017
Sponsoring organization: Center for Rural Policy and Development
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Implementation and Outcomes of a Community-Based Pulmonary Rehabilitation Program in Rural Appalachia
Describes the implementation and outcomes of a community-based pulmonary rehabilitation program in rural Appalachia. Reports on data from three rural health centers and one large referral hospital for multiple measures, including pre- and post-exams, respiratory disease knowledge, smoking status, and more.
Author(s): Daniel Doyle, Chaffee Tommarello, Mike Broce, Mary Emmett, Cecil Pollard
Citation: Journal of Cardiopulmonary Rehabilitation and Prevention, 37(4), 295-298
Date: 03/2017
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Describes the implementation and outcomes of a community-based pulmonary rehabilitation program in rural Appalachia. Reports on data from three rural health centers and one large referral hospital for multiple measures, including pre- and post-exams, respiratory disease knowledge, smoking status, and more.
Author(s): Daniel Doyle, Chaffee Tommarello, Mike Broce, Mary Emmett, Cecil Pollard
Citation: Journal of Cardiopulmonary Rehabilitation and Prevention, 37(4), 295-298
Date: 03/2017
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Process Evaluation of the Older Americans Act Title III-E National Family Caregiver Support Program: Final Report
Reports on an evaluation of the National Family Caregiving Support Program and how it is helping people age in their own homes and communities. Includes a literature review on informal caregiving, a description of the evaluation methodology, and evaluation results. Covers the extent of, impact of, and supports for informal caregiving, as well as special issues such as caring for those with dementia and mental illness. Discusses the policies in place and includes data breakdowns for rural and frontier areas.
Date: 03/2016
Sponsoring organizations: Administration for Community Living, Lewin Group
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Reports on an evaluation of the National Family Caregiving Support Program and how it is helping people age in their own homes and communities. Includes a literature review on informal caregiving, a description of the evaluation methodology, and evaluation results. Covers the extent of, impact of, and supports for informal caregiving, as well as special issues such as caring for those with dementia and mental illness. Discusses the policies in place and includes data breakdowns for rural and frontier areas.
Date: 03/2016
Sponsoring organizations: Administration for Community Living, Lewin Group
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