Rural Health
Resources by Topic: Home and community-based services
Rural Long-Term Services and Supports: A Primer
Provides background information on rural long-term services and supports (LTSS), and examines rural access and use of LTSS. Describes LTSS as integral components of a high-performing rural health system, particularly for individuals with disabilities and/or over the age of 65. Three main sections discuss patterns of rural LTSS use; affordability and burden of LTSS; and rural LTSS models, policies, and trends.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, Charlie Alfero, et al.
Date: 11/2017
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Provides background information on rural long-term services and supports (LTSS), and examines rural access and use of LTSS. Describes LTSS as integral components of a high-performing rural health system, particularly for individuals with disabilities and/or over the age of 65. Three main sections discuss patterns of rural LTSS use; affordability and burden of LTSS; and rural LTSS models, policies, and trends.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, Charlie Alfero, et al.
Date: 11/2017
Type: Document
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
Type: Document
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
Type: Document
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
Type: Document
Sponsoring organization: Paraprofessional Healthcare Institute
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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
Type: Document
Sponsoring organization: Paraprofessional Healthcare Institute
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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
Type: Document
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
Type: Document
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
Type: Document
Sponsoring organization: Paraprofessional Healthcare Institute
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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
Type: Document
Sponsoring organization: Paraprofessional Healthcare Institute
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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
Type: Document
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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
Type: Document
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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
Type: Document
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
Type: Document
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
Type: Document
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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
Type: Document
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Rural Promising Practice Issue Brief: Caring for Older Adults and Caregivers at Home (COACH)
Describes the efforts of the Durham Department of Veterans Affairs Medical Center (VAMC) to provide home-based care for veterans with moderate to severe dementia and their caregivers, through its COACH program. Helps VA providers to improve access for rural veterans and can be used as a model for other VAMCs.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Describes the efforts of the Durham Department of Veterans Affairs Medical Center (VAMC) to provide home-based care for veterans with moderate to severe dementia and their caregivers, through its COACH program. Helps VA providers to improve access for rural veterans and can be used as a model for other VAMCs.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Rural Promising Practice Issue Brief: Geriatric Scholars Training Program
Details a Veterans Administration training program model for providers practicing in Community Based Outpatient Clinics (CBOCs) or in home-based primary care serving elderly (65+) rural veterans. Features examples of promising results, implementation information, and adoption considerations.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Details a Veterans Administration training program model for providers practicing in Community Based Outpatient Clinics (CBOCs) or in home-based primary care serving elderly (65+) rural veterans. Features examples of promising results, implementation information, and adoption considerations.
Additional links: Overview
Date: 11/2016
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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