Rural Health
Resources by Topic: Home and community-based services
2023 Chartbook: More Older Adults, More Complex Needs: Trends and New Directions from the National Survey of Area Agencies on Aging
A chartbook offering data from the 2022 National Survey of Area Agencies on Aging. Rural topics discussed include transportation grants, social engagement, and areas served by Area Agencies on Aging (AAA). Also discusses AAAs services, housing, workforce and staffing, COVID-19, and more.
Date: 2023
Type: Document
Sponsoring organizations: Miami University, Scripps Gerontology Center, USAging
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A chartbook offering data from the 2022 National Survey of Area Agencies on Aging. Rural topics discussed include transportation grants, social engagement, and areas served by Area Agencies on Aging (AAA). Also discusses AAAs services, housing, workforce and staffing, COVID-19, and more.
Date: 2023
Type: Document
Sponsoring organizations: Miami University, Scripps Gerontology Center, USAging
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Personal Care Assistance in Rural America
Discusses Personal Care Aide (PCA) scarcity in rural areas using 2013-2017 American Community Survey data. Presents maps and graphs of self-care disability prevalence and PCA availability with breakdowns by region. Also provides graphs comparing rural and urban PCA demographics, including poverty rate, race, educational attainment, sex, age, language spoken at home, and U.S. or foreign place of birth.
Author(s): Lillie Greiman, Rayna A Sage, Timothy Bates, et al.
Date: 12/2022
Type: Website
Sponsoring organizations: Research and Training Center on Disability in Rural Communities, University of California San Francisco Health Workforce Research Center (UCSF HWRC)
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Discusses Personal Care Aide (PCA) scarcity in rural areas using 2013-2017 American Community Survey data. Presents maps and graphs of self-care disability prevalence and PCA availability with breakdowns by region. Also provides graphs comparing rural and urban PCA demographics, including poverty rate, race, educational attainment, sex, age, language spoken at home, and U.S. or foreign place of birth.
Author(s): Lillie Greiman, Rayna A Sage, Timothy Bates, et al.
Date: 12/2022
Type: Website
Sponsoring organizations: Research and Training Center on Disability in Rural Communities, University of California San Francisco Health Workforce Research Center (UCSF HWRC)
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Developing a Local MPA to Address the Needs of Older & Disabled Adults in Rural Communities
Recording of a December 2022 webinar highlighting three coalitions in California that are developing local Master Plans for Aging (MPAs) to address the challenges of aging in rural communities. Discusses the steps the coalitions are taking to develop their MPAs, including forming advisory committees, gathering community input, identifying potential action items, planning for implementation and sustainability, and more. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Date: 12/2022
Type: Video/Multimedia
Sponsoring organization: California Collaborative for Long Term Services and Supports
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Recording of a December 2022 webinar highlighting three coalitions in California that are developing local Master Plans for Aging (MPAs) to address the challenges of aging in rural communities. Discusses the steps the coalitions are taking to develop their MPAs, including forming advisory committees, gathering community input, identifying potential action items, planning for implementation and sustainability, and more. Transcript available by clicking the dots above the video description, then selecting Show transcript.
Date: 12/2022
Type: Video/Multimedia
Sponsoring organization: California Collaborative for Long Term Services and Supports
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Exploring Remaining Needs and Opportunities for Improvement in Rural Communities: A Focus on Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Services
Provides an overview of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. Presents findings from interviews with rural human services providers across 8 sites with MIECHV-funded programs. Describes the experiences of rural practitioners as they deliver home visiting services in their communities. Offers lessons learned and practitioner recommendations to help inform policy and service delivery moving forward.
Author(s): Emily Brimsek, James Murdoch, Neel Chakraborti
Date: 12/2022
Type: Document
Sponsoring organizations: 2M Research, Administration for Children and Families
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Provides an overview of the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program. Presents findings from interviews with rural human services providers across 8 sites with MIECHV-funded programs. Describes the experiences of rural practitioners as they deliver home visiting services in their communities. Offers lessons learned and practitioner recommendations to help inform policy and service delivery moving forward.
Author(s): Emily Brimsek, James Murdoch, Neel Chakraborti
Date: 12/2022
Type: Document
Sponsoring organizations: 2M Research, Administration for Children and Families
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Challenges and Opportunities in Personal Assistance Services in Rural Contexts
Poster exploring the experience of using personal assistant services in rural areas. Presents excerpts from interviews with 38 care recipients and family members.
Author(s): Krys Standley, Rayna A. Sage, Carissa Russell
Date: 11/2022
Type: Document
Sponsoring organizations: Research and Training Center on Disability in Rural Communities, University of Montana: Rural Institute for Inclusive Communities
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Poster exploring the experience of using personal assistant services in rural areas. Presents excerpts from interviews with 38 care recipients and family members.
Author(s): Krys Standley, Rayna A. Sage, Carissa Russell
Date: 11/2022
Type: Document
Sponsoring organizations: Research and Training Center on Disability in Rural Communities, University of Montana: Rural Institute for Inclusive Communities
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Who Will Care for Rural Older Adults? Measuring the Direct Care Workforce in Rural Areas
Policy brief examining existing disparities in the supply of home health aides and nursing assistants in rural areas compared to urban areas. Features statistics on the ratio of home health aides and nursing assistants relative to the population of adults age 65 and above, with breakdowns by urban and rural areas and by census region.
Author(s): Janette Dill, Carrie Henning-Smith, Rongxuan Zhu, Elizabeth Vomacka
Date: 11/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief examining existing disparities in the supply of home health aides and nursing assistants in rural areas compared to urban areas. Features statistics on the ratio of home health aides and nursing assistants relative to the population of adults age 65 and above, with breakdowns by urban and rural areas and by census region.
Author(s): Janette Dill, Carrie Henning-Smith, Rongxuan Zhu, Elizabeth Vomacka
Date: 11/2022
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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CMS Framework for Advancing Health Care in Rural, Tribal, and Geographically Isolated Communities
Report outlines the Centers for Medicare & Medicaid Services (CMS) plan for improving health equity and health outcomes across the U.S. for rural, tribal, and geographically isolated communities. Details a 6 priority framework emphasizing the application of a community-informed geographic lens; the collection and use of standardized data; support for healthcare professionals; the optimization of medical and communication technology; the expansion of access to comprehensive healthcare coverage, benefits, and services and supports; and innovation and value-based care. Highlights examples of activities CMS is undertaking in support of each priority and recent CMS efforts that align with each priority.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Report outlines the Centers for Medicare & Medicaid Services (CMS) plan for improving health equity and health outcomes across the U.S. for rural, tribal, and geographically isolated communities. Details a 6 priority framework emphasizing the application of a community-informed geographic lens; the collection and use of standardized data; support for healthcare professionals; the optimization of medical and communication technology; the expansion of access to comprehensive healthcare coverage, benefits, and services and supports; and innovation and value-based care. Highlights examples of activities CMS is undertaking in support of each priority and recent CMS efforts that align with each priority.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Advancing Rural Health Equity: Fiscal Year 2022 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2022 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers 10 priority focus areas: Medicaid and the Children's Health Insurance Program (CHIP), Medicare, Marketplace, the rural health workforce, payment and delivery system models and demonstrations, long-term services and supports, maternal health, mental health and substance use disorders, quality, and COVID-19.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2022 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers 10 priority focus areas: Medicaid and the Children's Health Insurance Program (CHIP), Medicare, Marketplace, the rural health workforce, payment and delivery system models and demonstrations, long-term services and supports, maternal health, mental health and substance use disorders, quality, and COVID-19.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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October 2022 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) October 2022 meeting. Covers Medicaid race and ethnicity data collection and reporting, improving access to Medicaid coverage and care for adults leaving incarceration, the unwinding of the Public Health Emergency, streamlining the delivery of home- and community-based services, potential recommendations for structuring Disproportionate Share Hospital allotments during economic crises, and more. Includes rural references and considerations throughout.
Date: 10/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) October 2022 meeting. Covers Medicaid race and ethnicity data collection and reporting, improving access to Medicaid coverage and care for adults leaving incarceration, the unwinding of the Public Health Emergency, streamlining the delivery of home- and community-based services, potential recommendations for structuring Disproportionate Share Hospital allotments during economic crises, and more. Includes rural references and considerations throughout.
Date: 10/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Personal Care Aides: Assessing Self-Care Needs And Worker Shortages In Rural Areas
Results of a study addressing the need for and supply of workers to provide personal care services in rural communities. Features statistics on characteristics of personal care aides employed during 2013-2017 with breakdowns by metropolitan and nonmetropolitan areas, and county-level maps showing percentages of adults with self-care disabilities and supply of personal care aides per 1,000 adults with self-care disabilities.
Author(s): Susan A. Chapman, Lillie Greiman, Timothy Bates et al.
Citation: Health Affairs, 41(10)
Date: 10/2022
Type: Document
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Results of a study addressing the need for and supply of workers to provide personal care services in rural communities. Features statistics on characteristics of personal care aides employed during 2013-2017 with breakdowns by metropolitan and nonmetropolitan areas, and county-level maps showing percentages of adults with self-care disabilities and supply of personal care aides per 1,000 adults with self-care disabilities.
Author(s): Susan A. Chapman, Lillie Greiman, Timothy Bates et al.
Citation: Health Affairs, 41(10)
Date: 10/2022
Type: Document
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