Rural Health
Resources by Topic: Home health
Rural Post-Acute Care: Improving Transitions to Enhance Patient Recovery
Highlights approaches that are improving patient transitions from acute care to post-acute care (PAC) in rural settings. Features a tertiary facility's communication with skilled nursing facilities in Tennessee and Kentucky, a Nebraska Critical Access Hospital's swing bed program, and a home health agency serving rural Maine.
Author(s): Jenn Lukens
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Highlights approaches that are improving patient transitions from acute care to post-acute care (PAC) in rural settings. Features a tertiary facility's communication with skilled nursing facilities in Tennessee and Kentucky, a Nebraska Critical Access Hospital's swing bed program, and a home health agency serving rural Maine.
Author(s): Jenn Lukens
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Improving Chronic Disease Self-Management by Older Home Health Patients through Community Health Coaching
Describes a pilot study using community volunteers trained as health coaches to assist rural older adults with chronic diseases discharged from home health services in effectively managing their chronic condition, with the intent to reduce their hospital readmission and emergency department use.
Author(s): Cheryl Dye, Deborah Willoughby, Begum Aybar-Damali, Carmelita Grady, Rebecca Oran, Alana Knudson
Citation: International Journal of Environmental Research and Public Health, 15(4), 660
Date: 04/2018
Type: Document
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Describes a pilot study using community volunteers trained as health coaches to assist rural older adults with chronic diseases discharged from home health services in effectively managing their chronic condition, with the intent to reduce their hospital readmission and emergency department use.
Author(s): Cheryl Dye, Deborah Willoughby, Begum Aybar-Damali, Carmelita Grady, Rebecca Oran, Alana Knudson
Citation: International Journal of Environmental Research and Public Health, 15(4), 660
Date: 04/2018
Type: Document
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Bipartisan Budget Act of 2018 (P.L. 115-123): Brief Summary of Division E--The Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act
Brief summary of ACCESS Act provisions, and names of experts knowledgeable about each point. Topics include Medicare, Medicaid, the Children's Health Insurance Program (CHIP), public health, child and family services, foster care, social impact partnerships, child support enforcement, and prison data reporting. Features provisions specific to institutions and services in rural areas, including hospitals, home health, and ambulance services.
Date: 03/2018
Type: Document
Sponsoring organization: Congressional Research Service
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Brief summary of ACCESS Act provisions, and names of experts knowledgeable about each point. Topics include Medicare, Medicaid, the Children's Health Insurance Program (CHIP), public health, child and family services, foster care, social impact partnerships, child support enforcement, and prison data reporting. Features provisions specific to institutions and services in rural areas, including hospitals, home health, and ambulance services.
Date: 03/2018
Type: Document
Sponsoring organization: Congressional Research Service
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MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Vermont Results First: Inventory and Benefit-Cost Analysis for the Department of Health/Division of Alcohol and Drug Abuse Program's Medication Assisted Treatment for Opioid Use Disorder (Hub and Spoke)
Examines the program inventory and benefit-cost analysis of Vermont's Care Alliance for Opioid Addiction, a "Hub and Spoke" system of regional opioid treatment programs that treat individuals with opioid use disorder using medication along with counseling and supportive services.
Date: 12/2017
Type: Document
Sponsoring organizations: Criminal Research Group, Results First Initiative, Justice Research and Statistics Association, State of Vermont Blueprint for Health, Vermont Department of Health, Division of Alcohol and Drug Abuse Programs (ADAP)
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Examines the program inventory and benefit-cost analysis of Vermont's Care Alliance for Opioid Addiction, a "Hub and Spoke" system of regional opioid treatment programs that treat individuals with opioid use disorder using medication along with counseling and supportive services.
Date: 12/2017
Type: Document
Sponsoring organizations: Criminal Research Group, Results First Initiative, Justice Research and Statistics Association, State of Vermont Blueprint for Health, Vermont Department of Health, Division of Alcohol and Drug Abuse Programs (ADAP)
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Implementation and Dissemination of a Transition of Care Program for Rural Veterans: A Controlled Before and after Study
Highlights a study on the Veterans Health Administration's (VHA) nurse-led transitional care program. Study uses the Practical, Robust, Implementation, and Sustainability Model (PRISM) to evaluate the implementation's ability to support the transitions of rural veterans from hospital to home.
Author(s): Chelsea Leonard, Emily Lawrence, Marina McCreight, et al.
Citation: Implementation Science, 12, 123
Date: 10/2017
Type: Document
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Highlights a study on the Veterans Health Administration's (VHA) nurse-led transitional care program. Study uses the Practical, Robust, Implementation, and Sustainability Model (PRISM) to evaluate the implementation's ability to support the transitions of rural veterans from hospital to home.
Author(s): Chelsea Leonard, Emily Lawrence, Marina McCreight, et al.
Citation: Implementation Science, 12, 123
Date: 10/2017
Type: Document
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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: 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
Type: Document
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
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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Research Highlight: VHA-Indian Health Service Collaborations Reveal Opportunities to Improve Rural Health Care
Describes results of the expansion of the Veterans Administration Home Based Primary Care program to rural areas and to American Indian reservations, beginning in 2009.
Author(s): B. Josea Kramer, Debra Saliba
Date: 08/2017
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Describes results of the expansion of the Veterans Administration Home Based Primary Care program to rural areas and to American Indian reservations, beginning in 2009.
Author(s): B. Josea Kramer, Debra Saliba
Date: 08/2017
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Home is Where the Heart Is: Insights on the Coordination and Delivery of Home Health Services in Rural America
Identifies facilitators and barriers to providing home health services in rural areas, discusses how rural home health services are currently provided, and offers thoughts about the provision of home health services in the future. Addresses electronic health records, reimbursement issues, workforce challenges, value-based payment, and more.
Author(s): Alana Knudson, Britta Anderson, Kellie Schueler, Emily Arsen
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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Identifies facilitators and barriers to providing home health services in rural areas, discusses how rural home health services are currently provided, and offers thoughts about the provision of home health services in the future. Addresses electronic health records, reimbursement issues, workforce challenges, value-based payment, and more.
Author(s): Alana Knudson, Britta Anderson, Kellie Schueler, Emily Arsen
Date: 08/2017
Type: Document
Sponsoring organization: Rural Health Reform Policy Research Center
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