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Rural Health
Resources by Topic: Hospice and palliative care

Advance Care Planning: Strategic for All Adults, Even the Healthy
Discusses the benefits of patients having proactive conversations about the care they might want to receive in situations where they are unable to speak for themselves. Shares insights from advance care planning (ACP) advocates and experts regarding ACP access in rural areas.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Community-based Palliative Care: Scaling Access for Rural Populations
Explains the role palliative care plays in meeting the needs of patients with serious illness and chronic medical conditions. Discusses challenges to accessing palliative care in rural areas and highlights work in Alaska, California, and Kansas to help address this need.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medicare Payment Basics: Hospice Services Payment System
Provides an overview of Medicare payments to hospice and palliative care providers for beneficiaries who have a life expectancy of six months or less.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Palliative Care in California: Narrowing the Gap
Reports on a survey of palliative care programs in California. Includes interactive maps with county-level data on the need for and capacity of palliative care services.
Author(s): Kathleen Kerr
Date: 06/2018
Type: Website
Sponsoring organization: California Health Care Foundation
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Telehomecare Monitoring Services: Eastern Maine Healthcare Systems VNA Home Health Hospice
Discusses the development, impact, lessons learned, and future goals of a telehealth home monitoring program for a healthcare system in rural Maine.
Date: 04/2018
Type: Document
Sponsoring organization: American Hospital Association
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MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 12
Discusses payment adequacy for hospice and palliative support services. Includes statistics with breakdowns by urban and rural locations and demographics on Medicare decedents who used hospice during 2000 and 2013-2016.
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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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.
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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Models and Strategies to Integrate Palliative Care Principles into Care for People with Serious Illness: Proceedings of a Workshop
Summarizes presentations, discussions, and workshop participant suggestions for improving the quality of, expanding access to, and supporting policies for community-based palliative care. Provides examples of community-based palliative care models, including a model for reaching patients in rural underserved areas.
Additional links: Read Online
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 2018
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Rural-Urban Variations in Medicare Live Discharge Patterns from Hospice, 2012-2013
Details a study on the instances of live discharges from the Medicare hospice program from 2012-2013. Compares rural and urban discharge rates, as well as for-profit and nonprofit business models.
Author(s): Rachel Dolin, Denise Kirk, Mark Holmes
Date: 09/2017
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Telemedicine & Telehealth Update
Slides from a presentation outlining the benefits associated with delivering rural and remote healthcare services in Kansas via telehealth. Focuses on telehospice services and enhancing care through Project ECHO.
Author(s): Eve-Lynn Nelson
Date: 08/2017
Type: Presentation Slides
Sponsoring organization: Heartland Telehealth Resource Center
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