Rural Health
Resources by Topic: Hospice and palliative care
Staving Off One's Mortality: Rural Kidney Health and Its Disparities
Describes rural disparities around access to disease-stabilizing treatment for kidney disease and to renal replacement therapies. Features insights from providers serving rural patients, as well as a rural kidney transplant recipient sharing her experience.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Describes rural disparities around access to disease-stabilizing treatment for kidney disease and to renal replacement therapies. Features insights from providers serving rural patients, as well as a rural kidney transplant recipient sharing her experience.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Palliative Care — More Than Just Hospice, with Karla Weng and Pat Justis
An episode of the Exploring Rural Health podcast featuring Karla Weng, Senior Program Manager for Stratis Health, and Pat Justis, Director of the Washington State Office of Rural Health. Discusses rural palliative care and an initiative to expand access in rural communities in Washington State, North Dakota, and Wisconsin.
Date: 06/2022
Type: Audio
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Karla Weng, Senior Program Manager for Stratis Health, and Pat Justis, Director of the Washington State Office of Rural Health. Discusses rural palliative care and an initiative to expand access in rural communities in Washington State, North Dakota, and Wisconsin.
Date: 06/2022
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Post-Acute and Long-term Care Providers and Services Users in the United States, 2017–2018
Describes the supply, organizational characteristics, staffing, and services offered by post-acute and long-term care providers. Provides descriptions of service users, including residents of nursing homes and residential care communities, patients receiving home health or hospice care, and people who attend adult day services centers. Features statistics including distribution of post-acute and long-term care providers in 2017-2018, with breakdowns by metropolitan, micropolitan, or other areas.
Author(s): Manisha Sengupta, Jessica Penn Lendon, Christine Caffrey, Amanuel Melekin, Priyanka Singh
Date: 05/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Describes the supply, organizational characteristics, staffing, and services offered by post-acute and long-term care providers. Provides descriptions of service users, including residents of nursing homes and residential care communities, patients receiving home health or hospice care, and people who attend adult day services centers. Features statistics including distribution of post-acute and long-term care providers in 2017-2018, with breakdowns by metropolitan, micropolitan, or other areas.
Author(s): Manisha Sengupta, Jessica Penn Lendon, Christine Caffrey, Amanuel Melekin, Priyanka Singh
Date: 05/2022
Type: Document
Sponsoring organization: National Center for Health Statistics
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Developing Successful Palliative Care Teams in Rural Communities: A Facilitated Process
Discusses the importance of palliative care in rural areas. Describes a 3-year initiative led by Stratis Health to guide the development of palliative care services through rural community-based teams in North Dakota, Washington, and Wisconsin. Presents results of the initiative, including initial and follow-up assessments regarding the community's experience and expertise in components of palliative care.
Author(s): Karla Weng, Janelle Shearer, Laura Grangaard Johnson
Citation: Journal of Palliative Medicine, 25(5), 734–741
Date: 05/2022
Type: Document
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Discusses the importance of palliative care in rural areas. Describes a 3-year initiative led by Stratis Health to guide the development of palliative care services through rural community-based teams in North Dakota, Washington, and Wisconsin. Presents results of the initiative, including initial and follow-up assessments regarding the community's experience and expertise in components of palliative care.
Author(s): Karla Weng, Janelle Shearer, Laura Grangaard Johnson
Citation: Journal of Palliative Medicine, 25(5), 734–741
Date: 05/2022
Type: Document
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Evaluation of the Medicare Care Choices Model: Annual Report 4
Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Reports on MCCM beneficiary outcomes through March 2021. Includes information on rural beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance
Date: 04/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Reports on MCCM beneficiary outcomes through March 2021. Includes information on rural beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance
Date: 04/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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"Hard to Say Goodbye Over iPad": Experiences of Palliative Care Providers and Lessons Learned During the COVID-19 Pandemic in Rural Communities of Indiana, United States
Explores healthcare professionals' perspectives about the challenges and barriers to providing palliative care in rural Indiana during the COVID-19 pandemic. Presents findings from interviews with 15 providers on restricted visitation, communication barriers, provider distress, and hospice services and referrals.
Author(s): Nasreen Lalani, Yun Cai, Yitong Wang
Citation: Journal of Hospice and Palliative Nursing, 24(3), E94-E100
Date: 03/2022
Type: Document
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Explores healthcare professionals' perspectives about the challenges and barriers to providing palliative care in rural Indiana during the COVID-19 pandemic. Presents findings from interviews with 15 providers on restricted visitation, communication barriers, provider distress, and hospice services and referrals.
Author(s): Nasreen Lalani, Yun Cai, Yitong Wang
Citation: Journal of Hospice and Palliative Nursing, 24(3), E94-E100
Date: 03/2022
Type: Document
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MedPAC Report to the Congress: Medicare Payment Policy, 2022
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2022
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 payment adequacy for healthcare facilities and services, improving Medicare payment for post-acute care, Medicare Advantage, Medicare Part D, and the impact of healthcare provider consolidation.
Date: 03/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Measure Applications Partnership 2021-2022 Considerations for Implementing Measures in Federal Programs: Clinician, Hospital, and Post-Acute Care Long-Term Care
Reviews the 44 pre-rulemaking quality measures the National Quality Forum's Measure Applications Partnership (MAP) considered during the 2021-2022 cycle. Discusses measures for clinician programs, hospital and setting-specific programs, and post-acute care/long-term care programs. Highlights the MAP Rural Health Workgroup's support or determination of the suitability of each measure for rural providers.
Date: 03/2022
Type: Document
Sponsoring organization: National Quality Forum
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Reviews the 44 pre-rulemaking quality measures the National Quality Forum's Measure Applications Partnership (MAP) considered during the 2021-2022 cycle. Discusses measures for clinician programs, hospital and setting-specific programs, and post-acute care/long-term care programs. Highlights the MAP Rural Health Workgroup's support or determination of the suitability of each measure for rural providers.
Date: 03/2022
Type: Document
Sponsoring organization: National Quality Forum
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Palliative Care for Rural Growth and Wellbeing: Identifying Perceived Barriers and Facilitators in Access to Palliative Care in Rural Indiana, USA
Presents findings from interviews with 15 palliative care providers regarding access to palliative care in rural Indiana. Identifies barriers to and facilitators of palliative care access in rural Indiana.
Author(s): Nasreen Lalani, Yun Cai
Citation: BMC Palliative Care, 21(1), 25
Date: 02/2022
Type: Document
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Presents findings from interviews with 15 palliative care providers regarding access to palliative care in rural Indiana. Identifies barriers to and facilitators of palliative care access in rural Indiana.
Author(s): Nasreen Lalani, Yun Cai
Citation: BMC Palliative Care, 21(1), 25
Date: 02/2022
Type: Document
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January 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2022 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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