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Rural Health
Resources by Topic: Long-term care

Quality Measures for Critical Access Hospital Swing-Bed Patients
Policy brief describing a study to identify quality measures for Critical Access Hospital (CAH) swing-bed patients, focused on outcome and functional status measures. Includes information from key informant interviews on discharge disposition and 30-day follow-up status.
Author(s): Michelle Casey, Ira Moscovice, Henry Stabler
Date: 10/2019
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Medicare Payment Basics: Long-term Care Hospitals Payment System
Overview of Medicare payments for long-term care hospitals (LTCH) and services. Discusses the LTCH prospective payment system (PPS), and payment rate settings for LTCH and site neutral cases.
Date: 10/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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States' Medicaid Fee-for-Service Nursing Facility Payment Policies
Spreadsheet outlining each state's Medicaid fee-for-service (FFS) nursing facility payment policy. Lists how each state sets the payment rate and any adjustments and supplemental payments. Includes information on rural/urban aspects of setting or adjustment to the payment in each state.
Date: 10/2019
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Tribal Nursing Homes: Principles of Trauma-informed Care
Details a trauma informed care framework for tribal nursing homes. Outlines ways tribal nursing homes can factor cultural beliefs and historical trauma into their care decisions.
Date: 09/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Greater Good Podcasts Rural Health Segment, Part 1: How Did We Get Here? Rural Health Challenges in America
Set of three podcast episodes featuring Erika Ziller and Yvonne Jonk of the Maine Rural Health Research Center discussing current rural health issues and challenges, as well as historical factors related to the current rural health system. Addresses rural aging and long-term care, dental care, health insurance coverage, and health-related impacts of growing up in a rural community. Also compares rural health in Maine, other parts of the U.S., and rural communities in other countries.
Additional links: Part 2: Growing Up Rural, Part 3: Rural Health in Maine and America vs. the World
Author(s): Carrie Wilshusen, Erika Ziller, Yvonne Jonk
Date: 09/2019
Type: Audio
Sponsoring organization: University of Maine Graduate and Professional Center
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Supportive Services and Caregiving for Older Rural Adults: Policy Brief and Recommendations to the Secretary
Provides an overview of current supportive services and caregiving policies for rural seniors, in terms of availability, accessibility, and acceptability of services. Explores topics including long-term services and supports, telehealth, care coordination, transportation, stigma, and unpaid caregivers, and describes federal programs for older adults. Offers policy recommendations and considerations.
Date: 08/2019
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Skilled Nursing Facilities - Dually Certified Outside of Urbanized Areas
Printable map that shows the location of skilled nursing facilities and nursing facilities that are dually certified and located outside of urbanized areas by state. Data source: data.HRSA.gov, U.S. Department of Health and Human Services
Date: 07/2019
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Long-Term Services and Supports Scorecard: Emerging Innovations - Mobility Managers
Report highlights the role of mobility managers in coordinating transportation services for elders allowing them to age in place. Features examples of mobility managers functioning in both rural and urban settings.
Author(s): Doug Birnie, James McLary, Wendy Fox-Grage, Jana Lynott
Date: 06/2019
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Nursing Homes: Improved Oversight Needed to Better Protect Residents from Abuse
Examines Centers for Medicare and Medicaid Services (CMS) data on nursing home complaints and incidents. Addresses the process for reporting and investigating abuse, deficiencies in the process and actions for enforcing it, as well as data on abuse type (physical, mental/verbal, sexual), perpetrator type (staff, resident, other), and severity over time. Table 2 includes rural/urban data on nursing home abuse deficiencies.
Date: 06/2019
Type: Document
Sponsoring organization: Government Accountability Office
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2019
Provides an overview of Medicare spending and highlights data on Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care provided through the Medicare program, and other payer liability. Examines settings of care, including rural specific provider sites, as they relate to spending, access to care, and profit margins. Compares rural to urban throughout. Chart 6-1 addresses rural hospital closures.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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