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Rural Health
Resources by Topic: Long-term care

Long-Term Care Nursing Homes Telehealth and Telemedicine Tool Kit
Identifies the significant telehealth-related changes made by CMS in response to the COVID-19 National Health Emergency. Provides resources to help long-term care facilities develop a telemedicine program. Addresses vendor selection, initiating a telemedicine program, monitoring patients remotely, and developing documentation tools.
Date: 03/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Emergency Preparedness Research Evaluation & Practice (EPREP) Program Toolkits
A list of evidence-based resources and tools created for public health and healthcare professionals to use in their planning and response efforts. Includes sections on healthcare preparedness, preparedness evaluation, models for planning and training, emergency risk communication, and long-term care facilities. Includes toolkits relevant to the COVID-19 response.
Date: 03/2020
Type: Website
Sponsoring organization: Harvard T.H. Chan School of Public Health
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COVID-19 Emergency Declaration Health Care Providers Fact Sheet
Lists 1135 waivers available from CMS to help healthcare providers respond to COVID-19, with information for specific facility types including skilled nursing facilities, Critical Access Hospitals, and home health agencies.
Date: 03/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Report to the Congress: Medicare Payment Policy, 2020
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: 03/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Trends in Electronic Health Record Use Among Residential Care Communities: United States, 2012, 2014, and 2016
Examines electronic health record (EHR) use trends and health information exchange (HIE) capability among residential care communities. Includes data by metropolitan statistical area (MSA) status, comparing MSA and non-MSA areas.
Author(s): Christine Caffrey, Christopher Cairns, Vincent Rome
Date: 03/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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VA Health Care: Veterans' Use of Long-Term Care Is Increasing, and VA Faces Challenges in Meeting the Demand
Discusses the increasing demand for long-term care for veterans and evaluates the Veterans Administration's effort to meet that demand. Looks at some the challenges to providing care to an expanding population of veterans, including those in rural areas.
Additional links: Full Report
Date: 02/2020
Type: Document
Sponsoring organization: Government Accountability Office
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Nursing Home Closures and Trends: June 2015 - June 2019
Provides an overview of the causes and implications of 500 nursing home closures between June 2015 and June 2019. Examines the geographic distribution of these closures, including states in which closures are concentrated in rural areas. Explores nursing home closures in relation to occupancy rates, quality ratings, tax status, and the impact of Medicaid payment policies. Offers recommendations for policymakers and nursing homes.
Date: 02/2020
Type: Document
Sponsoring organization: LeadingAge
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Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents-Payment Reform
Third annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents by offering incentives for the provision of in-house care to eligible residents, rather than a transfer to a hospital for treatment. Presents details on the effect of the payment model on Medicare expenditures in the participating states: Alabama, Missouri, Indiana, Nevada, New York, and Pennsylvania. Discusses the implication of the payment model in rural facilities.
Date: 12/2019
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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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