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Rural Health
Resources by Topic: Long-term care

Community Transmission of SARS-CoV-2 Associated with a Local Bar Opening Event — Illinois, February 2021
Reports on a rural indoor bar opening event that resulted in COVID-19 cases among bar patrons and employees, as well as secondary cases in the community that impacted a long-term care facility and a school. Discusses the need for prevention measures as community businesses reopen.
Author(s): Samira Sami, Caitlin R. Turbyfill, Shelby Daniel-Wayman, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(14), 528-532
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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State Plans for Vaccinating Their Populations Against COVID-19
Interactive map with chart that shows how each state prioritized their populations in their COVID-19 vaccine distribution plans, including long-term care and nursing home residents, health care workers, and rural and tribal populations.
Date: 04/2021
Type: Website
Sponsoring organization: National Academy for State Health Policy
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COVID-19 Emergency Declaration Blanket Waivers for Health Care Providers
Provides an overview of waived Medicare regulations in response to COVID-19. Lists waivers that impact all types of providers, including Critical Access Hospitals, Rural Health Clinics, Federally Qualified Health Centers, physicians, skilled nursing facilities, and others. Includes information on changes to telemedicine and quality improvement programs.
Date: 04/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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CMS Open Door Forum Podcast and Transcripts
Provides audio recordings and transcripts of Centers for Medicare and Medicaid Services (CMS) Open Door Forum calls since October 2016, including the Rural Health Open Door Forums and COVID-19 stakeholder calls.
Date: 04/2021
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Challenges to Admitting Residents: Perspectives from Rural Nursing Home Administrators and Staff
Study of nursing home admissions in rural areas that examines challenges nursing home workers encounter when admitting individuals with mental and behavioral health conditions, obesity, dementia, and complex medical conditions. Discusses capacity challenges facing rural nursing homes related to population density, workforce recruitment and retention, financial issues, and space and equipment needs to meet specific health conditions. Data taken from surveys of 209 rural nursing home administrators.
Author(s): Carrie Henning-Smith, Dori Cross, Adrita Rahman
Citation: Inquiry: The Journal of Health Care Organization, Provision, and Financing, 58, 1-8
Date: 03/2021
Type: Document
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Post-Acute Care Trajectories for Rural Medicare Beneficiaries: Planned versus Actual Hospital Discharges to Skilled Nursing Facilities and Home Health Agencies
Examines care transitions among rural fee-for-service Medicare beneficiaries following discharge from an acute care hospital. Compares planned and actual discharges to home health agencies and skilled nursing facilities. Discusses implications of these findings on rural healthcare policy and practice.
Author(s): Tracy M. Mroz, Lisa A. Garberson, C. Holly A. Andrilla, et al.
Date: 03/2021
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Risk of COVID-19 Infections, Hospitalization, and Death in Fee-For-Service Medicare
Examines geographic differences in the predicted risk of COVID-19 infection, hospitalization, and death among Medicare beneficiaries. Describes the proportion of beneficiaries at high risk by demographic, nursing home residence, and health characteristics. Includes a county-by-county analysis of the percentage of beneficiaries at high risk.
Additional links: County Risk Scores
Author(s): Arielle Bosworth, Kenneth Finegold, Lok Wong Samson, et al.
Date: 03/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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MedPAC Report to the Congress: Medicare Payment Policy, 2021
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. Contains information on the effects of the COVID-19 pandemic on Medicare beneficiary healthcare access, mortality, and service use. Presents an option for Medicare's coverage of telehealth beyond the public health emergency.
Date: 03/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Measure Applications Partnership 2020-2021 Considerations for Implementing Measures in Federal Programs: Clinician, Hospital & PAC/LTC
Reviews the 20 pre-rulemaking quality measures the National Quality Forum's Measure Applications Partnership (MAP) considered during the 2020-2021 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: 03/2021
Type: Document
Sponsoring organization: National Quality Forum
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CMS Nursing Home Resource Center
Provides information for nursing home providers and CMS partners on regulations and guidance, training and resources, technical information, payment policy, and recent COVID-19 data and related policies. Includes resources and guidance for people in nursing home and their caregivers.
Date: 03/2021
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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