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Rural Health
Resources by Topic: Long-term care

Availability of Post-Acute Care and Long-Term Care Services in Rural Areas
September 14, 2021 webinar discussing the availability of post-acute care and long-term services in rural areas. Shares information on nursing home closures, nursing home deserts, and data describing nursing homes characteristics by metro and nonmetro location. Includes an analysis of hospitals with swing beds that provide coverage for post-acute care and long-term services in rural areas and home health services in rural areas without nursing homes.
Additional links: Presentation Slides, Transcript
Author(s): Hari Sharma
Date: 09/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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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: 09/2021
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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People with Disabilities Still at Risk in Congregate Care Settings
Describes factors that increase the rates of COVID-19 infection, hospitalization, and death in congregate care settings, specifically among people with disabilities. Compares the number of COVID-19 cases and deaths in nursing facilities by rural and urban status and by region between May 2-August 8, 2021. Discusses how vaccination and community-based programs can reduce the risk of COVID-19 among people with disabilities.
Date: 08/2021
Type: Document
Sponsoring organization: Research and Training Center on Disability in Rural Communities
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Nursing Homes & COVID-19
Provides information and resources for counties on federal guidance, policies, data, and local best practices relating to COVID-19 outbreaks and ongoing infection control measures in long-term care facilities. Includes interactive maps highlighting the overall number of nursing homes and county-supported facilities in each county. Highlights other key resources for addressing COVID-19 and vaccinations in nursing homes.
Date: 08/2021
Type: Website
Sponsoring organization: National Association of Counties
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Long-Term Care Facility Toolkit: Preparing for COVID-19 Vaccination at Your Facility
Resources and information to help long-term care facility administrators and clinical leadership build confidence in COVID-19 vaccination among healthcare staff and residents.
Date: 08/2021
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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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: 08/2021
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Data Book: Health Care Spending and the Medicare Program, 2021
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 and urban beneficiaries and providers throughout. Chart 6-2 addresses rural hospital closures.
Date: 07/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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COVID-19 Healthcare Resource Roadmap (Version 2.0)
Explains how federal funding may be used to address healthcare challenges related to the COVID-19 pandemic. Discusses public health capacity, care delivery, workforce, infrastructure, vaccination, and more. Covers ongoing annually funded federal programs, as well as resources provided under the Coronavirus Aid, Relief, and Economic Security (CARES) Act, Consolidated Appropriations Act, and American Rescue Plan Act. The decision framework tool includes a rural county public health department example.
Additional links: COVID-19 Healthcare Funding Decision Framework
Date: 07/2021
Type: Document
Sponsoring organization: Federal Emergency Management Agency
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Rural Healthcare Surge Readiness
Up-to-date and critical resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 07/2021
Type: Website
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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MedPAC Comment on CMS's Proposed Rule on the Hospital Inpatient PPS and the Long-term Care Hospital PPS for FY 2022
Comments on a May 10, 2021, Federal Register proposed rule revising the hospital inpatient and long-term care hospital (LTCH) prospective payment systems. Discusses proposals on rate-setting in both the hospital and LTCH prospective payment systems, the use of "market-based" data to set Medicare severity–diagnosis related group (MS–DRG) relative weights, and changes to rural reclassification cancellation requirements for hospitals.
Date: 06/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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