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Rural Health
Resources by Topic: Long-term care

Multiple COVID-19 Outbreaks Linked to a Wedding Reception in Rural Maine — August 7–September 14, 2020
Reports on a COVID-19 outbreak that began at a rural Maine wedding reception and spread in the local community and to a long-term care facility and a correctional facility in other counties. Discusses the impact of noncompliance with CDC's recommended mitigation measures.
Author(s): Parag Mahale, Craig Rothfuss, Sarah Bly, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(45), 1686-1690
Date: 11/2020
Type: Document
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: 11/2020
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Crosswalk: CMS Flexibilities to Fight COVID-19
Lists CMS waivers and flexibilities issued and implemented in response to the COVID-19 Public Health Emergency. Describes the impact of each provision for rural providers and facilities.
Date: 11/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Toolkit on State Actions to Mitigate COVID-19 Prevalence in Nursing Homes
Provides a compilation of resources and strategies for quality improvement, management, and prevention of the spread of COVID-19 within nursing homes. Includes information on testing, workforce and staffing, infection control, personal protective equipment, patient transfers, telehealth services, vaccination, and more. Includes recommendations and examples from rural areas throughout.
Date: 11/2020
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: 11/2020
Type: Website
Sponsoring organization: Centers for Medicare and Medicaid Services
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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: 10/2020
Type: Website
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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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. Includes information on payment system changes during the COVID-19 public health emergency.
Date: 10/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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A Comparison of Rural and Urban Specialty Hospitals
Results of a study examining differences in long-term acute care hospitals, inpatient psychiatric hospitals, and inpatient rehabilitation facilities in urban and rural areas. Features statistics on ownership type, location, number of beds, percent of inpatient days for rural residents, percent of inpatient days for Medicare beneficiaries, operating expenses, percent of Medicaid days, and profitability.
Author(s): George H. Pink, Andrew Osgood, Pranathi Sana
Date: 09/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Nursing Home Reopening Recommendations for State and Local Officials
Provides recommendations to help state and local officials determine the level of mitigation needed to prevent the transmission of COVID-19 in nursing homes. Discusses criteria to inform decisions for relaxing restrictions, considerations for allowing visitation, and recommendations for restarting survey activities. Includes a chart outlining the criteria for reopening nursing homes at each phase of the "Opening Up America Again" framework.
Additional links: Nursing Home Reopening Recommendations Frequently Asked Questions
Date: 09/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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: 09/2020
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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