Rural Health
Resources by Topic: Long-term care
COVID-19's Current Impact on Rural Healthcare Delivery: Q&A with Brock Slabach
An interview with Brock Slabach, the National Rural Health Association's Senior Vice President for Member Services. Discusses the impact of COVID-19 on rural healthcare facilities, policy changes impacting rural providers, collaboration among rural communities to help share solutions, and the use of telehealth during the pandemic.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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An interview with Brock Slabach, the National Rural Health Association's Senior Vice President for Member Services. Discusses the impact of COVID-19 on rural healthcare facilities, policy changes impacting rural providers, collaboration among rural communities to help share solutions, and the use of telehealth during the pandemic.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 05/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Characteristics of Counties with the Highest Proportion of the Oldest Old
Policy brief examining the characteristics of communities having the greatest percent of residents ages 85 and older. Discusses documented differences in rural-urban locations in long-term care availability and caregiver supports. Includes a list of counties with the highest proportion of the oldest old, a county-level map with shadings showing proportions of the oldest old, and statistics on county characteristics, with breakdowns by highest-prevalence rural counties, all counties, rural counties, and noncore rural counties.
Author(s): Carrie Henning-Smith, Megan Lahr, Jonathan Schroeder, Cody Tuttle, Samantha Mills
Date: 05/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Policy brief examining the characteristics of communities having the greatest percent of residents ages 85 and older. Discusses documented differences in rural-urban locations in long-term care availability and caregiver supports. Includes a list of counties with the highest proportion of the oldest old, a county-level map with shadings showing proportions of the oldest old, and statistics on county characteristics, with breakdowns by highest-prevalence rural counties, all counties, rural counties, and noncore rural counties.
Author(s): Carrie Henning-Smith, Megan Lahr, Jonathan Schroeder, Cody Tuttle, Samantha Mills
Date: 05/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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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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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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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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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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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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January 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2020 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2020 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Post-Acute Care Virtual Summit
Summarizes a May 2020 virtual summit of key stakeholders that examines the state of post-acute care (PAC) in rural America. Discusses issues, challenges, and strategies related to the integration of rural acute and post-acute care. Explores how state Flex Programs can help rural providers address PAC. Includes a collection of PAC best practices.
Date: 2020
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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Summarizes a May 2020 virtual summit of key stakeholders that examines the state of post-acute care (PAC) in rural America. Discusses issues, challenges, and strategies related to the integration of rural acute and post-acute care. Explores how state Flex Programs can help rural providers address PAC. Includes a collection of PAC best practices.
Date: 2020
Type: Document
Sponsoring organizations: National Rural Health Resource Center, Stroudwater Associates
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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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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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Partnership Integration for Rural Health Resource Access
Describes an interdisciplinary partnership model combining nursing, public health, and gerontology to address the health and social challenges affecting older adults living in rural areas. Offers steps for developing an interdisciplinary partnership and highlights a model utilizing clinical and non-clinical disciplines to improve rural health resource access.
Author(s): Teresa Sharp, Joyce Weil, Audrey Snyder, et al.
Citation: Rural and Remote Health, 19(4), 5335
Date: 11/2019
Type: Document
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Describes an interdisciplinary partnership model combining nursing, public health, and gerontology to address the health and social challenges affecting older adults living in rural areas. Offers steps for developing an interdisciplinary partnership and highlights a model utilizing clinical and non-clinical disciplines to improve rural health resource access.
Author(s): Teresa Sharp, Joyce Weil, Audrey Snyder, et al.
Citation: Rural and Remote Health, 19(4), 5335
Date: 11/2019
Type: Document
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