Rural Health
Resources by Topic: Long-term care
Tribal Nursing Home Best Practices: Emergency Preparedness
Describes emergency preparedness approaches of 5 tribal nursing homes in Arizona, Washington, New Mexico, and Wyoming.
Date: 12/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Describes emergency preparedness approaches of 5 tribal nursing homes in Arizona, Washington, New Mexico, and Wyoming.
Date: 12/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Rural Long-Term Services and Supports: A Primer
Discusses the basics of rural long-term services and supports (LTSS) for older adults including system fundamentals, access, and opportunities and limitations of current policy. Includes models for rural LTSS and suggests priority areas for a high-performing rural health delivery system.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, Erin M. Mobley
Date: 11/2017
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Discusses the basics of rural long-term services and supports (LTSS) for older adults including system fundamentals, access, and opportunities and limitations of current policy. Includes models for rural LTSS and suggests priority areas for a high-performing rural health delivery system.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, Erin M. Mobley
Date: 11/2017
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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North Dakota Nursing Facility Workforce Survey Chartbook: 2016
Analyzes the survey results from 78 nursing facility chief executive officers in North Dakota. Describes characteristics of the nursing facility workforce. Includes rural versus urban comparisons for multiple measures, such as registered nurse (RN) vacancy rates, number of nurse full-time equivalents (FTEs), level of difficulty in filling staff positions, most important problem in recruiting RNs, and many others.
Author(s): Gary Hart, Robin Besse, Mandi-Leigh Peterson
Date: 09/2017
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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Analyzes the survey results from 78 nursing facility chief executive officers in North Dakota. Describes characteristics of the nursing facility workforce. Includes rural versus urban comparisons for multiple measures, such as registered nurse (RN) vacancy rates, number of nurse full-time equivalents (FTEs), level of difficulty in filling staff positions, most important problem in recruiting RNs, and many others.
Author(s): Gary Hart, Robin Besse, Mandi-Leigh Peterson
Date: 09/2017
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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Barriers and Facilitators to Implementation of VA Home-based Primary Care on American Indian Reservations: A Qualitative Multi-case Study
Highlights a study on the efficacy of the Veterans Health Affairs (VA) home-based primary care program at providing non-institutional long-term care for rural American Indian veterans living on reservations. Bases findings on a qualitative analysis of interviews conducted with staff, clinicians, and managers who oversaw the program's implementation. Discusses the challenges, barriers, and facilitators related the program's expansion into Indian Country.
Author(s): B. Josea Kramer, Sarah D. Cote, Diane I. Lee, Beth Creekmur, Debra Saliba
Citation: Implementation Science, 12, 109
Date: 09/2017
Type: Document
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Highlights a study on the efficacy of the Veterans Health Affairs (VA) home-based primary care program at providing non-institutional long-term care for rural American Indian veterans living on reservations. Bases findings on a qualitative analysis of interviews conducted with staff, clinicians, and managers who oversaw the program's implementation. Discusses the challenges, barriers, and facilitators related the program's expansion into Indian Country.
Author(s): B. Josea Kramer, Sarah D. Cote, Diane I. Lee, Beth Creekmur, Debra Saliba
Citation: Implementation Science, 12, 109
Date: 09/2017
Type: Document
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LTSS Research: Dementia Assessment Tools in Indian Country
Details a bibliography of resources for assessing the cognition of American Indian and Alaska Native elders with dementia. Discusses some of the cultural considerations when evaluating AI/NA elders' cognitive abilities.
Date: 08/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Details a bibliography of resources for assessing the cognition of American Indian and Alaska Native elders with dementia. Discusses some of the cultural considerations when evaluating AI/NA elders' cognitive abilities.
Date: 08/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Tribal Nursing Homes: Communicating with Your Governing Board
Presents methods for tribal nursing home administrators to effectively communicate with their governing boards. Features examples from several tribes of the southern and western U.S., as well as several resources and toolkits that further explore effective modes of communication for long-term care facility governance.
Date: 07/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Presents methods for tribal nursing home administrators to effectively communicate with their governing boards. Features examples from several tribes of the southern and western U.S., as well as several resources and toolkits that further explore effective modes of communication for long-term care facility governance.
Date: 07/2017
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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The Economic Impact of Rural Nursing Homes
Discusses the projected national total health expenditures and national nursing home expenditures that are affected by the aging population of the U.S. and increased life expectancies. Identifies how nursing homes contribute economically to the community through wages, salaries and benefits.
Author(s): Cheryl F. St. Clair, Gerald A. Doeksen, Fred C. Eilrich
Date: 07/2017
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Discusses the projected national total health expenditures and national nursing home expenditures that are affected by the aging population of the U.S. and increased life expectancies. Identifies how nursing homes contribute economically to the community through wages, salaries and benefits.
Author(s): Cheryl F. St. Clair, Gerald A. Doeksen, Fred C. Eilrich
Date: 07/2017
Type: Document
Sponsoring organization: National Center for Rural Health Works
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Rebalance Without the Balance: A Research Note on the Availability of Community-Based Services in Areas Where Nursing Homes Have Closed
Describes the existing distribution, including a rural and urban comparison, of community-based services (CBS) in areas where nursing homes have closed, and examines differences in CBS availability. Analysis uses data from local market and population characteristics as well as differences in state policies.
Author(s): Denise A. Tyler, Mary L. Fennell
Citation: Research on Aging, 39(5), 597-611
Date: 06/2017
Type: Document
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Describes the existing distribution, including a rural and urban comparison, of community-based services (CBS) in areas where nursing homes have closed, and examines differences in CBS availability. Analysis uses data from local market and population characteristics as well as differences in state policies.
Author(s): Denise A. Tyler, Mary L. Fennell
Citation: Research on Aging, 39(5), 597-611
Date: 06/2017
Type: Document
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2017
Includes chapters on implementing a unified payment system for post-acute care, Part B drug payment policies, the redesign of the Merit-Based Incentive Payment System (MIPS) and other alternative payment models, drug and device manufacturer payments to physicians and teaching hospitals, stand-alone emergency departments, and skilled nursing facility use. Rural hospitals and rural patient populations are discussed throughout the report.
Date: 06/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Includes chapters on implementing a unified payment system for post-acute care, Part B drug payment policies, the redesign of the Merit-Based Incentive Payment System (MIPS) and other alternative payment models, drug and device manufacturer payments to physicians and teaching hospitals, stand-alone emergency departments, and skilled nursing facility use. Rural hospitals and rural patient populations are discussed throughout the report.
Date: 06/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Rural Promising Practice Issue Brief: Interdisciplinary Clinical Video - Telehealth for Geriatrics and Dementia
Highlights the development, implementation, and evaluation of an interdisciplinary telehealth program designed to help caregivers provide coordinated care for aging rural veterans suffering from dementia. Discusses the interdisciplinary team model comprised of social workers, geriatricians, primary care providers, and rural caregivers coordinating to maintain a uniform level of care. Includes outcomes regarding the increase of access to education and caregiver support, as well as the ability of providers to prescribe medication to rural patients.
Additional links: Overview
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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Highlights the development, implementation, and evaluation of an interdisciplinary telehealth program designed to help caregivers provide coordinated care for aging rural veterans suffering from dementia. Discusses the interdisciplinary team model comprised of social workers, geriatricians, primary care providers, and rural caregivers coordinating to maintain a uniform level of care. Includes outcomes regarding the increase of access to education and caregiver support, as well as the ability of providers to prescribe medication to rural patients.
Additional links: Overview
Date: 05/2017
Type: Document
Sponsoring organization: Veterans Health Administration's Office of Rural Health
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