Rural Health
Resources by Topic: Long-term care
The Declining Capacity of Nursing Facility Care in Rural Minnesota
Discusses the increasing demand for professional long-term care in Minnesota alongside the decreasing capacity of nursing facility availability. Provides information and statistics on projected demand through 2045, number of available nursing facilities and beds, changes in demand trends, workforce needs, and more, with breakdowns according to county and urbanicity.
Additional links: Summary
Author(s): Kelly Asche
Date: 11/2024
Sponsoring organization: Center for Rural Policy and Development
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Discusses the increasing demand for professional long-term care in Minnesota alongside the decreasing capacity of nursing facility availability. Provides information and statistics on projected demand through 2045, number of available nursing facilities and beds, changes in demand trends, workforce needs, and more, with breakdowns according to county and urbanicity.
Additional links: Summary
Author(s): Kelly Asche
Date: 11/2024
Sponsoring organization: Center for Rural Policy and Development
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2023 National and State Healthcare-Associated Infections Progress Report
Examines progress on reducing healthcare-associated infection rates for 6 types of infections in Acute Care Hospitals, Critical Access Hospitals, Inpatient Rehabilitation Facilities, and Long-term Acute Care Hospitals. Compares observed versus expected infection rates using 2015 baseline data. Includes national and state data tables on infection-specific standardized infection ratios (SIRs) and standardized utilization ratios (SURs) for each facility type.
Date: 11/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Examines progress on reducing healthcare-associated infection rates for 6 types of infections in Acute Care Hospitals, Critical Access Hospitals, Inpatient Rehabilitation Facilities, and Long-term Acute Care Hospitals. Compares observed versus expected infection rates using 2015 baseline data. Includes national and state data tables on infection-specific standardized infection ratios (SIRs) and standardized utilization ratios (SURs) for each facility type.
Date: 11/2024
Sponsoring organization: Centers for Disease Control and Prevention
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October 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2024 meeting. Covers an analysis of Medicare beneficiaries in nursing homes, findings from MedPAC's annual beneficiary and provider focus groups, supplemental benefits in Medicare Advantage, a work plan for a mandated final report on the impact of recent changes to the home health prospective payment system, and initial estimates of home health care use among Medicare Advantage enrollees. Includes rural references throughout.
Additional links: Medicare Beneficiaries in Nursing Homes - Presentation Slides
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) October 2024 meeting. Covers an analysis of Medicare beneficiaries in nursing homes, findings from MedPAC's annual beneficiary and provider focus groups, supplemental benefits in Medicare Advantage, a work plan for a mandated final report on the impact of recent changes to the home health prospective payment system, and initial estimates of home health care use among Medicare Advantage enrollees. Includes rural references throughout.
Additional links: Medicare Beneficiaries in Nursing Homes - Presentation Slides
Date: 10/2024
Sponsoring organization: Medicare Payment Advisory Commission
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Influenza and COVID-19 Vaccination Coverage Among Health Care Personnel — National Healthcare Safety Network, United States, 2023–24 Respiratory Virus Season
Reports on influenza and COVID-19 vaccination coverage among healthcare personnel working in acute care hospitals and nursing homes during the 2023-2024 respiratory virus season. Includes data by workplace location for rural and urban areas.
Author(s): Jeneita Bell, Lu Meng, Kira Barbre, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(43), 966-972
Date: 10/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on influenza and COVID-19 vaccination coverage among healthcare personnel working in acute care hospitals and nursing homes during the 2023-2024 respiratory virus season. Includes data by workplace location for rural and urban areas.
Author(s): Jeneita Bell, Lu Meng, Kira Barbre, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 73(43), 966-972
Date: 10/2024
Sponsoring organization: Centers for Disease Control and Prevention
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Health Care Worker Recruitment and Retention in New York State: What Are the Issues?
Report summarizing health workforce recruitment and retention difficulties experienced by providers in New York State, and reasons for these difficulties. Examines challenges in hospitals, nursing homes, Federally Qualified Health Centers, and other facilities, especially in rural areas of New York.
Additional links: Infographic
Author(s): Robert Martiniano, Sage Shirey
Date: 09/2024
Sponsoring organization: Center for Health Workforce Studies
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Report summarizing health workforce recruitment and retention difficulties experienced by providers in New York State, and reasons for these difficulties. Examines challenges in hospitals, nursing homes, Federally Qualified Health Centers, and other facilities, especially in rural areas of New York.
Additional links: Infographic
Author(s): Robert Martiniano, Sage Shirey
Date: 09/2024
Sponsoring organization: Center for Health Workforce Studies
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Differences in Staffing for Non-Nursing Occupations Across U.S. Skilled Nursing Facilities During 2018-2023
Examines staffing supply for non-nursing positions in skilled nursing facilities (SNFs), such as therapy, respiratory, pharmacy, social work, and more. Utilizes 2018-2023 data to analyze facility characteristics, community factors, staffing minutes per patient-day (MPPD), and percent contractor (PC) staffing. Provides MPPD and PC correlations with rural location, community social deprivation index, race/ethnicity of residents, and more.
Author(s): Rachel A. Prusynski, Tracy M. Mroz, Bianca K. Frogner
Date: 09/2024
Sponsoring organization: Center for Health Workforce Studies
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Examines staffing supply for non-nursing positions in skilled nursing facilities (SNFs), such as therapy, respiratory, pharmacy, social work, and more. Utilizes 2018-2023 data to analyze facility characteristics, community factors, staffing minutes per patient-day (MPPD), and percent contractor (PC) staffing. Provides MPPD and PC correlations with rural location, community social deprivation index, race/ethnicity of residents, and more.
Author(s): Rachel A. Prusynski, Tracy M. Mroz, Bianca K. Frogner
Date: 09/2024
Sponsoring organization: Center for Health Workforce Studies
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Nursing Home Certificate of Need Moratoria During the COVID-19 Pandemic Had Little Impact on Access
Analyzes certificate of need (CON) moratoria and healthcare supply of skilled nursing facility (SNF) beds during the COVID-19 pandemic. Utilizes 2015-2021 SNF cost report data to provide information on states that implemented CON moratoria, differences by rural versus urban counties, and impact on SNF bed supply.
Author(s): Anthony Yu, Christopher Whaley
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 61
Date: 09/2024
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Analyzes certificate of need (CON) moratoria and healthcare supply of skilled nursing facility (SNF) beds during the COVID-19 pandemic. Utilizes 2015-2021 SNF cost report data to provide information on states that implemented CON moratoria, differences by rural versus urban counties, and impact on SNF bed supply.
Author(s): Anthony Yu, Christopher Whaley
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 61
Date: 09/2024
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Access to Care Report
Infographic highlighting access challenges for nursing homes between 2020 and 2024. Includes data on facility downsizing and closures, supply, and rural nursing home deserts.
Date: 08/2024
Sponsoring organization: American Health Care Association
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Infographic highlighting access challenges for nursing homes between 2020 and 2024. Includes data on facility downsizing and closures, supply, and rural nursing home deserts.
Date: 08/2024
Sponsoring organization: American Health Care Association
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Access in Brief: Seniors and Adults with Physical Disabilities
Explores access to Medicaid-funded long-term services and supports (LTSS) among Medicaid beneficiaries age 65 and older and Medicaid beneficiaries aged 18-64 with physical disabilities. Describes the demographics, health status, service use, and experiences with Medicaid home and community-based services (HCBS) of these Medicaid beneficiaries using data from the 2017-2018 National Core Indicators Aging and Disabilities (NCI-AD) Adult Consumer Survey. Presents rural and urban data by multiple factors including dually eligible status.
Date: 08/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Explores access to Medicaid-funded long-term services and supports (LTSS) among Medicaid beneficiaries age 65 and older and Medicaid beneficiaries aged 18-64 with physical disabilities. Describes the demographics, health status, service use, and experiences with Medicaid home and community-based services (HCBS) of these Medicaid beneficiaries using data from the 2017-2018 National Core Indicators Aging and Disabilities (NCI-AD) Adult Consumer Survey. Presents rural and urban data by multiple factors including dually eligible status.
Date: 08/2024
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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FY 2025 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule – CMS-1808-F
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2025 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the extension of the low-wage index hospital policy, a separate IPPS payment for small and independent hospitals to establish and maintain a buffer stock of essential medicines, the distribution of graduate medical education (GME) residency slots, updates to quality reporting programs, and more.
Date: 08/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2025 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the extension of the low-wage index hospital policy, a separate IPPS payment for small and independent hospitals to establish and maintain a buffer stock of essential medicines, the distribution of graduate medical education (GME) residency slots, updates to quality reporting programs, and more.
Date: 08/2024
Sponsoring organization: Centers for Medicare & Medicaid Services
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