Rural Health
Resources by Topic: Long-term care
Rates of Nursing Home Closures Were Relatively Stable Over the Past Decade, but Warrant Continuous Monitoring
Evaluates nursing home closures between 2011 and 2021 to identify trends and characteristics associated with closure. Considers location, Medicaid and Medicare, resident race, and more.
Author(s): Kelly Hughes, Zhanlian Feng, Qinghua Li, et al.
Citation: Health Affairs Scholar, 1(2)
Date: 08/2023
Type: Document
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Evaluates nursing home closures between 2011 and 2021 to identify trends and characteristics associated with closure. Considers location, Medicaid and Medicare, resident race, and more.
Author(s): Kelly Hughes, Zhanlian Feng, Qinghua Li, et al.
Citation: Health Affairs Scholar, 1(2)
Date: 08/2023
Type: Document
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Telemedicine Visits in US Skilled Nursing Facilities
Results of a study of telemedicine use in skilled nursing facilities (SNFs), using data from over 4.4 million residents at 15,434 SNFs. Features statistics including characteristics of SNFs in the top quartile by telemedicine use in 2020 to 2021, with breakdowns by metropolitan, micropolitan, small urban, and rural areas, and state-level maps with shadings showing rates of telemedicine use in SNFs from 2019-2022.
Author(s): Agne Ulyte, Ateev Mehrotra, Andrew D. Wilcock, et al.
Citation: JAMA Network Open, 6(8)
Date: 08/2023
Type: Document
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Results of a study of telemedicine use in skilled nursing facilities (SNFs), using data from over 4.4 million residents at 15,434 SNFs. Features statistics including characteristics of SNFs in the top quartile by telemedicine use in 2020 to 2021, with breakdowns by metropolitan, micropolitan, small urban, and rural areas, and state-level maps with shadings showing rates of telemedicine use in SNFs from 2019-2022.
Author(s): Agne Ulyte, Ateev Mehrotra, Andrew D. Wilcock, et al.
Citation: JAMA Network Open, 6(8)
Date: 08/2023
Type: Document
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Ownership of Hospitals: An Analysis of Newly-Released Federal Data & A Method for Assessing Common Owners
Analyzes Centers for Medicare & Medicaid Services (CMS) data on the ownership of all U.S. hospitals enrolled in Medicare. Presents data by hospital characteristics, including hospital type, rural and urban location, organizational structure; organizational owners and hospital chains; and individual owners.
Author(s): W. Pete Welch, Lanlan Xu, Nancy De Lew, Benjamin D. Sommers
Date: 08/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Analyzes Centers for Medicare & Medicaid Services (CMS) data on the ownership of all U.S. hospitals enrolled in Medicare. Presents data by hospital characteristics, including hospital type, rural and urban location, organizational structure; organizational owners and hospital chains; and individual owners.
Author(s): W. Pete Welch, Lanlan Xu, Nancy De Lew, Benjamin D. Sommers
Date: 08/2023
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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FY 2024 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule — CMS-1785-F and CMS-1788-F Fact Sheet
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2024 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the low-wage index hospital policy, Rural Emergency Hospitals (REHs) being allowed to receive Medicare Graduate Medical Education (GME) payments, changes to the rural wage index calculation methodology, and more.
Date: 08/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2024 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the low-wage index hospital policy, Rural Emergency Hospitals (REHs) being allowed to receive Medicare Graduate Medical Education (GME) payments, changes to the rural wage index calculation methodology, and more.
Date: 08/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Arkansas State Plan on Aging: Fiscal Years 2024-2027
Provides direction for long-term care efforts in the state of Arkansas. Focuses on implementation of the Older American Act (OAA), COVID-19 recovery, equity, access to home and community-based services, and caregiving infrastructure. Highlights population data on rural Arkansas citizens and rural-specific priorities.
Date: 06/2023
Type: Document
Sponsoring organization: Arkansas Department of Human Services
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Provides direction for long-term care efforts in the state of Arkansas. Focuses on implementation of the Older American Act (OAA), COVID-19 recovery, equity, access to home and community-based services, and caregiving infrastructure. Highlights population data on rural Arkansas citizens and rural-specific priorities.
Date: 06/2023
Type: Document
Sponsoring organization: Arkansas Department of Human Services
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Nursing Home Staffing Study: Comprehensive Report
Examines the level and type of staffing needed to promote acceptable nursing home quality and safety. Explores the potential implications and feasibility of increased staffing and costs to nursing homes. Presents four options for minimum staffing requirements and their cost, quality, and safety impacts. Includes rural references and considerations throughout.
Additional links: Literature Review Results Table, State Minimum Staffing Requirement
Date: 06/2023
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Examines the level and type of staffing needed to promote acceptable nursing home quality and safety. Explores the potential implications and feasibility of increased staffing and costs to nursing homes. Presents four options for minimum staffing requirements and their cost, quality, and safety impacts. Includes rural references and considerations throughout.
Additional links: Literature Review Results Table, State Minimum Staffing Requirement
Date: 06/2023
Type: Document
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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How Community Investment Saved a Rural Health System
Profiles Mackinac Straits Health System, a Critical Access Hospital (CAH) serving Michigan's Upper Peninsula. Discusses how the health system used strategic planning and key partnerships to address key needs, recover financially, and move forward.
Date: 06/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Profiles Mackinac Straits Health System, a Critical Access Hospital (CAH) serving Michigan's Upper Peninsula. Discusses how the health system used strategic planning and key partnerships to address key needs, recover financially, and move forward.
Date: 06/2023
Type: Audio
Sponsoring organization: American Hospital Association
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Virginia's Nursing Home Administrator Workforce: 2023
An overview of the nursing home administrator (NHA) workforce in Virginia based on data from the 2023 Nursing Home Administrator Workforce Survey. Features statistics including the number of NHAs in rural Virginia and how many grew up in rural areas.
Date: 05/2023
Type: Document
Sponsoring organization: Virginia Department of Health Professions
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An overview of the nursing home administrator (NHA) workforce in Virginia based on data from the 2023 Nursing Home Administrator Workforce Survey. Features statistics including the number of NHAs in rural Virginia and how many grew up in rural areas.
Date: 05/2023
Type: Document
Sponsoring organization: Virginia Department of Health Professions
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Distribution of Direct Care Workforce COVID-19 Funding Between Rural and Urban Counties in Minnesota and Illinois
Brief highlights the differences in the distribution of CARES Act direct care workforce funding between rural and urban counties in Minnesota and Illinois. Discusses the differences in distribution between the two states and the consequences for rural COVID-19 outcomes.
Author(s): Katie Rydberg, Janette Dill, Carrie Henning-Smith
Date: 05/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Brief highlights the differences in the distribution of CARES Act direct care workforce funding between rural and urban counties in Minnesota and Illinois. Discusses the differences in distribution between the two states and the consequences for rural COVID-19 outcomes.
Author(s): Katie Rydberg, Janette Dill, Carrie Henning-Smith
Date: 05/2023
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Guidance for the Expiration of the COVID-19 Public Health Emergency (PHE)
Outlines the emergency waivers related to the minimum health and safety requirements for long-term care and acute continuing care providers that are expiring at the end of the COVID-19 public health emergency (PHE). Describes the timelines for certain regulatory requirements issued during the PHE through interim final rules.
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Outlines the emergency waivers related to the minimum health and safety requirements for long-term care and acute continuing care providers that are expiring at the end of the COVID-19 public health emergency (PHE). Describes the timelines for certain regulatory requirements issued during the PHE through interim final rules.
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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