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Rural Health
Resources by Topic: Long-term care

The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff
Examines how the United States delivers, finances, regulates, and measures the quality of nursing home care. Discusses the nursing home care landscape, quality measurement and improvement, workforce, safety, payment and financing, and health information technology. Identifies seven goals and supporting recommendations that provide a framework for a comprehensive approach to improving the quality of care in nursing homes.
Additional links: Read Online
Author(s): Board on Health Care Services
Date: 2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Literature Review on Differences in Care Provided in Urban and Rural Nursing Homes in the United States
Summarizes results of a review of peer-reviewed research on differences in rural and urban nursing home care quality. Covers access to mental health services and supports, hospitalizations and in-hospital deaths, and hospice care utilization. Highlights implications for future research.
Author(s): Denise D. Quigley, Leah V. Estrada, Gregory L. Alexander, Andrew Dick, Patricia W. Stone
Citation: Journal of Gerontological Nursing, 47(12), 48-56
Date: 12/2021
Type: Document
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Native Health in the Bemidji Area - COVID-19 in Nursing Homes
Report details the impact of COVID-19 on tribal nursing homes in the Bemidji Area IHS Region which includes Minnesota, Wisconsin, and Michigan. Highlights a breakdown of COVID-19 cases, deaths, and fatality rate for American Indian elders by state.
Date: 12/2021
Type: Document
Sponsoring organization: The Great Lakes Inter-Tribal Epidemiology Center
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Improving Health in Rural Communities: FY 2021 Year in Review
Provides an overview of Centers for Medicaid and Medicare Services (CMS) programs and activities that have affected rural health and healthcare in fiscal year 2021. Focuses on 10 priority areas: COVID-19, Federally-facilitated and State Marketplaces; Medicare payment and policy; practitioner workforce; Medicaid and Children's Health Insurance Program (CHIP) enrollment, payment, and policy; long-term services and supports; maternal health; mental health and substance use disorders; models and demonstrations, and quality and equity.
Date: 11/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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The Impact of COVID-19 on People with Disabilities
Examines the impact of the COVID-19 pandemic on people with disabilities. Covers access to healthcare and direct care workers, congregate care settings and transition, education, employment, effective communication, and mental health and suicide prevention services. Identifies challenges to rural residents throughout, including access to broadband in rural areas. Offers policy recommendations to federal and state policymakers and other relevant stakeholders.
Date: 10/2021
Type: Document
Sponsoring organization: National Council on Disability
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Statewide Age-Friendly Initiatives: An Environmental Scan
Policy brief examining statewide programs that support the health, independence, and well-being of elders as they age in place. Categorizes 33 initiatives in 22 states, distinguishing those that include specific rural focus, which are examined in greater detail in the additional policy brief.
Additional links: Examples of Statewide Age-Friendly Initiatives
Author(s): Jill Tanem, Carrie Henning-Smith, Megan Lahr
Date: 10/2021
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Availability of Post-Acute Care and Long-Term Care Services in Rural Areas
September 14, 2021 webinar discussing the availability of post-acute care and long-term services in rural areas. Shares information on nursing home closures, nursing home deserts, and data describing nursing homes characteristics by metro and nonmetro location. Includes an analysis of hospitals with swing beds that provide coverage for post-acute care and long-term services in rural areas and home health services in rural areas without nursing homes.
Additional links: Presentation Slides, Transcript
Author(s): Hari Sharma
Date: 09/2021
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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COVID-19 Funding Sources Impacting Rural Providers
Reference guide to help rural healthcare providers navigate federal COVID-19 response and recovery funding. Includes tables identifying eligibility by provider type and how funds can be spent. Provides an overview of each funding opportunity and reporting requirements.
Date: 09/2021
Type: Document
Sponsoring organization: National Rural Health Resource Center
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People with Disabilities Still at Risk in Congregate Care Settings
Describes factors that increase the rates of COVID-19 infection, hospitalization, and death in congregate care settings, specifically among people with disabilities. Compares the number of COVID-19 cases and deaths in nursing facilities by rural and urban status and by region between May 2-August 8, 2021. Discusses how vaccination and community-based programs can reduce the risk of COVID-19 among people with disabilities.
Date: 08/2021
Type: Document
Sponsoring organization: Research and Training Center on Disability in Rural Communities
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Rural/Urban Differences in Discharge from Rehabilitation in Older Adults with Traumatic Brain Injury
Compares rural and urban rates of discharge from skilled nursing facilities for 61,021 older adults with traumatic brain injury between 2011 and 2015 to determine quality of care. Discusses factors predicting successful discharge and reasons for not successfully discharging between rural and urban patients.
Author(s): Marie C. Anderson, Emily Evans, Mark R. Zonfrillo, Kali S. Thomas
Citation: Journal of the American Geriatrics Society, 69(6), 1601-1608
Date: 06/2021
Type: Document
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