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Rural Health
Resources by Topic: Post-acute care

Evidence Brief: Managing Acute Pain in Patients with Opioid Use Disorder on Medication-assisted Treatment
Brief details the Veterans Health Administration's best practice on acute pain treatment for patients undergoing medication-assisted treatment for opioid use disorder. Includes supplemental materials that highlight search strategies and evidence tables among other materials.
Additional links: Supplementary Materials
Author(s): Stephanie Veazie, Katherine Mackey, Donald Bourne, Kim Peterson
Date: 08/2019
Type: Document
Sponsoring organization: Veterans Health Administration
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Mercy Health - Marcum and Wallace Hospital Invests in Swing Bed Program
Highlights the Marcum and Wallace Hospital's work to implement the Small Rural Hospital Transition (SRHT) project recommendations with the goal of expanding the swing bed program to reduce readmission rates. Marcum and Wallace Hospital is a 25-bed Critical Access Hospital in Irvine, Kentucky.
Date: 08/2019
Type: Document
Sponsoring organization: National Rural Health Resource Center
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MedPAC Comment on CMS's Proposed Rule on the Inpatient Rehabilitation Facility PPS for FY 2020
Comments on an April 24, 2019, Federal Register proposed rule updating payments for Inpatient Rehabilitation Facilities (IRFs) and IRF quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Advisory Commission (MedPAC) Public Meeting, April 4-5, 2019
Includes presentation slides and brief presentation descriptions from a meeting of the Medicare Payment Advisory Commission (MedPAC) addressing Medicare spending and payment issues. Covers value-based payment, Medicare Shared Savings Program (MSSP) performance, the Medicare Advantage quality bonus program, emergency department spending, post-acute care patient assessment, Medicare Part D drug costs, and payments for rural and low-volume dialysis facilities.
Additional links: Full Meeting Transcript, Improving Payment for Low-Volume and Isolated Outpatient Dialysis Facilities
Date: 04/2019
Type: Presentation Slides
Sponsoring organization: Medicare Payment Advisory Commission
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MedPAC Report to the Congress: Medicare Payment Policy, 2019
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses opioids, Medicare Part D, Medicare Advantage, Medicare's quality incentive program for hospitals, and payment adequacy for healthcare facilities and services.
Date: 03/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Long-term Care Providers and Services Users in the United States, 2015-2016
Describes the supply, organizational characteristics, staffing, and services offered by providers. Gives descriptions of services users, including residents of nursing homes and residential care communities, patients receiving home health or hospice care, and people who attend adult day care centers. Features statistics including distribution of long-term care providers in 2016, with breakdowns by metropolitan, micropolitan, or other area.
Additional links: State Estimates Supplement
Author(s): L. Harris-Kojetin, M. Sengupta, J.P. Lendon, et al.
Date: 02/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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Illinois Critical Access Hospitals: Exploring the Financial Impacts of the Swing Bed Program
Examines the swing bed program in 30 Illinois Critical Access Hospitals (CAHs) by analyzing financial indicators, patient outcomes, and community benefits. Includes background information on the swing bed program and population data for rural Illinois. Covers demographic statistics for metro and nonmetro counties in 2010 and 2016.
Author(s): Melissa Henriksen, Brian Richard, Jeanna Ballard
Date: 02/2019
Type: Document
Sponsoring organizations: Illinois Critical Access Hospital Network, Northern Illinois University Center for Governmental Studies
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HCR95 SD1 Report on Availability of Long-Term Care Beds and its Impact on Wait Times for Acute Care Hospital Beds
Responds to a resolution from the Hawaii legislature requesting an examination of the impact of long-term care bed availability on acute care bed wait times. Reports regionally on challenges from community hospitals across the state, including Critical Access Hospitals and sole community hospitals. Identifies social, economic, and psychiatric factors impacting the ability of hospitals to discharge patients to long-term care and discusses the effects on hospital capacity. Highlights a pilot project planned for the Oahu Region.
Date: 12/2018
Type: Document
Sponsoring organization: Hawaii Health Systems Corporation
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Assessing the Unintended Consequences of Health Policy on Rural Populations and Places
Explores health policies that have affected, or could potentially have affected, rural people, places, and providers, in ways that ran counter to policy intent. Examines 6 historical health policies and their effect on rural health systems. Includes a framework for analyzing policy impact on rural populations and places.
Author(s): Keith J. Mueller, Charlie Alfero, Andrew F. Coburn, et al.
Date: 12/2018
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nevada. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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