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Rural Hospice and Palliative Care – Resources

Selected recent or important resources focusing on Rural Hospice and Palliative Care.

Increasing Knowledge of Palliative Care in South Dakota
Describes the creation of the South Dakota Palliative Care Network and discusses its work to increase knowledge of palliative care among rural healthcare professionals, nursing students, and community members in the state.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medicare Payment Basics: Hospice Services Payment System
Overview of the Medicare hospice benefit and Medicare payments to hospice providers. Describes the four levels of care of the hospice prospective payment system and payment rates.
Date: 10/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Hospice: CMS Flexibilities to Fight COVID-19
Outlines specific regulatory waivers and Medicare flexibilities for hospice providers issued in response to the COVID-19 pandemic. Includes information on payments for COVID-19 vaccines and therapeutics. Identifies whether each waiver or flexibility has been terminated, will end at the conclusion of the public health emergency, or has become permanent.
Date: 08/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Availability of Medicare-Certified Hospice Services in Minoritized Racial/Ethnic Group Areas
Explores the availability of hospice care nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the characteristics of hospice providers that serve rural areas and a high proportion of minoritized ethnic and racial groups, as well as the percent of ZCTAs served by one or no hospice providers by Rural-Urban Commuting Area (RUCA) Code.
Author(s): Janice C. Probst, Nicholas Yell, Gabriel Benavidez, Jan Eberth, Melinda Merrell
Date: 08/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Palliative Care — More Than Just Hospice, with Karla Weng and Pat Justis
An episode of the Exploring Rural Health podcast featuring Karla Weng, Senior Program Manager for Stratis Health, and Pat Justis, Director of the Washington State Office of Rural Health. Discusses rural palliative care and an initiative to expand access in rural communities in Washington State, North Dakota, and Wisconsin.
Date: 06/2022
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Evaluation of the Medicare Care Choices Model: Annual Report 4
Evaluates the Medicare Care Choice Model (MCCM), which tests whether offering eligible Medicare beneficiaries the option to receive supportive services without forgoing payment for treatment of their terminal conditions improved their quality of life and care, increased patient and family satisfaction, and reduced Medicare expenditures. Reports on MCCM beneficiary outcomes through March 2021. Includes information on rural beneficiary participation in the model and compares rural and urban beneficiary outcomes.
Additional links: Findings at a Glance
Date: 04/2022
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, Mathematica
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MedPAC Report to the Congress: Medicare Payment Policy: Hospice Services: Chapter 11
Discusses payment adequacy for hospice and palliative support services. Includes statistics with breakdowns by urban and rural locations and demographics on Medicare decedents who used hospice during 2010 and between 2018-2020. Compares the actual hospice utilization rates in micropolitan, rural adjacent, rural nonadjacent, and frontier areas to urban hospice utilization rates.
Date: 03/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Palliative Care for Rural Growth and Wellbeing: Identifying Perceived Barriers and Facilitators in Access to Palliative Care in Rural Indiana, USA
Presents findings from interviews with 15 palliative care providers regarding access to palliative care in rural Indiana. Identifies barriers to and facilitators of palliative care access in rural Indiana.
Author(s): Nasreen Lalani, Yun Cai
Citation: BMC Palliative Care, 21(1), 25
Date: 02/2022
Type: Document
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Integrating Serious Illness Care into Primary Care Delivery: Proceedings of a Workshop
Summarizes presentations and discussions from a June 2021 workshop on challenges and opportunities to integrate serious illness care into primary care settings. Covers the shared principles of primary and serious illness care, the interdisciplinary teams in each discipline, policy issues that serve as barriers or incentives, and best practices. Includes examples of integrating serious illness care into primary care settings in rural areas.
Additional links: Read Online
Date: 01/2022
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Caring for People with Serious Illness: Lessons Learned from the COVID-19 Pandemic: Proceedings from a Workshop
Proceedings from a three-part workshop to explore the initial responses to the pandemic by healthcare teams providing care to people with serious illness, the impact of the pandemic on the healthcare workforce, use of telehealth, issues related to communicating with the public about health emergencies, and policy opportunities to improve care for people with serious illness. Mentions rural throughout.
Additional links: Read Online
Date: 2022
Type: Document
Sponsoring organization: National Academies of Sciences, Engineering, and Medicine
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Last Updated: 11/16/2022