Rural Health
Resources by Topic: Home and community-based services
Addressing the Shortage of Direct Care Workers: Insights from Seven States
Brief assessing efforts for strengthening and identifying federal policy opportunities related to the direct care workforce through interviews with 20 stakeholders in 7 states. Discusses federal funding, collaboration, workforce pipelines, equity, credentials, training, family caregivers, and home- and community-based services. Discusses rural throughout.
Author(s): Barbara Lyons, Molly O'Malley Watts
Date: 03/2024
Type: Document
Sponsoring organization: Commonwealth Fund
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Brief assessing efforts for strengthening and identifying federal policy opportunities related to the direct care workforce through interviews with 20 stakeholders in 7 states. Discusses federal funding, collaboration, workforce pipelines, equity, credentials, training, family caregivers, and home- and community-based services. Discusses rural throughout.
Author(s): Barbara Lyons, Molly O'Malley Watts
Date: 03/2024
Type: Document
Sponsoring organization: Commonwealth Fund
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Aging Our Way, PA: A Plan for Lifelong Independence
Draft of a master plan for aging (MPA) for Pennsylvania. Highlights 5 priorities areas and their associated strategies and tactics related to access to services, aging in place, independence, caregiving, and awareness building. Includes rural throughout.
Date: 02/2024
Type: Document
Sponsoring organization: Pennsylvania Department of Aging
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Draft of a master plan for aging (MPA) for Pennsylvania. Highlights 5 priorities areas and their associated strategies and tactics related to access to services, aging in place, independence, caregiving, and awareness building. Includes rural throughout.
Date: 02/2024
Type: Document
Sponsoring organization: Pennsylvania Department of Aging
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Access in Brief: Adults with Intellectual Disabilities and Developmental Disabilities
Issue brief examining access to Medicaid coverage for adults with intellectual or developmental disabilities (ID/DD), using data for fiscal years 2017-2018. Compares characteristics of adult Medicaid beneficiaries with ID/DD across racial and ethnic groups and by Medicaid-only or dually eligible status. Includes a section on home and community-based services and features demographics including breakdowns by rural or urban residence.
Date: 02/2024
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Issue brief examining access to Medicaid coverage for adults with intellectual or developmental disabilities (ID/DD), using data for fiscal years 2017-2018. Compares characteristics of adult Medicaid beneficiaries with ID/DD across racial and ethnic groups and by Medicaid-only or dually eligible status. Includes a section on home and community-based services and features demographics including breakdowns by rural or urban residence.
Date: 02/2024
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Bridging The Home-Based Primary Care Gap In Rural Areas
Discusses challenges with offering home-based primary care (HBPC) in rural communities for older adults and people with disabilities, notably workforce shortages, insufficient infrastructure, and funding. Offers HBPC redesign suggestions with these challenges in mind, discussing community health workers, technology and telehealth, leveraging community resources and partnerships, training, scope of practice laws, payment models, and infrastructure investments.
Author(s): Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: Health Affairs Forefront
Date: 02/2024
Type: Document
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Discusses challenges with offering home-based primary care (HBPC) in rural communities for older adults and people with disabilities, notably workforce shortages, insufficient infrastructure, and funding. Offers HBPC redesign suggestions with these challenges in mind, discussing community health workers, technology and telehealth, leveraging community resources and partnerships, training, scope of practice laws, payment models, and infrastructure investments.
Author(s): Ginny Rogers, Montgomery Smith, Jonathan Gonzalez-Smith, Robert S. Saunders
Citation: Health Affairs Forefront
Date: 02/2024
Type: Document
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Alzheimer Disease or Other Dementias in Adult Day Services Centers, 2020
Examines the prevalence of Alzheimer disease and other dementias among adult day services center (ADSC) participants using data from the ADSC component of the 2020 National Post-acute and Long-term Care Study (NPALS). Compares the prevalence of these conditions in ADSCs that provide specialized care for dementia with other ADSCs by census region, metropolitan statistical area status, chain affiliation, and ownership type.
Author(s): Priyanka Singh, Jessica P. Lendon, Manisha Sengupta
Date: 01/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Examines the prevalence of Alzheimer disease and other dementias among adult day services center (ADSC) participants using data from the ADSC component of the 2020 National Post-acute and Long-term Care Study (NPALS). Compares the prevalence of these conditions in ADSCs that provide specialized care for dementia with other ADSCs by census region, metropolitan statistical area status, chain affiliation, and ownership type.
Author(s): Priyanka Singh, Jessica P. Lendon, Manisha Sengupta
Date: 01/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Place of Care in the Last Three Years of Life for Medicare Beneficiaries
Examines place of care during the last 3 years of life according to days of institutional care (hospital inpatient or skilled nursing facility), skilled home care (home healthcare or hospice), or personal home. Analyzes sociodemographic factors of 199,828 Medicare beneficiaries, with data broken down by median days in care, age at death, sex, race/ethnicity, insurance type, health conditions, and metro versus nonmetro neighborhood.
Author(s): Haiqun Lin, Irina B. Grafova, Anum Zafar, et al.
Citation: BMC Geriatrics, 24, 91
Date: 01/2024
Type: Document
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Examines place of care during the last 3 years of life according to days of institutional care (hospital inpatient or skilled nursing facility), skilled home care (home healthcare or hospice), or personal home. Analyzes sociodemographic factors of 199,828 Medicare beneficiaries, with data broken down by median days in care, age at death, sex, race/ethnicity, insurance type, health conditions, and metro versus nonmetro neighborhood.
Author(s): Haiqun Lin, Irina B. Grafova, Anum Zafar, et al.
Citation: BMC Geriatrics, 24, 91
Date: 01/2024
Type: Document
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Investing in North Carolina's Caregiving Workforce: Recommendations to Strengthen North Carolina's Nursing, Direct Care, and Behavioral Health Workforce
Reports on North Carolina's caregiving workforce, with focus areas in nursing, behavioral health, and direct care. Provides context, describes existing solutions, and makes recommendations for addressing challenges and shortages in each focus area. Highlights state health investment, and lists current caregiving workforce initiatives. Mentions rural communities throughout.
Date: 01/2024
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
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Reports on North Carolina's caregiving workforce, with focus areas in nursing, behavioral health, and direct care. Provides context, describes existing solutions, and makes recommendations for addressing challenges and shortages in each focus area. Highlights state health investment, and lists current caregiving workforce initiatives. Mentions rural communities throughout.
Date: 01/2024
Type: Document
Sponsoring organization: North Carolina Department of Health and Human Services
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Supporting People with Disabilities in Rural Communities, with Rayna Sage and Catherine Ipsen
An episode of the Exploring Rural Health podcast featuring Rayna Sage, PhD, and Catherine Ipsen, PhD, co-directors of the Research and Training Center on Disability in Rural Communities at the University of Montana. Focuses on the challenges facing rural people with disabilities and services and support systems that enable them to achieve and maintain quality of life.
Date: 01/2024
Type: Audio
Sponsoring organization: Rural Health Information Hub
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An episode of the Exploring Rural Health podcast featuring Rayna Sage, PhD, and Catherine Ipsen, PhD, co-directors of the Research and Training Center on Disability in Rural Communities at the University of Montana. Focuses on the challenges facing rural people with disabilities and services and support systems that enable them to achieve and maintain quality of life.
Date: 01/2024
Type: Audio
Sponsoring organization: Rural Health Information Hub
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Identifying Our Needs: A Survey of Elders Cycle VIII (2020 - 2023) - 2024 Data Book
Report presents data on the health and wellness of American Indian and Alaska Native elders. Explores data through a number of measures, such as general health, healthcare access, weight and nutrition, and memory and disability, among other measures.
Date: 2024
Type: Document
Sponsoring organization: National Resource Center on Native American Aging
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Report presents data on the health and wellness of American Indian and Alaska Native elders. Explores data through a number of measures, such as general health, healthcare access, weight and nutrition, and memory and disability, among other measures.
Date: 2024
Type: Document
Sponsoring organization: National Resource Center on Native American Aging
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An Overview of the Kansas Health Care Workforce
Provides an overview of the Kansas healthcare workforce, with data projected through 2030. Focuses on ambulatory healthcare services, hospitals, and nursing and residential care facilities. Includes metro versus nonmetro wage comparisons for nursing and personal aide occupations.
Author(s): Nathan Kessler
Date: 2024
Type: Presentation Slides
Sponsoring organization: Kansas Department of Labor
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Provides an overview of the Kansas healthcare workforce, with data projected through 2030. Focuses on ambulatory healthcare services, hospitals, and nursing and residential care facilities. Includes metro versus nonmetro wage comparisons for nursing and personal aide occupations.
Author(s): Nathan Kessler
Date: 2024
Type: Presentation Slides
Sponsoring organization: Kansas Department of Labor
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