Rural Health
Resources by Topic: Home and community-based services
2018 Home and Community Preferences Survey: A National Survey of Adults Age 18-Plus a Look at Rural Communities
Reports on survey data investigating preferences for homes and communities in adults with focus on housing, transportation, outdoor spaces, and social engagement. Discusses specific preferences and needs for older adults and people with disabilities. Includes comparisons between rural, urban, and suburban respondents.
Date: 2019
Type: Document
Sponsoring organization: AARP
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Reports on survey data investigating preferences for homes and communities in adults with focus on housing, transportation, outdoor spaces, and social engagement. Discusses specific preferences and needs for older adults and people with disabilities. Includes comparisons between rural, urban, and suburban respondents.
Date: 2019
Type: Document
Sponsoring organization: AARP
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Aging in Appalachia
Episodes of the radio program "Inside Appalachia," exploring challenges faced by elderly people in Appalachia, and the resources available to them. Topics include caregiver shortages, Alzheimer's disease, dying with dignity, and isolation and loneliness.
Date: 2019
Type: Website
Sponsoring organization: West Virginia Public Broadcasting
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Episodes of the radio program "Inside Appalachia," exploring challenges faced by elderly people in Appalachia, and the resources available to them. Topics include caregiver shortages, Alzheimer's disease, dying with dignity, and isolation and loneliness.
Date: 2019
Type: Website
Sponsoring organization: West Virginia Public Broadcasting
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Community-based Palliative Care: Scaling Access for Rural Populations
Explains the role palliative care plays in meeting the needs of patients with serious illness and chronic medical conditions. Discusses challenges to accessing palliative care in rural areas and highlights work in Alaska, California, and Kansas to help address this need.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Explains the role palliative care plays in meeting the needs of patients with serious illness and chronic medical conditions. Discusses challenges to accessing palliative care in rural areas and highlights work in Alaska, California, and Kansas to help address this need.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Medicaid Home- and Community-Based Services: Selected States' Program Structures and Challenges Providing Services
Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Examines the challenges states face in providing home- or community-based care instead of nursing home care under their state Medicaid programs, focusing on Arizona, Florida, Mississippi, Montana, and Oregon. Addresses program funding, workforce issues, eligibility and enrollment, populations targeted for the programs, use of managed care, and more. Includes rural considerations throughout.
Additional links: Full Report
Date: 10/2018
Type: Document
Sponsoring organization: Government Accountability Office
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Care That Works: Support and Services at Home (SASH)
Examines the Vermont statewide program utilizing affordable housing communities to provide supportive services and care coordination for older adults and people with disabilities in rural areas. Describes how an on-site wellness nurse and care coordinator works with participants to coordinate assistance provided by social service agencies and community health providers with the services of the housing provider.
Date: 08/2018
Type: Document
Sponsoring organization: Center for Consumer Engagement in Health Innovation
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Examines the Vermont statewide program utilizing affordable housing communities to provide supportive services and care coordination for older adults and people with disabilities in rural areas. Describes how an on-site wellness nurse and care coordinator works with participants to coordinate assistance provided by social service agencies and community health providers with the services of the housing provider.
Date: 08/2018
Type: Document
Sponsoring organization: Center for Consumer Engagement in Health Innovation
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Implementing a Home Visiting Model in Tribal Communities: Takeaways from the HomVEE Tribal Review
Presents findings on the implementation and effectiveness of a home visiting program in tribal communities. Draws findings from the Home Visiting Evidence of Effectiveness (HomVEE) project's review of research on home visiting in tribal communities. Features sample strategies from reviewed studies.
Date: 02/2018
Type: Document
Sponsoring organizations: Mathematica Policy Research, The Office of Planning, Research, and Evaluation
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Presents findings on the implementation and effectiveness of a home visiting program in tribal communities. Draws findings from the Home Visiting Evidence of Effectiveness (HomVEE) project's review of research on home visiting in tribal communities. Features sample strategies from reviewed studies.
Date: 02/2018
Type: Document
Sponsoring organizations: Mathematica Policy Research, The Office of Planning, Research, and Evaluation
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The Impact of the Vermont Support and Services at Home Program on Healthcare Expenditures
The Support and Services at Home (SASH) program helps rural and urban program participants access healthcare and support services in order to maintain their health and age securely and safely in their homes. Report estimates the impact of the Vermont SASH program on Medicare expenditures.
Author(s): Amy Kandilov, Vince Keyes, Martijn van Hasselt, et al.
Citation: Cityscape, 20(2)
Date: 2018
Type: Document
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The Support and Services at Home (SASH) program helps rural and urban program participants access healthcare and support services in order to maintain their health and age securely and safely in their homes. Report estimates the impact of the Vermont SASH program on Medicare expenditures.
Author(s): Amy Kandilov, Vince Keyes, Martijn van Hasselt, et al.
Citation: Cityscape, 20(2)
Date: 2018
Type: Document
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Rural Long-Term Services and Supports: A Primer
Discusses the basics of rural long-term services and supports (LTSS) for older adults including system fundamentals, access, and opportunities and limitations of current policy. Includes models for rural LTSS and suggests priority areas for a high-performing rural health delivery system.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, Erin M. Mobley
Date: 11/2017
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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Discusses the basics of rural long-term services and supports (LTSS) for older adults including system fundamentals, access, and opportunities and limitations of current policy. Includes models for rural LTSS and suggests priority areas for a high-performing rural health delivery system.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, Erin M. Mobley
Date: 11/2017
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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No Wrong Door: Supporting Community Living for Veterans
Reports on several Veteran-Directed Home- and Community-Based Services (VD-HCBS) programs in 7 states. Presents a breakdown of each program and highlights challenges each program had to overcome. Bases analysis on 2 separate state surveys. Also includes tools useful to building collaborative partnerships between VA medical providers and aging and disability agencies in order to better serve veterans in their communities.
Author(s): Christina Neill Bowen, Wendy Fox-Grage, Kali Thomas, James Rudolph
Date: 11/2017
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Reports on several Veteran-Directed Home- and Community-Based Services (VD-HCBS) programs in 7 states. Presents a breakdown of each program and highlights challenges each program had to overcome. Bases analysis on 2 separate state surveys. Also includes tools useful to building collaborative partnerships between VA medical providers and aging and disability agencies in order to better serve veterans in their communities.
Author(s): Christina Neill Bowen, Wendy Fox-Grage, Kali Thomas, James Rudolph
Date: 11/2017
Type: Document
Sponsoring organization: AARP Public Policy Institute
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State of Care: Wisconsin's Home Care Landscape
Provides a snapshot of the home care landscape in Wisconsin. Includes information on the quality of care, workforce compensation, training, scope of practice, recruitment and retention, and unique challenges in rural areas. Includes statistics on home care workforce demographics in Wisconsin and at the national level, older adult population by county, and labor force participation as well as unemployment rates in Wisconsin by age, education, gender and family composition, and poverty.
Date: 09/2017
Type: Document
Sponsoring organization: PHI
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Provides a snapshot of the home care landscape in Wisconsin. Includes information on the quality of care, workforce compensation, training, scope of practice, recruitment and retention, and unique challenges in rural areas. Includes statistics on home care workforce demographics in Wisconsin and at the national level, older adult population by county, and labor force participation as well as unemployment rates in Wisconsin by age, education, gender and family composition, and poverty.
Date: 09/2017
Type: Document
Sponsoring organization: PHI
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