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Rural Health
Resources by Topic: Hospice and palliative care

Elder Health in Rural America
Provides an overview of the interplay between rural communities and rural elder health. Discusses policy and practices. Covers recommendations for policy makers based on a systems approach, incorporating sustainability, best practice, quality, efficiency, and effectiveness.
Author(s): Rebecca M. Hartman, Florence M. Weierbach
Date: 02/2013
Type: Document
Sponsoring organization: National Rural Health Association
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Palliative Care Rural Initiative Dissemination Model and Implementation Guide
Includes tools, best practices, and lessons learned associated with implementing care coordination models to help rural community hospice organizations meet the needs of veterans. Created within a collaboration of the National Rural Health Resource Center and the Veterans Integrated Service Network (VISN) 23 and designed to be replicated by other VISNs.
Date: 11/2012
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Respite for Rural Family Caregivers: Overcoming the Challenges
Discusses care recipients and their caregivers who live in rural and frontier areas. Offers suggestions to assist family caregivers, respite providers and administrators, and Lifespan Respite grantees in finding or developing respite resources.
Date: 10/2012
Type: Document
Sponsoring organization: ARCH National Respite Network and Resource Center
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Rural-Urban Differences in End-of-Life Nursing Home Care: Facility and Environmental Factors
Examines urban-rural difference in end-of-life (EOL) quality of care provided in nursing homes from 2005 to 2007 based on 3 quality measures: in-hospital death, hospice referral before death, and presence of severe pain.
Author(s): Helena Temkin-Greener, Nan Tracy Zheng, Dana B. Mukamel
Citation: Gerontologist, 52(3), 335-344
Date: 06/2012
Type: Document
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Provision of Long Term Care Services by Critical Access Hospitals: Are Things Changing?
Describes trends in access to post-acute and long-term care services in rural areas. Discusses the role Critical Access Hospitals (CAHs) play and how their role could change.
Author(s): Melanie Race, John Gale, Andrew Coburn
Date: 03/2011
Type: Document
Sponsoring organization: Flex Monitoring Team
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MedPAC Report to the Congress: Reforming the Delivery System
Describes a direction for Medicare payment and delivery system reform, makes recommendations to promote primary care, and examines hospital–physician collaborative relationships. Includes rural/urban data related to skilled nursing facilities and hospice.
Date: 06/2008
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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End-of-Life Care: Key Components Provided by Programs in Four States
Describes six key components in providing care to Medicare beneficiaries at the end of life. Includes information from site visits to programs in Arizona, Florida, Oregon, and Wisconsin. Discusses challenges of providing end-of-life care services to rural residents.
Additional links: Full Report
Date: 12/2007
Type: Document
Sponsoring organization: Government Accountability Office
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MedPAC Report to the Congress: Increasing the Value of Medicare
Examines issues affecting the Medicare program and makes recommendations to the Congress. Topics covered include care coordination, pricing accuracy in the hospice and physician payment systems, quality measures in home health, gathering data on outpatient therapy, Medicare Advantage, the Part D prescription drug program, and cost-effectiveness analysis.
Date: 06/2006
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Providing Hospice and Palliative Care in Rural and Frontier Areas
Toolkit of resources and information to help support the development of hospice and palliative care in rural and frontier areas. Includes information on finance, staffing, outreach, quality and more. Describes programs in Idaho, Kansas, New Mexico, North Dakota, and South Dakota.
Date: 10/2005
Type: Document
Sponsoring organizations: Center to Advance Palliative Care, National Hospice and Palliative Care Organization, National Rural Health Association
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Scope of Services Offered by Critical Access Hospitals: Results of the 2004 National CAH Survey
Examines how Critical Access Hospital (CAH) services have changed over time, based on 2000, 2002, and 2004 survey data. Discusses the role of network affiliations in service changes and reasons for reported service expansions.
Author(s): David Hartley, Stephenie Loux
Date: 03/2005
Type: Document
Sponsoring organization: Flex Monitoring Team
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