Rural Health
Resources by Topic: Hospice and palliative care
2023 National Survey on MIH-CP Programs
Results of a February 2023 survey of approximately 400 emergency medical services (EMS) agencies nationwide that have launched mobile integrated healthcare and community paramedicine (MIH-CP) programs. Features statistics on nontraditional services offered, and programs by demographic region served, with breakdowns by 3 levels of population density.
Date: 05/2023
Type: Document
Sponsoring organization: National Association of Emergency Medical Technicians
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Results of a February 2023 survey of approximately 400 emergency medical services (EMS) agencies nationwide that have launched mobile integrated healthcare and community paramedicine (MIH-CP) programs. Features statistics on nontraditional services offered, and programs by demographic region served, with breakdowns by 3 levels of population density.
Date: 05/2023
Type: Document
Sponsoring organization: National Association of Emergency Medical Technicians
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Guidance for the Expiration of the COVID-19 Public Health Emergency (PHE)
Outlines the emergency waivers related to the minimum health and safety requirements for long-term care and acute continuing care providers that are expiring at the end of the COVID-19 public health emergency (PHE). Describes the timelines for certain regulatory requirements issued during the PHE through interim final rules.
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Outlines the emergency waivers related to the minimum health and safety requirements for long-term care and acute continuing care providers that are expiring at the end of the COVID-19 public health emergency (PHE). Describes the timelines for certain regulatory requirements issued during the PHE through interim final rules.
Date: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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: 05/2023
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Palliative Care and Healthcare Utilization among Metastatic Breast Cancer Patients in U.S. Hospitals
Examines in-patient palliative care use by hospitalized metastatic breast cancer patients. Analyzes 26,961 female patients from 2010 to 2014 for palliative care use, with patient information further broken down by age, race, income, insurance type, and status of hospital utilized, such as urban teaching, urban nonteaching, or rural.
Author(s): Sun Jung Kim, Isha Patel, Chanhyun Park, Dong Yeong Shin, Jongwha Chang
Citation: Scientific Reports,13, 4358
Date: 03/2023
Type: Document
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Examines in-patient palliative care use by hospitalized metastatic breast cancer patients. Analyzes 26,961 female patients from 2010 to 2014 for palliative care use, with patient information further broken down by age, race, income, insurance type, and status of hospital utilized, such as urban teaching, urban nonteaching, or rural.
Author(s): Sun Jung Kim, Isha Patel, Chanhyun Park, Dong Yeong Shin, Jongwha Chang
Citation: Scientific Reports,13, 4358
Date: 03/2023
Type: Document
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MedPAC Report to the Congress: Medicare Payment Policy, 2023
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services; Medicare Advantage (MA), including a mandated report comparing per enrollee spending in the MA program with that of traditional fee-for-service (FFS) Medicare; and Medicare Part D.
Date: 03/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses payment adequacy for healthcare facilities and services; Medicare Advantage (MA), including a mandated report comparing per enrollee spending in the MA program with that of traditional fee-for-service (FFS) Medicare; and Medicare Part D.
Date: 03/2023
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Access to Health Services Across Rural and Urban Minoritized Racial/Ethnic Group Areas
Summarizes results from a series of reports documenting disparities in access to health services nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Presents data on the distance to care from the population center of rural and urban ZCTAs to the nearest provider. Covers first line, higher acuity, and home-based services.
Date: 03/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Summarizes results from a series of reports documenting disparities in access to health services nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Presents data on the distance to care from the population center of rural and urban ZCTAs to the nearest provider. Covers first line, higher acuity, and home-based services.
Date: 03/2023
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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The Washington Rural Palliative Care Initiative Handbook
Handbook explores Washington State's rural palliative care initiative. Details the structure of the program, the cohorts around the state, and the activities implemented by the program.
Date: 02/2023
Type: Document
Sponsoring organizations: Washington State Department of Health, Washington State Office of Rural Health
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Handbook explores Washington State's rural palliative care initiative. Details the structure of the program, the cohorts around the state, and the activities implemented by the program.
Date: 02/2023
Type: Document
Sponsoring organizations: Washington State Department of Health, Washington State Office of Rural Health
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Association of Rurality with Utilization of Palliative Care and Hospice among Medicare Beneficiaries Who Died from Pancreatic Cancer: A Cohort Study
Explores the association between the rurality of patient residence and the use of palliative care and hospice among Medicare decedents with pancreatic cancer between 2016 and 2018. Also examines the use of palliative care at least 90 days after diagnosis and before death and hospice care at least three days before death. Presents data by metropolitan, micropolitan, small town, and rural classifications.
Author(s): Niveditta Ramkumar, Qianfei Wang, Gabriel A. Brooks, et al.
Citation: Journal of Rural Health, 39(3), 557-564
Date: 01/2023
Type: Document
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Explores the association between the rurality of patient residence and the use of palliative care and hospice among Medicare decedents with pancreatic cancer between 2016 and 2018. Also examines the use of palliative care at least 90 days after diagnosis and before death and hospice care at least three days before death. Presents data by metropolitan, micropolitan, small town, and rural classifications.
Author(s): Niveditta Ramkumar, Qianfei Wang, Gabriel A. Brooks, et al.
Citation: Journal of Rural Health, 39(3), 557-564
Date: 01/2023
Type: Document
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Supporting and Sustaining the Current and Future Workforce to Care for People with Serious Illness: Proceedings of a Workshop (2023)
Summarizes discussions from an April 2023 public workshop exploring strategies and approaches to address major workforce challenges, including health professional well-being, workforce shortages, workforce training and retention, and advancing the diversity, equity, and inclusion of the workforce. Includes a section on well-being of the clinical workforce in rural areas.
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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Summarizes discussions from an April 2023 public workshop exploring strategies and approaches to address major workforce challenges, including health professional well-being, workforce shortages, workforce training and retention, and advancing the diversity, equity, and inclusion of the workforce. Includes a section on well-being of the clinical workforce in rural areas.
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 2023
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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America's Health Rankings Senior Report 2023
Provides a national and state-by-state overview of population health for older adults across 52 measures using data from 22 unique data sources. Covers social and economic factors, physical environment, clinical care, behaviors, and health outcomes. Highlights health disparities, including rural-urban disparities, across five categories of health. Includes state-by-state summaries and county-level maps for risk of social isolation by state.
Additional links: County-Level Maps for Risk of Social Isolation
Date: 2023
Type: Document
Sponsoring organization: United Health Foundation
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Provides a national and state-by-state overview of population health for older adults across 52 measures using data from 22 unique data sources. Covers social and economic factors, physical environment, clinical care, behaviors, and health outcomes. Highlights health disparities, including rural-urban disparities, across five categories of health. Includes state-by-state summaries and county-level maps for risk of social isolation by state.
Additional links: County-Level Maps for Risk of Social Isolation
Date: 2023
Type: Document
Sponsoring organization: United Health Foundation
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