Rural Health
Resources by Topic: Hospice and palliative care
There's No Place Like Home: Home Health Care in Rural America
Recording of testimony by providers of rural home health care and representatives of home health and hospice organizations, in a hearing held by the United States Senate Special Committee on Aging on February 12, 2020. Addresses challenges including workforce shortages and limitations in Medicare coverage for needed services.
Additional links: Testimony of Francis Adams, Testimony of Leigh Ann Howard, Testimony of Warren Hebert, Testimony of William A. Dombi
Date: 02/2020
Type: Audio
Sponsoring organization: U.S. Senate Special Committee on Aging
view details
Recording of testimony by providers of rural home health care and representatives of home health and hospice organizations, in a hearing held by the United States Senate Special Committee on Aging on February 12, 2020. Addresses challenges including workforce shortages and limitations in Medicare coverage for needed services.
Additional links: Testimony of Francis Adams, Testimony of Leigh Ann Howard, Testimony of Warren Hebert, Testimony of William A. Dombi
Date: 02/2020
Type: Audio
Sponsoring organization: U.S. Senate Special Committee on Aging
view details
Barriers to Palliative and Hospice Care Utilization in Older Adults with Cancer: A Systematic Review
Shares the results of a literature review analyzing various sociodemographic variables, including rural residence, to describe challenges older adults with cancer experience when accessing hospice and palliative care services.
Author(s): Jyotsana Parajuli, Aluem Tark, Ying-Ling Jao, Judith Hupcey
Citation: Journal of Geriatric Oncology, 11(1), 8-16
Date: 01/2020
Type: Document
view details
Shares the results of a literature review analyzing various sociodemographic variables, including rural residence, to describe challenges older adults with cancer experience when accessing hospice and palliative care services.
Author(s): Jyotsana Parajuli, Aluem Tark, Ying-Ling Jao, Judith Hupcey
Citation: Journal of Geriatric Oncology, 11(1), 8-16
Date: 01/2020
Type: Document
view details
January 2020 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2020 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2020 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services, physician and other health professional services, outpatient dialysis services and improving the ESRD payment system, skilled nursing facility services, home health agency services, long-term care hospital services, inpatient rehabilitation facility services, hospice services, and ambulatory surgical center services. Includes rural references throughout.
Date: 01/2020
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Bringing Palliative Care To Underserved Rural Communities
Discusses challenges and strategies related to providing palliative care to rural, predominantly Black communities in the South. Focuses on bridging cultural divides and integrating patient spirituality into the healthcare process.
Author(s): Charlotte Huff
Citation: Health Affairs, 38(12)
Date: 12/2019
Type: Document
view details
Discusses challenges and strategies related to providing palliative care to rural, predominantly Black communities in the South. Focuses on bridging cultural divides and integrating patient spirituality into the healthcare process.
Author(s): Charlotte Huff
Citation: Health Affairs, 38(12)
Date: 12/2019
Type: Document
view details
Study Protocol of Coaching End-of-Life Palliative Care for Advanced Heart Failure Patients and Their Family Caregivers in Rural Appalachia: A Randomized Controlled Trial
Describes a clinical trial to study an end-of-life palliative care program for heart failure patients in rural West Virginia. Discusses the prevalence of heart failure in rural Appalachia and the need for palliative care training for family caregivers.
Author(s): Ubolrat Piamjariyakul, Trisha Petitte, Angel Smothers, et al.
Citation: BMC Palliative Care, 18, 119
Date: 12/2019
Type: Document
view details
Describes a clinical trial to study an end-of-life palliative care program for heart failure patients in rural West Virginia. Discusses the prevalence of heart failure in rural Appalachia and the need for palliative care training for family caregivers.
Author(s): Ubolrat Piamjariyakul, Trisha Petitte, Angel Smothers, et al.
Citation: BMC Palliative Care, 18, 119
Date: 12/2019
Type: Document
view details
America's Care of Serious Illness: A State-by-State Report Card on Access to Palliative Care in Our Nation's Hospitals
Examines access to palliative care services in hospitals. Includes some data on access to palliative care in rural hospitals with 50 or more beds and in hospitals with fewer than 50 beds, many of which are in rural areas.
Date: 09/2019
Type: Document
Sponsoring organizations: Center to Advance Palliative Care, National Palliative Care Research Center
view details
Examines access to palliative care services in hospitals. Includes some data on access to palliative care in rural hospitals with 50 or more beds and in hospitals with fewer than 50 beds, many of which are in rural areas.
Date: 09/2019
Type: Document
Sponsoring organizations: Center to Advance Palliative Care, National Palliative Care Research Center
view details
Improving Access to and Equity of Care for People with Serious Illness Proceedings of a Workshop
Summarizes an April 2019 public workshop on models of care delivery for people with serious illness. Includes discussion of access to care in rural areas, including access to hospice and palliative care.
Additional links: Read Online
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 09/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
view details
Summarizes an April 2019 public workshop on models of care delivery for people with serious illness. Includes discussion of access to care in rural areas, including access to hospice and palliative care.
Additional links: Read Online
Author(s): Roundtable on Quality Care for People with Serious Illness
Date: 09/2019
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
view details
Geriatrics and Palliative Care, Fall 2018 Cycle: CDP Report
Evaluates 5 quality measures related to geriatrics and palliative care and supports using them for quality improvement efforts and reporting programs. The measures include 1) improvement in ambulation/locomotion; 2) improvement in bathing; 3) improvement in bed transferring; 4) improvement in management of oral medication; and 5) improvement in pain interfering with activity. The measures were not risk-adjusted for rurality.
Date: 08/2019
Type: Document
Sponsoring organization: National Quality Forum
view details
Evaluates 5 quality measures related to geriatrics and palliative care and supports using them for quality improvement efforts and reporting programs. The measures include 1) improvement in ambulation/locomotion; 2) improvement in bathing; 3) improvement in bed transferring; 4) improvement in management of oral medication; and 5) improvement in pain interfering with activity. The measures were not risk-adjusted for rurality.
Date: 08/2019
Type: Document
Sponsoring organization: National Quality Forum
view details
Rural Palliative Care
Policy position paper focused on rural palliative care. Discusses the value of palliative care and identifies rural considerations. Includes policy recommendations.
Author(s): Margaret Woeppel, Leslie Marsh, Tanya Sharp
Date: 07/2019
Type: Document
Sponsoring organization: National Rural Health Association
view details
Policy position paper focused on rural palliative care. Discusses the value of palliative care and identifies rural considerations. Includes policy recommendations.
Author(s): Margaret Woeppel, Leslie Marsh, Tanya Sharp
Date: 07/2019
Type: Document
Sponsoring organization: National Rural Health Association
view details
MedPAC Comment on CMS's Proposed Rule on Hospice for FY 2020
Comments on an April 25, 2019, Federal Register proposed rule updating payments for hospice and hospice quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details
Comments on an April 25, 2019, Federal Register proposed rule updating payments for hospice and hospice quality reporting. Addresses proposed changes to the wage index system that would adjust for geographical differences, potentially impacting rural areas.
Date: 06/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
view details