Rural Health
Resources by Topic: Long-term care
Evaluation of the Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents - Payment Reform
Second annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents. Appendices include findings from participating programs in Alabama, Missouri, Indiana, Nevada, Colorado, New York, and Pennsylvania. Addresses challenges for rural participants throughout.
Additional links: Findings at a Glance
Date: 03/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Second annual report evaluating a Centers for Medicare and Medicaid (CMS) Innovation payment model intended to reduce avoidable hospitalizations for long-term care nursing facility residents. Appendices include findings from participating programs in Alabama, Missouri, Indiana, Nevada, Colorado, New York, and Pennsylvania. Addresses challenges for rural participants throughout.
Additional links: Findings at a Glance
Date: 03/2019
Type: Document
Sponsoring organizations: Centers for Medicare and Medicaid Services, RTI International
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Strengthening Medicaid Long-term Services and Supports in an Evolving Policy Environment: A Toolkit for States
Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Shares strategies states can use to reform their long-term services and supports (LTSS) framework, focusing on improving LTSS in two key areas: rebalancing LTSS to increase the proportion of LTSS provided in community-based settings and integrating LTSS with physical and behavioral health services through managed care. Uses case studies to provide examples of each strategy, and discusses rural considerations throughout.
Additional links: Brief for Legislators, Summary of Reforms
Author(s): Stephanie Anthony, Arielle Traub, Sarah Lewis, et al.
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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MedPAC Report to the Congress: Medicare Payment Policy, 2019
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses opioids, Medicare Part D, Medicare Advantage, Medicare's quality incentive program for hospitals, and payment adequacy for healthcare facilities and services.
Date: 03/2019
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 opioids, Medicare Part D, Medicare Advantage, Medicare's quality incentive program for hospitals, and payment adequacy for healthcare facilities and services.
Date: 03/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Fact Sheet: Rural Nebraska's Shifting Long-term Care System
Highlights the state of Nebraska's rural long-term care system. Addresses access, capacity, provider shortages, and reimbursements.
Date: 02/2019
Type: Document
Sponsoring organization: Center for Rural Affairs
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Highlights the state of Nebraska's rural long-term care system. Addresses access, capacity, provider shortages, and reimbursements.
Date: 02/2019
Type: Document
Sponsoring organization: Center for Rural Affairs
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Long-term Care Providers and Services Users in the United States, 2015-2016
Describes the supply, organizational characteristics, staffing, and services offered by providers. Gives descriptions of services users, including residents of nursing homes and residential care communities, patients receiving home health or hospice care, and people who attend adult day care centers. Features statistics including distribution of long-term care providers in 2016, with breakdowns by metropolitan, micropolitan, or other area.
Additional links: State Estimates Supplement
Author(s): L. Harris-Kojetin, M. Sengupta, J.P. Lendon, et al.
Date: 02/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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Describes the supply, organizational characteristics, staffing, and services offered by providers. Gives descriptions of services users, including residents of nursing homes and residential care communities, patients receiving home health or hospice care, and people who attend adult day care centers. Features statistics including distribution of long-term care providers in 2016, with breakdowns by metropolitan, micropolitan, or other area.
Additional links: State Estimates Supplement
Author(s): L. Harris-Kojetin, M. Sengupta, J.P. Lendon, et al.
Date: 02/2019
Type: Document
Sponsoring organization: National Center for Health Statistics
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Indiana's Long Term Care & Aging Workforce
Identifies the Indiana licensed health professionals who practice in geriatrics or long term care, home health, or related settings, and describes their professional characteristics. Features statistics including numbers of professionals in the Indiana long term care and aging workforce, with breakdowns by rural and urban location.
Author(s): Hannah Maxey, Sierra Vaughn, Courtney Randolph
Date: 2019
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Identifies the Indiana licensed health professionals who practice in geriatrics or long term care, home health, or related settings, and describes their professional characteristics. Features statistics including numbers of professionals in the Indiana long term care and aging workforce, with breakdowns by rural and urban location.
Author(s): Hannah Maxey, Sierra Vaughn, Courtney Randolph
Date: 2019
Type: Document
Sponsoring organization: Bowen Center for Health Workforce Research and Policy
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Evaluating a Training Program for Rural Doctors and Nursing Home Staff on Safe Medicine Use for Patients with Dementia and Nursing Home Residents
Investigates whether a training program for healthcare providers in 29 rural counties in Iowa affected medication use by patients age 66 or older. Includes data and statistics on outpatients with dementia and nursing home residents, with information on age, sex, chronic disease, medication use, and more.
Author(s): Ryan Carnahan, Grant Brown, Marianne Smith, et al.
Date: 2019
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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Investigates whether a training program for healthcare providers in 29 rural counties in Iowa affected medication use by patients age 66 or older. Includes data and statistics on outpatients with dementia and nursing home residents, with information on age, sex, chronic disease, medication use, and more.
Author(s): Ryan Carnahan, Grant Brown, Marianne Smith, et al.
Date: 2019
Type: Document
Sponsoring organization: Patient-Centered Outcomes Research Institute
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LTSS Research: Improving Care for Adults with Disabilities in Indian Country - Highlights from the Field
Report details a number of programs providing disability care in Indian Country. Discusses services provided, such as peer support, medical transportation, mental health counseling, and attendant care, among other services related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Report details a number of programs providing disability care in Indian Country. Discusses services provided, such as peer support, medical transportation, mental health counseling, and attendant care, among other services related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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LTSS Research: Improving Care for Adults with Disabilities in Indian Country - Highlights from the Literature
Report examines the literature on disability care in Indian Country. Discusses home- and community-based services, trauma-informed care, and family caregivers among other topics related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Report examines the literature on disability care in Indian Country. Discusses home- and community-based services, trauma-informed care, and family caregivers among other topics related to long-term services and support for disabled American Indian and Alaska Native populations.
Date: 12/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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HCR95 SD1 Report on Availability of Long-Term Care Beds and its Impact on Wait Times for Acute Care Hospital Beds
Responds to a resolution from the Hawaii legislature requesting an examination of the impact of long-term care bed availability on acute care bed wait times. Reports regionally on challenges from community hospitals across the state, including Critical Access Hospitals and sole community hospitals. Identifies social, economic, and psychiatric factors impacting the ability of hospitals to discharge patients to long-term care and discusses the effects on hospital capacity. Highlights a pilot project planned for the Oahu Region.
Date: 12/2018
Type: Document
Sponsoring organization: Hawaii Health Systems Corporation
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Responds to a resolution from the Hawaii legislature requesting an examination of the impact of long-term care bed availability on acute care bed wait times. Reports regionally on challenges from community hospitals across the state, including Critical Access Hospitals and sole community hospitals. Identifies social, economic, and psychiatric factors impacting the ability of hospitals to discharge patients to long-term care and discusses the effects on hospital capacity. Highlights a pilot project planned for the Oahu Region.
Date: 12/2018
Type: Document
Sponsoring organization: Hawaii Health Systems Corporation
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