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Rural Health
Resources by Topic: Long-term care

Electronic Health Record Adoption and Interoperability Among U.S. Skilled Nursing Facilities and Home Health Agencies in 2017
Presents data for home health agencies and skilled nursing facilities describing their use of health information technology (HIT) in 2017. Includes statistics on electronic health record (EHR) adoption and interoperability. Covers information telehealth use in home health agencies by rural versus urban location and ownership type.
Author(s): JaWanna Henry, Yuriy Pylypchuk, Vaishali Patel
Date: 11/2018
Type: Document
Sponsoring organization: Office of the National Coordinator for Health Information Technology
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Nursing Home Infection Control Program Characteristics, CMS Citations, and Implementation of Antibiotic Stewardship Policies: A National Study
Results of a study of 2,514 nursing homes to assess infection preventionist training and certification, staff turnover, and infection control program characteristics. Features statistics on facility characteristics, with breakdowns by locations in metro, large urban, small urban, or rural areas.
Author(s): Patricia W. Stone, Carolyn T.A. Herzig, Mansi Agarwal, Monika Pogorzelska-Maziarz, Andrew W. Dick
Citation: Inquiry, 55:1-7
Date: 05/2018
Type: Document
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Health Care Utilization Patterns of Rural Medicaid Recipients, 2012, 35 States
Analyzes enrollment and claims data from 2012 for 35 states to describe inpatient and other institutional encounters among Medicaid enrollees prior to Medicaid expansion in 2014. Includes statistics on inpatient visits by rurality, hospitalization rates by rurality and provider payment plans, and the proportion of Medicaid enrollees with at least one long-term care stay by facility and rurality.
Author(s): Kevin J. Bennett, Karen M. Jones, Janice C. Probst
Date: 04/2018
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Where You Age Matters: Individual- and County-Level Predictors of Formal and Informal Care in Rural Appalachia
Examines the county-level social factors and individual-level personal characteristics of older adults in rural, Appalachian Virginia. Explores how these factors interact to predict if older adults receive formal or informal care and contribute to disparities of care. Discusses implications for researchers and policymakers to better align outreach and service delivery.
Author(s): Jyoti Savla, L. Rebecca Bivens, Karen A. Roberto, Rosemary Blieszner
Citation: Journal of Aging and Health, 31(5), 837-860
Date: 03/2018
Type: Document
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Tribal Nursing Home Best Practices: Cultural Sensitivity
Details several models for culturally competent tribal nursing homes and the measures the facilities implemented to provide appropriate care for American Indian and Alaska Native elders. Discusses some initiatives implemented, such as hiring a cultural liaison to coordinate traditional activities and providing person-centered care.
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Residential Settings and Healthcare Use of the Rural "Oldest-Old" Medicare Population
Results of a study using Medicare Current Beneficiary Survey data to profile rural and urban Medicare beneficiaries ages 85+ in terms of their demographic and socioeconomic characteristics, residential settings, health and functional status, and healthcare use. Features statistics on these topics with breakdowns by rural and urban location.
Author(s): Nathan Paluso, Zachariah Croll, Deborah Thayer, Jean A. Talbot, Andrew F. Coburn
Date: 03/2018
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Tribal Nursing Home Best Practices: Emergency Preparedness
Describes emergency preparedness approaches of 5 tribal nursing homes in Arizona, Washington, New Mexico, and Wyoming.
Date: 12/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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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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North Dakota Nursing Facility Workforce Survey Chartbook: 2016
Analyzes the survey results from 78 nursing facility chief executive officers in North Dakota. Describes characteristics of the nursing facility workforce. Includes rural versus urban comparisons for multiple measures, such as registered nurse (RN) vacancy rates, number of nurse full-time equivalents (FTEs), level of difficulty in filling staff positions, most important problem in recruiting RNs, and many others.
Author(s): Gary Hart, Robin Besse, Mandi-Leigh Peterson
Date: 09/2017
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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