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Rural Health
Resources by Topic: Long-term 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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Emergency Transfers of the Elderly from Nursing Facilities to Critical Access Hospitals: Opportunities for Improving Patient Safety and Quality
Examines the evidence and best practices to improve the nursing facility-to-hospital transition of care. Provides tools to improve communication between patients, nursing facilities, and hospitals. Includes recommendations for the role of state Flex Programs in the transition of care process.
Author(s): Karen B. Pearson, Andrew F. Coburn
Date: 01/2013
Type: Document
Sponsoring organization: Flex Monitoring Team
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Why Do Some Critical Access Hospitals Close Their Skilled Nursing Facility Services While Others Retain Them?
Examines the factors related to the operation of skilled nursing services by Critical Access Hospitals (CAHs) and specifically the factors related to closure of skilled nursing units by some CAHs and the continued provision of these services by others. Addresses the impact of swing beds.
Author(s): John A. Gale, Zachariah T. Croll, Andrew F. Coburn, Walter R. Gregg
Date: 11/2012
Type: Document
Sponsoring organization: Flex Monitoring Team
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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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Anticipating the Rural Impact of Medicare Value-Based Purchasing
Describes the design and implementation of Medicare value-based purchasing (VBP) programs. Addresses the potential impact of these programs on rural healthcare providers. Includes discussion on the five provider types: Prospective Payment system (PPS) hospitals, Critical Access Hospitals (CAHs), Skilled Nursing Facilities (SNFs), home health agencies, and physician office practices.
Author(s): A. Clinton MacKinney, Keith J. Mueller, Nicholas P. Lillios, et al.
Date: 04/2012
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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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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The Patient Protection and Affordable Care Act of 2010: Impacts on Rural People, Places, and Providers: A First Look
Summarizes six issue areas of the Affordable Care Act (ACA) and discusses implications for access to services and improving the health status of rural residents. These issue areas are: health insurance coverage; Medicare and Medicaid payment; quality, financing, and delivery system reform; public health; healthcare workforce; and long-term care.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, Timothy D. McBride, Keith J. Mueller
Date: 09/2010
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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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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Closures of Hospital-Based SNF Units: Insights from Interviews with Administrators, Discharge Planners and Referring Physicians
Reports on interviews with officials at fifteen acute care hospitals with Medicare skilled nursing facilities (SNFs) in 1998, some of which were still open and some of which had closed. Addresses the reasons, and consequences, of hospitals' decisions to close SNF units. The study included hospitals in urban and rural areas.
Author(s): Korbin Liu, Emily Jones, Urban Institute
Date: 03/2007
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Long-Term Care: Consumers, Providers, Payers, and Programs
Discusses selected characteristics of long-term care consumers and providers and describes payers and selected programs that finance long-term care services.
Author(s): Carol O'Shaughnessy, Julie Stone, Thomas Gabe, Laura B. Shrestha
Date: 03/2007
Type: Document
Sponsoring organization: Congressional Research Service
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