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Rural Health
Resources by Topic: Long-term care

Oral Health Services and Barriers to Care in North Dakota Long Term Care Facilities: Chartbook
Presents the findings of a survey of long term care (LTC) facility staff working in rural and urban North Dakota LTC facilities. Examines current oral health practices and any barriers regarding the provision of oral healthcare to LTC facility residents.
Author(s): Shawnda Schroeder, Patrick Bright
Date: 2016
Type: Document
Sponsoring organization: University of North Dakota Center for Rural Health
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LTSS Research: Annotated Literature Review: Elder Abuse in Indian Country
Presents an annotated bibliography of resources pertaining to elder abuse in American Indian communities.
Date: 05/2015
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Improving Access to Noninstitutional Long-Term Care for American Indian Veterans
Describes program models to expand Native American veterans' access to home-based primary care (HBPC), which provides non-institutional long-term care to homebound veterans. Overviews emerging models of HBPC and co-management developed by Veterans Affairs Medical Centers in collaboration with tribes and Indian Health Service facilities. Also includes several models that expanded HBPC access for non-native as well as Native American rural veterans.
Author(s): Betty J. Kramer, Beth Creekmur, Sarah Cote, Debra Saliba
Citation: Journal of the American Geriatrics Society, 63(4), 789-796
Date: 04/2015
Type: Document
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The Need to Reform Medicare's Payments to Skilled Nursing Facilities Is as Strong as Ever
Compares payments made to skilled nursing facilities (SNFs) and costs over time to see if changes made by the Centers for Medicare and Medicaid Services (CMS) to the payment system have improved payment accuracy. Table 3 and Table 4 compare healthcare facility characteristics, including rural location.
Author(s): Carol Carter, Bowen Garrett, Doug Wissoker
Date: 01/2015
Type: Document
Sponsoring organizations: Medicare Payment Advisory Commission, Urban Institute
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Nurse Staffing Levels and Quality of Care in Rural Nursing Homes
Examines the relationship between nurse staffing levels (registered nurse, licensed practical nurse, and certified nurse aide hours per resident per day) and the quality of care in rural nursing homes. Includes data for hospital-based facilities and freestanding nursing homes.
Author(s): Peiyin Hung, Michelle Casey, Ira Moscovice
Date: 01/2015
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Housing an Aging Rural America: Rural Seniors and Their Homes
Discusses housing options to help rural seniors age in place. Topics covered include assisted living, home modification, transportation, and other supportive services. Also addresses housing quality and affordability.
Date: 10/2014
Type: Document
Sponsoring organization: Housing Assistance Council
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Observation Care Services for Medicare Beneficiaries in Rural Hospitals: Policy Issues and Stakeholder Perspectives
Seeks to provide a greater understanding of rural-specific issues surrounding hospital outpatient observation status and the related implications for rural hospitals, skilled nursing facilities (SNFs), and Medicare beneficiaries. Results are based on a multi-state, qualitative analysis of input from three respondent groups: state hospital associations, long-term care ombudsman offices, and Quality Improvement Organizations (QIOs). Analysis focuses on the use of observation status by Medicare beneficiaries from 2010-2013.
Author(s): Walter Gregg, Samantha Mills, Yvonne Jonk
Date: 10/2014
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Integrated Care Management in Rural Communities
Reviews the opportunities and challenges reform initiatives under the Affordable Care Act present for rural communities. Assesses 4 types of organizational models for delivering integrated care management, including long-term services and support. Each model has different strengths and drawbacks, weighing for and against implementation in rural areas.
Author(s): Eileen Griffin, Andrew F. Coburn
Date: 05/2014
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Profile of Rural Residential Care Facilities: A Chartbook
Reports on rural/urban differences in residential care facilities, focusing the facilities themselves, their residents, and the services they offer. Addresses how facility policies affect aging-in-place options.
Author(s): Jennifer D. Lenardson, Eileen Griffin, Zach Croll, Erika C. Ziller, Andrew F. Coburn
Date: 05/2014
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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The Patient Protection and Affordable Care Act of 2010: Impacts on Rural People, Places, and Providers: A Second Look
Addresses the impact of the Patient Protection and Affordable Care Act on rural communities with a focus on health insurance coverage, Medicare and Medicaid payment, quality and delivery system reform, public health, healthcare workforce, and long-term care.
Author(s): Andrew F. Coburn, Jennifer P. Lundblad, A. Clinton MacKinney, et al.
Date: 04/2014
Type: Document
Sponsoring organization: Rural Policy Research Institute Rural Health Panel
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