Rural Health
Resources by Topic: Long-term care
Infection Control Policies and Practices in Residential Care Communities by Selected Organizational and Geographic Characteristics: United States, 2020
Presents nationally representative data on the percentage of residential care communities with emergency operations plans that are specific to or include pandemic response, approaches to implement these plans, and infection control policies and practices. Compares infection control policies and practices by metropolitan status, community bed size, ownership status, chain affiliation, and whether the community has a designated space for dementia care.
Author(s): Amanuel Melekin, Manisha Sengupta
Date: 02/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Presents nationally representative data on the percentage of residential care communities with emergency operations plans that are specific to or include pandemic response, approaches to implement these plans, and infection control policies and practices. Compares infection control policies and practices by metropolitan status, community bed size, ownership status, chain affiliation, and whether the community has a designated space for dementia care.
Author(s): Amanuel Melekin, Manisha Sengupta
Date: 02/2024
Type: Document
Sponsoring organization: National Center for Health Statistics
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Nursing Home Workforce Issues and Inequities
Offers an overview of issues related to the direct care workforce in nursing homes including staffing shortages, recruitment and retention, low wages, job training, interdisciplinary care, and more. Discusses proposed policies offering workforce-related reforms. Discusses rural throughout.
Author(s): Jasmine L. Travers, Rita Choula, Edem Hado
Date: 02/2024
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Offers an overview of issues related to the direct care workforce in nursing homes including staffing shortages, recruitment and retention, low wages, job training, interdisciplinary care, and more. Discusses proposed policies offering workforce-related reforms. Discusses rural throughout.
Author(s): Jasmine L. Travers, Rita Choula, Edem Hado
Date: 02/2024
Type: Document
Sponsoring organization: AARP Public Policy Institute
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Hospital Financing: Volume Limits and Reporting Could Help Manage Risks of Expanding FHA's Mortgage Insurance Program
Describes the Federal Housing Administration's (FHA) Hospital Mortgage Insurance Program, which insures loans for capital improvements at hospitals; loans insured through the program between 2000 and 2022. Explores characteristics of hospitals ineligible for the program that may impact their financing options. Examines the potential effects and risks of extending Hospital Mortgage Insurance Program eligibility to currently ineligible hospital types on program participation risks. Offers recommendations to Congress if it decides to expand program eligibility to hospitals that primarily provide non-acute care services.
Additional links: Full Report
Date: 01/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Describes the Federal Housing Administration's (FHA) Hospital Mortgage Insurance Program, which insures loans for capital improvements at hospitals; loans insured through the program between 2000 and 2022. Explores characteristics of hospitals ineligible for the program that may impact their financing options. Examines the potential effects and risks of extending Hospital Mortgage Insurance Program eligibility to currently ineligible hospital types on program participation risks. Offers recommendations to Congress if it decides to expand program eligibility to hospitals that primarily provide non-acute care services.
Additional links: Full Report
Date: 01/2024
Type: Document
Sponsoring organization: Government Accountability Office
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Place of Care in the Last Three Years of Life for Medicare Beneficiaries
Examines place of care during the last 3 years of life according to days of institutional care (hospital inpatient or skilled nursing facility), skilled home care (home healthcare or hospice), or personal home. Analyzes sociodemographic factors of 199,828 Medicare beneficiaries, with data broken down by median days in care, age at death, sex, race/ethnicity, insurance type, health conditions, and metro versus nonmetro neighborhood.
Author(s): Haiqun Lin, Irina B. Grafova, Anum Zafar, et al.
Citation: BMC Geriatrics, 24, 91
Date: 01/2024
Type: Document
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Examines place of care during the last 3 years of life according to days of institutional care (hospital inpatient or skilled nursing facility), skilled home care (home healthcare or hospice), or personal home. Analyzes sociodemographic factors of 199,828 Medicare beneficiaries, with data broken down by median days in care, age at death, sex, race/ethnicity, insurance type, health conditions, and metro versus nonmetro neighborhood.
Author(s): Haiqun Lin, Irina B. Grafova, Anum Zafar, et al.
Citation: BMC Geriatrics, 24, 91
Date: 01/2024
Type: Document
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January 2024 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2024 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, outpatient dialysis services, hospice services, skilled nursing facility services, home health agency services, and inpatient rehabilitation facility services. Discusses status reports on ambulatory surgical centers, Medicare Part D, and the Medicare Advantage program, as well as policy options for standardized benefits in Medicare Advantage plans. Includes rural references and considerations throughout.
Date: 01/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) January 2024 meeting. Covers payment adequacy and updates for physician and other health professional services, hospital inpatient and outpatient services, outpatient dialysis services, hospice services, skilled nursing facility services, home health agency services, and inpatient rehabilitation facility services. Discusses status reports on ambulatory surgical centers, Medicare Part D, and the Medicare Advantage program, as well as policy options for standardized benefits in Medicare Advantage plans. Includes rural references and considerations throughout.
Date: 01/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Nursing Home Closures and Access to Post-Acute Care and Long-Term Care Services in Rural Areas
Examines distance to care for residents needing post-acute care (PAC) and long-term care (LTC) services. Analyzes nursing home closures from 2008 to 2018 and identifies closest PAC and LTC services in rural versus urban areas, with data broken down by population demographics, nursing home characteristics, and distance to providers.
Author(s): Hari Sharma, Redwan Bin Abdul Baten, Fred Ullrich, A. Clint MacKinney, Keith J. Mueller
Citation: Journal of Rural Health, 40(3), 557-564
Date: 01/2024
Type: Document
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Examines distance to care for residents needing post-acute care (PAC) and long-term care (LTC) services. Analyzes nursing home closures from 2008 to 2018 and identifies closest PAC and LTC services in rural versus urban areas, with data broken down by population demographics, nursing home characteristics, and distance to providers.
Author(s): Hari Sharma, Redwan Bin Abdul Baten, Fred Ullrich, A. Clint MacKinney, Keith J. Mueller
Citation: Journal of Rural Health, 40(3), 557-564
Date: 01/2024
Type: Document
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Introducing K-DATA: Kentucky - Demographics, Analytics, Trends and Access (K-DATA)
Reports on health and population in Kentucky. Includes coverage of state demographics, social determinants of health, healthcare workforce supply and distribution, Health Professional Shortage Areas (HPSAs), access to care, facilities, public health programs, nutrition, youth, people with disabilities, substance use disorder, cancer, diabetes, and characteristics of Kentucky's rural, urban, Delta, and Appalachian regions.
Date: 2024
Type: Document
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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Reports on health and population in Kentucky. Includes coverage of state demographics, social determinants of health, healthcare workforce supply and distribution, Health Professional Shortage Areas (HPSAs), access to care, facilities, public health programs, nutrition, youth, people with disabilities, substance use disorder, cancer, diabetes, and characteristics of Kentucky's rural, urban, Delta, and Appalachian regions.
Date: 2024
Type: Document
Sponsoring organization: University of Kentucky Center of Excellence in Rural Health
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An Overview of the Kansas Health Care Workforce
Provides an overview of the Kansas healthcare workforce, with data projected through 2030. Focuses on ambulatory healthcare services, hospitals, and nursing and residential care facilities. Includes metro versus nonmetro wage comparisons for nursing and personal aide occupations.
Author(s): Nathan Kessler
Date: 2024
Type: Presentation Slides
Sponsoring organization: Kansas Department of Labor
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Provides an overview of the Kansas healthcare workforce, with data projected through 2030. Focuses on ambulatory healthcare services, hospitals, and nursing and residential care facilities. Includes metro versus nonmetro wage comparisons for nursing and personal aide occupations.
Author(s): Nathan Kessler
Date: 2024
Type: Presentation Slides
Sponsoring organization: Kansas Department of Labor
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Washington Long-Term Care Workforce Initiative Legislative Report
Provides an overview of long-term care (LTC) for older adults in Washington and the available LTC workforce. Focuses on workforce demand, initiatives and projects to improve the LTC workforce, and policy recommendations. Provides LTC data for rural Washington, including average facility patient count, staffing hours, number of nursing homes per rural county, and more.
Author(s): Donald J. Smith Jr., Christopher W. Dula, Claire M. Fite, et al.
Date: 12/2023
Type: Document
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Provides an overview of long-term care (LTC) for older adults in Washington and the available LTC workforce. Focuses on workforce demand, initiatives and projects to improve the LTC workforce, and policy recommendations. Provides LTC data for rural Washington, including average facility patient count, staffing hours, number of nursing homes per rural county, and more.
Author(s): Donald J. Smith Jr., Christopher W. Dula, Claire M. Fite, et al.
Date: 12/2023
Type: Document
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Rural Long-Term Care Services and Supports
Policy position paper regarding challenges related to providing high-quality long-term care for older adults in rural areas. Describes how workforce shortages, long-term care financing, and administrative burden impact rural providers. Outlines policy recommendations for policy reforms to address these challenges and improve access to quality long-term care services.
Author(s): Shakeerah McCoy, Jeff Dunbar, Lex Pierre
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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Policy position paper regarding challenges related to providing high-quality long-term care for older adults in rural areas. Describes how workforce shortages, long-term care financing, and administrative burden impact rural providers. Outlines policy recommendations for policy reforms to address these challenges and improve access to quality long-term care services.
Author(s): Shakeerah McCoy, Jeff Dunbar, Lex Pierre
Date: 12/2023
Type: Document
Sponsoring organization: National Rural Health Association
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