Rural Health
Resources by Topic: Long-term care
Health, Work, and Care in Rural America
Report examining rural access to paid leave from work, the economic impacts of limited access to paid leave, and distances to hospital-based and skilled nursing care. Offers a broad view of rural economic and health dynamics, travel burdens to access hospital-based care, and presents policy recommendations to address paid leave as a social determinant of health.
Author(s): Vicki Shabo, Hannah Friedman
Date: 11/2022
Type: Document
Sponsoring organization: New America
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Report examining rural access to paid leave from work, the economic impacts of limited access to paid leave, and distances to hospital-based and skilled nursing care. Offers a broad view of rural economic and health dynamics, travel burdens to access hospital-based care, and presents policy recommendations to address paid leave as a social determinant of health.
Author(s): Vicki Shabo, Hannah Friedman
Date: 11/2022
Type: Document
Sponsoring organization: New America
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Advancing Rural Health Equity: Fiscal Year 2022 Year in Review
Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2022 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers 10 priority focus areas: Medicaid and the Children's Health Insurance Program (CHIP), Medicare, Marketplace, the rural health workforce, payment and delivery system models and demonstrations, long-term services and supports, maternal health, mental health and substance use disorders, quality, and COVID-19.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Summarizes Centers for Medicare & Medicaid Services (CMS) activities in fiscal year 2022 to advance health equity for people living in rural, tribal, and geographically isolated communities. Covers 10 priority focus areas: Medicaid and the Children's Health Insurance Program (CHIP), Medicare, Marketplace, the rural health workforce, payment and delivery system models and demonstrations, long-term services and supports, maternal health, mental health and substance use disorders, quality, and COVID-19.
Date: 11/2022
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Factors Predicting Swing Bed Versus Skilled Nursing Facility Use
Examines differences between patients discharged to swing beds versus skilled nursing facilities (SNFs). Features statistics on discharge disposition of people from rural Critical Access Hospital (CAH) and Prospective Payment System (PPS) hospitals, characteristics of people discharged to swing beds or SNFs, with breakdowns by rural CAH discharges and rural PPS discharges, and hospitalization type for discharges to swing beds or SNFs. Includes the 10 most common diagnostic categories for discharges to swing beds or SNFs.
Author(s): Tyler Malone, Mark Holmes
Date: 10/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Examines differences between patients discharged to swing beds versus skilled nursing facilities (SNFs). Features statistics on discharge disposition of people from rural Critical Access Hospital (CAH) and Prospective Payment System (PPS) hospitals, characteristics of people discharged to swing beds or SNFs, with breakdowns by rural CAH discharges and rural PPS discharges, and hospitalization type for discharges to swing beds or SNFs. Includes the 10 most common diagnostic categories for discharges to swing beds or SNFs.
Author(s): Tyler Malone, Mark Holmes
Date: 10/2022
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Rural Health Research Recap: Aging in Place
Summarizes recent research from Rural Health Research Centers examining aging in place as it relates to social engagement, living alone, long-term care preferences, and nursing home availability. Features statistics from 2013-2017 on share of population ages 65+ and 85+ and share of this population living alone, with breakdowns by urban or rural county type, and percent of counties with nursing homes in 2019, with breakdowns by rural, micropolitan, and metropolitan location.
Author(s): Per Ostmo, Jessica Rosencrans
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Research Gateway
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Summarizes recent research from Rural Health Research Centers examining aging in place as it relates to social engagement, living alone, long-term care preferences, and nursing home availability. Features statistics from 2013-2017 on share of population ages 65+ and 85+ and share of this population living alone, with breakdowns by urban or rural county type, and percent of counties with nursing homes in 2019, with breakdowns by rural, micropolitan, and metropolitan location.
Author(s): Per Ostmo, Jessica Rosencrans
Date: 10/2022
Type: Document
Sponsoring organization: Rural Health Research Gateway
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September 2022 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare payments to safety-net clinicians, the development of a prototype post-acute care prospective payment system, nursing facility staffing requirements and data, the expansion of telehealth during the COVID-19 public health emergency (PHE) and payment for telehealth services after the PHE, inpatient psychiatric facility care, and Part D data on drug rebates and discounts. Includes rural references and considerations throughout.
Date: 09/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) September 2022 meeting. Covers Medicare payments to safety-net clinicians, the development of a prototype post-acute care prospective payment system, nursing facility staffing requirements and data, the expansion of telehealth during the COVID-19 public health emergency (PHE) and payment for telehealth services after the PHE, inpatient psychiatric facility care, and Part D data on drug rebates and discounts. Includes rural references and considerations throughout.
Date: 09/2022
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Resident and Facility Factors Associated with High Risk of Discharge from Nursing Facilities, 2012-2017: Final Report
Identifies characteristics of nursing home residents at increased risk of facility-initiated live discharges and how these relationships vary across time, states, and facility types. Presents findings on the relationship between live discharges and post-discharge outcomes. Includes a comparison of discharges at urban and rural facilities.
Date: 09/2022
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Identifies characteristics of nursing home residents at increased risk of facility-initiated live discharges and how these relationships vary across time, states, and facility types. Presents findings on the relationship between live discharges and post-discharge outcomes. Includes a comparison of discharges at urban and rural facilities.
Date: 09/2022
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RTI International
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Measure Applications Partnership 2022 Considerations for Measure Set Review in Federal Programs: Clinician, Hospital, and Post-Acute Care/Long-Term Care
Reviews the 32 healthcare quality and efficiency measures used by the National Quality Forum's Measure Applications Partnership (MAP) during 2022. Discusses measures for clinician programs, hospital programs, and post-acute care/long-term care programs. Includes the MAP Rural Health Advisory Group's support or determination of the suitability of each measure for rural providers.
Date: 09/2022
Type: Document
Sponsoring organization: National Quality Forum
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Reviews the 32 healthcare quality and efficiency measures used by the National Quality Forum's Measure Applications Partnership (MAP) during 2022. Discusses measures for clinician programs, hospital programs, and post-acute care/long-term care programs. Includes the MAP Rural Health Advisory Group's support or determination of the suitability of each measure for rural providers.
Date: 09/2022
Type: Document
Sponsoring organization: National Quality Forum
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September 2022 MACPAC Meeting Transcript
Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2022 meeting. Covers Medicaid race and ethnicity data collection and reporting, state processes and stakeholder engagement for unwinding continuous coverage requirement, countercyclical disproportionate share hospital policies, and integrating care for dually eligible beneficiaries in Medicaid fee-for-services, among other things. Includes rural references throughout.
Date: 09/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Transcript from the Medicaid and CHIP Payment and Access Commission's (MACPAC) September 2022 meeting. Covers Medicaid race and ethnicity data collection and reporting, state processes and stakeholder engagement for unwinding continuous coverage requirement, countercyclical disproportionate share hospital policies, and integrating care for dually eligible beneficiaries in Medicaid fee-for-services, among other things. Includes rural references throughout.
Date: 09/2022
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Availability of Nursing Homes in Minoritized Racial/Ethnic Group Areas
Examines the availability of nursing homes nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the median distance to the nearest nursing home by rurality in minoritized and non-minoritized ZCTA.
Author(s): Otis L. Owens, Gabriel Benavidez, Melinda Merrill, et al.
Date: 09/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Examines the availability of nursing homes nationwide across ZIP Code Tabulation Areas (ZCTAs) categorized by rurality and racial and ethnic composition. Provides data on the median distance to the nearest nursing home by rurality in minoritized and non-minoritized ZCTA.
Author(s): Otis L. Owens, Gabriel Benavidez, Melinda Merrill, et al.
Date: 09/2022
Type: Document
Sponsoring organization: Rural and Minority Health Research Center (formerly the South Carolina Rural Health Research Center)
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Telehealth Brings Important Services to Rural Long-Term Care Facilities
Discusses the benefits of telehealth services for residents and staff of rural long-term care facilities. Identifies some of the challenges related to providing these services. Features a New Hampshire skilled nursing facility providing telemental health services, and a Virginia geriatrician helping long-term care facilities address COVID-19 via Project ECHO educational sessions.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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Discusses the benefits of telehealth services for residents and staff of rural long-term care facilities. Identifies some of the challenges related to providing these services. Features a New Hampshire skilled nursing facility providing telemental health services, and a Virginia geriatrician helping long-term care facilities address COVID-19 via Project ECHO educational sessions.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 08/2022
Type: Document
Sponsoring organization: Rural Health Information Hub
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