Long term care
Completed Projects
Background Paper on Skilled Nursing Facilities in Rural Areas
Research center:
North Carolina Rural Health Research and Policy Analysis Center
Funder:
Office of Rural Health Policy (ORHP)
Topic:
Long term care
Comparing Assisted Living Facility Residents' Medication Use in Rural and Non-Rural Assisted Living Facilities
Research center:
Southwest Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Long term care,
Pharmacy and prescription drugs
Comparison of Assisted Living in Rural and Non-Rural Areas
Research center:
Southwest Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Long term care,
Rural statistics and demographics
Disability Burdens among Rural and Urban Older Americans
Research center:
South Carolina Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Aging,
Disabilities,
Health disparities,
Long term care,
Rural statistics and demographics
This project will use the 1994-2000 Second Longitudinal Study of Aging to develop detailed estimates of healthy, disabled, and total life expectancy among rural and urban populations. We will develop and compare the estimates between women and men, by race/ethnicity, and across differing levels of education.
Labor Costs and the Area Wage Index in Skilled Nursing Facilities
Research center:
North Carolina Rural Health Research and Policy Analysis Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Long term care,
Medicare Wage Index
Medicaid Budget Cuts and Long-Term Care Supplement
Research center:
Southwest Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Aging,
Disabilities,
Health policy,
Long term care,
Medicaid and S-CHIP
Data on each state will be collected identifying all the changes made to their Medicaid program in the area of long-term care or related services to the frail elderly and disabled, and a policy paper addressing the impact of Medicaid cuts on long term care services, particularly among the elderly in rural areas, will be produced.
Medicaid Budget Cuts: Effects on Rural Nursing Homes and Rural Elderly and Disabled
Research center:
Southwest Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Aging,
Disabilities,
Long term care,
Medicaid and S-CHIP
This project will investigate whether nursing home quality and access to nursing home care have eroded in rural areas as a result of changes in Medicare payments or reductions in Medicaid nursing home payments from 2000-2003.
Native Elder Care Needs Assessment: Development of a Long Term Care Planning Tool Kit
Research center:
ORHP-funded Individual Grantees
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Aging,
American Indians and Alaska Natives,
Long term care,
Minority health
A long term care planning tool kit will assist tribes with interpreting long term care data obtained through a national Native Elder Care Needs Assessment. It will also assist tribes in using the data to develop long term care infrastructure and comprehensive services that respond to local needs and services.
Nursing Home Quality: A Comparison between Rural and Non-Rural Nursing Homes
Research center:
Southwest Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Long term care,
Quality,
Rural statistics and demographics
The research examines the effect of location (rural/non-rural) on the characteristics of nursing homes and residents, and on various indicators of quality of care.
Post-Acute Care: A Rural and Urban Comparison
Research center:
Walsh Center for Rural Health Analysis
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Home health,
Long term care,
Medicare
This multi-phase analysis examines whether discharge patterns for and use of post-acute care services by rural and urban hospitalized Medicare beneficiaries differ and, if they do, what are the sources of these different patterns.
Prevalence of Chronic Disease and the Degree of Rurality of American Indian Elders in a Nationally Representative Sample of 100 Tribes
Research center:
ORHP-funded Individual Grantees
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Aging,
American Indians and Alaska Natives,
Chronic diseases and conditions,
Frontier health,
Long term care,
Minority health,
Rural statistics and demographics
This project will determine if there are differences in prevalence of chronic disease in American Indian elders across age groups in urban vs. rural vs. frontier counties. Moderating factors of chronic disease will also be examined including health damaging behaviors, access to health care services and providers and degree of functional limitation.
Quality Differences between Rural and Non-Rural Nursing Homes
Research center:
Southwest Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Long term care,
Quality
Rural and Urban Differences in Utilization of Formal Home Care
Research center:
ORHP-funded Individual Grantees
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Home health,
Long term care
This project uses the Medical Expenditure Panel Survey and other data sources to examine rural and urban differences in the utilization and costs of formal home care, including changes in utilization patterns and costs across residence types over time.
Rural Healthy People 2010 Expansion: Access to Long-Term Care and Rehabilitation Services, Educational and Community-Based Programs, and Public Health Infrastructure
Research center:
Southwest Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health services,
Healthy People 2010 (Rural),
Long term care,
Public health
This project expanded the work of Healthy People 2010 by adding three additional chapters and associated models for practice: Access to Long-Term Care and Rehabilitation Services, Educational and Community-Based Programs, and Public Health Infrastructure.
View the models for practice and literature reviews on the Rural Health People 2010 website at http://srph.tamhsc.edu/centers/rhp2010/.
Rural Hospitals' Strategic Response to PPS for Outpatient, SNF, and HH Services
Research center:
Minnesota Rural Health Research Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Health services,
Home health,
Hospitals and clinics,
Long term care,
Medicare Prospective Payment System (PPS)
Rural-Urban Differences in Nursing Home Admissions, Service Usage and Discharge
Research center:
ORHP-funded Individual Grantees
Funder:
Office of Rural Health Policy (ORHP)
Topic:
Long term care
An in-depth examination of rural-urban differences in recent nursing home first admissions, their service utilization patterns, and their discharge status over 12 months will be conducted to determine whether persons from rural areas admitted to rural nursing homes have higher functioning, receive fewer special nursing home services, and remain in care longer than rural admissions to urban nursing homes, urban admissions to urban nursing homes, or urban admission to rural nursing homes.
Trends in Swing Bed and Skilled Nursing Facility Use in Rural Hospitals, 1996-2003
Research center:
North Carolina Rural Health Research and Policy Analysis Center
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Aging,
Hospitals and clinics,
Long term care,
Medicare Prospective Payment System (PPS)
This study will examine trends in the distribution of skilled nursing facility (SNF) services in rural hospitals during a period of dramatic change in Medicare reimbursement, most notably the transition from cost-based reimbursement to SNF prospective payment system (PPS).
Tribal Long-Term Care: Barriers to Best Practices in Policy and Programming for a National Sample of Rural Tribes
Research center:
ORHP-funded Individual Grantees
Funder:
Office of Rural Health Policy (ORHP)
Topics:
Aging,
American Indians and Alaska Natives,
Health policy,
Long term care,
Minority health
This project will examine barriers experienced by rural American Indian and Alaska Native (AI/AN) tribes in developing long term care policy and service provision, identify tribes which exemplify best practices in the area of long term care policy, and document what other tribes would need to know to develop successful long term care programs (i.e., lessons learned).
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