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Rural Toolkit

Providing Hospice and Palliative Care in Rural and Frontier Areas
Download full document (188 page PDF)

Table of Contents and Welcome

Executive Summary

Chapter 1: Introduction

Chapter 2: Definitions: Rural Regions, Issues and Care Models

Chapter 3: Needs Assessment and Data Gathering

Chapter 4: Creating Capacity

Chapter 5: Getting the Word Out

Chapter 6: Creative Integration of Community Resources

Chapter 7: Financing

Chapter 8: Staffing

Chapter 9: Volunteers: The Heart of Hospice and Palliative Care

Chapter 10: Technology

Chapter 11: Special Area Considerations

Chapter 12: Quality and How to Assure It

Chapter 13: Delivery of Hospice and Palliative Care in Rural Areas: A Policy Discussion

Rural Vignettes (all vignettes are in a single document)

  • Vignette 1: Hospice of the Red RiverValley, Fargo, ND – Rural hub hospice model
  • Vignette 2: Hospice of the WoodRiverValley, Ketchum, ID – Volunteer hospice model
  • Vignette 3: Sioux Valley Hospital/University of South Dakota Medical Center Adult Palliative Care Consultation Team/Sioux Valley Hospice, Sioux Falls, SD – Inpatient palliative care service and affiliated health system-based hospice
  • Vignette 4: VistaCare Hospice, Hobbs, NM – Multi-state hospice/ frontier hospice model
  • Vignette 5: Hospice Services, Phillipsburg, KS – Small, independent hospice with informal palliative care services

Appendix A: Boundary and Confidentiality Issues for Rural and Frontier Hospices

Appendix B: Critical Access Hospitals

Appendix C: The Medicare Hospice Benefit

Appendix D: List of America’s Frontier Counties

Appendix E: National Pharmacy Purveyors HospiScript and Hospice Pharmacia

Appendix F: Resources

Appendix G: List of Attachments

Acknowledgements