Rural Toolkit
Providing Hospice and Palliative Care in Rural and Frontier Areas
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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 River Valley , – Rural hub hospice modelFargo ,ND - Vignette 2: Hospice of the
Wood River Valley , – Volunteer hospice modelKetchum ,ID - 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,
– Multi-state hospice/ frontier hospice modelHobbs ,NM - Vignette 5: Hospice Services,
– Small, independent hospice with informal palliative care servicesPhillipsburg ,KS
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






