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Tags: 2015, Administrative Personnel, Adult, advance care planning, Advance Care Planning/*organization & administration/standards, area agency on aging, Attitude of Health Personnel, Baughman Kristin R, care management, Case Management, Case Managers, Chi Square Test, Clinical Protocols/standards, community-based long-term care, Confidence Intervals, Cross Sectional Studies, Cross-Sectional Studies, Data Analysis Software, Department of Family & Community Medicine, Descriptive Research, Descriptive Statistics, Female, Funding Source, Government Agencies, Hazelett Susan, Human, Humans, Inservice Training/organization & administration, interviews, Logistic Regression, Long Term Care, Ludwick Ruth, Male, Medicaid, Medicaid/statistics & numerical data, Middle Age, Middle Aged, Midwestern United States, Multivariate Analysis, NEOMED College of Medicine, nurses, Odds Ratio, Ohio, organizational characteristics, Organizational Culture, Palmisano Barbara, Practice Guidelines as Topic, Questionnaires, registered nurses, Rural Areas, Sanders Margaret, social workers, Surveys, T-Tests, Telephone, The American journal of hospice & palliative care, United States, Urban Areas