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Rural Health
Resources by Topic: Emergency department and urgent care services

2019-2020 Update to the Texas State Health Plan
Proposes strategies to improve the efficiency of the healthcare delivery system in Texas with a particular emphasis on health literacy, access to care for rural areas, and the healthcare workforce. Addresses oral health, trauma care, and the availability of clinical training sites.
Date: 11/2018
Type: Document
Sponsoring organization: Texas Statewide Health Coordinating Council
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Access in Brief: Rural and Urban Health Care
Compares healthcare access and use of services for children and adults with Medicaid to those with private insurance or no insurance for both rural and urban areas and for adults with disabilities. Includes access data by age group, income, and race/ethnicity and utilization data for office and emergency room visits. Addresses access to prescription drugs and eyeglasses, and barriers to healthcare access.
Date: 10/2018
Type: Document
Sponsoring organization: Medicaid and CHIP Payment and Access Commission
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Oral Health in Texas: Emergency Department and Inpatient Hospitalization for Non-Traumatic Dental Conditions in Texas
Examines hospital and emergency department (ED) dental treatment in Texas for non-traumatic dental conditions, with a focus on Medicaid enrollees. Addresses ED visit rates by county, diagnoses, payer distribution, and sociodemographics.
Date: 10/2018
Type: Document
Sponsoring organization: Texas Health Institute
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2018 Annual Surveillance Report of Drug-related Risks and Outcomes
Summarizes latest information on opioid prescribing from 2006-2017; drug use, misuse, and substance use disorder from 2014-2015; nonfatal overdose hospitalizations and emergency department visits from 2015; and drug overdose mortality from 1999-2016. Features statistics with breakdowns by large metropolitan, small metropolitan, non-metropolitan urbanized, non-metropolitan less urbanized, and completely rural. Highlights notable differences in the report from 2017 to 2018.
Date: 08/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Overview of Pediatric Emergency Department Visits, 2015
Reports on pediatric emergency department (ED) visits in 2015. Compares pediatric and adult ED visits by three types: all ED visits, treat-and-release ED visits, and ED visits resulting hospital admission. Table 2 provides statistics on the type of ED visit and pediatric patient characteristics including patient residence, such as metropolitan, micropolitan, and noncore areas.
Author(s): Kimberly W. McDermott, Carol Stocks, William J. Freeman
Date: 08/2018
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Trends in the Utilisation of Emergency Departments in California, 2005–2015: A Retrospective Analysis
Examines the characteristics of patients utilizing California's emergency departments (EDs) regarding age, sex, race/ethnicity, payer, and urban/rural residence, using data from the California Office of Statewide Health Planning and Development.
Author(s): Renee Y Hsia, Sarah H Sabbagh, Joanna Guo,Thomas J Nuckton, Matthew J Niedzwiecki
Citation: BMJ Open, 8(7)
Date: 07/2018
Type: Document
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The History and Future of Rural Health Research: Celebrating 30 Years
Recording and slides from a June 4, 2018 webinar with Tom Morris of the Federal Office of Rural Health Policy, Eric Larsen of the WWAMI Rural Health Research Center, and Marcia M. Ward of the Center for Health Policy and Research. They explore how rural health research has changed over time and discuss recent work on telemedicine and emergency and trauma care.
Additional links: Presentation Slides, Transcript, Webinar Recording
Date: 06/2018
Type: Video/Multimedia
Sponsoring organization: Rural Health Research Gateway
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2018
Evaluates Medicare payment issues and offers recommendations to the U.S. Congress. Includes a chapter on ensuring appropriate access to and use of hospital emergency department (ED) services that provides extensive information on rural access to ED services and identifies examples of rural off-campus emergency departments. Other sections of the report addressing rural concerns focus on post-acute care, quality and value payment programs, and medical device payment policies. Also includes a report on the effects of the Hospital Readmissions Reduction Program.
Additional links: Fact Sheet
Date: 06/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Evaluating National Program to Improve Access to Acute Stroke Services for Rural Veterans
Features a study on the Veterans Health Administration's efforts to improve access to acute stroke services for rural and underserved veteran populations. Discusses the National TeleStroke Program (NTSP) and it's impact on rural veterans.
Date: 06/2018
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Implementation of the MEDFRAT to Promote Quality Care and Decrease Falls in Community Hospital Emergency Rooms
Examines the implementation of Memorial Emergency Department Fall-Risk Assessment Tool (MEDFRAT), an evidence based fall-risk assessment tool, in twelve emergency departments part of a rural health care system in Minnesota, Wisconsin, and North Dakota.
Author(s): Catherine A. McCarty, Theo A. Woehrle, Stephen C. Waring, Allise M. Taran, Laura A. Kitch
Citation: Journal of Emergency Nursing, 44(3), 280-284
Date: 05/2018
Type: Document
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