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

CDC COVID Data Tracker
Provides access to maps, charts, and data from the CDC on coronavirus disease (COVID-19) and issues related to COVID-19. Includes data on vaccinations, cases, deaths, and hospitalizations for each county and cases and deaths nationally for metropolitan compared to nonmetro counties. Includes metro/nonmetro data on vaccination levels, nationally, by state, and by county. Also includes rural, suburban, and urban data on vaccine confidence, nationally and by state. Also covers many other topics at the state and national level, including vaccination, testing, demographics, emergency department visits, and more.
Additional links: COVID-19 Integrated County View, COVID-19 Vaccination Equity (Metro/Nonmetro), Trends in COVID-19 Cases and Deaths in the United States, by County-level Population Factors, Trends in COVID-19 Vaccine Confidence in the US
Date: 12/2021
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Emergency Department Visits for COVID-19 in Mississippi, March 2020-June 2021
Study examining COVID-19 visits to non-federal emergency departments in Mississippi from March 2020 to June 2021, breaking down data based on payer, age, race, gender, and rural/urban residence.
Author(s): Manuela Staneva, Thomas Dobbs, Paul Byers
Date: 11/2021
Type: Document
Sponsoring organization: Mississippi State Department of Health
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Association of Rural and Critical Access Hospital Status With Patient Outcomes After Emergency Department Visits Among Medicare Beneficiaries
Compares 30-day outcomes for 473,152 Medicare patients after emergency department (ED) visits in rural or urban settings and in Critical Access Hospitals. Features statistics on mortality, ED revisits, hospitalization and transfer patterns by commonly encountered ED conditions, and characteristics of patients and of hospitals studied, with breakdowns by urban or rural location.
Author(s): Margaret Greenwood-Ericksen, Neil Kamdar, Paul Lin, et al.
Citation: JAMA Network Open, 4(11)
Date: 11/2021
Type: Document
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Using CPT Charges as an Economic Proxy for Telehealth and Non-telehealth Emergency Department Utilization
Explores the characteristics of a dataset comprising rural hospitals' reported Current Procedural Terminology (CPT) codes and associated charges for a sample of telehealth and non-telehealth emergency department (ED) visits. Features statistics including number of ED cases and controls selected by diagnosis, and demographics on select ED samples with breakdowns by 4 CPT codes.
Author(s): Marcia M. Ward, Knute D. Carter, Fred Ullrich, Kimberly A. S. Merchant
Date: 11/2021
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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COVID-19 Hospital Encounters by Urban-Rural Location of the Hospital by Week From Selected Hospitals
Line chart showing hospitals' percentage of confirmed COVID-19 encounters among all emergency department or inpatient encounters. Includes data from March 2020 through March 2021 for large central and fringe metro areas, and medium and small metro areas, and rural areas.
Date: 11/2021
Type: Chart/Graph
Sponsoring organization: National Center for Health Statistics
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American College of Emergency Physicians: COVID-19
Information to assist with patient care during the response to COVID-19. Addresses clinical assessment and management, testing, emergency department issues, EMS issues, and more.
Date: 11/2021
Type: Website
Sponsoring organization: American College of Emergency Physicians
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Rural Emergency Hospital: Policy Brief and Recommendations to the Secretary
Describes the development of the Rural Emergency Hospital (REH) designation in response to rural hospital closures and issues accessing emergency care. Lists statutory requirements for hospitals wishing to become an REH, and offers policy recommendations related to participation conditions, quality reporting, reimbursement, and emergency medical transfer agreement.
Date: 10/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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MedPAC Comment on CMS's Proposed Rule on Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs for CY 2022
Comments on an August 4, 2021, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2022. Includes considerations for Rural Emergency Hospital payments and emergency department staffing requirements.
Date: 09/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Paying for Telemedicine in Smaller Rural Hospitals: Extending the Technology to Those Who Benefit Most
Viewpoint article discussing the positive financial impacts of telemedicine in emergency departments (EDs) and barriers to using telemedicine in small rural hospitals related to patient volume, high upfront costs, and reimbursement issues. Outlines policy interventions to support rural telemedicine.
Author(s): Kori S. Zachrison, Jessica V. Richard, Ateev Mehrotra
Citation: JAMA Health Forum, 2(8), e211570
Date: 08/2021
Type: Document
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Emergency Department Visits Involving Dental Conditions, 2018
Presents data on emergency department (ED) visits involving dental conditions using the 2018 Nationwide Emergency Department Sample (NEDS). Describes characteristics of dental-related ED visits, including age, sex, metropolitan status of patient residence, and community-level income. Includes statistics on the number and percentage of ED visits that resulted in hospital admission, types of dental-related ED visits by payer, and groups and types of dental conditions by type of ED visit.
Date: 08/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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