Rural Health
Resources by Topic: Emergency department and urgent care services
Remote Patient Monitoring Helps Rural Patients Recover at Home
Features Essentia Health's remote patient monitoring program, which allows patients to recover at home while still having access to medical attention. Describes how the program was used to treat COVID-19 patients, with plans to continue the program to treat other chronic diseases.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2021
Sponsoring organization: Rural Health Information Hub
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Features Essentia Health's remote patient monitoring program, which allows patients to recover at home while still having access to medical attention. Describes how the program was used to treat COVID-19 patients, with plans to continue the program to treat other chronic diseases.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 07/2021
Sponsoring organization: Rural Health Information Hub
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Strategies for Responding to the COVID-19 Pandemic in a Rural Health System in New York State
Describes the challenges of COVID-19 encountered by Bassett Healthcare Network (BHN), a network of 5 hospitals and 24 clinics located in rural upstate New York covering the healthcare needs of 5 counties. Presents four strategies in response to these challenges: expand the capacity of intensive-care; retrain and reposition employees into new roles; adopt a system providing rapid access to care and follow-up; and coordinate communication and decision-making with network administrators, employees, and other healthcare professionals.
Author(s): Jamie A. Aron, Alexander J.B. Bulteel, Kelsey A. Clayman, et al.
Citation: Healthcare, 9(2), 100508
Date: 06/2021
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Describes the challenges of COVID-19 encountered by Bassett Healthcare Network (BHN), a network of 5 hospitals and 24 clinics located in rural upstate New York covering the healthcare needs of 5 counties. Presents four strategies in response to these challenges: expand the capacity of intensive-care; retrain and reposition employees into new roles; adopt a system providing rapid access to care and follow-up; and coordinate communication and decision-making with network administrators, employees, and other healthcare professionals.
Author(s): Jamie A. Aron, Alexander J.B. Bulteel, Kelsey A. Clayman, et al.
Citation: Healthcare, 9(2), 100508
Date: 06/2021
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Access to Mechanical Thrombectomy for Ischemic Stroke in the United States
Examines access to mechanical thrombectomy for ischemic stroke, utilizing 2016-2018 emergency department and acute care hospital data for facilities in 11 states. Provides data on rural and urban differences in likelihood of presenting at thrombectomy gap, gateway, and hub facilities after ischemic stroke.
Author(s): Hooman Kamel, Neal S Parikh, Abhinaba Chatterjee, et al.
Citation: Stroke, 52(8), 2554-2561
Date: 05/2021
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Examines access to mechanical thrombectomy for ischemic stroke, utilizing 2016-2018 emergency department and acute care hospital data for facilities in 11 states. Provides data on rural and urban differences in likelihood of presenting at thrombectomy gap, gateway, and hub facilities after ischemic stroke.
Author(s): Hooman Kamel, Neal S Parikh, Abhinaba Chatterjee, et al.
Citation: Stroke, 52(8), 2554-2561
Date: 05/2021
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National Hospital Ambulatory Medical Care Survey: 2018 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location, Table 2 includes metro/nonmetro ED visit data by location of patient residence, and Table 14 has metro/nonmetro injury visit data based on hospital location.
Date: 05/2021
Sponsoring organization: National Center for Health Statistics
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Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location, Table 2 includes metro/nonmetro ED visit data by location of patient residence, and Table 14 has metro/nonmetro injury visit data based on hospital location.
Date: 05/2021
Sponsoring organization: National Center for Health Statistics
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Evaluation of the 2020 Pediatric Emergency Physician Workforce in the US
Results of a study of 2,403 self-identified pediatric emergency physicians (EPs), examining their characteristics and their practice locations. Features a county-level map showing pediatric EP density per 100,000 population, and statistics with breakdowns by age, sex, U.S. census division, training specialty area, board certification, and urban, large rural, or small rural location.
Author(s): Christopher L. Bennett, Janice A. Espinola, Ashley F. Sullivan, et al.
Citation: JAMA Network Open, 4(5)
Date: 05/2021
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Results of a study of 2,403 self-identified pediatric emergency physicians (EPs), examining their characteristics and their practice locations. Features a county-level map showing pediatric EP density per 100,000 population, and statistics with breakdowns by age, sex, U.S. census division, training specialty area, board certification, and urban, large rural, or small rural location.
Author(s): Christopher L. Bennett, Janice A. Espinola, Ashley F. Sullivan, et al.
Citation: JAMA Network Open, 4(5)
Date: 05/2021
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The Effect of the COVID-19 Pandemic on the Economics of United States Emergency Care
Examines how the COVID-19 pandemic affected the economics of emergency departments (ED) from January through September 2020. Discusses the impact of the pandemic on ED visit volumes and complexity, clinical revenues and expenses, and clinician hours and compensation. Includes data for large, medium, small, and freestanding EDs.
Author(s): Jesse M. Pines, Mark S. Zocchi, Bernard S. Black, et al.
Citation: Annals of Emergency Medicine
Date: 04/2021
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Examines how the COVID-19 pandemic affected the economics of emergency departments (ED) from January through September 2020. Discusses the impact of the pandemic on ED visit volumes and complexity, clinical revenues and expenses, and clinician hours and compensation. Includes data for large, medium, small, and freestanding EDs.
Author(s): Jesse M. Pines, Mark S. Zocchi, Bernard S. Black, et al.
Citation: Annals of Emergency Medicine
Date: 04/2021
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Health Care Utilization and Outcomes Associated with Accidental Poisonous Mushroom Ingestions — United States, 2016–2018
Examines emergency department visits and hospitalizations associated with accidental poisonous mushroom ingestion. Includes data on ED visits in 2016 by location of patient residence for metropolitan areas and for micropolitan and noncore (rural) areas.
Author(s): Jeremy A.W. Gold, Emily Kiernan, Michael Yeh, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(10), 337-341
Date: 03/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Examines emergency department visits and hospitalizations associated with accidental poisonous mushroom ingestion. Includes data on ED visits in 2016 by location of patient residence for metropolitan areas and for micropolitan and noncore (rural) areas.
Author(s): Jeremy A.W. Gold, Emily Kiernan, Michael Yeh, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(10), 337-341
Date: 03/2021
Sponsoring organization: Centers for Disease Control and Prevention
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Trends in the Utilization of Emergency Department Services, 2009-2018
Examines emergency department (ED) utilization. Explores ED visits resulting in hospital admission, visits ending in release, and visits associated with mental health or substance use disorder diagnoses. Presents information on the patient, hospital, and payer characteristics for each of these three categories, including metropolitan status. Describes federal efforts to discourage inappropriate ED use.
Date: 03/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines emergency department (ED) utilization. Explores ED visits resulting in hospital admission, visits ending in release, and visits associated with mental health or substance use disorder diagnoses. Presents information on the patient, hospital, and payer characteristics for each of these three categories, including metropolitan status. Describes federal efforts to discourage inappropriate ED use.
Date: 03/2021
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Opioid-Related Visits to Rural Emergency Departments
Explores the impact of the opioid crisis on rural emergency departments (EDs) by analyzing 2006 and 2013 Nationwide Emergency Department Sample (NEDS) data. Compares opioid-related ED visits in rural and urban hospitals by type of opioid involved and year. Breaks down data by patient characteristics, comorbid diagnosis at admission, and outcome of ED visit.
Author(s): Erika C. Ziller, Jean A. Talbot, Deborah Thayer, Carly Milkowski
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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Explores the impact of the opioid crisis on rural emergency departments (EDs) by analyzing 2006 and 2013 Nationwide Emergency Department Sample (NEDS) data. Compares opioid-related ED visits in rural and urban hospitals by type of opioid involved and year. Breaks down data by patient characteristics, comorbid diagnosis at admission, and outcome of ED visit.
Author(s): Erika C. Ziller, Jean A. Talbot, Deborah Thayer, Carly Milkowski
Date: 02/2021
Sponsoring organization: Maine Rural Health Research Center
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Accountable Care Hospitals and Preventable Emergency Department Visits for Rural Dementia Patients
Examines differences in the frequency of emergency department visits among rural and urban patients with Alzheimer's disease and related dementias (ADRD). Compares the odds of preventable ED visits for ADRD patients at hospitals affiliated and not affiliated with an Accountable Care Organization (ACO).
Author(s): Nianyang Wang, Aitalohi Amaize, Jie Chen
Citation: Journal of the American Geriatrics Society, 69(1), 185-190
Date: 01/2021
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Examines differences in the frequency of emergency department visits among rural and urban patients with Alzheimer's disease and related dementias (ADRD). Compares the odds of preventable ED visits for ADRD patients at hospitals affiliated and not affiliated with an Accountable Care Organization (ACO).
Author(s): Nianyang Wang, Aitalohi Amaize, Jie Chen
Citation: Journal of the American Geriatrics Society, 69(1), 185-190
Date: 01/2021
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