Rural Health
Resources by Topic: Emergency department and urgent care services
Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses — United States, July 2016-September 2017
Reports on changes in opioid overdoses seen in emergency departments (EDs) by region, state, and urbanization level. Addresses the need for real-time data to coordinate responses to outbreaks and the role ED data can play. Discusses how ED physicians and staff can help address future overdoses among ED patients. Figure 2 shows quarterly suspected opioid overdose data for metropolitan, micropolitan, and noncore counties.
Author(s): Alana M. Vivolo-Kantor, Puja Seth, R. Matthew Gladden, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(9), 279-285
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on changes in opioid overdoses seen in emergency departments (EDs) by region, state, and urbanization level. Addresses the need for real-time data to coordinate responses to outbreaks and the role ED data can play. Discusses how ED physicians and staff can help address future overdoses among ED patients. Figure 2 shows quarterly suspected opioid overdose data for metropolitan, micropolitan, and noncore counties.
Author(s): Alana M. Vivolo-Kantor, Puja Seth, R. Matthew Gladden, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(9), 279-285
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Virtual Urgent Care - Bryan Health, Lincoln, NE
Case study of Bryan Health ezVisit, an online diagnosis and treatment option being used by a nonprofit health system in Lincoln, Nebraska to provide healthcare services for minor conditions to surrounding rural communities.
Date: 02/2018
Type: Document
Sponsoring organization: American Hospital Association
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Case study of Bryan Health ezVisit, an online diagnosis and treatment option being used by a nonprofit health system in Lincoln, Nebraska to provide healthcare services for minor conditions to surrounding rural communities.
Date: 02/2018
Type: Document
Sponsoring organization: American Hospital Association
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Pediatric Medicaid Patients' Utilization of Outpatient and Emergency Department Services in New York State
Research brief using data from 614,249 unique patients ages 0-20 years who had at least one Medicaid visit to an emergency department (ED) in New York during 2014. Features statistics with breakdowns by urban or rural residence and outpatient settings, and a map showing rates of pediatric avoidable ED visits in rural and urban New York counties.
Author(s): Simona Surdu, Nafin Harun, Robert Martiniano
Date: 02/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Research brief using data from 614,249 unique patients ages 0-20 years who had at least one Medicaid visit to an emergency department (ED) in New York during 2014. Features statistics with breakdowns by urban or rural residence and outpatient settings, and a map showing rates of pediatric avoidable ED visits in rural and urban New York counties.
Author(s): Simona Surdu, Nafin Harun, Robert Martiniano
Date: 02/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Mental Health and Drivers of Need in Emergent and Non-Emergent Emergency Department (ED) Use: Do Living Location and Non-Emergent Care Sources Matter?
Highlights a study on mental health as cause of non-emergent emergency department (ED) use. Breaks down data by age, race, reason for admission, and whether the patient lives in an urban or rural location, among other factors.
Author(s): Moira C. McManus, Robert J. Cramer, Maureen Boshier, Muge Akpinar-Elci, Bonnie Van Lunen
Citation: International Journal of Environmental Research and Public Health, 15(1), 129
Date: 01/2018
Type: Document
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Highlights a study on mental health as cause of non-emergent emergency department (ED) use. Breaks down data by age, race, reason for admission, and whether the patient lives in an urban or rural location, among other factors.
Author(s): Moira C. McManus, Robert J. Cramer, Maureen Boshier, Muge Akpinar-Elci, Bonnie Van Lunen
Citation: International Journal of Environmental Research and Public Health, 15(1), 129
Date: 01/2018
Type: Document
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A Comparison of Point-of-Care Ultrasonography Use in Rural Versus Urban Emergency Departments Throughout Missouri
Examines point-of-care use of ultrasounds in emergency departments in rural and urban Missouri hospitals. Covers data describing the primary uses of ultrasounds in Missouri emergency departments by hospital size.
Author(s): Michael Mengarelli, Anthony Nepusz, Tatyana Kondrashova
Citation: Missouri Medicine, 115(1), 56-60
Date: 01/2018
Type: Document
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Examines point-of-care use of ultrasounds in emergency departments in rural and urban Missouri hospitals. Covers data describing the primary uses of ultrasounds in Missouri emergency departments by hospital size.
Author(s): Michael Mengarelli, Anthony Nepusz, Tatyana Kondrashova
Citation: Missouri Medicine, 115(1), 56-60
Date: 01/2018
Type: Document
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QuickStats: Percentage of Emergency Department Visits for Acute Viral Upper Respiratory Tract Infection That Had an Antimicrobial Ordered or Prescribed, by Metropolitan Statistical Area — United States, 2008–2015
Bar chart showing metropolitan and nonmetropolitan emergency department visits for acute viral upper respiratory tract infection that had an antimicrobial ordered or prescribed, with data for 2008–2011 compared to 2012–2015.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(3), 111
Date: 01/2018
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Bar chart showing metropolitan and nonmetropolitan emergency department visits for acute viral upper respiratory tract infection that had an antimicrobial ordered or prescribed, with data for 2008–2011 compared to 2012–2015.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(3), 111
Date: 01/2018
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Mass Shootings and Rural Areas
Interview with Mandi Sralla, director of the emergency department of Connally Memorial Medical Center in Floresville, Texas. Describes the facility's response in the wake of a mass shooting in nearby Sutherland Springs in November 2017.
Author(s): John Hick
Date: 2018
Type: Document
Sponsoring organization: Administration for Strategic Preparedness and Response
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Interview with Mandi Sralla, director of the emergency department of Connally Memorial Medical Center in Floresville, Texas. Describes the facility's response in the wake of a mass shooting in nearby Sutherland Springs in November 2017.
Author(s): John Hick
Date: 2018
Type: Document
Sponsoring organization: Administration for Strategic Preparedness and Response
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Unintentional Firearm Injuries Remain Prevalent Over a 12 Year Experience at a Rural Midwestern Level 1 Trauma Center
Examines the variety of firearm injuries seen at a rural Iowa level 1 trauma center to provide an awareness of the prevalence, mechanism used in the injury, and variation in seasonal occurrence. Data identifying patients with a firearm injury was obtained from a trauma registry for the years 2002 to 2014. Goal was to distinguish the characteristics of preventable firearm injuries in rural environments to improve firearm education and influence public policy.
Author(s): Brian Guetschow, Michele Lilienthal, Michael Willey
Citation: Iowa Orthopaedic Journal, 38, 45-52
Date: 2018
Type: Document
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Examines the variety of firearm injuries seen at a rural Iowa level 1 trauma center to provide an awareness of the prevalence, mechanism used in the injury, and variation in seasonal occurrence. Data identifying patients with a firearm injury was obtained from a trauma registry for the years 2002 to 2014. Goal was to distinguish the characteristics of preventable firearm injuries in rural environments to improve firearm education and influence public policy.
Author(s): Brian Guetschow, Michele Lilienthal, Michael Willey
Citation: Iowa Orthopaedic Journal, 38, 45-52
Date: 2018
Type: Document
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Iowa's Marketplace Choice Summative Report
Summarizes an evaluation of the implementation of Iowa's Marketplace Choice Plan (MPC), a premium support health insurance plan for Iowans from 101-133% of the federal poverty level (FPL). Discusses the effects of the plan on member access to care, quality of care, insurance coverage gaps, and costs of providing care. Also examines the effects of the premium incentive and copayment disincentive programs on plan enrollees and the adequacy of the plan's provider network.
Author(s): Elizabeth T. Momany, Suzanne E. Bentler, Susan C. McKernan, et al.
Date: 12/2017
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Summarizes an evaluation of the implementation of Iowa's Marketplace Choice Plan (MPC), a premium support health insurance plan for Iowans from 101-133% of the federal poverty level (FPL). Discusses the effects of the plan on member access to care, quality of care, insurance coverage gaps, and costs of providing care. Also examines the effects of the premium incentive and copayment disincentive programs on plan enrollees and the adequacy of the plan's provider network.
Author(s): Elizabeth T. Momany, Suzanne E. Bentler, Susan C. McKernan, et al.
Date: 12/2017
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Emerging Strategies to Ensure Access to Health Care Services: Emergency Medical Center
Provides an overview of the emergency medical center (EMC) model, which would allow struggling hospitals to convert to EMC status and provide emergency and outpatient services, without having to provide inpatient acute care services. Also outlines rural-specific federal policy proposals that seek to create similar hospital designations, with the goal of improving access to and the delivery of care in underserved communities.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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Provides an overview of the emergency medical center (EMC) model, which would allow struggling hospitals to convert to EMC status and provide emergency and outpatient services, without having to provide inpatient acute care services. Also outlines rural-specific federal policy proposals that seek to create similar hospital designations, with the goal of improving access to and the delivery of care in underserved communities.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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