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

Ethical and Legal Challenges During the COVID‐19 Pandemic – Are We Thinking About Rural Hospitals?
Discusses the legal framework and ethical decisions hospitals are faced with during the COVID-19 pandemic. Highlights emergency preparedness planning for rural hospitals with limited workforce and resources.
Author(s): Love Patel, Amy Elliott, Erik Storlie, et al.
Citation: Journal of Rural Health, 37(1), 175-178
Date: 01/2021
Type: Document
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Emergency Department Visits Involving Influenza and Influenza-Like Illnesses, 2016–2018
Presents statistics on influenza-like illness (ILI)-related emergency department (ED) visits in 34 states and the District of Columbia from 2016 through 2018. Includes data by location of patient's residence for metropolitan, rural metropolitan-adjacent, and rural remote areas, as well as a state-by-state map indicating the patient residence location where the rate of ED visits was highest.
Author(s): Lawrence D. Reid, Kathryn R. Fingar
Date: 12/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Association of CMS-HCC Risk Scores with Health Care Utilization among Rural and Urban Medicare Beneficiaries
Research brief exploring healthcare utilization by rural and urban Medicare beneficiaries in order to better understand CMS Hierarchical Condition Categories (HCCs) and accurately apply the CMS-HCC risk score model. Analyzes 2014 CMS-HCC risk score data for different healthcare outcomes, including inpatient and outpatient ER visits, acute inpatient stays, and hospital readmissions, comparing rural and urban populations.
Author(s): Tyler Malone, Denise Kirk, Randy Randolph, Kristin Reiter
Date: 12/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Costs of Emergency Department Visits in the United States, 2017
Examines the cost of emergency department (ED) visits in the United States. Includes data by location of patient's residence for large metropolitan, small metro, micropolitan, and rural areas. Topics covered include aggregate costs, average costs, number of ED visits, aggregate costs by age, aggregate costs by community-level income, and aggregate costs by primary expected payer.
Author(s): Brian J. Moore, Lan Liang
Date: 12/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Emergency Obstetric Training Needed in Rural Hospitals without Obstetric Units
Results of a survey of 47 nurse managers and emergency department administrators from rural hospitals without obstetric care. Examines the types of trainings and resources that would better prepare these hospitals to handle obstetric emergencies.
Author(s): Mary Gilbertson, Mariana Story Tuttle, Kristin DeArruda Wharton, Katy Backes Kozhimannil
Date: 11/2020
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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Overview of Emergency Department Visits Related to Injuries, by Cause of Injury, 2017
Presents statistics on emergency department (ED) visits related to injuries in 2017. Includes the number of ED visits related to each cause of injury; the percentage of visits that resulted in the patient being admitted or transferred to another hospital; rate of ED visit due to injuries by different population characteristics including age, gender, income, and rural status; and the distribution of primary expected payer for ED visits related to injuries.
Author(s): Audrey J. Weiss, Lawrence D. Reid, Marguerite L. Barrett
Date: 11/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Nursing Preparedness: Words from Researchers and Rural Nurses
Focuses on job preparedness for rural nurses. Features three rural registered nurses and a nursing doctoral candidate sharing their experiences and insights about rural nursing preparedness.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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Rural Success: Avera Holy Family Hospital, IA
Profiles the quality improvement efforts of Avera Holy Family Hospital, a Critical Access Hospital in rural Iowa. Discusses quality initiatives regarding the Emergency Department Transfer Communication (EDTC) measure, patient experience, and antibiotic stewardship.
Date: 11/2020
Type: Document
Sponsoring organization: Stratis Health
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Tele‐ICUs for COVID‐19: A Look at National Prevalence and Characteristics of Hospitals Providing Teleintensive Care
Discusses a study on the prevalence of intensive care unit telemedicine (tele-ICUs) in hospitals across the U.S. during the COVID-19 pandemic, specifically in rural and Critical Access Hospitals. Compares hospitals by region, ICU beds, and emergency visits, among other measures.
Author(s): Dunc Williams Jr., John Lawrence, Young-Rock Hong, Aaron Winn
Citation: Journal of Rural Health
Date: 10/2020
Type: Document
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Rural Success: Pembina County Memorial Hospital, ND
Describes the quality improvement efforts of Pembina County Memorial Hospital (PCMH), a Critical Access Hospital in Pembina, North Dakota. Discusses PCMH's use of patient experience data, communication regarding emergency department transfers, and antibiotic stewardship efforts.
Date: 10/2020
Type: Document
Sponsoring organization: Stratis Health
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