Rural Health
Resources by Topic: Emergency department and urgent care services
Rural and Urban Utilization of the Emergency Department for Mental Health and Substance Abuse
Details a report on the use of emergency services in treating mental health and substance abuse (MH/SA) in both rural and urban settings. Discusses healthcare needs of MH/SA patients, as well as the increasing demands on emergency departments. Breaks down data by urban, large rural, small rural, and isolated rural emergency departments, as well as by age and primary payer of patients.
Author(s): Shawnda Schroeder, Mandi Leigh-Peterson
Date: 06/2017
Sponsoring organization: Rural Health Reform Policy Research Center
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Details a report on the use of emergency services in treating mental health and substance abuse (MH/SA) in both rural and urban settings. Discusses healthcare needs of MH/SA patients, as well as the increasing demands on emergency departments. Breaks down data by urban, large rural, small rural, and isolated rural emergency departments, as well as by age and primary payer of patients.
Author(s): Shawnda Schroeder, Mandi Leigh-Peterson
Date: 06/2017
Sponsoring organization: Rural Health Reform Policy Research Center
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MedPAC Report to the Congress: Medicare and the Health Care Delivery System, June 2017
Includes chapters on implementing a unified payment system for post-acute care, Part B drug payment policies, the redesign of the Merit-Based Incentive Payment System (MIPS) and other alternative payment models, drug and device manufacturer payments to physicians and teaching hospitals, stand-alone emergency departments, and skilled nursing facility use. Rural hospitals and rural patient populations are discussed throughout the report.
Date: 06/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Includes chapters on implementing a unified payment system for post-acute care, Part B drug payment policies, the redesign of the Merit-Based Incentive Payment System (MIPS) and other alternative payment models, drug and device manufacturer payments to physicians and teaching hospitals, stand-alone emergency departments, and skilled nursing facility use. Rural hospitals and rural patient populations are discussed throughout the report.
Date: 06/2017
Sponsoring organization: Medicare Payment Advisory Commission
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Health Insurance Coverage, Health Care Utilization, and Health Outcomes within the Context of Marcellus Shale Development
A discussion of the public health impacts of the Marcellus Shale natural gas well development in four Pennsylvania counties. Includes comparisons of health insurance coverage rates and availability; the burden of increased utilization of healthcare facilities and services; and health outcomes as they relate to the environmental effects of natural gas extraction.
Date: 03/2017
Sponsoring organization: Center for Rural Pennsylvania
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A discussion of the public health impacts of the Marcellus Shale natural gas well development in four Pennsylvania counties. Includes comparisons of health insurance coverage rates and availability; the burden of increased utilization of healthcare facilities and services; and health outcomes as they relate to the environmental effects of natural gas extraction.
Date: 03/2017
Sponsoring organization: Center for Rural Pennsylvania
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Disparities in Access to Trauma Care in the United States: A Population-Based Analysis
Describes the geographic, demographic, and socioeconomic disparities in access to trauma care in the U.S., including a rural and urban analysis of disparities. Covers data detailing demographic characteristics stratified by trauma center access by income, poverty, insurance status, education, race/ethnicity, rurality, and more.
Author(s): Brendan Carr, Ariel Bowman, Catherine Wolff, et al.
Citation: Injury, 48(2), 332-338
Date: 02/2017
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Describes the geographic, demographic, and socioeconomic disparities in access to trauma care in the U.S., including a rural and urban analysis of disparities. Covers data detailing demographic characteristics stratified by trauma center access by income, poverty, insurance status, education, race/ethnicity, rurality, and more.
Author(s): Brendan Carr, Ariel Bowman, Catherine Wolff, et al.
Citation: Injury, 48(2), 332-338
Date: 02/2017
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Impact of a Community Dental Access Program on Emergency Dental Admissions in Rural Maryland
Describes the expansion of a rural Maryland community dental access program (CDP) that serves uninsured and underinsured low-income residents following a funding increase from the Health Resources and Services Administration's Federal Office of Rural Health Policy in 2012. Tracks claims data between 2011–2015, comparing CDP claim rates to Medicaid-funded visits to local emergency departments for non-traumatic dental needs, estimating cost savings from the expanded CDP.
Author(s): Sandi Rowland, Jonathan P. Leider, Clare Davidson, Joanne Brady, Alana Knudson
Citation: American Journal of Public Health, 106(12), 2165-2170
Date: 12/2016
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Describes the expansion of a rural Maryland community dental access program (CDP) that serves uninsured and underinsured low-income residents following a funding increase from the Health Resources and Services Administration's Federal Office of Rural Health Policy in 2012. Tracks claims data between 2011–2015, comparing CDP claim rates to Medicaid-funded visits to local emergency departments for non-traumatic dental needs, estimating cost savings from the expanded CDP.
Author(s): Sandi Rowland, Jonathan P. Leider, Clare Davidson, Joanne Brady, Alana Knudson
Citation: American Journal of Public Health, 106(12), 2165-2170
Date: 12/2016
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National Hospital Ambulatory Medical Care Survey: 2013 Emergency Department Summary Tables
Provides data on ambulatory care emergency department hospital visits. Table 1 includes brief metro/non-metro overview information, and Table 14 has metro/non-metro injury visit data.
Date: 12/2016
Sponsoring organization: National Center for Health Statistics
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Provides data on ambulatory care emergency department hospital visits. Table 1 includes brief metro/non-metro overview information, and Table 14 has metro/non-metro injury visit data.
Date: 12/2016
Sponsoring organization: National Center for Health Statistics
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Burn-Related Hospital Inpatient Stays and Emergency Department Visits, 2013
Provides data on burn-related hospital inpatient stays and emergency department (ED) visits. Figure 3 lists data on ED visits by location of patient's residence for metropolitan areas and for micropolitan and noncore (rural) areas.
Author(s): Kimberly W. McDermott, Audrey J. Weiss, Anne Elixhauser
Date: 12/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Provides data on burn-related hospital inpatient stays and emergency department (ED) visits. Figure 3 lists data on ED visits by location of patient's residence for metropolitan areas and for micropolitan and noncore (rural) areas.
Author(s): Kimberly W. McDermott, Audrey J. Weiss, Anne Elixhauser
Date: 12/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Trends in Emergency Department Visits Involving Mental and Substance Use Disorders, 2006-2013
Reports on emergency department visits involving three categories of behavioral health disorders: substance use disorders; depression, anxiety or stress reactions; and psychoses or bipolar disorders. Figure 4 and Table 4 provide data on each type of visit based on the location of patient residence for metropolitan, micropolitan, and noncore (rural) areas.
Author(s): Audrey J. Weiss, Marguerite L. Barrett, Kevin C. Heslin, Carol Stocks
Date: 12/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Reports on emergency department visits involving three categories of behavioral health disorders: substance use disorders; depression, anxiety or stress reactions; and psychoses or bipolar disorders. Figure 4 and Table 4 provide data on each type of visit based on the location of patient residence for metropolitan, micropolitan, and noncore (rural) areas.
Author(s): Audrey J. Weiss, Marguerite L. Barrett, Kevin C. Heslin, Carol Stocks
Date: 12/2016
Sponsoring organization: Agency for Healthcare Research and Quality
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Evaluation of Hospital-Setting HCIA Awards: Third Annual Report, Final
Third and final report evaluating 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Presents awardee-specific information on program impact and lessons learned. Includes projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Additional links: Addendum, March 2017
Date: 11/2016
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Third and final report evaluating 10 Health Care Innovation Awards Round One projects undertaken in a hospital inpatient or emergency department. Presents awardee-specific information on program impact and lessons learned. Includes projects that involved Critical Access Hospitals and other rural hospitals. Includes projects focused on improved care for sepsis and projects using remote electronic intensive care unit (eICU) services.
Additional links: Addendum, March 2017
Date: 11/2016
Sponsoring organizations: Abt Associates, Centers for Medicare and Medicaid Services
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Freestanding Emergency Departments: An Alternative Model for Rural Communities
Describes the freestanding emergency department (FSED) model as an option for rural communities that can no longer support inpatient services. Looks at both hospital-based and independent FSEDs, examines financial viability of the model, and features rural FSEDs in Illinois and Arizona.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2016
Sponsoring organization: Rural Health Information Hub
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Describes the freestanding emergency department (FSED) model as an option for rural communities that can no longer support inpatient services. Looks at both hospital-based and independent FSEDs, examines financial viability of the model, and features rural FSEDs in Illinois and Arizona.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 11/2016
Sponsoring organization: Rural Health Information Hub
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