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

Half of Rural Residents at High Risk of Serious Illness Due to COVID-19, Creating Stress on Rural Hospitals
Highlights a study on the risk of hospitalization due to a serious illness caused by COVID-19 in rural communities. Compares rural areas with metro and micropolitan areas. Makes policy recommendations regarding supply chain and financial assistance policies.
Author(s): Brystana G. Kaufman, Rebecca Whitaker, George Pink, G. Mark Holmes
Citation: Journal of Rural Health, 36(4), 584-590
Date: 10/2020
Type: Document
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Costs of Emergency Department Visits for Mental and Substance Use Disorders in the United States, 2017
Examines the costs of emergency department (ED) visits with diagnoses of mental and substance use disorders compared to total ED visits, with data on total costs and cost per visit. Includes information by hospital location for large metropolitan, small metropolitan, micropolitan, and rural areas.
Author(s): Zeynal Karaca, Brian J. Moore
Date: 10/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Emergency Department Visits Related to Suicidal Ideation or Suicide Attempt, 2008–2017
Examines trends in emergency department (ED) visits related to suicidal ideation or suicide attempt by age group for those 5 years and older. Includes data by patient location for rural, medium/small metropolitan, and large metropolitan areas. Includes maps showing by state whether rural, medium/small metro, or large metro areas had the highest rate of ED visits related to suicidal ideation or suicide attempt for those age 5-24, 25-64, and 65 or older.
Author(s): Pamela L. Owens, Kimberly W. McDermott, Rachel N. Lipari, Megan M. Hambrick
Date: 09/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Rural Success: Paris Community Hospital, IL
Describes the quality improvement efforts of Paris Community Hospital in rural Paris, Illinois. Highlights the success of the emergency department's communication with other departments and facilities and opportunities to improve the hospital's antibiotic stewardship.
Date: 09/2020
Type: Document
Sponsoring organization: Stratis Health
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State Innovation Model (SIM) Summative Evaluation Report: Activities and Goal Evaluation Award Year 2-4 (AY2-4)
Summarizes the process and implementation activities of the State Innovation Model (SIM) test grant program in Iowa during award years 2 through 4, which spanned November 2016 through April 2019. SIM test awards are administered by the Centers of Medicare and Medicaid Services (CMS) Innovation Center and allow states to implement and test strategies for health system transformation that meet the specific needs of residents of each state. Describes the process evaluation of SIM implementation activities and results of the 2016 and 2018 statewide evaluation surveys. Presents data on outcome measures regarding access and cost of care, diabetes, obesity, and tobacco use.
Author(s): Tessa Heeren, Rochelle Schultz Spinarski, Elizabeth Momany, et al.
Date: 08/2020
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Rural Versus Urban Prevalence of Intimate Partner Violence-Related Emergency Department Visits, 2009-2014
Examines disparities in prevalence of intimate partner violence (IPV)-related incidents, using a sample of 156,945 emergency department (ED) visits by people ages 15-64. Features demographics with breakdowns by urban or rural residence, and statistics on IPV-related ED visits with breakdowns by 6 categories of population density.
Author(s): Maria J. Perez-Patron, Nancy R. Downing, Nora Montalvo-Liendo, Brandie D. Taylor
Date: 08/2020
Type: Document
Sponsoring organization: Southwest Rural Health Research Center
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Nonfatal Drug and Polydrug Overdoses Treated in Emergency Departments — 29 States, 2018–2019
Reports on changes in rates and proportions of suspected nonfatal drug and polydrug overdoses treated in the emergency department (ED) between 2018 and 2019, based on data from 29 states. Includes data for urban and rural counties on ED visits for opioids, cocaine, amphetamines, and benzodiazepines, as well as for opioids in combination with each of the other types of drugs.
Author(s): Stephen Liu, Lawrence Scholl, Brooke Hoots, Puja Seth
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(34), 1149-1155
Date: 08/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Addressing Opioid Use in Rural Communities: Examples from Critical Access Hospitals
Highlights strategies adopted by Critical Access Hospitals (CAHs) to combat opioid use in their communities. Describes lessons learned from the featured CAHs regarding the development and implementation of projects targeting opioid use. Identifies ways that State Flex Programs and State Offices of Rural Health can support the efforts of CAHs in addressing opioid use in their communities. Provides list of opioid-related resources for CAHs and State Flex Programs.
Author(s): John Gale, Sara Kahn-Troster, Karen Pearson, Nathan First
Date: 08/2020
Type: Document
Sponsoring organization: Flex Monitoring Team
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Rural Interfacility Emergency Department Transfers: Framework and Qualitative Analysis
Examines the transfer for rural emergency patients to other facilities across 2 urban and 5 rural Veterans Health Administration facilities. Discusses three factors that influence the decision of transferring a patient: patient factors, system resources, and clinical and administrative processes.
Author(s): Candace D. McNaughton, Kemberlee Bonnet, David Schlundt, et al.
Citation: The Western Journal of Emergency Medicine, 21(4), 858-865
Date: 07/2020
Type: Document
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Hospitals Face Financial Challenges Due to COVID-19
Describes the financial impact of COVID-19 on Kittitas Valley Healthcare in Ellensburg, Washington. Discusses the decline in emergency department and non-emergency surgery volume and changes to labor costs as a percentage of net revenue.
Date: 07/2020
Type: Document
Sponsoring organization: American Hospital Association
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