Rural Health
Resources by Topic: Emergency department and urgent care services
Association of Uninsured Status and Rurality with Risk of Financial Toxicity after Pediatric Trauma
Analyzes the risk of financial toxicity associated with pediatric traumatic injury for rural versus urban families. Utilizes 2016-2019 National Inpatient Sample patient data. Includes data on financial toxicity associated with uninsured status, rural versus urban insurance type, and rural versus urban demographic, clinical, and hospital characteristics.
Author(s): Amulya Vadlakonda, Nam Yong Cho, Nikhil Chervu, et al.
Citation: Surgery, 176(2), 455-461
Date: 05/2024
view details
Analyzes the risk of financial toxicity associated with pediatric traumatic injury for rural versus urban families. Utilizes 2016-2019 National Inpatient Sample patient data. Includes data on financial toxicity associated with uninsured status, rural versus urban insurance type, and rural versus urban demographic, clinical, and hospital characteristics.
Author(s): Amulya Vadlakonda, Nam Yong Cho, Nikhil Chervu, et al.
Citation: Surgery, 176(2), 455-461
Date: 05/2024
view details
Non-Urgent Use of Emergency Departments by Rural and Urban Adults
Examines differences in non-urgent use of emergency departments (EDs) in rural versus urban adults as well as factors associated with non-urgent ED use. Utilizes 2014-2017 Medical Expenditure Panel Survey (MEPS) data to show percentage of adults who utilized ED services, with data broken down by age, mental and physical health status, income, health insurance and primary care access status, and rural versus urban location.
Author(s): Erika Ziller, Carly Milkowski, Zachariah Croll, Yvonne Jonk
Date: 04/2024
Sponsoring organization: Maine Rural Health Research Center
view details
Examines differences in non-urgent use of emergency departments (EDs) in rural versus urban adults as well as factors associated with non-urgent ED use. Utilizes 2014-2017 Medical Expenditure Panel Survey (MEPS) data to show percentage of adults who utilized ED services, with data broken down by age, mental and physical health status, income, health insurance and primary care access status, and rural versus urban location.
Author(s): Erika Ziller, Carly Milkowski, Zachariah Croll, Yvonne Jonk
Date: 04/2024
Sponsoring organization: Maine Rural Health Research Center
view details
2023 National CAH Quality Inventory & Assessment National Report
Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
view details
Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
view details
FH Healthcare Indicators and FH Medical Price Index 2024: An Annual View of Place of Service Trends and Medical Pricing
White paper exploring changes in healthcare utilization, demographic and geographic factors, diagnoses, costs, and procedures. Features statistics including usage of retail clinics and telehealth from 2017-2022; and urgent care, ambulatory surgery centers, and emergency rooms from 2013-2022. Includes comparisons of utilization of each service type by urban and rural location.
Date: 03/2024
Sponsoring organization: FAIR Health
view details
White paper exploring changes in healthcare utilization, demographic and geographic factors, diagnoses, costs, and procedures. Features statistics including usage of retail clinics and telehealth from 2017-2022; and urgent care, ambulatory surgery centers, and emergency rooms from 2013-2022. Includes comparisons of utilization of each service type by urban and rural location.
Date: 03/2024
Sponsoring organization: FAIR Health
view details
MedPAC Report to the Congress: Medicare Payment Policy: Mandated Report: Rural Emergency Hospitals: Chapter 15
Provides an overview of the Rural Emergency Hospital (REH) designation. Discusses the evolution of Medicare's support for rural hospitals through payment policies and the impact of declining inpatient volumes on rural hospitals' financial sustainability. Describes the characteristics of hospitals that converted to REH status in 2023, the first year of the designation.
Date: 03/2024
Sponsoring organization: Medicare Payment Advisory Commission
view details
Provides an overview of the Rural Emergency Hospital (REH) designation. Discusses the evolution of Medicare's support for rural hospitals through payment policies and the impact of declining inpatient volumes on rural hospitals' financial sustainability. Describes the characteristics of hospitals that converted to REH status in 2023, the first year of the designation.
Date: 03/2024
Sponsoring organization: Medicare Payment Advisory Commission
view details
Office for the Advancement of Telehealth (OAT) 2020-2024 Telehealth Network Grant Program (TNGP) Performance Improvement and Measurement System (PIMS): Summary Report for Program Year 3 (September 1, 2022 - August 31, 2023)
Summarizes findings from the first three years of the 2020-2024 Telehealth Network Grant Program (TNGP), which aims to promote tele-emergency services by enhancing telehealth networks to deliver 24-hour emergency department (ED) consultation services via telehealth to rural providers without emergency care specialists. Presents data on grantee network characteristics, the number of originating and distant sites, specialty areas, averted transfers, ED and hospital readmissions, other uses of the telehealth network, and more.
Date: 02/2024
Sponsoring organizations: Georgia Health Policy Center, Office for the Advancement of Telehealth
view details
Summarizes findings from the first three years of the 2020-2024 Telehealth Network Grant Program (TNGP), which aims to promote tele-emergency services by enhancing telehealth networks to deliver 24-hour emergency department (ED) consultation services via telehealth to rural providers without emergency care specialists. Presents data on grantee network characteristics, the number of originating and distant sites, specialty areas, averted transfers, ED and hospital readmissions, other uses of the telehealth network, and more.
Date: 02/2024
Sponsoring organizations: Georgia Health Policy Center, Office for the Advancement of Telehealth
view details
Telemedicine vs Telephone Consultations and Medication Prescribing Errors Among Referring Physicians: A Cluster Randomized Crossover Trial
Compared 696 acutely ill children in 15 community and rural California emergency departments receiving telephone or video consultations to determine differences in physician-related medication errors. Discusses the impact of telehealth on healthcare quality and remote acute care.
Author(s): James P. Marcin, Monica K. Lieng, Jamie Mouzoon, et al.
Citation: JAMA Network Open, 7(2)
Date: 02/2024
view details
Compared 696 acutely ill children in 15 community and rural California emergency departments receiving telephone or video consultations to determine differences in physician-related medication errors. Discusses the impact of telehealth on healthcare quality and remote acute care.
Author(s): James P. Marcin, Monica K. Lieng, Jamie Mouzoon, et al.
Citation: JAMA Network Open, 7(2)
Date: 02/2024
view details
Opioid Stewardship Program Implementation in Rural and Critical Access Hospitals in Arizona
Assesses the implementation of 11 opioid stewardship program (OSP) elements at 17 Arizona Critical Access Hospitals. Compares data between the emergency and inpatient departments and analyzes trends. Discusses standardization of OSPs and both preventing and treating opioid misuse disorder.
Author(s): Benjamin R. Brady, Bianca SantaMaria, Kathryn Tucker Ortiz y Pino, Bridget S. Murphy
Citation: Journal of Opioid Management, 20(1), 21-30
Date: 02/2024
view details
Assesses the implementation of 11 opioid stewardship program (OSP) elements at 17 Arizona Critical Access Hospitals. Compares data between the emergency and inpatient departments and analyzes trends. Discusses standardization of OSPs and both preventing and treating opioid misuse disorder.
Author(s): Benjamin R. Brady, Bianca SantaMaria, Kathryn Tucker Ortiz y Pino, Bridget S. Murphy
Citation: Journal of Opioid Management, 20(1), 21-30
Date: 02/2024
view details
Trends in Emergency Department Visits Among People Younger Than Age 65 by Insurance Status: United States, 2010–2021
Provides data on people younger than 65 who visited emergency rooms from 2010-2021 by insurance status, with further data breakdowns by age, sex, and metro versus nonmetro statistical area.
Author(s): Loredana Santo, Susan M. Schappert, Jill J. Ashman
Date: 01/2024
Sponsoring organization: National Center for Health Statistics
view details
Provides data on people younger than 65 who visited emergency rooms from 2010-2021 by insurance status, with further data breakdowns by age, sex, and metro versus nonmetro statistical area.
Author(s): Loredana Santo, Susan M. Schappert, Jill J. Ashman
Date: 01/2024
Sponsoring organization: National Center for Health Statistics
view details
Legislative Action Bridging Public Health and Clinical Healthcare
Discusses legislation that relates to equitable access to healthcare, with a focus on telehealth, infrastructure, safety net services, management of healthcare costs, and the expansion of the healthcare workforce. Includes information on access to emergency departments in rural areas and the Rural Emergency Hospital (REH) designation.
Author(s): Ashley Cram, Brianna Gorman
Date: 01/2024
Sponsoring organization: Association of State and Territorial Health Officials
view details
Discusses legislation that relates to equitable access to healthcare, with a focus on telehealth, infrastructure, safety net services, management of healthcare costs, and the expansion of the healthcare workforce. Includes information on access to emergency departments in rural areas and the Rural Emergency Hospital (REH) designation.
Author(s): Ashley Cram, Brianna Gorman
Date: 01/2024
Sponsoring organization: Association of State and Territorial Health Officials
view details