Rural Health
Resources by Topic: Emergency department and urgent care services
Emergency Department Visits for Suicidal Ideation and Self-Harm in Rural and Urban Youth
Presents a study comparing rates of emergency room visits among youth aged 5 to 19 for suicidal ideation and/or self-harm in rural and urban areas. Breaks down data by age, household income, and rural-urban hospital status, among other measures.
Author(s): Jennifer A. Hoffmann, Matt Hall, Doug Lorenz, Jay Berry
Citation: The Journal of Pediatrics, 238, 282-289
Date: 11/2021
Type: Document
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Presents a study comparing rates of emergency room visits among youth aged 5 to 19 for suicidal ideation and/or self-harm in rural and urban areas. Breaks down data by age, household income, and rural-urban hospital status, among other measures.
Author(s): Jennifer A. Hoffmann, Matt Hall, Doug Lorenz, Jay Berry
Citation: The Journal of Pediatrics, 238, 282-289
Date: 11/2021
Type: Document
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North Dakota Department of Health Biennial Report: 2019-2021
Highlights the goals and accomplishments of the North Dakota Department of Health during the 2019-2021 biennium, in the areas of community health, emergency preparedness and response, environmental health, health resources, medical services, and local public health units. Includes information on rural healthcare facilities and rural health promotion programs.
Date: 11/2021
Type: Document
Sponsoring organization: North Dakota Department of Health
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Highlights the goals and accomplishments of the North Dakota Department of Health during the 2019-2021 biennium, in the areas of community health, emergency preparedness and response, environmental health, health resources, medical services, and local public health units. Includes information on rural healthcare facilities and rural health promotion programs.
Date: 11/2021
Type: Document
Sponsoring organization: North Dakota Department of Health
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Emergency Department Visits for COVID-19 in Mississippi, March 2020-June 2021
Study examining COVID-19 visits to non-federal emergency departments in Mississippi from March 2020 to June 2021, breaking down data based on payer, age, race, gender, and rural/urban residence.
Author(s): Manuela Staneva, Thomas Dobbs, Paul Byers
Date: 11/2021
Type: Document
Sponsoring organization: Mississippi State Department of Health
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Study examining COVID-19 visits to non-federal emergency departments in Mississippi from March 2020 to June 2021, breaking down data based on payer, age, race, gender, and rural/urban residence.
Author(s): Manuela Staneva, Thomas Dobbs, Paul Byers
Date: 11/2021
Type: Document
Sponsoring organization: Mississippi State Department of Health
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Association of Rural and Critical Access Hospital Status With Patient Outcomes After Emergency Department Visits Among Medicare Beneficiaries
Compares 30-day outcomes for 473,152 Medicare patients after emergency department (ED) visits in rural or urban settings and in Critical Access Hospitals. Features statistics on mortality, ED revisits, hospitalization and transfer patterns by commonly encountered ED conditions, and characteristics of patients and of hospitals studied, with breakdowns by urban or rural location.
Author(s): Margaret Greenwood-Ericksen, Neil Kamdar, Paul Lin, et al.
Citation: JAMA Network Open, 4(11)
Date: 11/2021
Type: Document
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Compares 30-day outcomes for 473,152 Medicare patients after emergency department (ED) visits in rural or urban settings and in Critical Access Hospitals. Features statistics on mortality, ED revisits, hospitalization and transfer patterns by commonly encountered ED conditions, and characteristics of patients and of hospitals studied, with breakdowns by urban or rural location.
Author(s): Margaret Greenwood-Ericksen, Neil Kamdar, Paul Lin, et al.
Citation: JAMA Network Open, 4(11)
Date: 11/2021
Type: Document
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Using CPT Charges as an Economic Proxy for Telehealth and Non-telehealth Emergency Department Utilization
Explores the characteristics of a dataset comprising rural hospitals' reported Current Procedural Terminology (CPT) codes and associated charges for a sample of telehealth and non-telehealth emergency department (ED) visits. Features statistics including number of ED cases and controls selected by diagnosis, and demographics on select ED samples with breakdowns by 4 CPT codes.
Author(s): Marcia M. Ward, Knute D. Carter, Fred Ullrich, Kimberly A. S. Merchant
Date: 11/2021
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Explores the characteristics of a dataset comprising rural hospitals' reported Current Procedural Terminology (CPT) codes and associated charges for a sample of telehealth and non-telehealth emergency department (ED) visits. Features statistics including number of ED cases and controls selected by diagnosis, and demographics on select ED samples with breakdowns by 4 CPT codes.
Author(s): Marcia M. Ward, Knute D. Carter, Fred Ullrich, Kimberly A. S. Merchant
Date: 11/2021
Type: Document
Sponsoring organization: Rural Telehealth Research Center
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Rural Emergency Hospital: Policy Brief and Recommendations to the Secretary
Describes the development of the Rural Emergency Hospital (REH) designation in response to rural hospital closures and issues accessing emergency care. Lists statutory requirements for hospitals wishing to become an REH, and offers policy recommendations related to participation conditions, quality reporting, reimbursement, and emergency medical transfer agreement.
Date: 10/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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Describes the development of the Rural Emergency Hospital (REH) designation in response to rural hospital closures and issues accessing emergency care. Lists statutory requirements for hospitals wishing to become an REH, and offers policy recommendations related to participation conditions, quality reporting, reimbursement, and emergency medical transfer agreement.
Date: 10/2021
Type: Document
Sponsoring organization: National Advisory Committee on Rural Health and Human Services
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MedPAC Comment on CMS's Proposed Rule on Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems and Quality Reporting Programs for CY 2022
Comments on an August 4, 2021, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2022. Includes considerations for Rural Emergency Hospital payments and emergency department staffing requirements.
Date: 09/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Comments on an August 4, 2021, Federal Register proposed rule revising the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Medicare Ambulatory Surgical Center (ACS) payment system for calendar year 2022. Includes considerations for Rural Emergency Hospital payments and emergency department staffing requirements.
Date: 09/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Paying for Telemedicine in Smaller Rural Hospitals: Extending the Technology to Those Who Benefit Most
Viewpoint article discussing the positive financial impacts of telemedicine in emergency departments (EDs) and barriers to using telemedicine in small rural hospitals related to patient volume, high upfront costs, and reimbursement issues. Outlines policy interventions to support rural telemedicine.
Author(s): Kori S. Zachrison, Jessica V. Richard, Ateev Mehrotra
Citation: JAMA Health Forum, 2(8), e211570
Date: 08/2021
Type: Document
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Viewpoint article discussing the positive financial impacts of telemedicine in emergency departments (EDs) and barriers to using telemedicine in small rural hospitals related to patient volume, high upfront costs, and reimbursement issues. Outlines policy interventions to support rural telemedicine.
Author(s): Kori S. Zachrison, Jessica V. Richard, Ateev Mehrotra
Citation: JAMA Health Forum, 2(8), e211570
Date: 08/2021
Type: Document
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Emergency Department Visits Involving Dental Conditions, 2018
Presents data on emergency department (ED) visits involving dental conditions using the 2018 Nationwide Emergency Department Sample (NEDS). Describes characteristics of dental-related ED visits, including age, sex, metropolitan status of patient residence, and community-level income. Includes statistics on the number and percentage of ED visits that resulted in hospital admission, types of dental-related ED visits by payer, and groups and types of dental conditions by type of ED visit.
Date: 08/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data on emergency department (ED) visits involving dental conditions using the 2018 Nationwide Emergency Department Sample (NEDS). Describes characteristics of dental-related ED visits, including age, sex, metropolitan status of patient residence, and community-level income. Includes statistics on the number and percentage of ED visits that resulted in hospital admission, types of dental-related ED visits by payer, and groups and types of dental conditions by type of ED visit.
Date: 08/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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A Cross-Sectional Analysis of High Acuity Professional Services Performed by Urban and Rural Emergency Care Physicians Across the United States
Evaluates high acuity service practices between 34,256 metropolitan and nonmetropolitan physicians offering emergency care to Medicare fee-for-service beneficiaries. Discusses rural-specific factors that may contribute to disparities.
Author(s): Cameron J. Gettel, Maureen E. Canavan, Margaret B. Greenwood-Ericksen, et al.
Citation: Annals of Emergency Medicine: An International Journal 78(1), 140-149
Date: 07/2021
Type: Document
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Evaluates high acuity service practices between 34,256 metropolitan and nonmetropolitan physicians offering emergency care to Medicare fee-for-service beneficiaries. Discusses rural-specific factors that may contribute to disparities.
Author(s): Cameron J. Gettel, Maureen E. Canavan, Margaret B. Greenwood-Ericksen, et al.
Citation: Annals of Emergency Medicine: An International Journal 78(1), 140-149
Date: 07/2021
Type: Document
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