Rural Health
Resources by Topic: Emergency department and urgent care services
Most Frequent Reasons for Emergency Department Visits, 2018
Report examining emergency department visits based on 2018 Nationwide Emergency Department Sample (NEDS) data. Breaks down visits by diagnosis, and offers rates of ED visits resulting in hospital admission and treat-and-release ED visits by rural, medium and small metro, and large metro residence, sex, age, and region.
Author(s): Audrey J. Weiss, H. Joanna Jiang
Date: 12/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Report examining emergency department visits based on 2018 Nationwide Emergency Department Sample (NEDS) data. Breaks down visits by diagnosis, and offers rates of ED visits resulting in hospital admission and treat-and-release ED visits by rural, medium and small metro, and large metro residence, sex, age, and region.
Author(s): Audrey J. Weiss, H. Joanna Jiang
Date: 12/2021
Sponsoring organization: Agency for Healthcare Research and Quality
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Implementation and Initial Evaluation of Falls Risk Reduction Resources in a Rural Native American Community
Presents a study evaluating fall prevention interventions aimed at elders at a rural Indian Health Services Center. Breaks down data by the percentage of participants with fall risk, those that had a fall after the intervention, and those that required a visit to the emergency department after their fall, among other efficacy measure.
Author(s): Kyle M. Knight
Citation: Injury Epidemiology, 8(66)
Date: 12/2021
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Presents a study evaluating fall prevention interventions aimed at elders at a rural Indian Health Services Center. Breaks down data by the percentage of participants with fall risk, those that had a fall after the intervention, and those that required a visit to the emergency department after their fall, among other efficacy measure.
Author(s): Kyle M. Knight
Citation: Injury Epidemiology, 8(66)
Date: 12/2021
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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
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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
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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
Sponsoring organization: North Dakota Department of Health and Human Services
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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
Sponsoring organization: North Dakota Department of Health and Human Services
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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, sex, rural/urban residence, and other demographic factors.
Author(s): Manuela Staneva, Thomas Dobbs, Paul Byers
Date: 11/2021
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, sex, rural/urban residence, and other demographic factors.
Author(s): Manuela Staneva, Thomas Dobbs, Paul Byers
Date: 11/2021
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
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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
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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
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
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
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
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
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
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
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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
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