Rural Health
Resources by Topic: Emergency department and urgent care services
Opioid-Related Visits to Rural Emergency Departments
Explores the impact of the opioid crisis on rural emergency departments (EDs) by analyzing 2006 and 2013 Nationwide Emergency Department Sample (NEDS) data. Compares opioid-related ED visits in rural and urban hospitals by type of opioid involved and year. Breaks down data by patient characteristics, comorbid diagnosis at admission, and outcome of ED visit.
Author(s): Erika C. Ziller, Jean A. Talbot, Deborah Thayer, Carly Milkowski
Date: 02/2021
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Explores the impact of the opioid crisis on rural emergency departments (EDs) by analyzing 2006 and 2013 Nationwide Emergency Department Sample (NEDS) data. Compares opioid-related ED visits in rural and urban hospitals by type of opioid involved and year. Breaks down data by patient characteristics, comorbid diagnosis at admission, and outcome of ED visit.
Author(s): Erika C. Ziller, Jean A. Talbot, Deborah Thayer, Carly Milkowski
Date: 02/2021
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Accountable Care Hospitals and Preventable Emergency Department Visits for Rural Dementia Patients
Examines differences in the frequency of emergency department visits among rural and urban patients with Alzheimer's disease and related dementias (ADRD). Compares the odds of preventable ED visits for ADRD patients at hospitals affiliated and not affiliated with an Accountable Care Organization (ACO).
Author(s): Nianyang Wang, Aitalohi Amaize, Jie Chen
Citation: Journal of the American Geriatrics Society, 69(1), 185-190
Date: 01/2021
Type: Document
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Examines differences in the frequency of emergency department visits among rural and urban patients with Alzheimer's disease and related dementias (ADRD). Compares the odds of preventable ED visits for ADRD patients at hospitals affiliated and not affiliated with an Accountable Care Organization (ACO).
Author(s): Nianyang Wang, Aitalohi Amaize, Jie Chen
Citation: Journal of the American Geriatrics Society, 69(1), 185-190
Date: 01/2021
Type: Document
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HRSA's Evidence-Based Tele-Emergency Network Grant Program: Multi-Site Prospective Cohort Analysis Across Six Rural Emergency Department Telemedicine Networks
Examines Evidence-Based Tele-Emergency Network Grant Program (EB TNGP) grantees' provision of telehealth services in rural emergency departments (teleED) in 11 states. Features data and statistics on teleED processes and patients' characteristics, chief complaints, severity of illness, and discharge status.
Author(s): Sarah Heppner, Nicholas M. Mohr, Knute D. Carter, et al.
Citation: PLoS One, 16(1), e0243211
Date: 01/2021
Type: Document
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Examines Evidence-Based Tele-Emergency Network Grant Program (EB TNGP) grantees' provision of telehealth services in rural emergency departments (teleED) in 11 states. Features data and statistics on teleED processes and patients' characteristics, chief complaints, severity of illness, and discharge status.
Author(s): Sarah Heppner, Nicholas M. Mohr, Knute D. Carter, et al.
Citation: PLoS One, 16(1), e0243211
Date: 01/2021
Type: Document
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Serving High Need/High Cost Patients in the Emergency Department
Provides an overview of high-need/high-cost (HNHC) patient program design, implementation, operation, and assessment for rural hospitals to improve participant health, reduce emergency department (ED) visits, and decrease hospital charges. Includes links to additional resources and HNHC patient program case studies.
Author(s): A. Clinton MacKinney, Christopher Stamy
Date: 01/2021
Type: Document
Sponsoring organization: Rural Health Value
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Provides an overview of high-need/high-cost (HNHC) patient program design, implementation, operation, and assessment for rural hospitals to improve participant health, reduce emergency department (ED) visits, and decrease hospital charges. Includes links to additional resources and HNHC patient program case studies.
Author(s): A. Clinton MacKinney, Christopher Stamy
Date: 01/2021
Type: Document
Sponsoring organization: Rural Health Value
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Tele‐ICUs for COVID‐19: A Look at National Prevalence and Characteristics of Hospitals Providing Teleintensive Care
Discusses a study on the prevalence of intensive care unit telemedicine (tele-ICUs) in hospitals across the U.S. during the COVID-19 pandemic, specifically in rural and Critical Access Hospitals. Compares hospitals by region, ICU beds, and emergency visits, among other measures.
Author(s): Dunc Williams Jr., John Lawrence, Young-Rock Hong, Aaron Winn
Citation: Journal of Rural Health, 37(1), 133-141
Date: 01/2021
Type: Document
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Discusses a study on the prevalence of intensive care unit telemedicine (tele-ICUs) in hospitals across the U.S. during the COVID-19 pandemic, specifically in rural and Critical Access Hospitals. Compares hospitals by region, ICU beds, and emergency visits, among other measures.
Author(s): Dunc Williams Jr., John Lawrence, Young-Rock Hong, Aaron Winn
Citation: Journal of Rural Health, 37(1), 133-141
Date: 01/2021
Type: Document
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Ethical and Legal Challenges During the COVID‐19 Pandemic – Are We Thinking About Rural Hospitals?
Discusses the legal framework and ethical decisions hospitals are faced with during the COVID-19 pandemic. Highlights emergency preparedness planning for rural hospitals with limited workforce and resources.
Author(s): Love Patel, Amy Elliott, Erik Storlie, et al.
Citation: Journal of Rural Health, 37(1), 175-178
Date: 01/2021
Type: Document
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Discusses the legal framework and ethical decisions hospitals are faced with during the COVID-19 pandemic. Highlights emergency preparedness planning for rural hospitals with limited workforce and resources.
Author(s): Love Patel, Amy Elliott, Erik Storlie, et al.
Citation: Journal of Rural Health, 37(1), 175-178
Date: 01/2021
Type: Document
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Emergency Department Visits Involving Influenza and Influenza-Like Illnesses, 2016–2018
Presents statistics on influenza-like illness (ILI)-related emergency department (ED) visits in 34 states and the District of Columbia from 2016 through 2018. Includes data by location of patient's residence for metropolitan, rural metropolitan-adjacent, and rural remote areas, as well as a state-by-state map indicating the patient residence location where the rate of ED visits was highest.
Author(s): Lawrence D. Reid, Kathryn R. Fingar
Date: 12/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents statistics on influenza-like illness (ILI)-related emergency department (ED) visits in 34 states and the District of Columbia from 2016 through 2018. Includes data by location of patient's residence for metropolitan, rural metropolitan-adjacent, and rural remote areas, as well as a state-by-state map indicating the patient residence location where the rate of ED visits was highest.
Author(s): Lawrence D. Reid, Kathryn R. Fingar
Date: 12/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Association of CMS-HCC Risk Scores with Health Care Utilization among Rural and Urban Medicare Beneficiaries
Research brief exploring healthcare utilization by rural and urban Medicare beneficiaries in order to better understand CMS Hierarchical Condition Categories (HCCs) and accurately apply the CMS-HCC risk score model. Analyzes 2014 CMS-HCC risk score data for different healthcare outcomes, including inpatient and outpatient ER visits, acute inpatient stays, and hospital readmissions, comparing rural and urban populations.
Author(s): Tyler Malone, Denise Kirk, Randy Randolph, Kristin Reiter
Date: 12/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Research brief exploring healthcare utilization by rural and urban Medicare beneficiaries in order to better understand CMS Hierarchical Condition Categories (HCCs) and accurately apply the CMS-HCC risk score model. Analyzes 2014 CMS-HCC risk score data for different healthcare outcomes, including inpatient and outpatient ER visits, acute inpatient stays, and hospital readmissions, comparing rural and urban populations.
Author(s): Tyler Malone, Denise Kirk, Randy Randolph, Kristin Reiter
Date: 12/2020
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Costs of Emergency Department Visits in the United States, 2017
Examines the cost of emergency department (ED) visits in the United States. Includes data by location of patient's residence for large metropolitan, small metro, micropolitan, and rural areas. Topics covered include aggregate costs, average costs, number of ED visits, aggregate costs by age, aggregate costs by community-level income, and aggregate costs by primary expected payer.
Author(s): Brian J. Moore, Lan Liang
Date: 12/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines the cost of emergency department (ED) visits in the United States. Includes data by location of patient's residence for large metropolitan, small metro, micropolitan, and rural areas. Topics covered include aggregate costs, average costs, number of ED visits, aggregate costs by age, aggregate costs by community-level income, and aggregate costs by primary expected payer.
Author(s): Brian J. Moore, Lan Liang
Date: 12/2020
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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An Observational Study of Telemental Care Delivery and the Context for Involuntary Commitment for Mental Health Patients in a Group of Rural Emergency Departments
Examines telemental healthcare delivery in Critical Access Hospital (CAH) emergency departments (ED) in 4 Indiana counties, with a focus on the context surrounding subsequent psychiatric involuntary commitment (IC) or noninvoluntary commitment (non-IC) of mental health patients who presented to the participating EDs. Provides information on patient demographics, ED wait time and length of stay, ED costs and reimbursement, and telehealth parity laws.
Author(s): Roseanne Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine Reports, 1(1), 22-35
Date: 11/2020
Type: Document
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Examines telemental healthcare delivery in Critical Access Hospital (CAH) emergency departments (ED) in 4 Indiana counties, with a focus on the context surrounding subsequent psychiatric involuntary commitment (IC) or noninvoluntary commitment (non-IC) of mental health patients who presented to the participating EDs. Provides information on patient demographics, ED wait time and length of stay, ED costs and reimbursement, and telehealth parity laws.
Author(s): Roseanne Fairchild, Shiaw-Fen Ferng-Kuo, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine Reports, 1(1), 22-35
Date: 11/2020
Type: Document
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