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Rural Health
Resources by Topic: Emergency medical services

Medicare Payment Basics: Ambulance Services Payment System
Provides an overview of Medicare payments for ambulance services. Discusses rural counties including rural and super-rural zip codes, metropolitan statistical areas, rural add-on payments, ambulance fee schedules, and payment rates.
Date: 10/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Trauma Training Initiative Teaches Rural Laypeople how to “Stop the Bleed”
Features the Stop the Bleed initiative, which trains community members to help control blood loss while waiting for medical help. Highlights training provided in rural North Dakota and Nebraska.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 10/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Report to Congress: Demonstration Project on Community Health Integration Models in Certain Rural Counties, Interim Report 2018
Provides an overview of and first year findings from the Frontier Community Health Integration Project Demonstration (FCHIP), which includes 10 Critical Access Hospitals (CAHs) in three states: North Dakota, Montana, and Nebraska. The demonstration intends to increase the quality and coordination of care, with focuses on access to and payments for telehealth, ambulance services, and skilled nursing facility/nursing facility beds, as well as related regulatory challenges.
Date: 09/2018
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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SAMHSA Opioid Overdose Prevention Toolkit
Provides strategies for healthcare providers, communities, and local governments to help prevent opioid-related overdoses and deaths. Includes facts for community members, essential steps for first responders, information for prescribers, safety advice for patients and family members, and resources for overdose survivors and their families.
Date: 06/2018
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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EMS Services in Rural America: Challenges and Opportunities
Policy brief describing challenges for rural EMS providers, including workforce shortages and inconsistent funding. Features statistics including percentage of potentially excess deaths for 5 leading causes of death, with breakdowns by metropolitan and nonmetropolitan areas, and average EMS call time response and distribution of all-volunteer and all-paid staff EMS agencies, with breakdowns by 4 levels of population density. Discusses effects of the opioid crisis and Critical Access Hospital closures on provision of EMS services.
Author(s): Nikki King, Marcus Pigman, Sarah Huling, Brian Hanson
Date: 05/2018
Type: Document
Sponsoring organization: National Rural Health Association
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Hospital Closure: Does It Affect Patient Time in an Ambulance?
Presentation slides from the 2018 National Rural Health Association (NRHA) annual conference describing a study analyzing the potential impact of hospital closures on ambulances transporting patient to emergency departments (EDs). Includes information on rural and urban hospital closures from 2011 to 2014, and hospital and ambulance characteristics.
Author(s): SuZanne Troske, Alison Davis
Date: 05/2018
Type: Presentation Slides
Sponsoring organization: Rural and Underserved Health Research Center
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Emergency Medical and Fire Services Volunteering: Tom Smith
A video describing the benefits of working as an emergency paramedic in a rural location. Includes a testimonial from a paramedic provider working in rural Washington. Length: 4:55
Date: 04/2018
Type: Video/Multimedia
Sponsoring organization: Washington State Department of Health
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Bipartisan Budget Act of 2018 (P.L. 115-123): Brief Summary of Division E--The Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act
Brief summary of ACCESS Act provisions, and names of experts knowledgeable about each point. Topics include Medicare, Medicaid, the Children’s Health Insurance Program (CHIP), public health, child and family services, foster care, social impact partnerships, child support enforcement, and prison data reporting. Features provisions specific to institutions and services in rural areas, including hospitals, home health, and ambulance services.
Date: 03/2018
Type: Document
Sponsoring organization: Congressional Research Service
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Recruitment and Retention: Overcoming the Rural EMS Dilemma
Reports on rural emergency medical services (EMS) workforce challenges and identifies innovative approaches to meet these challenges, highlighting programs in several states. Includes a list of 4 EMS recruitment and retention tactics for rural communities.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 02/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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Traffic Safety Facts 2016
Presents rural and urban fatal crash data and reports average emergency medical service (EMS) response times at the state-level. Includes rural fatal crash data by roadway function, crash type, speed limit, and more.
Date: 2018
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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