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Rural Health
Resources by Topic: Emergency medical services

Rural First Responder Access to Mental Health Care: A National Crisis
Explores mental health challenges experienced by first responders and increased risk of suicide. Describes barriers to accessing adequate mental healthcare within the scope of their employment, especially in rural areas where services remain limited and stigma may be associated with the need for assistance.
Author(s): Jeffrey Hintz, Carrie Hintz
Date: 10/2019
Type: Document
Sponsoring organization: Journal of Emergency Medical Services
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Medicare Payment Basics: Ambulance Services Payment System
Provides an overview of Medicare payments for ambulance services. Discusses rural add-on payment policies, geographic categories determining payment rates, super-rural ZIP Codes, and ambulance fee schedules.
Date: 10/2019
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Mobile Telehealth Units and Care Coordinators Improve Emergency Care Services for Rural Arizona Patients
Features an Arizona program focused on lowering ER readmissions through care coordination and EMS telehealth services. Explains how the telehealth services are provided via mobile telehealth units. Describes how care coordination helps meet the behavioral health needs of patients with chronic diseases.
Author(s): Jenn Lukens
Citation: Rural Monitor
Date: 08/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Training Pipeline for EMS Personnel in South Carolina
Results of a 2017-2018 survey of all South Carolina institutions and regional EMS training centers that prepare students to take national EMS certification exams. Features county-level maps showing numbers of graduates of programs for emergency medical technicians (EMTs), advanced EMTs (AEMTs), and paramedics, with breakdowns by rural or urban location.
Author(s): Linda M. Lacey
Date: 06/2019
Type: Document
Sponsoring organizations: South Carolina EMS Association, South Carolina Office for Healthcare Workforce
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HELP Committee Executive Session: S. 1199, S. 1173, and S.1895
Congressional hearing of the Senate Health, Education, Labor, Pensions (HELP) Committee focused on: the Poison Center Network Enhancement Act of 2019, Emergency Medical Services for Children Reauthorization Act of 2019, and Lower Health Care Costs Act of 2019. Focuses on ending surprise medical billing, creating price transparency, increasing prescription drug competition, improving public health, and improving health information exchange. Legislation would extend funding for community health centers, the National Health Service Corps, and the Teaching Health Center Graduate Medical Education (THCGME) Program. Addresses rural throughout.
Date: 06/2019
Type: Video/Multimedia
Sponsoring organization: Senate Committee on Health, Education, Labor & Pensions
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Population-Based Trauma Outcomes
Final report of an expert committee funded by the Department of Health and Human Services (HHS) to identify measure concepts and prioritize measure gaps for evaluating population-based trauma care outcomes. Includes the framework for evaluating trauma care at a regional or population level comprised of four domains: access to trauma services, cost and resource use, trauma clinical care, and prevention of trauma. Discusses issues related to rural access to trauma care and potential measures and measure adaptations for rural areas, as well as listing measures developed by the University of Minnesota Rural Health Research Center.
Date: 05/2019
Type: Document
Sponsoring organization: National Quality Forum
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Time Critical Incident Responses: Results from the 2016 Rural EMS Sustainability Survey
Analyzes 2016 survey data to examine how rural emergency medical services (EMS) in Minnesota are trained to assess, manage, and treat patients experiencing time critical events, such as trauma, stroke, STEMI, or sudden cardiac arrest. Includes time critical event statistics for each rural EMS region.
Date: 05/2019
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Making Informed Decisions about Rural EMS
Provides an overview of the Informed Self-Determination Process, which can help a rural community make an informed decision about the level of emergency medical services (EMS) response the community wants and will support. Highlights how this approach was used in St. George, Maine.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Air Ambulance: Available Data Show Privately-Insured Patients Are at Financial Risk
Examines air ambulance transports for patients with a focus on balance billing. Describes changes in geographic distribution of air ambulance services, including the location of bases and new bases and additions in rural areas; the extent of out-of-network air ambulance transports and balance billing practices; and how states are limiting balance billing. Relies on data from a variety of sources, including interviews with officials in 6 states: Florida, North Dakota, Montana, New Mexico, Maryland, and Texas.
Additional links: Full Report
Date: 03/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Do Hospital Closures Affect Patient Time in an Ambulance?
Examines the impact of hospital closures on patient travel time to an emergency department (ED) by ambulance. Uses national data on hospital closures and hospital-based ambulance services and compares rural/urban differences.
Author(s): SuZanne Troske, Alison Davis
Date: 02/2019
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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