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Rural Health
Resources by Topic: Emergency medical services

Medicare Learning Network: Ambulance Fee Schedule
Provides an overview of the Medicare Part B ambulance transport benefit, and briefly explains payment and rate setting provisions affecting rural providers.
Date: 12/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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State Flex Program Rural Emergency Medical Services Assessment Strategies
Policy brief describing the emergency medical service (EMS) assessment projects and tools implemented by five State Flex Programs in Arizona, California, Minnesota, Nebraska, and Wisconsin to improve the integration of EMS into rural systems of care. Identifies differences in EMS focused State Flex activities and collaborations to improve local and regional EMS capacity and performance.
Author(s): Karen Pearson, John Gale, Sara Kahn-Troster, Andrew Coburn
Date: 11/2017
Type: Document
Sponsoring organization: Flex Monitoring Team
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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: 10/2017
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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FirstNet: Efforts to Establish the Public-Safety Broadband Network
Testimony describing the First Responder Network Authority's (FirstNet) efforts as it works to establish a reliable, secure, and interoperable national public-safety broadband network. Includes a discussion on the challenges associated with providing coverage in rural areas, and addresses concerns about inadequate communication with tribal stakeholders.
Date: 10/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Ambulance Services for Medicare Beneficiaries: State Differences in Usage, 2012-2014
Policy brief analyzing how ambulance use varies among U.S. communities. Features state-level statistics including number of Medicare patients transported by ambulance, miles transported, and number of days ambulance transport was used per patient. Compares mean characteristics of states by census division, including percentage of population living in rural areas.
Author(s): SuZanne Troske, Alison Davis
Date: 10/2017
Type: Document
Sponsoring organization: Rural & Underserved Health Research Center
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Air Ambulance: Data Collection and Transparency Needed to Enhance DOT Oversight
Addresses various aspects of air transport for critically ill patients, including the amount charged for service, the factors that affect service, and actions the federal government could take to provide pricing oversight. Discusses the implications and importance of air transport for rural areas throughout.
Date: 07/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Lights and Siren Use by Emergency Medical Services (EMS): Above All Do No Harm
Explores traditional reasons for EMS to use lights and sirens (L&S), with statistics and data from 2015 on 911 call incidents response and patient transport to medical facilities, with breakdowns by rural, suburban, urban, and wilderness locations. Also contains literature review of L&S-related articles from scholarly and non-peer reviewed journals.
Author(s): Douglas F. Kupas
Date: 05/2017
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Emergency Medical Services (EMS) in the Flex Program
Recorded webinar reviewing EMS related activities that are currently funded in the fiscal year (FY) 2015 - FY 2017 Medicare Rural Hospital Flexibility (Flex) grant cycle. Also discusses Flex Program needs, recommendations from stakeholders, and opportunities for future improvement.
Additional links: Presentation Slides
Date: 03/2017
Type: Video/Multimedia
Sponsoring organizations: Federal Office of Rural Health Policy, Technical Assistance and Services Center
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Traffic Safety Facts 2015
Presents rural versus urban data on fatal crashes by state and the average emergency medical service (EMS) response times.
Date: 2017
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Community Paramedic Toolkit
A resource for ambulance services, hospitals, and others considering the development or expansion of a community paramedicine program in Minnesota. Includes program planning, education and training, financing, and models of care, among other discussions.
Date: 12/2016
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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