Rural Health
Resources by Topic: Outpatient care
Evidence Map: Implementation Factors Influencing the Transition from Emergency to Outpatient Care Settings
Summarizes available research on interventions to improve transitions from emergency department to outpatient care settings across health systems and identifies key findings. Discusses common intervention barriers, including rural residence and transportation, and facilitators.
Additional links: Supplemental Materials
Author(s): Karli Kondo, Johanna Anderson, Sarah Young, Rachel Ward
Date: 12/2021
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Summarizes available research on interventions to improve transitions from emergency department to outpatient care settings across health systems and identifies key findings. Discusses common intervention barriers, including rural residence and transportation, and facilitators.
Additional links: Supplemental Materials
Author(s): Karli Kondo, Johanna Anderson, Sarah Young, Rachel Ward
Date: 12/2021
Type: Document
Sponsoring organization: VA Health Services Research & Development Service
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Overview of Major Ambulatory Surgeries Performed in Hospital-Owned Facilities, 2019
Presents data on major ambulatory surgeries performed in hospital-owned facilities using the 2019 Nationwide Ambulatory Surgery Sample (NASS). Includes statistics on ambulatory surgeries by patient and hospital characteristics, including age, community income, patient and hospital location, and primary expected payer.
Date: 12/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents data on major ambulatory surgeries performed in hospital-owned facilities using the 2019 Nationwide Ambulatory Surgery Sample (NASS). Includes statistics on ambulatory surgeries by patient and hospital characteristics, including age, community income, patient and hospital location, and primary expected payer.
Date: 12/2021
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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December 2021 MedPAC Meeting Transcript
Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2021 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services and the mandated report on changes to the low-volume hospital payment adjustment, physician and other health professional services, ambulatory surgical center services, outpatient dialysis services, and hospice services. Highlights the effect of COVID-19 relief funding on rural hospital margins, rural hospital bypass, and rural hospice payment utilization, among other rural references.
Date: 12/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Transcript from the Medicare Payment Advisory Commission's (MedPAC) December 2021 meeting. Covers payment adequacy and updates for hospital inpatient and outpatient services and the mandated report on changes to the low-volume hospital payment adjustment, physician and other health professional services, ambulatory surgical center services, outpatient dialysis services, and hospice services. Highlights the effect of COVID-19 relief funding on rural hospital margins, rural hospital bypass, and rural hospice payment utilization, among other rural references.
Date: 12/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Examining Rural Hospital Bypass for Outpatient Services
Explores the drivers of rural hospital bypass for outpatient services and the relationship between hospital outpatient services and inpatient utilization. Examines demographic and market characteristics associated with bypass for outpatient services before and after inpatient admissions. Also analyzes how utilization for common outpatient services differs between Critical Access Hospitals (CAHs) and rural prospective payment system (PPS) hospitals.
Date: 11/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Explores the drivers of rural hospital bypass for outpatient services and the relationship between hospital outpatient services and inpatient utilization. Examines demographic and market characteristics associated with bypass for outpatient services before and after inpatient admissions. Also analyzes how utilization for common outpatient services differs between Critical Access Hospitals (CAHs) and rural prospective payment system (PPS) hospitals.
Date: 11/2021
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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Access to Outpatient Services in Rural Communities Changes after Hospital Closure
Examines trends of Federally Qualified Health Center (FQHC) and Rural Health Quality (RHC) availability in rural areas before and after hospital closures. Explores the associations between poverty rates and access to FQHCs and RHCs following hospital closure.
Author(s): Katherine E. M. Miller, Kyle L. Miller, Kathleen Knocke, et al.
Citation: Health Services Research, 56(5), 788-801
Date: 10/2021
Type: Document
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Examines trends of Federally Qualified Health Center (FQHC) and Rural Health Quality (RHC) availability in rural areas before and after hospital closures. Explores the associations between poverty rates and access to FQHCs and RHCs following hospital closure.
Author(s): Katherine E. M. Miller, Kyle L. Miller, Kathleen Knocke, et al.
Citation: Health Services Research, 56(5), 788-801
Date: 10/2021
Type: Document
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Trends in Outpatient Telemedicine Utilization Among Rural Medicare Beneficiaries, 2010 to 2019
Examines the growth of telehealth utilization among rural Medicare beneficiaries between 2010-2019. Compares telehealth use across beneficiaries with a severe mental illness diagnosis, other mental health diagnoses, and with no mental health diagnoses. Describes trends for mental health versus non-mental health visits and across clinician specialties. Presents data on rural Medicare beneficiary characteristics with and without a telemedicine visit in 2019, including age, race and ethnicity, sex, U.S. Census division, and more.
Author(s): Michael L. Barnett, Haiden A. Huskamp, Alisa B. Bush, et al.
Citation: JAMA Health Forum, 2(10), e213282
Date: 10/2021
Type: Document
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Examines the growth of telehealth utilization among rural Medicare beneficiaries between 2010-2019. Compares telehealth use across beneficiaries with a severe mental illness diagnosis, other mental health diagnoses, and with no mental health diagnoses. Describes trends for mental health versus non-mental health visits and across clinician specialties. Presents data on rural Medicare beneficiary characteristics with and without a telemedicine visit in 2019, including age, race and ethnicity, sex, U.S. Census division, and more.
Author(s): Michael L. Barnett, Haiden A. Huskamp, Alisa B. Bush, et al.
Citation: JAMA Health Forum, 2(10), e213282
Date: 10/2021
Type: Document
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Medicare Covers a Lower Percentage of Outpatient Costs in Hospitals Located in Rural Areas
Policy brief describing differences in Medicare Outpatient Prospective Payment System (OPPS) payments between urban and rural hospitals. Features statistics on OPPS payments as a percent of total net patient revenue, as a percent of Medicare outpatient cost by hospital payment classification, and as a percent of Medicare outpatient cost by number of acute beds, with breakdowns by urban and rural location.
Author(s): Pranathi Sana, George H. Pink
Date: 09/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Policy brief describing differences in Medicare Outpatient Prospective Payment System (OPPS) payments between urban and rural hospitals. Features statistics on OPPS payments as a percent of total net patient revenue, as a percent of Medicare outpatient cost by hospital payment classification, and as a percent of Medicare outpatient cost by number of acute beds, with breakdowns by urban and rural location.
Author(s): Pranathi Sana, George H. Pink
Date: 09/2021
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Higher Electronic Health Record (EHR) Functionality Lowers Urban Hospital Costs but Rural Impacts Are Minimal
Examines the relationship between electronic health record (EHR) functionality and hospital costs. Compares the effect of increasing EHR functionality in urban and rural hospitals and by inpatient and outpatient service categories.
Author(s): Claudia Alejandra Rhoades, Brian E. Whitacre, Alison F. Davis
Date: 09/2021
Type: Document
Sponsoring organization: Center for Economic Analysis of Rural Health
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Examines the relationship between electronic health record (EHR) functionality and hospital costs. Compares the effect of increasing EHR functionality in urban and rural hospitals and by inpatient and outpatient service categories.
Author(s): Claudia Alejandra Rhoades, Brian E. Whitacre, Alison F. Davis
Date: 09/2021
Type: Document
Sponsoring organization: Center for Economic Analysis of Rural Health
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Rural Veterans' Experiences With Outpatient Care in the Veterans Health Administration Versus Community Care
Compares rural veterans' experiences with community care (CC) and Veterans Administration (VA) outpatient healthcare services to those of urban veterans, and examines changes over time. Features demographic statistics with breakdowns by rural CC and rural VA patients, and ratings for 4 healthcare experiences and outcome measures for rural and urban veterans in fiscal years 2016 and 2019.
Author(s): Heather Davila, Amy K. Rosen, Erin Beilstein-Wedel, et al.
Citation: Medical Care, 59, S286-S291
Date: 06/2021
Type: Document
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Compares rural veterans' experiences with community care (CC) and Veterans Administration (VA) outpatient healthcare services to those of urban veterans, and examines changes over time. Features demographic statistics with breakdowns by rural CC and rural VA patients, and ratings for 4 healthcare experiences and outcome measures for rural and urban veterans in fiscal years 2016 and 2019.
Author(s): Heather Davila, Amy K. Rosen, Erin Beilstein-Wedel, et al.
Citation: Medical Care, 59, S286-S291
Date: 06/2021
Type: Document
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National Hospital Ambulatory Medical Care Survey: 2018 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location, Table 2 includes metro/nonmetro ED visit data by location of patient residence, and Table 14 has metro/nonmetro injury visit data based on hospital location.
Date: 05/2021
Type: Document
Sponsoring organization: National Center for Health Statistics
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Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location, Table 2 includes metro/nonmetro ED visit data by location of patient residence, and Table 14 has metro/nonmetro injury visit data based on hospital location.
Date: 05/2021
Type: Document
Sponsoring organization: National Center for Health Statistics
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