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Rural Emergency Medical Services (EMS) and Trauma – Resources

Selected recent or important resources focusing on Rural Emergency Medical Services (EMS) and Trauma.

Rural Healthcare Surge Readiness
Up-to-date and critical resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 01/2022
Type: Website
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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American College of Emergency Physicians: COVID-19
Information to assist with patient care during the response to COVID-19. Addresses clinical assessment and management, testing, emergency department issues, EMS issues, and more.
Date: 01/2022
Type: Website
Sponsoring organization: American College of Emergency Physicians
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The EMS Compact
Information on the agreement enabling emergency medical service (EMS) personnel licensed in Compact member states to cross state borders to practice and work in other Compact states without getting an EMS license in the remote state. Describes ways in which this agreement may enhance communities' responses to COVID-19 when local resources are reduced. Includes a map showing locations of EMS Compact states and contact information for each member state's Compact Commissioner.
Date: 01/2022
Type: Website
Sponsoring organization: Interstate Commission for EMS Personnel Practice
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National Study on the Contribution of Family Physicians to the US Emergency Physician Workforce in 2020
Results of a study of family physicians who provide emergency care, using data from the 2020 American Medical Association Physician Masterfile. Features county-level maps showing density of family medicine emergency physicians, and statistics including urban, large rural, or small rural location.
Author(s): Christopher L. Bennett, W. Anthony Gerard, John S. Cullen, et al.
Citation: Journal of the American Board of Family Medicine, 34(6), 1221-1228
Date: 11/2021
Type: Document
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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. Includes information on payment system changes during the COVID-19 public health emergency.
Date: 11/2021
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Sustainable Rural EMS: Navigating Change
Designed to help rural communities navigate a change from unsustainable volunteer emergency medical services (EMS) and ambulance service models to those that are sustainable. Intended to direct community leaders through change based on a stepped process that has been used in rural communities throughout the U.S. Includes information on how to assess whether a community has an EMS problem, ingredients needed to change, and a process to implement change to a more sustainable model of rural EMS.
Date: 09/2021
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Air Ambulance Use and Surprise Billing
Provides an overview of air ambulance services, including the types and number of air ambulance providers and suppliers, utilization rates by patients, average costs, and the potential for balance billing for air ambulance transport. Summarizes key policies and legislation related to air ambulances, including the No Surprises Act. Presents data on air ambulance utilization by rurality between 2014-2018.
Author(s): Gina Turrini, Joel Ruhter, Andre R. Chappel, Nancy De Lew
Date: 09/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Traffic Safety Facts 2019
Presents rural and urban fatal crash data and reports average emergency medical service response times at the state level. Includes rural fatal crash data by roadway function, crash type, speed limit, and vehicle occupants killed.
Date: 08/2021
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Arizona READI
Discusses the Arizona Rural EMS Advanced Telemedicine Demonstration Initiative (AzREADI) program, which uses telemedicine to support rural emergency services by connecting EMS with physicians during service calls. Discusses challenges of providing EMS services in rural Arizona.
Date: 05/2021
Type: Video/Multimedia
Sponsoring organization: Arizona Public Media
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Evaluation of the 2020 Pediatric Emergency Physician Workforce in the US
Results of a study of 2,403 self-identified pediatric emergency physicians (EPs), examining their characteristics and their practice locations. Features a county-level map showing pediatric EP density per 100,000 population, and statistics with breakdowns by age, sex, U.S. census division, training specialty area, board certification, and urban, large rural, or small rural location.
Author(s): Christopher L. Bennett, Janice A. Espinola, Ashley F. Sullivan, et al.
Citation: JAMA Network Open, 4(5)
Date: 05/2021
Type: Document
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Last Updated: 12/29/2021