Rural Health
Resources by Topic: Emergency department and urgent care services
Nonfatal Drug and Polydrug Overdoses Treated in Emergency Departments — 29 States, 2018–2019
Reports on changes in rates and proportions of suspected nonfatal drug and polydrug overdoses treated in the emergency department (ED) between 2018 and 2019, based on data from 29 states. Includes data for urban and rural counties on ED visits for opioids, cocaine, amphetamines, and benzodiazepines, as well as for opioids in combination with each of the other types of drugs.
Author(s): Stephen Liu, Lawrence Scholl, Brooke Hoots, Puja Seth
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(34), 1149-1155
Date: 08/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Reports on changes in rates and proportions of suspected nonfatal drug and polydrug overdoses treated in the emergency department (ED) between 2018 and 2019, based on data from 29 states. Includes data for urban and rural counties on ED visits for opioids, cocaine, amphetamines, and benzodiazepines, as well as for opioids in combination with each of the other types of drugs.
Author(s): Stephen Liu, Lawrence Scholl, Brooke Hoots, Puja Seth
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(34), 1149-1155
Date: 08/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Addressing Opioid Use in Rural Communities: Examples from Critical Access Hospitals
Highlights strategies adopted by Critical Access Hospitals (CAHs) to combat opioid use in their communities. Describes lessons learned from the featured CAHs regarding the development and implementation of projects targeting opioid use. Identifies ways that State Flex Programs and State Offices of Rural Health can support the efforts of CAHs in addressing opioid use in their communities. Provides list of opioid-related resources for CAHs and State Flex Programs.
Author(s): John Gale, Sara Kahn-Troster, Karen Pearson, Nathan First
Date: 08/2020
Sponsoring organization: Flex Monitoring Team
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Highlights strategies adopted by Critical Access Hospitals (CAHs) to combat opioid use in their communities. Describes lessons learned from the featured CAHs regarding the development and implementation of projects targeting opioid use. Identifies ways that State Flex Programs and State Offices of Rural Health can support the efforts of CAHs in addressing opioid use in their communities. Provides list of opioid-related resources for CAHs and State Flex Programs.
Author(s): John Gale, Sara Kahn-Troster, Karen Pearson, Nathan First
Date: 08/2020
Sponsoring organization: Flex Monitoring Team
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Behavioral Health Care System Capacity in Pennsylvania and Its Impact on Hospital Emergency Departments and Patient Health
An assessment of Pennsylvania's behavioral health needs and the impact that the behavioral healthcare system's capacity has on hospital emergency departments and patient health. Examines the effect of provider shortages, the role of first responders, emergency response models, and efforts to expand telehealth. Mentions rural throughout.
Author(s): Yvonne Llewellyn Hursh, Bryan W. DeWalt, Allison N. Kobzowicz, et al.
Date: 07/2020
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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An assessment of Pennsylvania's behavioral health needs and the impact that the behavioral healthcare system's capacity has on hospital emergency departments and patient health. Examines the effect of provider shortages, the role of first responders, emergency response models, and efforts to expand telehealth. Mentions rural throughout.
Author(s): Yvonne Llewellyn Hursh, Bryan W. DeWalt, Allison N. Kobzowicz, et al.
Date: 07/2020
Sponsoring organization: Joint State Government Commission, General Assembly of the Commonwealth of Pennsylvania
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Rural Interfacility Emergency Department Transfers: Framework and Qualitative Analysis
Examines the transfer for rural emergency patients to other facilities across 2 urban and 5 rural Veterans Health Administration facilities. Discusses 3 factors that influence the decision of transferring a patient: patient factors, system resources, and clinical and administrative processes.
Author(s): Candace D. McNaughton, Kemberlee Bonnet, David Schlundt, et al.
Citation: The Western Journal of Emergency Medicine, 21(4), 858-865
Date: 07/2020
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Examines the transfer for rural emergency patients to other facilities across 2 urban and 5 rural Veterans Health Administration facilities. Discusses 3 factors that influence the decision of transferring a patient: patient factors, system resources, and clinical and administrative processes.
Author(s): Candace D. McNaughton, Kemberlee Bonnet, David Schlundt, et al.
Citation: The Western Journal of Emergency Medicine, 21(4), 858-865
Date: 07/2020
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Hospitals Face Financial Challenges Due to COVID-19
Describes the financial impact of COVID-19 on Kittitas Valley Healthcare in Ellensburg, Washington. Discusses the decline in emergency department and non-emergency surgery volume and changes to labor costs as a percentage of net revenue.
Date: 07/2020
Sponsoring organization: American Hospital Association
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Describes the financial impact of COVID-19 on Kittitas Valley Healthcare in Ellensburg, Washington. Discusses the decline in emergency department and non-emergency surgery volume and changes to labor costs as a percentage of net revenue.
Date: 07/2020
Sponsoring organization: American Hospital Association
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Social Determinants of Health and County Population Rates of Opioid-Related Inpatient Stays and Emergency Department Visits, 2016
Examines characteristics of U.S. counties, comparing counties with high and low rates of opioid-related inpatient stays and treat-and-release emergency department (ED) visits among patients 15 years and older. Includes data for metro, rural adjacent to metro, and rural remote counties, as well as by urban-rural location and poverty rate.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett, Lawrence D. Reid
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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Examines characteristics of U.S. counties, comparing counties with high and low rates of opioid-related inpatient stays and treat-and-release emergency department (ED) visits among patients 15 years and older. Includes data for metro, rural adjacent to metro, and rural remote counties, as well as by urban-rural location and poverty rate.
Author(s): Pamela L. Owens, Audrey J. Weiss, Marguerite L. Barrett, Lawrence D. Reid
Date: 06/2020
Sponsoring organization: Agency for Healthcare Research and Quality
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HIV Testing Trends at Visits to Physician Offices, Community Health Centers, and Emergency Departments — United States, 2009–2017
Examines HIV testing by setting for visits of males and nonpregnant females to physician offices, community health centers, and emergency departments. Includes data for metropolitan and nonmetro areas.
Author(s): Karen W. Hoover, Ya-Lin A. Huang, Mary L. Tanner, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(25), 776-780
Date: 06/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Examines HIV testing by setting for visits of males and nonpregnant females to physician offices, community health centers, and emergency departments. Includes data for metropolitan and nonmetro areas.
Author(s): Karen W. Hoover, Ya-Lin A. Huang, Mary L. Tanner, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(25), 776-780
Date: 06/2020
Sponsoring organization: Centers for Disease Control and Prevention
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National Hospital Care Survey Demonstration Projects: Opioid-Involved Emergency Department Visits, Hospitalizations, and Deaths
Demonstrates a method for linking three data sets to examine opioid-involved emergency department (ED) visits, hospitalizations, and mortality. Reported results are not nationally representative. Includes analysis of opioid-involved and nonopioid-involved ED-only visits for rural and urban areas.
Author(s): Merianne Rose Spencer, Lee Anne Flagg, Geoff Jackson, Carol DeFrances, Holly Hedegaard
Date: 06/2020
Sponsoring organization: National Center for Health Statistics
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Demonstrates a method for linking three data sets to examine opioid-involved emergency department (ED) visits, hospitalizations, and mortality. Reported results are not nationally representative. Includes analysis of opioid-involved and nonopioid-involved ED-only visits for rural and urban areas.
Author(s): Merianne Rose Spencer, Lee Anne Flagg, Geoff Jackson, Carol DeFrances, Holly Hedegaard
Date: 06/2020
Sponsoring organization: National Center for Health Statistics
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Nonfatal Drug Overdoses Treated in Emergency Departments — United States, 2016–2017
Examines nonfatal overdoses for all drugs, all opioids, nonheroin opioids, heroin, benzodiazepines, and cocaine. Looks at changes from 2016 to 2017, with data by drug type, patient, facility, and visit characteristics. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Alana M. Vivolo-Kantor, Brooke E. Hoots, Lawrence Scholl, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(13), 371-376
Date: 04/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Examines nonfatal overdoses for all drugs, all opioids, nonheroin opioids, heroin, benzodiazepines, and cocaine. Looks at changes from 2016 to 2017, with data by drug type, patient, facility, and visit characteristics. Includes data by county urbanization level for metropolitan and nonmetro counties.
Author(s): Alana M. Vivolo-Kantor, Brooke E. Hoots, Lawrence Scholl, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(13), 371-376
Date: 04/2020
Sponsoring organization: Centers for Disease Control and Prevention
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Cross-Sector Collaboration for Vulnerable Populations Reduces Utilization and Strengthens Community Partnerships
Describes the process and outcomes of a cross-sector, interprofessional collaborative strategy to address the needs of vulnerable community members, in a rural area, who are high utilizers of emergency services, social service providers, criminal justice departments, and healthcare systems. Discusses approaches shown to reduce challenges during the collaborative process and offers insights to communities wishing to pursue similar projects.
Author(s): Lauran Hardin, Shelly Trumbo, Dawn Wiest
Citation: Journal of Interprofessional Education & Practice, 18
Date: 03/2020
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Describes the process and outcomes of a cross-sector, interprofessional collaborative strategy to address the needs of vulnerable community members, in a rural area, who are high utilizers of emergency services, social service providers, criminal justice departments, and healthcare systems. Discusses approaches shown to reduce challenges during the collaborative process and offers insights to communities wishing to pursue similar projects.
Author(s): Lauran Hardin, Shelly Trumbo, Dawn Wiest
Citation: Journal of Interprofessional Education & Practice, 18
Date: 03/2020
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