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Rural Health
Resources by Topic: Emergency department and urgent care services

Val Verde Regional Medical Center Implements SMART ER
Describes Val Verde Regional Medical Center's (VVRMC) progress as part of the Small Rural Hospital Transition (SRHT) Project focused on care transitions and healthcare quality. VVRMC is a 47-bed hospital in Del Rio, Texas. Discusses how VVRMC collected data and implemented protocols to improve patient satisfaction.
Date: 02/2020
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Trends in Mortality for Medicare Beneficiaries Treated in the Emergency Department From 2009 to 2016
Examines mortality rates during and after emergency department (ED) visits among Medicare beneficiaries between 2009-2016. Explores mortality trends by differences in disposition from the ED, the severity of ED visit, and hospital characteristics. Includes a discussion of ED outcomes in rural settings.
Author(s): Laura G. Burke, Stephen K. Epstein, Ryan C. Burke, E. John Orav, Ashish K. Jha
Citation: JAMA Internal Medicine, 180(1), 80-88
Date: 01/2020
Type: Document
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Potential Predictors of Hospital Length of Stay and Hospital Charges among Patients with All-terrain Vehicle Injuries in Rural Northeast Texas
Examines which factors associated with all-terrain vehicle injuries are predictive of hospital length of stay and hospital charges in rural Northeast Texas. Analyzes how facility of treatment, injury severity, and initial emergency department vital signs are correlated to hospital length of stay and cost of care.
Author(s): Anastasia Miller, Jeanie D. Gallegly, Gabriela Orsak, et al.
Citation: Journal of Injury and Violence Research, 12(1), 55-62
Date: 01/2020
Type: Document
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National Hospital Ambulatory Medical Care Survey: 2017 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: 01/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Trends in Opioids Prescribed at Discharge From Emergency Departments Among Adults: United States, 2006–2017
Examines trends in emergency department (ED) discharge opioid prescribing for adults from 2006–2007 through 2016–2017. Provides data by selected patient and hospital characteristics and the type of opioids prescribed. Table 1 includes data on the percent of ED patients prescribed an opioid at discharge by location of patient residence for metropolitan and nonmetropolitan areas.
Author(s): Pinyao Rui, Loredana Santo, Jill J. Ashman
Date: 01/2020
Type: Document
Sponsoring organization: National Center for Health Statistics
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Annual Surveillance Report of Drug-Related Risks and Outcomes, 2019
Summarizes latest information on opioid prescribing, drug use, and overdose mortality from 2018-2019. Features statistics with breakdowns by large metropolitan, small metropolitan, non-metropolitan urbanized, non-metropolitan less urbanized, and completely rural. Highlights notable differences in the report from 2018 to 2019.
Additional links: Highlights
Date: 2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Telehealth Decreases Rural Emergency Department Wait Times for Behavioral Health Patients in a Group of Critical Access Hospitals
Explores impacts of telehealth on behavioral health patients in rural emergency departments (EDs) at 4 Midwestern Critical Access Hospitals (CAHs). Compares wait time and length of stay (LOS) for 153 patients from 2005-2013 before telehealth implementation and 287 patents from 2015-2017 after telehealth implementation. Provides data on patient demographics, wait time, LOS, behavioral health diagnosis, and total costs of ED visit.
Author(s): Roseanne Moody Fairchild, Shiaw-Fen Ferng-Kuo, Stephanie Laws, Hicham Rahmouni, Daniel Hardesty
Citation: Telemedicine and e-Health, 25(12), 1154-1164
Date: 12/2019
Type: Document
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Health Impact of Hurricanes Irma and Maria on St Thomas and St John, US Virgin Islands, 2017–2018
Assesses the impacts of Hurricane Irma and Hurricane Maria on the healthcare infrastructure and record keeping systems of St. Thomas and St. John, Virgin Islands. Discusses interviews and data drawn from emergency department records before, between, and after the hurricanes, including statistics on patient demographics and healthcare service usage by health condition. Describes the significant damage to the Schneider Regional Medical Center (SRMC) hospital, the only emergency hospital on the island, during and after the hurricanes, and the impact of that damage on healthcare services.
Author(s): Muhammad Abdul Baker Chowdhury, Andrew Fiore, Scott Cohen, et al.
Citation: American Journal of Public Health, 109(12), 1725-1732
Date: 12/2019
Type: Document
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An Analysis of Utah's Emergency Department Non-traumatic Dental Visits 2007-2017
Report explores the non-traumatic oral healthcare visits handled by emergency departments in Utah from 2007 to 2017. Looks at data by rural and urban hospital location, diagnosis, and payers, among other measures.
Author(s): Michelle Martin, Michelle Silver, Brittney Okada, et al.
Date: 12/2019
Type: Document
Sponsoring organization: Utah Department of Health and Human Services
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Improving the Geographical Precision of Rural Chronic Disease Surveillance by Using Emergency Claims Data: A Cross-Sectional Comparison of Survey Versus Claims Data in Sullivan County, New York
Compares mailed survey data with emergency department (ED) claims data in Sullivan County, New York to assess validity of using ED data for improved health surveillance of rural disease prevalence. Includes maps of sub-county level estimates of diabetes, asthma, and hypertension.
Author(s): David C Lee, Justin M Feldman, Marcela Osorio, et al.
Citation: BMJ Open, 9(11)
Date: 11/2019
Type: Document
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