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

The Interaction Between Rural/Urban Status and Dual Use Status among Veterans with Heart Failure
Details a study on hospitalization and emergency department use by veterans with heart failure who use VA-only services or use a combination of VA and other healthcare services. Examines the role of urban and rural status in the veterans healthcare utilization rates.
Author(s): Kelly J Hunt, Mulugeta Gebregziahber, Charles J Everett, Paul A Heidenreich, Robert Neal
Citation: Rural and Remote Health, 18(2), 4495
Date: 05/2018
Type: Document
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Implementation of the MEDFRAT to Promote Quality Care and Decrease Falls in Community Hospital Emergency Rooms
Examines the implementation of Memorial Emergency Department Fall-Risk Assessment Tool (MEDFRAT), an evidence based fall-risk assessment tool, in 12 emergency departments part of a rural health care system in Minnesota, Wisconsin, and North Dakota.
Author(s): Catherine A. McCarty, Theo A. Woehrle, Stephen C. Waring, Allise M. Taran, Laura A. Kitch
Citation: Journal of Emergency Nursing, 44(3), 280-284
Date: 05/2018
Type: Document
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OSF HealthCare – Peoria, IL: Connecting Health Systems and Community-Based Organizations to Improve Outcomes
Features a faith-based, 13-hospital health care system serving Illinois and Michigan's Upper Peninsula. Describes OSF Center for Health - Streator, which will feature the first rural freestanding emergency department in Illinois. Discusses how OSF HealthCare is using a case management platform and working with community-based organizations to meet a wide range of patient needs.
Date: 05/2018
Type: Document
Sponsoring organization: American Hospital Association
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2017 Colorado Opioid Safety Pilot Results Report
Describes an opioid safety pilot study that implemented the ALTO, or alternative to opioid, approach for pain treatment in 7 urban and 3 rural hospital emergency departments in Colorado. Discusses ALTO's multifaceted treatment approach for pain management, data collection and analysis, and lessons learned.
Additional links: Pre-Launch Checklist: Using Alternatives to Opioids (ALTOs) in Hospital Emergency Departments
Date: 05/2018
Type: Document
Sponsoring organization: Colorado Hospital Association
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National Hospital Ambulatory Medical Care Survey: 2015 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 15 has metro/nonmetro injury visit data based on hospital location.
Date: 03/2018
Type: Document
Sponsoring organization: National Center for Health Statistics
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Opioid Overdoses Treated in Emergency Departments
Describes trends in opioid overdose emergency department (ED) visits and discusses what the federal government, health departments, EDs, and healthcare providers can do. Includes links to related CDC resources.
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Vital Signs: Trends in Emergency Department Visits for Suspected Opioid Overdoses — United States, July 2016-September 2017
Reports on changes in opioid overdoses seen in emergency departments (EDs) by region, state, and urbanization level. Addresses the need for real-time data to coordinate responses to outbreaks and the role ED data can play. Discusses how ED physicians and staff can help address future overdoses among ED patients. Figure 2 shows quarterly suspected opioid overdose data for metropolitan, micropolitan, and noncore counties.
Author(s): Alana M. Vivolo-Kantor, Puja Seth, R. Matthew Gladden, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(9), 279-285
Date: 03/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Virtual Urgent Care - Bryan Health, Lincoln, NE
Case study of Bryan Health ezVisit, an online diagnosis and treatment option being used by a nonprofit health system in Lincoln, Nebraska to provide healthcare services for minor conditions to surrounding rural communities.
Date: 02/2018
Type: Document
Sponsoring organization: American Hospital Association
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Pediatric Medicaid Patients' Utilization of Outpatient and Emergency Department Services in New York State
Research brief using data from 614,249 unique patients ages 0-20 years who had at least one Medicaid visit to an emergency department (ED) in New York during 2014. Features statistics with breakdowns by urban or rural residence and outpatient settings, and a map showing rates of pediatric avoidable ED visits in rural and urban New York counties.
Author(s): Simona Surdu, Nafin Harun, Robert Martiniano
Date: 02/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Mental Health and Drivers of Need in Emergent and Non-Emergent Emergency Department (ED) Use: Do Living Location and Non-Emergent Care Sources Matter?
Highlights a study on mental health as cause of non-emergent emergency department (ED) use. Breaks down data by age, race, reason for admission, and whether the patient lives in an urban or rural location, among other factors.
Author(s): Moira C. McManus, Robert J. Cramer, Maureen Boshier, Muge Akpinar-Elci, Bonnie Van Lunen
Citation: International Journal of Environmental Research and Public Health, 15(1), 129
Date: 01/2018
Type: Document
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