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

QuickStats: Percentage of Emergency Department Visits for Acute Viral Upper Respiratory Tract Infection That Had an Antimicrobial Ordered or Prescribed, by Metropolitan Statistical Area — United States, 2008–2015
Bar chart showing metropolitan and nonmetropolitan emergency department visits for acute viral upper respiratory tract infection that had an antimicrobial ordered or prescribed, with data for 2008–2011 compared to 2012–2015.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(3), 111
Date: 01/2018
Type: Chart/Graph
Sponsoring organization: Centers for Disease Control and Prevention
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Mass Shootings and Rural Areas
Interview with Mandi Sralla, director of the emergency department of Connally Memorial Medical Center in Floresville, Texas. Describes the facility's response in the wake of a mass shooting in nearby Sutherland Springs in November 2017.
Author(s): John Hick
Date: 2018
Type: Document
Sponsoring organization: Administration for Strategic Preparedness and Response
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Unintentional Firearm Injuries Remain Prevalent Over a 12 Year Experience at a Rural Midwestern Level 1 Trauma Center
Examines the variety of firearm injuries seen at a rural Iowa level 1 trauma center to provide an awareness of the prevalence, mechanism used in the injury, and variation in seasonal occurrence. Data identifying patients with a firearm injury was obtained from a trauma registry for the years 2002 to 2014. Goal was to distinguish the characteristics of preventable firearm injuries in rural environments to improve firearm education and influence public policy.
Author(s): Brian Guetschow, Michele Lilienthal, Michael Willey
Citation: Iowa Orthopaedic Journal, 38, 45-52
Date: 2018
Type: Document
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Iowa's Marketplace Choice Summative Report
Summarizes an evaluation of the implementation of Iowa's Marketplace Choice Plan (MPC), a premium support health insurance plan for Iowans from 101-133% of the federal poverty level (FPL). Discusses the effects of the plan on member access to care, quality of care, insurance coverage gaps, and costs of providing care. Also examines the effects of the premium incentive and copayment disincentive programs on plan enrollees and the adequacy of the plan's provider network.
Author(s): Elizabeth T. Momany, Suzanne E. Bentler, Susan C. McKernan, et al.
Date: 12/2017
Type: Document
Sponsoring organization: University of Iowa Public Policy Center
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Emerging Strategies to Ensure Access to Health Care Services: Emergency Medical Center
Provides an overview of the emergency medical center (EMC) model, which would allow struggling hospitals to convert to EMC status and provide emergency and outpatient services, without having to provide inpatient acute care services. Also outlines rural-specific federal policy proposals that seek to create similar hospital designations, with the goal of improving access to and the delivery of care in underserved communities.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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Ensuring Access with a Hospital's Conversion to a Freestanding Emergency Department
Outlines Ellijay, Georgia-based North Georgia Medical Center's transition from a traditional community hospital to a freestanding emergency department (ED). Shares administrative, legal, and logistical challenges that, once overcome, resulted in Piedmont Mountainside Hospital Emergency Services - a successful, community-focused, freestanding ED.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Emerging Strategies to Ensure Access to Health Care Services: Urgent Care Centers
Outlines a strategy to improve access to and the delivery of healthcare services by creating urgent care centers. Offers federal policy solutions to promote the effective adoption of the urgent care center model.
Additional links: Is the Urgent Care Center the Right Strategy for your Community?
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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Trends in Emergency Department Visits, 2006–2014
Presents information on emergency department (ED) visits and trends in the U.S. between 2006 and 2014 based on data from the Healthcare Cost and Utilization Project (HCUP). Covers ED visit frequency by age, sex, metro/nonmetro location, primary payer type, region, diagnosis, and several other indicators.
Author(s): Brian J. Moore, Carol Stocks, Pamela L. Owens
Date: 09/2017
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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National Hospital Ambulatory Medical Care Survey: 2014 Emergency Department Summary Tables
Provides data on ambulatory care emergency department hospital visits. Table 1 includes brief metro/non-metro overview information, and Table 15 has metro/non-metro injury visit data.
Date: 09/2017
Type: Document
Sponsoring organization: National Center for Health Statistics
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Wisconsin Drive Time to Emergency Care
Shows a map of Wisconsin with drive times to Critical Access Hospitals (CAHs), non-CAHs, and freestanding emergency rooms in 10, 20, and 30-minute increments.
Date: 09/2017
Type: Map/Mapping System
Sponsoring organization: Wisconsin Office of Rural Health
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