Rural Health
Resources by Topic: Emergency department and urgent care services
A Proposed Method for Identifying Interfacility Transfers in Medicare Claims Data
Discusses a methodology for identifying interfacility transfers (IFTs) to prevent underrepresentation of low-income and rural patients in the data. Utilizes 2011–2020 Medicare claims data of patients with ST-Elevation Myocardial Infarction (STEMI) to examine transfers with breakdowns according to age; sex; race; income; access to emergency department (ED), trauma, or intensive care unit (ICU) care; and metro, micro, or rural location.
Author(s): Sayeh Nikpay, Michelle Leeberg, Katy Kozhimannil, et al.
Citation: Health Services Research
Date: 09/2024
Type: Document
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Discusses a methodology for identifying interfacility transfers (IFTs) to prevent underrepresentation of low-income and rural patients in the data. Utilizes 2011–2020 Medicare claims data of patients with ST-Elevation Myocardial Infarction (STEMI) to examine transfers with breakdowns according to age; sex; race; income; access to emergency department (ED), trauma, or intensive care unit (ICU) care; and metro, micro, or rural location.
Author(s): Sayeh Nikpay, Michelle Leeberg, Katy Kozhimannil, et al.
Citation: Health Services Research
Date: 09/2024
Type: Document
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Implementation of a Rural Emergency Department-initiated Buprenorphine Program in the Mountain West: A Study Protocol
Protocol for a study of emergency department (ED) initiation of buprenorphine treatment for opioid use disorder (OUD) in the rural Mountain West. Discusses study design, implementation strategies, and barriers to OUD treatment access and provision in rural areas.
Author(s): Natasha Seliski, Troy Madsen, Savannah Eley, et al.
Citation: Addiction Science & Clinical Practice, 19, 63
Date: 09/2024
Type: Document
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Protocol for a study of emergency department (ED) initiation of buprenorphine treatment for opioid use disorder (OUD) in the rural Mountain West. Discusses study design, implementation strategies, and barriers to OUD treatment access and provision in rural areas.
Author(s): Natasha Seliski, Troy Madsen, Savannah Eley, et al.
Citation: Addiction Science & Clinical Practice, 19, 63
Date: 09/2024
Type: Document
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An REH Conversion Story: Harper County Hospital
Profiles Oklahoma's Harper County Hospital and its transition from a Critical Access Hospital (CAH) to a Rural Emergency Hospital (REH). Summarizes an interview with Kevin O'Brien, Chief Executive Officer (CEO) of Harper County Hospital, regarding the experience of converting to REH status. Covers the hospital's financial position before conversion, including limitations to being a county-owned hospital; the exploration of the REH designation; and the financial and operational impacts of the REH designation, including services added by the hospital after the conversion.
Date: 07/2024
Type: Document
Sponsoring organization: Rural Health Redesign Center
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Profiles Oklahoma's Harper County Hospital and its transition from a Critical Access Hospital (CAH) to a Rural Emergency Hospital (REH). Summarizes an interview with Kevin O'Brien, Chief Executive Officer (CEO) of Harper County Hospital, regarding the experience of converting to REH status. Covers the hospital's financial position before conversion, including limitations to being a county-owned hospital; the exploration of the REH designation; and the financial and operational impacts of the REH designation, including services added by the hospital after the conversion.
Date: 07/2024
Type: Document
Sponsoring organization: Rural Health Redesign Center
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An REH Conversion Story: Helena Regional Medical Center
Profiles Helena Regional Medical Center, in Phillips County, Arkansas, and its transition from a prospective payment system (PPS) hospital to a Rural Emergency Hospital (REH). Summarizes the perspective of the hospital's former Chief Executive Officer (CEO) as the facility navigated the change in status, including obstacles, financial and operational impacts, and advantages to operating as an REH.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 07/2024
Type: Document
Sponsoring organization: Rural Health Redesign Center
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Profiles Helena Regional Medical Center, in Phillips County, Arkansas, and its transition from a prospective payment system (PPS) hospital to a Rural Emergency Hospital (REH). Summarizes the perspective of the hospital's former Chief Executive Officer (CEO) as the facility navigated the change in status, including obstacles, financial and operational impacts, and advantages to operating as an REH.
Author(s): Hope Burch, Tracey Dorff, Anna Anna, Janice Walters
Date: 07/2024
Type: Document
Sponsoring organization: Rural Health Redesign Center
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The Prevalence of Mental Health Conditions Was on the Rise Before the COVID-19 Pandemic and the Pandemic Had a Negative Effect on Mental Health
Data spotlight on mental illness, depression, and suicide among adults during the COVID-19 pandemic. Analyzes disparities and discusses barriers to care related to a variety of sociodemographic factors including geography. See Figures 3, 7, and 8 for data on health professional shortage areas (HPSAs), mental health-related emergency department visits, and suicide deaths by level of rurality.
Date: 07/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Data spotlight on mental illness, depression, and suicide among adults during the COVID-19 pandemic. Analyzes disparities and discusses barriers to care related to a variety of sociodemographic factors including geography. See Figures 3, 7, and 8 for data on health professional shortage areas (HPSAs), mental health-related emergency department visits, and suicide deaths by level of rurality.
Date: 07/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Using Social Risks to Predict Unplanned Hospital Readmission and Emergency Care Among Hospitalized Veterans
Examines the correlation of hospital readmission rates of veterans and social risk. Utilizes 2016-2022 Department of Veterans Affairs (VA) data to create a social risk index, focusing on domains such as psychosocial, financial, housing, food insecurity, violence, access to care, neighborhood deprivation, and more. Includes breakdowns of social risk according to sociodemographic variables, VA priority enrollment, hospital readmission, and rural, highly rural, or urban.
Author(s): Portia Y. Cornell, Cassandra L. Hua, Zachary M. Buchalksi, et al.
Citation: Health Services Research
Date: 07/2024
Type: Document
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Examines the correlation of hospital readmission rates of veterans and social risk. Utilizes 2016-2022 Department of Veterans Affairs (VA) data to create a social risk index, focusing on domains such as psychosocial, financial, housing, food insecurity, violence, access to care, neighborhood deprivation, and more. Includes breakdowns of social risk according to sociodemographic variables, VA priority enrollment, hospital readmission, and rural, highly rural, or urban.
Author(s): Portia Y. Cornell, Cassandra L. Hua, Zachary M. Buchalksi, et al.
Citation: Health Services Research
Date: 07/2024
Type: Document
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Healthcare Spending among Diverse Populations with Alzheimer's Disease and Related Dementias: A Claims-Based Analysis
Examines healthcare spending and utilization among commercially insured Alzheimer's disease and related dementia (ADRD) patients. Explores the impact of race and ethnicity, poverty, and urban/rural status on annual spending among ADRD patients by analyzing data from the FAIR Health National Private Insurance Claims between January 2016 and December 2023, along with demographic and socioeconomic data from the U.S. Census American Community Survey. Includes data on the probability of ADRD patients using different care venues and the average and expected amounts allowed within each venue based on sociodemographic characteristics.
Date: 06/2024
Type: Document
Sponsoring organization: FAIR Health
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Examines healthcare spending and utilization among commercially insured Alzheimer's disease and related dementia (ADRD) patients. Explores the impact of race and ethnicity, poverty, and urban/rural status on annual spending among ADRD patients by analyzing data from the FAIR Health National Private Insurance Claims between January 2016 and December 2023, along with demographic and socioeconomic data from the U.S. Census American Community Survey. Includes data on the probability of ADRD patients using different care venues and the average and expected amounts allowed within each venue based on sociodemographic characteristics.
Date: 06/2024
Type: Document
Sponsoring organization: FAIR Health
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Differences in Use of Veterans Health Administration and Non-VHA Hospitals by Rural and Urban Veterans After Access Expansions
Presents a study on rural and urban differences in acute inpatient care utilization in Veterans Health Administration (VHA) and non-VHA hospitals following expansions to the Veterans Choice Act. Breaks down data by patient characteristics, such as age, gender, and race, among others.
Author(s): Matthew P. Dizon, Kenneth W. Kizer, Michael K. Ong, et al.
Citation: Journal of Rural Health, 40(3), 446-456
Date: 06/2024
Type: Document
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Presents a study on rural and urban differences in acute inpatient care utilization in Veterans Health Administration (VHA) and non-VHA hospitals following expansions to the Veterans Choice Act. Breaks down data by patient characteristics, such as age, gender, and race, among others.
Author(s): Matthew P. Dizon, Kenneth W. Kizer, Michael K. Ong, et al.
Citation: Journal of Rural Health, 40(3), 446-456
Date: 06/2024
Type: Document
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Association of Uninsured Status and Rurality with Risk of Financial Toxicity after Pediatric Trauma
Analyzes the risk of financial toxicity associated with pediatric traumatic injury for rural versus urban families. Utilizes 2016-2019 National Inpatient Sample patient data. Includes data on financial toxicity associated with uninsured status, rural versus urban insurance type, and rural versus urban demographic, clinical, and hospital characteristics.
Author(s): Amulya Vadlakonda, Nam Yong Cho, Nikhil Chervu, et al.
Citation: Surgery, 176(2), 455-461
Date: 05/2024
Type: Document
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Analyzes the risk of financial toxicity associated with pediatric traumatic injury for rural versus urban families. Utilizes 2016-2019 National Inpatient Sample patient data. Includes data on financial toxicity associated with uninsured status, rural versus urban insurance type, and rural versus urban demographic, clinical, and hospital characteristics.
Author(s): Amulya Vadlakonda, Nam Yong Cho, Nikhil Chervu, et al.
Citation: Surgery, 176(2), 455-461
Date: 05/2024
Type: Document
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Non-Urgent Use of Emergency Departments by Rural and Urban Adults
Examines differences in non-urgent use of emergency departments (EDs) in rural versus urban adults as well as factors associated with non-urgent ED use. Utilizes 2014-2017 Medical Expenditure Panel Survey (MEPS) data to show percentage of adults who utilized ED services, with data broken down by age, mental and physical health status, income, health insurance and primary care access status, and rural versus urban location.
Author(s): Erika Ziller, Carly Milkowski, Zachariah Croll, Yvonne Jonk
Date: 04/2024
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Examines differences in non-urgent use of emergency departments (EDs) in rural versus urban adults as well as factors associated with non-urgent ED use. Utilizes 2014-2017 Medical Expenditure Panel Survey (MEPS) data to show percentage of adults who utilized ED services, with data broken down by age, mental and physical health status, income, health insurance and primary care access status, and rural versus urban location.
Author(s): Erika Ziller, Carly Milkowski, Zachariah Croll, Yvonne Jonk
Date: 04/2024
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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