Rural Health
Resources by Topic: Emergency department and urgent care services
Dashboard: Acute Behavioral Health Events Along the Birthing Journey in Arkansas
Provides data on acute behavioral health events, including mental health and substance abuse diagnoses, among Arkansas mothers, utilizing 2019-2022 Arkansas Healthcare Transparency Initiative (HTI) data. Features clinical, demographic, and payer data associated with patients and individual encounters, recurring encounters, and outpatient visits, and can be sorted by region and county.
Date: 10/2024
Sponsoring organization: Arkansas Center for Health Improvement
view details
Provides data on acute behavioral health events, including mental health and substance abuse diagnoses, among Arkansas mothers, utilizing 2019-2022 Arkansas Healthcare Transparency Initiative (HTI) data. Features clinical, demographic, and payer data associated with patients and individual encounters, recurring encounters, and outpatient visits, and can be sorted by region and county.
Date: 10/2024
Sponsoring organization: Arkansas Center for Health Improvement
view details
Costs of Treat-and-Release Emergency Department Visits in the United States, 2021
Explores the cost of treat-and-release emergency department (ED) visits in the United States in 2021. Describes findings from an analysis of the 2021 Healthcare Cost and Utilization Project (HCUP) Nationwide Emergency Department Sample. Presents data on the aggregate costs, average cost, and number of ED visits by patient and hospital characteristics, including patient age; sex; primary expected payer; community-level income; and metropolitan, micropolitan, or rural status.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
view details
Explores the cost of treat-and-release emergency department (ED) visits in the United States in 2021. Describes findings from an analysis of the 2021 Healthcare Cost and Utilization Project (HCUP) Nationwide Emergency Department Sample. Presents data on the aggregate costs, average cost, and number of ED visits by patient and hospital characteristics, including patient age; sex; primary expected payer; community-level income; and metropolitan, micropolitan, or rural status.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
view details
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, 60(1)
Date: 09/2024
view details
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, 60(1)
Date: 09/2024
view details
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
view details
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
view details
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
Sponsoring organization: Agency for Healthcare Research and Quality
view details
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
Sponsoring organization: Agency for Healthcare Research and Quality
view details
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
Sponsoring organization: FAIR Health
view details
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
Sponsoring organization: FAIR Health
view details
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, sex, 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
view details
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, sex, 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
view details
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
view details
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
view details
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
Sponsoring organization: Maine Rural Health Research Center
view details
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
Sponsoring organization: Maine Rural Health Research Center
view details
2023 National CAH Quality Inventory & Assessment National Report
Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
view details
Presents a high-level summary of key data points from the October-December 2023 National Critical Access Hospital (CAH) Quality Inventory and Assessment. Includes data on CAH system affiliation; median average daily census and emergency department volume; hospital inpatient, behavioral health and specialty care, and outpatient and other service lines; and CAH quality payment model participation.
Author(s): Megan Lahr, Robert Barclay, Madeleine Pick
Date: 04/2024
Sponsoring organization: Flex Monitoring Team
view details