Rural Health
Resources by Topic: Emergency department and urgent care services
The Effect of the COVID-19 Pandemic on the Economics of United States Emergency Care
Examines how the COVID-19 pandemic affected the economics of emergency departments (ED) from January through September 2020. Discusses the impact of the pandemic on ED visit volumes and complexity, clinical revenues and expenses, and clinician hours and compensation. Includes data for large, medium, small, and freestanding EDs.
Author(s): Jesse M. Pines, Mark S. Zocchi, Bernard S. Black, et al.
Citation: Annals of Emergency Medicine
Date: 04/2021
Type: Document
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Examines how the COVID-19 pandemic affected the economics of emergency departments (ED) from January through September 2020. Discusses the impact of the pandemic on ED visit volumes and complexity, clinical revenues and expenses, and clinician hours and compensation. Includes data for large, medium, small, and freestanding EDs.
Author(s): Jesse M. Pines, Mark S. Zocchi, Bernard S. Black, et al.
Citation: Annals of Emergency Medicine
Date: 04/2021
Type: Document
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Building Resilience Among Physical and Behavioral Healthcare Providers During a Global Health Pandemic
Toolkit discusses burnout among physical and behavioral healthcare providers during the COVID-19 pandemic. Provides strategies to build resilience to burnout. Defines a number of root causes to provider burnout, such as compassion fatigue, ambiguous loss, and secondary traumatic stress, among others. Discusses how rural providers, especially sole community providers, can face specific challenges during a pandemic that can lead to burnout.
Author(s): Shawnda Schroeder, Per Ostmo, Robin Landwehr, Andrew McLean, Thomasine Heitkamp
Date: 04/2021
Type: Document
Sponsoring organization: Mountain Plains Mental Health Technology Transfer Center
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Toolkit discusses burnout among physical and behavioral healthcare providers during the COVID-19 pandemic. Provides strategies to build resilience to burnout. Defines a number of root causes to provider burnout, such as compassion fatigue, ambiguous loss, and secondary traumatic stress, among others. Discusses how rural providers, especially sole community providers, can face specific challenges during a pandemic that can lead to burnout.
Author(s): Shawnda Schroeder, Per Ostmo, Robin Landwehr, Andrew McLean, Thomasine Heitkamp
Date: 04/2021
Type: Document
Sponsoring organization: Mountain Plains Mental Health Technology Transfer Center
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Health Care Utilization and Outcomes Associated with Accidental Poisonous Mushroom Ingestions — United States, 2016–2018
Examines emergency department visits and hospitalizations associated with accidental poisonous mushroom ingestion. Includes data on ED visits in 2016 by location of patient residence for metropolitan areas and for micropolitan and noncore (rural) areas.
Author(s): Jeremy A.W. Gold, Emily Kiernan, Michael Yeh, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(10), 337-341
Date: 03/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Examines emergency department visits and hospitalizations associated with accidental poisonous mushroom ingestion. Includes data on ED visits in 2016 by location of patient residence for metropolitan areas and for micropolitan and noncore (rural) areas.
Author(s): Jeremy A.W. Gold, Emily Kiernan, Michael Yeh, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 70(10), 337-341
Date: 03/2021
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Trends in the Utilization of Emergency Department Services, 2009-2018
Examines emergency department (ED) utilization. Explores ED visits resulting in hospital admission, visits ending in release, and visits associated with mental health or substance use disorder diagnoses. Presents information on the patient, hospital, and payer characteristics for each of these three categories, including metropolitan status. Describes federal efforts to discourage inappropriate ED use.
Date: 03/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Examines emergency department (ED) utilization. Explores ED visits resulting in hospital admission, visits ending in release, and visits associated with mental health or substance use disorder diagnoses. Presents information on the patient, hospital, and payer characteristics for each of these three categories, including metropolitan status. Describes federal efforts to discourage inappropriate ED use.
Date: 03/2021
Type: Document
Sponsoring organization: HHS Office of the Assistant Secretary for Planning and Evaluation
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Opioid-Related Visits to Rural Emergency Departments
Explores the impact of the opioid crisis on rural emergency departments (EDs) by analyzing 2006 and 2013 Nationwide Emergency Department Sample (NEDS) data. Compares opioid-related ED visits in rural and urban hospitals by type of opioid involved and year. Breaks down data by patient characteristics, comorbid diagnosis at admission, and outcome of ED visit.
Author(s): Erika C. Ziller, Jean A. Talbot, Deborah Thayer, Carly Milkowski
Date: 02/2021
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Explores the impact of the opioid crisis on rural emergency departments (EDs) by analyzing 2006 and 2013 Nationwide Emergency Department Sample (NEDS) data. Compares opioid-related ED visits in rural and urban hospitals by type of opioid involved and year. Breaks down data by patient characteristics, comorbid diagnosis at admission, and outcome of ED visit.
Author(s): Erika C. Ziller, Jean A. Talbot, Deborah Thayer, Carly Milkowski
Date: 02/2021
Type: Document
Sponsoring organization: Maine Rural Health Research Center
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Accountable Care Hospitals and Preventable Emergency Department Visits for Rural Dementia Patients
Examines differences in the frequency of emergency department visits among rural and urban patients with Alzheimer's disease and related dementias (ADRD). Compares the odds of preventable ED visits for ADRD patients at hospitals affiliated and not affiliated with an Accountable Care Organization (ACO).
Author(s): Nianyang Wang, Aitalohi Amaize, Jie Chen
Citation: Journal of the American Geriatrics Society, 69(1), 185-190
Date: 01/2021
Type: Document
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Examines differences in the frequency of emergency department visits among rural and urban patients with Alzheimer's disease and related dementias (ADRD). Compares the odds of preventable ED visits for ADRD patients at hospitals affiliated and not affiliated with an Accountable Care Organization (ACO).
Author(s): Nianyang Wang, Aitalohi Amaize, Jie Chen
Citation: Journal of the American Geriatrics Society, 69(1), 185-190
Date: 01/2021
Type: Document
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HRSA's Evidence-Based Tele-Emergency Network Grant Program: Multi-Site Prospective Cohort Analysis Across Six Rural Emergency Department Telemedicine Networks
Examines Evidence-Based Tele-Emergency Network Grant Program (EB TNGP) grantees' provision of telehealth services in rural emergency departments (teleED) in 11 states. Features data and statistics on teleED processes and patients' characteristics, chief complaints, severity of illness, and discharge status.
Author(s): Sarah Heppner, Nicholas M. Mohr, Knute D. Carter, et al.
Citation: PLoS One, 16(1), e0243211
Date: 01/2021
Type: Document
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Examines Evidence-Based Tele-Emergency Network Grant Program (EB TNGP) grantees' provision of telehealth services in rural emergency departments (teleED) in 11 states. Features data and statistics on teleED processes and patients' characteristics, chief complaints, severity of illness, and discharge status.
Author(s): Sarah Heppner, Nicholas M. Mohr, Knute D. Carter, et al.
Citation: PLoS One, 16(1), e0243211
Date: 01/2021
Type: Document
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Serving High Need/High Cost Patients in the Emergency Department
Provides an overview of high-need/high-cost (HNHC) patient program design, implementation, operation, and assessment for rural hospitals to improve participant health, reduce emergency department (ED) visits, and decrease hospital charges. Includes links to additional resources and HNHC patient program case studies.
Author(s): A. Clinton MacKinney, Christopher Stamy
Date: 01/2021
Type: Document
Sponsoring organization: Rural Health Value
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Provides an overview of high-need/high-cost (HNHC) patient program design, implementation, operation, and assessment for rural hospitals to improve participant health, reduce emergency department (ED) visits, and decrease hospital charges. Includes links to additional resources and HNHC patient program case studies.
Author(s): A. Clinton MacKinney, Christopher Stamy
Date: 01/2021
Type: Document
Sponsoring organization: Rural Health Value
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Tele‐ICUs for COVID‐19: A Look at National Prevalence and Characteristics of Hospitals Providing Teleintensive Care
Discusses a study on the prevalence of intensive care unit telemedicine (tele-ICUs) in hospitals across the U.S. during the COVID-19 pandemic, specifically in rural and Critical Access Hospitals. Compares hospitals by region, ICU beds, and emergency visits, among other measures.
Author(s): Dunc Williams Jr., John Lawrence, Young-Rock Hong, Aaron Winn
Citation: Journal of Rural Health, 37(1), 133-141
Date: 01/2021
Type: Document
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Discusses a study on the prevalence of intensive care unit telemedicine (tele-ICUs) in hospitals across the U.S. during the COVID-19 pandemic, specifically in rural and Critical Access Hospitals. Compares hospitals by region, ICU beds, and emergency visits, among other measures.
Author(s): Dunc Williams Jr., John Lawrence, Young-Rock Hong, Aaron Winn
Citation: Journal of Rural Health, 37(1), 133-141
Date: 01/2021
Type: Document
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Ethical and Legal Challenges During the COVID‐19 Pandemic – Are We Thinking About Rural Hospitals?
Discusses the legal framework and ethical decisions hospitals are faced with during the COVID-19 pandemic. Highlights emergency preparedness planning for rural hospitals with limited workforce and resources.
Author(s): Love Patel, Amy Elliott, Erik Storlie, et al.
Citation: Journal of Rural Health, 37(1), 175-178
Date: 01/2021
Type: Document
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Discusses the legal framework and ethical decisions hospitals are faced with during the COVID-19 pandemic. Highlights emergency preparedness planning for rural hospitals with limited workforce and resources.
Author(s): Love Patel, Amy Elliott, Erik Storlie, et al.
Citation: Journal of Rural Health, 37(1), 175-178
Date: 01/2021
Type: Document
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