Rural Health
Resources by Topic: Emergency medical services
Idaho Community Paramedic Toolkit
Toolkit providing step-by-step instructions on how to develop, operate, and evaluate a Community Paramedic program. Includes tools, resources, guidelines, and recommendations.
Author(s): Anne Montera, Christopher Montera, Pat Songer, Mikaela Greene
Date: 05/2019
Type: Document
Sponsoring organization: Idaho Department of Health and Welfare
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Toolkit providing step-by-step instructions on how to develop, operate, and evaluate a Community Paramedic program. Includes tools, resources, guidelines, and recommendations.
Author(s): Anne Montera, Christopher Montera, Pat Songer, Mikaela Greene
Date: 05/2019
Type: Document
Sponsoring organization: Idaho Department of Health and Welfare
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Population-Based Trauma Outcomes
Final report of a committee funded by the Department of Health and Human Services to identify and measure concepts, and prioritize measure gaps for evaluating population-based trauma care outcomes. Includes the framework for evaluating trauma care at a regional or population level comprising access to trauma services, cost and resource use, trauma clinical care, and prevention of trauma. Discusses issues related to rural access to trauma care and potential measures and measure adaptations for rural areas, as well as listing measures developed by the University of Minnesota Rural Health Research Center.
Date: 05/2019
Type: Document
Sponsoring organization: National Quality Forum
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Final report of a committee funded by the Department of Health and Human Services to identify and measure concepts, and prioritize measure gaps for evaluating population-based trauma care outcomes. Includes the framework for evaluating trauma care at a regional or population level comprising access to trauma services, cost and resource use, trauma clinical care, and prevention of trauma. Discusses issues related to rural access to trauma care and potential measures and measure adaptations for rural areas, as well as listing measures developed by the University of Minnesota Rural Health Research Center.
Date: 05/2019
Type: Document
Sponsoring organization: National Quality Forum
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Time Critical Incident Responses: Results from the 2016 Rural EMS Sustainability Survey
Analyzes 2016 survey data to examine how rural emergency medical services (EMS) in Minnesota are trained to assess, manage, and treat patients experiencing time critical events, such as trauma, stroke, ST elevation myocardial infarction (STEMI), or sudden cardiac arrest. Includes time critical event statistics for each rural EMS region.
Date: 05/2019
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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Analyzes 2016 survey data to examine how rural emergency medical services (EMS) in Minnesota are trained to assess, manage, and treat patients experiencing time critical events, such as trauma, stroke, ST elevation myocardial infarction (STEMI), or sudden cardiac arrest. Includes time critical event statistics for each rural EMS region.
Date: 05/2019
Type: Document
Sponsoring organization: Minnesota Department of Health - Office of Rural Health and Primary Care
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A Geospatial Analysis of Distances to Hospitals That Admit Pediatric Asthma Patients
Study examining pediatric care concentration in urban areas of Florida and the impacts of regionalization on rural EMS operations, focusing on pediatric asthma exacerbations. Analyzes data from 11,226 EMS pediatric asthma encounters, tracking travel distance to admitting facilities using geospatial mapping, and comparing rural and urban EMS calls.
Author(s): Jennifer Fishe, Erik Finlay, Sam Palmer, Phyllis Hendry
Citation: Prehospital Emergency Care, 23(5), 882-886
Date: 04/2019
Type: Document
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Study examining pediatric care concentration in urban areas of Florida and the impacts of regionalization on rural EMS operations, focusing on pediatric asthma exacerbations. Analyzes data from 11,226 EMS pediatric asthma encounters, tracking travel distance to admitting facilities using geospatial mapping, and comparing rural and urban EMS calls.
Author(s): Jennifer Fishe, Erik Finlay, Sam Palmer, Phyllis Hendry
Citation: Prehospital Emergency Care, 23(5), 882-886
Date: 04/2019
Type: Document
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Association Between Emergency Medical Service Response Time and Motor Vehicle Crash Mortality in the United States
Analyzes data from counties across the United States to determine whether longer emergency medical service (EMS) response times are related to higher fatality rates from motor vehicle crashes. Includes EMS response times based on rurality, population density, proximity to trauma centers, and more.
Author(s): James Byrne, N. Clay Mann, Mengtao Dai, et al.
Citation: JAMA Surgery, 154(4), 286-293
Date: 04/2019
Type: Document
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Analyzes data from counties across the United States to determine whether longer emergency medical service (EMS) response times are related to higher fatality rates from motor vehicle crashes. Includes EMS response times based on rurality, population density, proximity to trauma centers, and more.
Author(s): James Byrne, N. Clay Mann, Mengtao Dai, et al.
Citation: JAMA Surgery, 154(4), 286-293
Date: 04/2019
Type: Document
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Making Informed Decisions about Rural EMS
Provides an overview of the Informed Self-Determination Process, which can help a rural community make an informed decision about the level of emergency medical services (EMS) response the community wants and will support. Highlights how this approach was used in St. George, Maine.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Provides an overview of the Informed Self-Determination Process, which can help a rural community make an informed decision about the level of emergency medical services (EMS) response the community wants and will support. Highlights how this approach was used in St. George, Maine.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 04/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Air Ambulance: Available Data Show Privately-Insured Patients Are at Financial Risk
Examines air ambulance transports for patients with a focus on balance billing. Describes changes in geographic distribution of air ambulance services, including the location of bases and new bases and additions in rural areas; the extent of out-of-network air ambulance transports and balance billing practices; and how states are limiting balance billing. Relies on data from a variety of sources, including interviews with officials in 6 states: Florida, North Dakota, Montana, New Mexico, Maryland, and Texas.
Additional links: Full Report
Date: 03/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Examines air ambulance transports for patients with a focus on balance billing. Describes changes in geographic distribution of air ambulance services, including the location of bases and new bases and additions in rural areas; the extent of out-of-network air ambulance transports and balance billing practices; and how states are limiting balance billing. Relies on data from a variety of sources, including interviews with officials in 6 states: Florida, North Dakota, Montana, New Mexico, Maryland, and Texas.
Additional links: Full Report
Date: 03/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Do Hospital Closures Affect Patient Time in an Ambulance?
Examines the impact of hospital closures on patient travel time to an emergency department (ED) by ambulance. Uses national data on hospital closures and hospital-based ambulance services and compares rural/urban differences.
Author(s): SuZanne Troske, Alison Davis
Date: 02/2019
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Examines the impact of hospital closures on patient travel time to an emergency department (ED) by ambulance. Uses national data on hospital closures and hospital-based ambulance services and compares rural/urban differences.
Author(s): SuZanne Troske, Alison Davis
Date: 02/2019
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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EMS Agenda 2050: A People-Centered Vision for the Future of Emergency Medical Services
Serves as an update to the 1996 EMS Agenda for the Future. Reports the vision of emergency medical services (EMS) of the future and describes 6 guiding principles to help EMS and communities create a more people-centered EMS system. Discusses challenges specific to rural communities, such as EMS workforce issues.
Additional links: Infographic
Date: 01/2019
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Serves as an update to the 1996 EMS Agenda for the Future. Reports the vision of emergency medical services (EMS) of the future and describes 6 guiding principles to help EMS and communities create a more people-centered EMS system. Discusses challenges specific to rural communities, such as EMS workforce issues.
Additional links: Infographic
Date: 01/2019
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Improving Rural Systems of Care for Time Critical Diagnoses: A Review of State Flex Program Activities
Examines state Flex program initiatives to improve time critical diagnoses (TCD) care systems and integrate rural emergency medical services (EMS) into area care systems, particularly Critical Access Hospitals (CAHs). Briefly describes what each of the 17 participating states did to collaborate with EMS stakeholders, enhance TCD capacity, support EMS training, provide technical assistance to local EMS agencies, and collect EMS and TCD data.
Author(s): John A. Gale, Karen Pearson
Date: 01/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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Examines state Flex program initiatives to improve time critical diagnoses (TCD) care systems and integrate rural emergency medical services (EMS) into area care systems, particularly Critical Access Hospitals (CAHs). Briefly describes what each of the 17 participating states did to collaborate with EMS stakeholders, enhance TCD capacity, support EMS training, provide technical assistance to local EMS agencies, and collect EMS and TCD data.
Author(s): John A. Gale, Karen Pearson
Date: 01/2019
Type: Document
Sponsoring organization: Flex Monitoring Team
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