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Rural Health Information Hub

Rural Health
Resources by Topic: Emergency medical services

Strategies for the Delivery of Behavioral Health Crisis Services in Rural and Frontier Areas of the U.S.
Report highlights the challenges of providing behavioral health crisis services to rural and frontier communities. Details the barriers to crisis service delivery such as lack of transportation, travel distance, and broadband access, among others. Includes a discussion on the effect of COVID-19 pandemic rural crisis service delivery.
Author(s): Kristin A. Neylon
Date: 08/2020
Sponsoring organization: National Association of State Mental Health Program Directors
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Rural EMS COVID-19 Preparedness Checklist
Provides a checklist for rural response agencies to evaluate their current level of preparedness and identify areas that need additional action to better respond to COVID-19. Covers planning, strategy, personal protective equipment and supplies, workforce and recruiting, and funding.
Date: 08/2020
Sponsoring organizations: American Ambulance Association, Federal Healthcare Resilience Working Group
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Rural Healthcare Surge Readiness
Resources for rural healthcare systems preparing for and responding to a COVID-19 surge. Includes resources for emergency medical services, inpatient and hospital care, ambulatory care, and long-term care settings. Addresses a wide range of topics including healthcare operations, space, supplies, funding, and more.
Date: 07/2020
Sponsoring organization: COVID-19 Healthcare Resilience Working Group
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Out‐of‐Network Air Ambulance Bills: Prevalence, Magnitude, and Policy Solutions
Examines the prevalence and cost of surprise air ambulance bills among privately insured patients. Describes air ambulance rates for commercial payers in relation to Medicare rates. Compares the number of air ambulance claims from urban and rural locations. Offers policy solutions to address surprise and out-of-network bills for these services.
Author(s): Erin C. Fuse Brown, Erin Trish, Bich Ly, Mark Hall, Loren Adler
Citation: Milbank Quarterly, 98(3), 747-774
Date: 06/2020
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The Effect of Rural Hospital Closures on Emergency Medical Service Response and Transport Times
Examines ways in which rural hospital closures affect EMS response time, transport time, and total activation time, using data from 2010-2016. Features statistics comparing rates prior to rural hospital closure and immediately post-closure.
Author(s): Katherine E.M. Miller, Hailey J. James, George Mark Holmes, Courtney H. Van Houtven
Citation: Health Services Research, 55(2), 288-300
Date: 04/2020
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Exploring State Data Sources to Monitor Rural Emergency Medical Services Performance Improvement
Examines potential sources of data that State Flex Programs (SFPs) could utilize to analyze and improve rural emergency medical services (EMS). Discusses challenges facing rural EMS systems and the assessment of these systems by SFPs. Explores how SFPs can support rural EMS data collection initiatives.
Author(s): John Gale, Karen Pearson, Yvonne Jonk
Date: 03/2020
Sponsoring organization: Flex Monitoring Team
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The Exchange Feature Issue: Preparing for and Responding to Wildfires and Planned Outages
Newsletter issue focusing on lessons learned by medical facilities and communities in Colorado and California during the wildfires of 2017 and 2019. Covers information useful for rural hospital emergency managers and administration, including mass sheltering, hospital evacuation, managing stress and compassion fatigue among workers, and community recovery.
Citation: Issue 10
Date: 03/2020
Sponsoring organization: Administration for Strategic Preparedness and Response
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Standard Precautions Among Emergency Medical Services in Urban and Rural Areas
Study examining EMS adherence to standard precautions regarding blood and bodily fluid safety, comparing rural and urban EMS providers in West Virginia. Analyzes survey data to understand general exposure prevention practices. Discusses role of occupational health professionals in administering standard precautions training and evaluation for EMS providers.
Author(s): Riyadh A. Alhazmi, R. David Parker, Sijin Wen
Citation: Workplace Health and Safety, 68(2), 73-80
Date: 02/2020
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Preventing Opioid Overdose with Peer-Administered Naloxone: Findings from a Rural State
Highlights a study on the efficacy of peer-administered naloxone to prevent opioid overdose deaths. Bases conclusions on interviews with individuals who have received the training and the naloxone kits from a program in rural Alaska.
Author(s): Bridget L. Hanson, Rebecca R. Porter, Amanda L. Zöld, Heather Terhorst-Miller
Citation: Harm Reduction Journal, 17(1), 4
Date: 01/2020
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EMS in Dixie County, Florida: Driving Data for Improved Health
Video detailing how Dixie County, Florida used supplemental Flex funding to improve reporting quality data collection of its rural emergency medical services (EMS). Explores the way the county used the supplement funding to improve the rate of data collection and data quality of the county's EMS.
Date: 01/2020
Sponsoring organization: National Rural Health Resource Center
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