Rural Health
Resources by Topic: Inpatient care
Utilization of Inpatient and Emergency Services by Rural and Urban Medicaid Enrollees
Analyzes differences in healthcare utilization among rural versus urban Medicaid enrollees. Utilizes 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files data to examine inpatient and emergency department (ED) use by Rural Urban Commuting Area (RUCA) codes of metropolitan, large rural, small rural, and isolated rural Medicaid populations as well as Frontier and Remote (FAR) area codes. Includes additional demographic breakdowns by age, race/ethnicity, and sex.
Author(s): Hannah Friedman, Kristie Thompson, Lily Wang, Mark Holmes
Date: 12/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Analyzes differences in healthcare utilization among rural versus urban Medicaid enrollees. Utilizes 2019 Transformed Medicaid Statistical Information System (T-MSIS) Analytic Files data to examine inpatient and emergency department (ED) use by Rural Urban Commuting Area (RUCA) codes of metropolitan, large rural, small rural, and isolated rural Medicaid populations as well as Frontier and Remote (FAR) area codes. Includes additional demographic breakdowns by age, race/ethnicity, and sex.
Author(s): Hannah Friedman, Kristie Thompson, Lily Wang, Mark Holmes
Date: 12/2024
Type: Document
Sponsoring organization: North Carolina Rural Health Research Program
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Use of Inpatient Psychiatric Facilities by Medicare Beneficiaries with Dementia
Describes the sociodemographic and health characteristics of Medicare beneficiaries with and without dementia who use inpatient psychiatric facilities (IPFs). Examines diagnoses and utilization that precede psychiatric inpatient stays and outcomes following IPF stays, including health care utilization and mortality. Includes data on Medicare IPF patients who reside in rural counties and counties that are entirely or partially in a primary care or mental health Health Professional Shortage Area (HPSA).
Author(s): Mark Sorbero, Flora Sheng, Swad Komanduri, Jodi L. Liu
Date: 12/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Describes the sociodemographic and health characteristics of Medicare beneficiaries with and without dementia who use inpatient psychiatric facilities (IPFs). Examines diagnoses and utilization that precede psychiatric inpatient stays and outcomes following IPF stays, including health care utilization and mortality. Includes data on Medicare IPF patients who reside in rural counties and counties that are entirely or partially in a primary care or mental health Health Professional Shortage Area (HPSA).
Author(s): Mark Sorbero, Flora Sheng, Swad Komanduri, Jodi L. Liu
Date: 12/2024
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, RAND Corporation
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Effects of Rural Hospital Closures on Nurse Staffing Levels and Health Care Utilization at Nearby Hospitals
Analyzes healthcare utilization and nurse staffing levels when nearby rural hospitals close. Utilizes 2014-2019 American Hospital Association Survey data to examine vocational nurse/licensed practical nurse (LPN), registered nurse (RN), and advanced practice nurse (APN) staffing levels as well as inpatient and outpatient surgical operations and emergency department (ED) visits within 4 years of a hospital closure.
Author(s): Jing Dong, Siying Liu, Asefeh Faraz Covelli, Guido Cataife
Citation: Health Economics, 33(12), 2687-2707
Date: 12/2024
Type: Document
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Analyzes healthcare utilization and nurse staffing levels when nearby rural hospitals close. Utilizes 2014-2019 American Hospital Association Survey data to examine vocational nurse/licensed practical nurse (LPN), registered nurse (RN), and advanced practice nurse (APN) staffing levels as well as inpatient and outpatient surgical operations and emergency department (ED) visits within 4 years of a hospital closure.
Author(s): Jing Dong, Siying Liu, Asefeh Faraz Covelli, Guido Cataife
Citation: Health Economics, 33(12), 2687-2707
Date: 12/2024
Type: Document
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Overview of Methicillin-Resistant Staphylococcus aureus (MRSA)-Related Adult Inpatient Stays, 2016–2021
Presents statistics on inpatient hospital stays involving Methicillin-Resistant Staphylococcus aureus (MRSA) between 2016 and 2021. Examines data by patient characteristics, including age, sex, race/ethnicity, rurality and community social vulnerability of patient's residence, primary payer, and principle diagnosis.
Author(s): Melissa A. Miller, Pamela L. Owens, Jungyeon Kim, Eric Schone
Date: 11/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Presents statistics on inpatient hospital stays involving Methicillin-Resistant Staphylococcus aureus (MRSA) between 2016 and 2021. Examines data by patient characteristics, including age, sex, race/ethnicity, rurality and community social vulnerability of patient's residence, primary payer, and principle diagnosis.
Author(s): Melissa A. Miller, Pamela L. Owens, Jungyeon Kim, Eric Schone
Date: 11/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Characteristics of Patients Hospitalized in Rural and Urban ICUs From 2010 to 2019
Examines the characteristics of fee-for-service Medicare patients who received intensive care in rural. Compares patient characteristics to those who received intensive care in urban hospitals, and the change in patient characteristics between 2010 and 2019. Presents data by patient age, sex, race and ethnicity, mean area deprivation index rank, primary diagnosis, and more.
Author(s): Emily A. Harlan, Muhammad Ghous, Ira S. Moscovice, Thomas S. Valley
Citation: Critical Care Medicine, 52(10), 1577-1586
Date: 10/2024
Type: Document
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Examines the characteristics of fee-for-service Medicare patients who received intensive care in rural. Compares patient characteristics to those who received intensive care in urban hospitals, and the change in patient characteristics between 2010 and 2019. Presents data by patient age, sex, race and ethnicity, mean area deprivation index rank, primary diagnosis, and more.
Author(s): Emily A. Harlan, Muhammad Ghous, Ira S. Moscovice, Thomas S. Valley
Citation: Critical Care Medicine, 52(10), 1577-1586
Date: 10/2024
Type: Document
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The Impact of Primary Care Physician Capacity on Preventable Hospitalizations: Identifying Bright Spots in the Appalachian & Mississippi Delta Regions
Results of a study to determine whether the association of primary care capacity with preventable hospitalizations is different in the Appalachian and Mississippi Delta regions compared with the rest of the U.S. Also explores primary care capacity in counties with lower-than-expected preventable hospitalization rates. Features statistics with breakdowns by rural and nonrural areas.
Author(s): Michael Topmiller, Peter J. Mallow, Hoon Byun, Mark Carrozza, Yalda Jabbarpour
Citation: Journal of Appalachian Health, 6(3), 66-78
Date: 10/2024
Type: Document
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Results of a study to determine whether the association of primary care capacity with preventable hospitalizations is different in the Appalachian and Mississippi Delta regions compared with the rest of the U.S. Also explores primary care capacity in counties with lower-than-expected preventable hospitalization rates. Features statistics with breakdowns by rural and nonrural areas.
Author(s): Michael Topmiller, Peter J. Mallow, Hoon Byun, Mark Carrozza, Yalda Jabbarpour
Citation: Journal of Appalachian Health, 6(3), 66-78
Date: 10/2024
Type: Document
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Interfacility Transfer of Children With Time-Sensitive Surgical Conditions, 2002-2017
Explores changes in the number of interfacility transfers and travel distance for children with four time-sensitive surgical conditions across nine states between 2002 and 2017. Examines whether the changes in transfers and travel distance varied by patients' urban or rural residence.
Author(s): Kyle J. Van Arendonk, Elisabeth T. Tracy, Jonathan S. Ellison, et al.
Citation: JAMA Network Open, 7(10), e2440251
Date: 10/2024
Type: Document
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Explores changes in the number of interfacility transfers and travel distance for children with four time-sensitive surgical conditions across nine states between 2002 and 2017. Examines whether the changes in transfers and travel distance varied by patients' urban or rural residence.
Author(s): Kyle J. Van Arendonk, Elisabeth T. Tracy, Jonathan S. Ellison, et al.
Citation: JAMA Network Open, 7(10), e2440251
Date: 10/2024
Type: Document
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Medicare Payment Basics: Inpatient Rehabilitation Facilities Payment System
Overview of Medicare's payment system for inpatient rehabilitation services in freestanding facilities or within acute care hospitals. Demonstrates how payment rates are adjusted to account for certain facility characteristics, including facilities in rural areas.
Date: 10/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of Medicare's payment system for inpatient rehabilitation services in freestanding facilities or within acute care hospitals. Demonstrates how payment rates are adjusted to account for certain facility characteristics, including facilities in rural areas.
Date: 10/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Medicare Payment Basics: Inpatient Psychiatric Facilities Services Payment System
Overview of Medicare's payment system for inpatient psychiatric services provided in freestanding hospitals or specialized hospital-based units. Demonstrates how payments for these services are adjusted to reflect geographic differences in labor costs, and cost of care by facility and patient characteristics.
Date: 10/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Overview of Medicare's payment system for inpatient psychiatric services provided in freestanding hospitals or specialized hospital-based units. Demonstrates how payments for these services are adjusted to reflect geographic differences in labor costs, and cost of care by facility and patient characteristics.
Date: 10/2024
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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AHRQ Report to Congress: An Assessment of Sepsis in the United States and its Burden on Hospital Care
Offers an assessment of hospital care for sepsis between 2016 and 2021 including trends in hospital utilization, morbidity, in-hospital mortality, and disparities related to various patient demographics and geographic factors. Discusses rural throughout.
Date: 09/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Offers an assessment of hospital care for sepsis between 2016 and 2021 including trends in hospital utilization, morbidity, in-hospital mortality, and disparities related to various patient demographics and geographic factors. Discusses rural throughout.
Date: 09/2024
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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