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 Area (FAR) codes. Includes additional demographic breakdowns by age, race/ethnicity, and sex.
Author(s): Hannah Friedman, Kristie Thompson, Lily Wang, Mark Holmes
Date: 12/2024
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 Area (FAR) codes. Includes additional demographic breakdowns by age, race/ethnicity, and sex.
Author(s): Hannah Friedman, Kristie Thompson, Lily Wang, Mark Holmes
Date: 12/2024
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
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
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
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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
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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 and community factors including rurality, primary payer, and principle diagnosis.
Author(s): Melissa A. Miller, Pamela L. Owens, Jungyeon Kim, Eric Schone
Date: 11/2024
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 and community factors including rurality, primary payer, and principle diagnosis.
Author(s): Melissa A. Miller, Pamela L. Owens, Jungyeon Kim, Eric Schone
Date: 11/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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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
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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
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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
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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
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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 outcomes related to patient geographic and other factors. Discusses rural throughout.
Date: 09/2024
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 outcomes related to patient geographic and other factors. Discusses rural throughout.
Date: 09/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Racial and Ethnic Differences in Inpatient Stays Involving Sepsis, 2016–2021
Offers national statistics on inpatient hospital stays involving sepsis. Discusses trends over time, comorbidities, mortality, and more. Table 1 includes data by rural or urban residence, among other measures.
Author(s): Melissa A. Miller, Kimberly Martin, Molly Hensche, Carrie Goetsch
Date: 08/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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Offers national statistics on inpatient hospital stays involving sepsis. Discusses trends over time, comorbidities, mortality, and more. Table 1 includes data by rural or urban residence, among other measures.
Author(s): Melissa A. Miller, Kimberly Martin, Molly Hensche, Carrie Goetsch
Date: 08/2024
Sponsoring organization: Agency for Healthcare Research and Quality
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FY 2025 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Final Rule – CMS-1808-F
Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2025 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the extension of the low-wage index hospital policy, a separate IPPS payment for small and independent hospitals to establish and maintain a buffer stock of essential medicines, the distribution of graduate medical education (GME) residency slots, updates to quality reporting programs, and more.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Fact sheet providing an overview of the Centers for Medicare & Medicaid Services (CMS) fiscal year 2025 hospital inpatient prospective payment system (IPPS) and long-term care hospital prospective payment system (LTCH PPS) final rule. Includes information about the extension of the low-wage index hospital policy, a separate IPPS payment for small and independent hospitals to establish and maintain a buffer stock of essential medicines, the distribution of graduate medical education (GME) residency slots, updates to quality reporting programs, and more.
Date: 08/2024
Sponsoring organization: Centers for Medicare and Medicaid Services
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Effects of Affordable Care Act on Uninsured Hospitalization: Evidence from Texas
Examines the impact of the Affordable Care Act (ACA) in Texas and its relationship to uninsured patient discharges. Analyzes 2011-2019 ACA Marketplace data with breakdowns according to patient race/ethnicity, age, sex, major diagnostic categories (MDCs), type of admission, and rural versus urban location.
Author(s): Nima Khodakarami, Benjamin Ukert
Citation: Health Services Research, 59(4)
Date: 08/2024
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Examines the impact of the Affordable Care Act (ACA) in Texas and its relationship to uninsured patient discharges. Analyzes 2011-2019 ACA Marketplace data with breakdowns according to patient race/ethnicity, age, sex, major diagnostic categories (MDCs), type of admission, and rural versus urban location.
Author(s): Nima Khodakarami, Benjamin Ukert
Citation: Health Services Research, 59(4)
Date: 08/2024
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