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Rural Health
Resources by Topic: Outpatient care

National Hospital Ambulatory Medical Care Survey: 2015 Emergency Department Summary Tables
Provides data on ambulatory care emergency department (ED) hospital visits. Table 1 provides metropolitan/nonmetropolitan ED visit data based on hospital location, Table 2 includes metro/nonmetro ED visit data by location of patient residence, and Table 15 has metro/nonmetro injury visit data based on hospital location.
Date: 03/2018
Type: Document
Sponsoring organization: National Center for Health Statistics
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MedPAC Report to the Congress: Medicare Payment Policy, 2018
Annual review of Medicare payment policies, with recommendations to Congress. Includes discussion on Medicare payment policies directly affecting rural providers and beneficiaries. Addresses Medicare Part D, Medicare Advantage, telehealth, payment incentive programs, and payment adequacy for healthcare facilities and services.
Additional links: Chapter 14 Online-Only Appendixes: The Medicare Prescription Drug Program (Part D): Status Report (March 2018 Report, Revised June 25, 2018), Chapter 16 Online-Only Appendixes: Mandated Report: Telehealth Services and the Medicare Program (March 2018 report), Errata Sheet: Table 9-7, Page 255 (March 2018 Report, Revised May 30, 2018)
Date: 03/2018
Type: Document
Sponsoring organization: Medicare Payment Advisory Commission
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Hospital Compare Quality Measure Results for CAHs, 2016
Examines Hospital Compare inpatient and outpatient process of care and structural measures among Critical Access Hospitals (CAHs) in 2016. Includes data on reporting rates and performance for specific quality measures, and state-by-state comparison of CAH reporting rates for inpatient and outpatient measures.
Author(s): Megan Lahr, Alex Evenson, Tongtan Chantarat, Michelle Casey
Date: 03/2018
Type: Document
Sponsoring organization: Flex Monitoring Team
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Epidemiological Study of People Living in Rural North Carolina for Novel Respiratory Viruses
Pilot study at an outpatient clinic in North Carolina examining individuals with influenza-like symptoms to identify respiratory viruses among people residing in a rural area with dense swine and poultry farming. Includes results from nasal swab and air samples as well as participant characteristics, including sex, age, animal exposure, and antibiotic and hospitalization history.
Author(s): X. Wang, B. D. Anderson, L. A. Pulscher, et al.
Citation: Zoonoses and Public Health, 65(1), e265–e269
Date: 02/2018
Type: Document
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Pediatric Medicaid Patients' Utilization of Outpatient and Emergency Department Services in New York State
Research brief using data from 614,249 unique patients ages 0-20 years who had at least one Medicaid visit to an emergency department (ED) in New York during 2014. Features statistics with breakdowns by urban or rural residence and outpatient settings, and a map showing rates of pediatric avoidable ED visits in rural and urban New York counties.
Author(s): Simona Surdu, Nafin Harun, Robert Martiniano
Date: 02/2018
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Electronic Health Record "Super-Users" and "Under-Users" in Ambulatory Care Practices
Describes a study on Electronic Health Record (EHR) use in ambulatory care practices. Analyzes data by rural versus urban location, practice size, practice type, and other factors. Presents county-level data.
Author(s): Juliet Rumball-Smith, Paul Shekelle, Cheryl L. Damberg
Citation: The American Journal of Managed Care, 24(1), 26-31
Date: 01/2018
Type: Document
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Emerging Strategies to Ensure Access to Health Care Services: Emergency Medical Center
Provides an overview of the emergency medical center (EMC) model, which would allow struggling hospitals to convert to EMC status and provide emergency and outpatient services, without having to provide inpatient acute care services. Also outlines rural-specific federal policy proposals that seek to create similar hospital designations, with the goal of improving access to and the delivery of care in underserved communities.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association
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Breast Reconstruction Surgery for Mastectomy in Hospital Inpatient and Ambulatory Settings, 2009-2014
Examines reconstruction surgeries for mastectomy among adult women over a 5-year period, with data by patient and hospital characteristics. Includes rural/urban data by location of patient residence and by hospital location.
Author(s): Adela M. Miller, Claudia A. Steiner, Marguerite L. Barrett, Kathryn R. Fingar, Anne Elixhauser
Date: 10/2017
Type: Document
Sponsoring organization: Agency for Healthcare Research and Quality
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Medicare Inappropriately Paid Acute-Care Hospitals for Outpatient Services They Provided to Beneficiaries Who Were Inpatients of Other Facilities
Results of an audit to determine whether Medicare made payments appropriately to acute-care hospitals for outpatient services provided to other facilities' inpatients, from January 2013 through August 2016. Includes recommendations from the Office of Inspector General, and CMS's responses.
Additional links: Report in Brief
Author(s): Daniel R. Levinson
Date: 09/2017
Type: Document
Sponsoring organization: U.S. Department of Health and Human Services
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National Hospital Ambulatory Medical Care Survey: 2014 Emergency Department Summary Tables
Provides data on ambulatory care emergency department hospital visits. Table 1 includes brief metro/non-metro overview information, and Table 15 has metro/non-metro injury visit data.
Date: 09/2017
Type: Document
Sponsoring organization: National Center for Health Statistics
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