Analyzes transfers of Medicare beneficiaries who received
emergency care in a CAH or rural hospital and were
transferred to another hospital for care.
Key findings include the following:
- Among Medicare beneficiaries who received same-day
emergency care and inpatient care in 2010, the inpatient
stay was in a different hospital for 28.4% of the
Critical Access Hospital (CAH) emergency encounters,
compared to 9.0% for rural non-CAHs, and 2.0% for urban
- The majority of transferred CAH and rural non-CAH
emergency patients went to urban hospitals for inpatient
care. By diagnosis, most transferred patients with
intracranial injuries and cardiac-related diagnoses went
to urban hospitals, while 35%-45% of patients with
certain mental health diagnoses were transferred to other
CAHs or rural non-CAHs.