Robert Kreiger, PhD
University of Minnesota
Division of Health Policy and Management
420 Delaware Street SE, MMC 729
Minneapolis, MN 55455
- Publications - (1)
Publications - (1)
Which Medicare Patients Are Transferred from Rural Emergency Departments?
University of Minnesota Rural Health Research Center
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 hospitals.
- 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.