Search Results: MCHLine

Annotation: This project developed and evaluated a rural emergency medical services for children (EMSC) demonstration program and provided assistance to other rural States in adopting the successful aspects of the program. The focus of the project was the development of a modular training program on care of pediatric emergencies that can be presented in appropriate segments to all levels of prehospital and emergency room personnel. Improved skills and knowledge in emergency care for children resulted in improved medical management of children requiring emergency care and reduced the consequences of the emergency events. [Funded by the Maternal and Child Health Bureau]

Keywords: American Indians, Emergency Medical Services, Emergency Room Personnel, Head injuries, Parent Education, Rural Populations

Annotation: The project's major goal was to prevent childhood emergencies and to improve emergency medical services for children in Ohio by building local support and developing effective local emergency medical systems with linkage to referral centers. Specific project goals included establishing local emergency medical service (EMS) advisory councils; developing train-the-trainer programs for local emergency department personnel; developing networks linking local EMS systems with local emergency department personnel and pediatric medical consultants, and linking demonstration areas with regional children's hospitals and pediatric medical centers; and developing public information and education programs. [Funded by the Maternal and Child Health Bureau]

Keywords: Data Collection, Emergency Medical Services for Children, Emergency Room Personnel, Rural Population

Annotation: This brief estimates the fiscal impact on states of removing adult Medicaid dental benefits for the 41 states and District of Columbia that offer benefits at the limited or enhanced level. It analyzes medical care costs incurred for emergency department visits, for those with conditions such as diabetes or heart disease, and for pregnant women. The brief also provides a review of previous policy changes to several states' Medicaid dental benefits and examines the impact of these changes.

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Keywords: Costs, Dental insurance, Emergency rooms, Low income groups, Medicaid, Oral health, Pregnant women

Annotation: This report provides information on the cost and prevalence of emergency department (ED) visits for non-traumatic oral conditions (NTOCs). It offers an overview of problems associated with using the ED for oral health care. It presents statistical information on topics including the number of people who visited the ED for NTOCs in 2019, 2021, and 2022; the estimated total cost of visits; the rates of ED visits; the rate of visits by age groups; and the rate of visits by people living in different types of rural and urban areas.

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Keywords: Access to health care, Age factors, Costs, Data, Emergency medicine, Emergency room data, Income factors, Medicaid, Oral health, Rural population, Trends, Urban population

Annotation: This brief provides information about Medicaid-covered dental visits and dental-related emergency department visit rates during the perinatal period. The information is based on 2018–2019 Medicaid and State Children’s Health Insurance Program encounter data and dental claims from over 200,000 women during the postpartum period from 45 states and the District of Columbia. It presents variations in receipt of oral health care during the perinatal period according to enrollee age, state of residence, extent of Medicaid coverage of dental services, and state Medicaid expansion status.

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Keywords: Emergency room, Health care utilization, Low income groups, Medicaid, Oral health, Perinatal health, Perinatal services, Postpartum care, Pregnant women

Annotation: This report focuses on the importance of tracking emergency department use trends for non-traumatic dental care visits. It includes information on the following selected findings during the period 2019–2022: use trends, cost trends, visit rates by age, visit rates for people enrolled in Medicaid compared with those with private insurance, and visit rates for people living in small or medium metropolitan areas compared with those living in a central cosmopolitan county or a rural area.

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Keywords: Dental insurance, Emergency room, Geographic factors, Health care utilization, Low income groups, Medicaid, Oral health, Trends

Annotation: This report offers a snapshot of how adults experience the oral health system, revealing both progress and ongoing gaps. It provides information on trends in the frequency of dental visits, plans to visit an oral health professional in the next year, and emergency department visits for oral pain. Also discussed are reasons for seeking oral health care outside the United States, types of oral health treatments received from non-licensed professionals, and the consequences of adults reaching or exceeding the annual maximum dollar benefit their insurance plan offered during the past year. In addition, the report addresses the importance of culturally inclusive oral health care.

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Keywords: Adult health, Dental insurance, Emergency room, Health systems, Oral health, Trends

Annotation: This paper provides information on addressing the oral health needs of Hispanics/Latinos in the United States. Topics include challenges in implementing successful strategies to improve the oral health, overall health, and quality of life for this population and understanding oral health outcomes. Also addressed is use of oral health care, emergency department visits for nontraumatic oral conditions, understanding the link between oral health and congenital disabilities, and the oral health workforce. Public policy and oral health milestones from 1900 to 2022 are also presented.

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Keywords: Emergency room, HIspanic Americans, Health care utilization, Oral health, Public policy

Annotation: This fact sheet provides information about the effects of reinstating Hawai'i's adult Medicaid dental benefits in 2022. Statistics are presented on the number of Hawai'i Medicaid beneficiaries with no diagnostic, preventive, or dental coverage and who visited the emergency department (ED) with a dental-related diagnosis between 2016 and 2020, the total cost of ED visits with a principal dental diagnosis during this period, and the percentage of ER visits with a principal dental diagnosis during this period who were Medicaid beneficiaries. Also provided are estimated savings from reinstating the benefits as well as information about the association between poor oral health and several chronic conditions and other negative health outcomes. [Produced by District of Columbia Department of Health]

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Keywords: Access to health care, Chronic illnesses and disabilities, Costs, Dental insurance, Emergency room data, Hawaii, Low income groups, Medicaid, Oral health, Prevention, State information, Statistical data

Annotation: This report presents findings from a review of studies on the use of emergency departments for nontraumatic oral health conditions and oral health care. The report discusses variations in target populations, outcomes of interest, predictive factors, data sources, and research methods. Recommendations for future research are included.

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Keywords: Emergency room data, Health care utilization, Hospital emergency services, Oral health, Oral health care, Research methodology, Utilization review

Annotation: This brief reports findings on trends in visits to emergency departments for oral health care for the period 2006 through 2012. Topics include visits and charges broken down by patient age and primary payer, and policy implications.

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Keywords: Data analysis, Emergency room data, Financing, Health care utilization, Hospital emergency services, Oral health, Oral health care, Policy development, Statistical data, Trends

Annotation: This report summarizes data on oral-health-related emergency department use in Oregon and describes findings from qualitative analyses of oral health community stakeholder interviews. Topics include factors related to emergency department use for nontraumatic conditions (NTCs), potential solutions that could be implemented to reduce NTC-related emergency department use, and prevention-oriented policy solutions.

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Keywords: , Access to health care, Emergency room data, Health care utilization, Health services delivery, Oral health, Oregon, Policy development, Statewide planning

Annotation: This brief examines the urgency of emergency department visits for dental conditions in the United States. Topics include the percentage of dental and nondental emergency department visits by triage status (immediate, urgent, semi-urgent, and nonurgent), primary payer (private health insurance, Medicare, Medicaid, Children's Health Insurance Program, and self-pay), and time of arrival (during and outside business hours). Policy implications are included.

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Keywords: Data analysis, Emergency room data, Oral health, Policy development, Third party payers, Triage

Annotation: This issue brief looks at what research shows overall about the difference that Medicaid makes in terms of access to care, health outcomes, and quality of care. Topics include the purpose of health insurance, who Medicaid beneficiaries are, the benefits of being enrolled in Medicaid vs. being uninsured, access to preventive and primary care, access to specialist care, emergency department use, quality of care, health center care, and hospital care.

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Keywords: Access to health care, Emergency room data, Enrollment, Health insurance, Hospitals, Low income groups, Medicaid, Preventive health services, Primary care, Uninsured persons

Annotation: This report presents recent data on trends in asthma prevalence, health care encounters, and mortality. Topic include differences in prevalence by age, sex, income, race, ethnicity, and demographics; rates of asthma health care encounters in primary settings, emergency departments, and hospitals; death rates; and death rate differences by sex, race, and age.

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Keywords: Age factors, Asthma, Death, Emergency room data, Ethnic factors, Health care, Hospitalization, Income factors, Mortality, Primary care, Racial factors, Sex factors, Trends

Annotation: This analysis examines patterns of oral-heath-care seeking in emergency departments (EDs). The authors look at ED claims data in seven states—Arizona, Florida, Iowa, Maryland, Utah, Vermont, and Wisconsin—to understand between- and within-state differences in ED use. Topics include state differences in the types of oral conditions that lead individuals to seek care in EDs, differences in rural vs. urban areas, and differences in patterns of oral-health-care seeking in EDs associated with state Medicaid policy.

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Keywords: Wisconsin, Access to health care, Arizona, Children, Data, Emergency room data, Florida, Health services delivery, Hospital emergency services, Iowa, Maryland, Oral health, State surveys, Utah, Vermont

Annotation: This report presents recent evidence about changes in access to care associated with enrollment in the State Children's Health Insurance Program (SCHIP). The report focuses on six access-to-care measures, spanning all three dimensions of access: (1) usual source of care, (2) provider visits, (3) preventive care, (4) specialty care, (5) emergency department use, and (6) unmet need or delayed care. The authors describe prior evidence of the strong association between insurance coverage and access to care; propose a framework of the hypothesized relationship between coverage, access, and health outcomes within the SCHIP program; summarize the evidence on access to care in SCHIP; and discuss whether children in vulnerable populations have experienced similar gains in access within SCHIP. The report concludes with a discussion of remaining questions and suggested directions for reserach. An executive summary and a list of references are included. The report includes two appendices: (1) major features of state SCHIP programs reviewed in access-to-care studies and (2) abstracts of reviewed studies. Statistical information is presented in figures and tables throughout the report.

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Keywords: Access to health care, Emergency room services, Enrollment, Health insurance, Low income groups, Prevention, Research, State Children's Health Insurance Program, Uninsured persons

Annotation: Emergency department physicians should have a low threshold for screening for urinary tract infection (UTI) since it is often present and its sequelae are severe. While there is little consistent information about the prevalence of UTI among febrile pediatric patients in the emergency department, there is much debate about the most appropriate clinical and laboratory criteria for diagnosis. Screening is uncomfortable for patients and its costs are significant. A prospective study of febrile infants < 1 year of age and febrile girls ages 1–4 years in a high-volume urban pediatric emergency department was conducted to determine the prevalence of UTI; (2) determine the usefulness of rapid screening tests for UTI, and (3) identify clinical predictors and develop clinical prediction models to stratify children at high risk for UTI. [Funded by the Maternal and Child Health Bureau]

Keywords: Cost Effectiveness, Emergency Room Personnel, MCH Research, Research, Screening, Urban Population, Urban Population, Urinary Tract Infections

Annotation: This demonstration project strove to enhance the emergency medical services (EMS) system in North Carolina by improving the system's ability to manage pediatric patients. The project goal was to create a statewide model EMS system that minimizes further injury or deterioration of seriously ill or injured pediatric patients prior to their arrival at a definitive care center. We created a project group and an advisory board to help achieve the project goals through a cooperative statewide effort that included representation from all groups responsible for the care of seriously ill and injured pediatric patients. [Funded by the Maternal and Child Health Bureau]

Keywords: Databases, Emergency Medical Services for Children, Emergency Room Personnel, Pediatric Advanced Life Support Programs, Professional Education in EMSC

Annotation: The Alaska Emergency Medical Services for Children (EMSC) project addresses problems associated with pediatric emergencies in Alaska through interventions at various stages in disease and injury affecting children, and the system that is designed to combat these problems. The overall goal of the project is to improve the emergency medical care system in Alaska and its ability to treat and rehabilitate Alaska's acutely ill and injured children, as well as to prevent childhood injuries and deaths. The project addresses problems in the Emergency Medical Services system at all levels—prehospital, hospital, and rehabilitative services. [Funded by the Maternal and Child Health Bureau]

Keywords: Education of health professionals, Emergency medical services for children, Emergency medical technicians, Emergency room personnel, Rehabilitation, Rural populations, Training, Trauma