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 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.

• Link

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

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.

• Report
• Appendices

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.

• Link

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.

• PDF

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

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.

• PDF

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 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.

• PDF

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.

• PDF

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: 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