HEALTH POLICY AND CLINICAL PRACTICE/ORIGINAL RESEARCH Ambulance Diversion and Lost Hospital Revenues
نویسندگان
چکیده
Results: Ten thousand three hundred one adult, non–trauma-system ED patients arrived by ambulance in 2002 and 2003, with average hospital revenues of $4,492. Each hour spent on diversion was associated with $1,086 (95% confidence interval $611 to $1,461) in forgone hospital revenues from ambulance patients. In August 2002, the study hospital increased its staffed ICU beds from 47 to 67, and diversion decreased from an average of 307 to 114 hours per month. In association with the reduction in diversion, the hospital received more patients by ambulance, which translated into approximately $175,000 in additional monthly revenues from ambulance patients. However, these gains were relatively small in relation to total ambulance revenues and to their large monthly variance.
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