Google Answers Logo
View Question
 
Q: U.S. Rehabilitation Hospitals ( No Answer,   0 Comments )
Question  
Subject: U.S. Rehabilitation Hospitals
Category: Health > Medicine
Asked by: jess05-ga
List Price: $20.00
Posted: 10 Jan 2006 09:37 PST
Expires: 09 Feb 2006 09:37 PST
Question ID: 431566
I need to know the number of rehabilitation hospitals there are in the
U.S. I also need the number broken down into the number of acute
inpatient facilities versus sub-acute care facilities.

Request for Question Clarification by bobbie7-ga on 10 Jan 2006 10:14 PST
Hello again Jess05,

Please take a look at the figures below and let me know if this is what you need.

Thanks, 
Bobbie7



184 rehabilitation hospitals

Hospitals Industry Profile 

?The cornerstone of the industry, acute-care hospitals, represents the
largest sector with more than 4,890 units and a hefty $437.7 billion
in 2003 revenue, according to the 2005 edition of the American
Hospital Association's AHA Hospital Statistics.
 
The top 10 healthcare systems include:

HCA (43,441 beds), 
Tenet Healthcare (25,116 beds), 
US Department of Veterans Affairs (18,828 beds), 
Ascension Health (11,970 beds), 
Triad Hospitals (8,566 beds), 
Catholic Health Initiatives (8,305 beds), 
Universal Health Services (7,537 beds), 
Catholic Healthcare West (6,741 beds), 
Community Health Systems (6,394 beds), 
Health Management Associates (6,212 beds).
 
There are many types of facilities that serve the industry depending
on the patient's needs.

The AHA, in 2003, counted 

184 rehabilitation hospitals
475 psychiatric hospitals
83 specialized hospitals. 

The Managed Care Digest Series/Institutional Digest 2004 accounted for
15,245 nursing facilities.

Top operators of nursing homes, or skilled nursing facilities, include
Beverly Enterprises (379 units) and Manor Care (297 units).

Assisted living facilities, which offer residents assistance with
daily activities without skilled nursing care, serve the
fastest-growing segment of the US population - people age 85 and
older. Companies serving this sector are Sunrise Senior Living (43,000
beds) and Emeritus (18,200 beds).?

http://biz.yahoo.com/ic/profile/524_1380.html


1,200 inpatient rehabilitation facilities

The new rule is designed to promote quality and efficient care at
approximately1,200 inpatient rehabilitation facilities, including both
freestanding hospitals and special units in acute-care hospitals.

http://www.aapmr.org/hpl/regulation/ppsirh.htm

Clarification of Question by jess05-ga on 10 Jan 2006 11:41 PST
Hi bobbie7!

I think that the number of rehabilitation hospitals is closer to
8,000, so I think the information below may be just a subset of them.

Request for Question Clarification by bobbie7-ga on 10 Jan 2006 11:53 PST
I'm not sure what you're looking for.

?In the United States alone there are 5,600 acute care hospitals,
1,000 other hospitals, 45,000 ambulances 75,000 fire department-based
vehicles, 260,000 police vehicles, 190,000 allied medical sites as
well as 290,000 first responder sites.?

Naiot Technological Center Ltd
http://64.233.161.104/search?q=cache:k_6yGQ0pDaIJ:www.naiot.com/html/life/cprdevices.htm+%22In+the+United+States+alone+there+are+5,600+acute+care+hospitals,+1,000+other+hospitals,+45,000+ambulances%22&hl=en


In the following document it says that there are an estimated 6,820
hospitals in the United States.
http://www.americanpyro.com/Safety%20Info/Facts02/Perspective.pdf


Does any of this information help?

Bobbie7

Request for Question Clarification by bobbie7-ga on 11 Jan 2006 07:57 PST
Dear Jess05, 

I'm a bit confused.

In the following document it says that there are an estimated 6,820
hospitals in the United States.
http://www.americanpyro.com/Safety%20Info/Facts02/Perspective.pdf

And in your clarification you say that you think the number of
rehabilitation hospitals is closer to 8,000.

How can that be if there are an estimated 6,820hospitals in the United States?

Could you please clarify your question.

Sincerely, Bobbie7

Clarification of Question by jess05-ga on 17 Jan 2006 21:02 PST
Hi bobbie7, 
I need to know the number of outpatient rehabilitation facilities
there are in the United States. These may not all be hospital-based.

Request for Question Clarification by bobbie7-ga on 17 Jan 2006 21:09 PST
There are about 15,000 SNFs, 2,500 outpatient rehabilitation
facilities, and about 5,600 outpatient hospital  facilities.

Excerpt:

"Sections 4541(a)(2) and 4541(a)(3) of BBA 1997 change the payment 
of outpatient rehabilitation services from cost-based to a payment 
system based on the physician fee schedule. The regulatory changes are 
to conform our regulations to the provisions of the BBA 1997.

In addition to the changes directed by the statute, the following 
changes are being made in this rule to furnish information for 
identification of the outpatient rehabilitation services and for 
administrative purposes:

Specifying HCPCS as the coding system for rehabilitation 
services since it is used by the fee schedule in section 1848 of the 
Act.

Providing for discipline-specific modifiers to be used in 
coding services.

Providing for a code for nursing services performed in 
CORFs.

These administrative changes will have a negligible impact.

Section 4541(c) of BBA 1997 applies an annual per beneficiary limit 
of $1,500 to all outpatient physical therapy services (including 
speech-language pathology services) except for services furnished by a 
hospital outpatient department. A separate $1,500 limit also applies to 
all outpatient occupational therapy services except for services 
furnished by hospital outpatient departments. Therapy services 
furnished incident to a physician's professional services are also 
subject to these limits. The changes in this rule conform the 
regulations to the BBA 1997 provisions. The delay in full 
implementation, however, is discussed below.

There are several different types of providers that will be 
affected by this BBA 1997 provision. The largest providers are SNFs, 
outpatient rehabilitation facilities, and hospital outpatient 
departments. There are about 15,000 SNFs, 2,500 outpatient 
rehabilitation facilities, and about 5,600 outpatient hospital 
facilities. We determined that the services that would be affected by 
these changes account for about 15 percent of Medicare Part B payments 
to facilities.

http://www.nurse.net/medicare/regs/fedreg.58863.html

Is this what you need?

Bobbie7

Clarification of Question by jess05-ga on 17 Jan 2006 22:22 PST
Hi bobbie7,

That is the number I need, however the excerpt that you posted is from
1998. It would be extremely helpful to have a more recent estimate,
even from 2000 or later if it is possible.

Request for Question Clarification by bobbie7-ga on 18 Jan 2006 06:05 PST
Hello again Jess05!

Would this figure be helpful?

Bobbie7


35,000 rehabilitation facilities in Canada, the United States and Europe

"The Davis Center for Rehabilitation at Baptist Hospital provides a
full range of inpatient and outpatient rehabilitation services for
adults and children. Baptist Health?s overall commitment to excellence
has extended to this specialized field since 1976, when it began the
first private inpatient rehabilitation program in Miami-Dade County.
Baptist Hospital is accredited by the Rehabilitation Accreditation
Commission in four programs: inpatient rebabilitation; inpatient brain
injury rehabilitation; outpatient rehabilitation; and outpatient brain
injury rehabilitation. The commission is a private, not-for-profit
organization that currently accredits more than 35,000 rehabilitation
facilities in Canada, the United States and Europe. Our goal is to
return patients to their highest level of independence, and to
integrate them back to the community following their injury."

http://www.baptisthealth.net/bhs/en/health_services/topic/0,2368,3150_35210176,00.html

Clarification of Question by jess05-ga on 18 Jan 2006 09:40 PST
Hi bobbie7,

This is definitely an interesting number but adds a bit to the
confusion. If there are only 3,700 rehabilitation facilities in the
U.S. (1,200 inpatient and 2,500 outpatient)from the data already given
above, it seems strange that Canada and Europe would have an
additional 30,000+ rehab facilities between them (to make up the
number of 35,000).

Request for Question Clarification by bobbie7-ga on 18 Jan 2006 09:53 PST
Jess05,

This is very frustrating because of the different figures provided by
various sources.

I sent out an email to The American Academy of Physical Medicine and
Rehabilitation ( www.aapmr.org ) asking if they could give me an
appoximate number of rehabilitation facilities and hospitals in the
United States.

If they reply, I will let you know.

Best regards, 
Bobbie7
Answer  
There is no answer at this time.

Comments  
There are no comments at this time.

Important Disclaimer: Answers and comments provided on Google Answers are general information, and are not intended to substitute for informed professional medical, psychiatric, psychological, tax, legal, investment, accounting, or other professional advice. Google does not endorse, and expressly disclaims liability for any product, manufacturer, distributor, service or service provider mentioned or any opinion expressed in answers or comments. Please read carefully the Google Answers Terms of Service.

If you feel that you have found inappropriate content, please let us know by emailing us at answers-support@google.com with the question ID listed above. Thank you.
Search Google Answers for
Google Answers  


Google Home - Answers FAQ - Terms of Service - Privacy Policy