Hello dstorrs-ga,
There was a delay in releasing this question to be answered until this
evening. I started on it immediately and I hope that what I?ve found
will be useful.
A recent report issued by the American College of Emergency Physicians
answers your primary questions about how many emergency
rooms/departments there are in the US and shows that there is a
definitely decline in the number of these facilities over the past few
years.
In addition I?ve collected a variety of resources to help you get a
handle on emergency room staffing, utilization, budgets and funding.
As I was doing my research I collected some websites for
organizations, portals and publications that should help you to
continue your research.
I wish you well with your new product and business plan.
~ czh ~
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NUMBER OR EMERGENCY ROOMS / DEPARTMENTS IN US AND TREND LINE
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http://www.acep.org/webportal/Newsroom/AboutEmergencyMedicine/StatisticsAndData/EmergencyMedicineStatisticalProfile.htm
American College of Emergency Physicians
Emergency Medicine Statistical Profile
Emergency Departments
2003 total 4,079
2002 total 4,037
2001 total 4,045
2000 total 4,148
1999 total 4,103
1993 total 4,791
Other Statistics (for trend information)
-- 703 hospitals closed between 1993 and 2003 (American Hospital Association)
-- 718 EDs closed between 1993 and 2003. (14.98%)
-- The number of ED visits increased 18.26% between 1993 and 2003.
Also includes following information:
-- Emergency Physicians
-- Emergency Nurses
-- Emergency Department Visits
-- Emergency Department Residency Programs
-- EMS Providers
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http://www.hschange.com/CONTENT/312/
Emergency Room Diversions: A Symptom of Hospitals Under Stress
Issue Brief No. 38
May 2001
Table 1
Change in Hospital Capacity, 1994-1999
***** See table for changes (mostly downward trend) in number of
emergency rooms and ICU beds.
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EMERGENCY ROOM TRENDS ? NEWS, ARTICLES, REPORTS
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http://lewis.sppsr.ucla.edu/publications/studentreports/2005_mihalmoilanen.pdf
When Emergency Rooms Close: Ambulance Diversion in the West San Fernando Valley
UCLA School of Public Affairs
April 23, 2005
***** This is a 51-page paper about temporary closings of emergency
rooms and the impact of the resulting patient diversions.
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http://www.tsged.com/Articles/Articles.htm
The Schumacher Group
Changing the Focus of Emergency Room Management
***** This site offers a large collection of articles dealing with all
facets of current emergency room management.
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http://www.tsged.com/ED_Survey.htm
Emergency Department Survey
For the past few years, The Schumacher Group has gathered statistics
from Emergency Departments and compiled them into yearly reports.
***** The reports are based on surveys of thousands of emergency room
staff and give you insights about staffing, budgeting, funding and
many other issues.
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BUDGET / FUNDING FOR EMERGENCY DEPARTMENTS / ROOMS
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http://www.answers.com/topic/health-care-in-the-united-states
Health care in the United States
http://enewsletter.cygnuspub.com/EM/EM_july04_AOI.htm
CDC Report Finds High Burden of Uncompensated Emergency Care Not
Offset by Public Funding
Declining Payments Jeopardize Nation's Health Care Safety Net
Washington, DC - Uncompensated care continues to place the nation's
emergency departments in jeopardy. Increasing numbers of uninsured and
limited Medicaid reimbursements are placing a third of the nation's
emergency departments at risk of closing or eliminating emergency
services, according to a Centers for Disease Control and Prevention
report released in May.
The new report identifies over one-third (36 percent) of the emergency
departments in the study as carrying a high safety-net burden, which
is defined as those that serve at least 30 percent Medicaid eligible
patients; 30 percent uninsured; or a total of 40 percent of patients
falling into either category. The analysis also finds that public
funding does not necessarily offset this high safety-net burden.
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http://www.acep.org/webportal/MemberCenter/Periodicals/EMToday/EM+TodayArchive/Archive+2004/EMTodayAugust92004/EMTodayAugust92004ACEPRequeststhat1BillioninFundinggotoEmergencyPhysicians.htm
ACEP Requests that $ 1 Billion in Funding go to Emergency Physicians
August 9, 2004
EM Today
The Centers for Medicare and Medicaid Services (CMS) released a policy
paper last month outlining the proposed implementation for $1 billion
in funding to help hospitals, physicians and other health care
providers recoup the costs of providing needed medical care to illegal
immigrants.
ACEP Council Vice-Speaker Todd Taylor, MD, participated in a CMS forum
to discuss this funding, and urged CMS to use the funds to help reduce
the strain on hospital emergency departments and emergency physicians.
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http://www.acep.org/webportal/Newsroom/PressReleases/General/Archive2004/NewResearchShowsMajorityofAmericansSupportIncreasedGovernmentFundingofEmergencyMedicalCare.htm
New Research Shows Majority of Americans Support Increased Government
Funding of Emergency Medical Care
Monday, October 18, 2004
Americans Highly Aware Emergency Departments Are Overcrowded,
Underfunded; Lack Awareness of Personal Impact
San Francisco, CA-Knowing emergency departments are overcrowded and
underfunded, one in two American voters (55 percent) say government
should increase funding for hospital emergency departments, according
to the results of a survey released today here at the American College
of Emergency Physicians' (ACEP) annual meeting.
As a powerful testament to the importance of maintaining access to
emergency medical care, the opinion poll of 800 American voters found
they are highly aware of the challenges facing emergency departments
today.
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STAFFING ISSUES IN EMERGENCY DEPARTMENTS / ROOMS
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http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?CMD=search&DB=pubmed
Search: emergency room staffing
Search results: 60 hits.
***** Several of the articles in the first page of results look
relevant to your enquiry. I believe it would be useful to you to
continue your explorations by searching for any aspect of emergency
medicine that relates to your business plan.
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http://www.findarticles.com/p/articles/mi_m0843/is_3_31/ai_n13817772
Specialist shortage shakes emergency rooms; More hospitals forced to
pay for specialist care
Physician Executive, May-June, 2005
Average Daily Specialist Stipends
Compensation varies significantly from hospital to hospital because
call needs are different. These are averages for selected specialties,
not lows and highs.
ENT $250 to $500
General Surgeons $300 to $600
Neurologists $100 to $400
Neurosurgeons $400 to $1,200
Obstetricians $275 to $500
Orthopedists $350 to $800
Urologists $50 to $350
***** This is a lengthy article that discusses the changing landscape
in on-call coverage by physicians in the emergency room.
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https://thci.org/other_resources/topic1112_01.htm
Topic of the Month, November/December 2001Emergency Department
Utilization: Trends and Management
In this month's piece we briefly describe the reasons for rising
utilization of emergency department (ED) services in the U.S., and
strategies and techniques that insurers and providers are using to
manage this utilization.
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UTILIZATION ISSUES IN EMERGENCY DEPARTMENTS / ROOMS
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http://www.acep.org/webportal/Newsroom/AboutEmergencyMedicine/StatisticsAndData/FactsaboutACEPandEmergencyMedicine.htm
Table
EMERGENCY DEPARTMENT UTILIZATION 1973 - 2002
YEAR E.D. VISITS % INCREASE (DECREASE)
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http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=15190974&query_hl=3
Crit Care Med. 2004 May;32(5):1207-14.
Critical care medicine as a distinct product line with substantial
financial profitability: the role of business planning.
Bekes CE, Dellinger RP, Brooks D, Edmondson R, Olivia CT, Parrillo JE.
Robert Wood Johnson Medical School, Camden, NJ, USA.
OBJECTIVE: As academic health centers face increasing financial
pressures, they have adopted a more businesslike approach to planning,
particularly for discrete "product" or clinical service lines. Since
critical care typically has been viewed as a service provided by a
hospital, and not a product line, business plans have not historically
been developed to expand and promote critical care. The major focus
when examining the finances of critical care has been cost reduction,
not business development. We hypothesized that a critical care
business plan can be developed and analyzed like other more typical
product lines and that such a critical care product line can be
profitable for an institution.
CONCLUSIONS: We were able to define the critical care product line,
and we were able to demonstrate profitability through an analysis of
revenue and expenses related to critical care services. Our experience
suggests that the concept of critical care as a product line, in
addition to a hospital service, may lead to a useful analysis of this
new discipline. This plan provided a rational foundation for
development of the operating and capital budgets for the health
system.
***** Read the abstract and then decide if this article is relevant to
your business plan. Critical care is closely related to emergency
care.
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http://www.namiscc.org/News/2004/Spring/EMR-Increases.htm
Emergency Departments See Dramatic Increase in People with Mental
Illness Seeking Care
NYAPRS Note: In light of the effects that state budget cutbacks to
Medicaid will have on funding for treatment and services for people
with mental illness, NAMI, the American Psychiatric Association (APA),
and the National Mental Health Association (NMHA) have joined forces
with the American College of Emergency Physicians (ACEP) to raise
awareness of the damaging consequences of such funding cuts.
Release of this report demonstrates the "unintended consequences" of
limited access to mental health treatment. The survey of 340 emergency
department physicians, highlights the perceived reasons for increased
ER visits from people in psychiatric distress, consequences on the
quality of care due to increased utilization, and perceived reasons
for the sudden increase.The key finding is that more than 60 percent
of emergency department physicians report seeing an increase in
patients presenting with psychiatric emergencies in the past 6 to 12
months.
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http://www.cdc.gov/nchs/pressroom/04facts/safetynet.htm
National Center for Health Statistics
New Report Studies Emergency Departments Serving High Volumes of
"Safety-Net" Patients
May 21, 2004
Characteristics of Emergency Departments Serving High Volumes of
Safety-net Patients: United States, 2000.
Series Report 13, Number 155. 23 pp. (PHS) 2004-1726
An analysis of 2000 data shows that approximately one-third of all
U.S. hospital emergency departments serve a disproportionately high
number of Medicaid and uninsured patients. These hospitals serve as a
safety net in communities whose residents are more likely to be low
income, uninsured, or Medicaid recipients, and where there are fewer
primary care services available.
The findings, published in a new report from the Centers for Disease
Control and Prevention?s (CDC) National Center for Health Statistics,
describe the characteristics of ?high safety-net? emergency
departments. The study examined hospital, community, and patient
factors associated with serving safety-net populations as well as the
receipt of public funding.
Some 36 percent of the Nation?s emergency departments are considered
high safety-net, defined as those where at least 30 percent of the
patients are Medicaid eligible; 30 percent are uninsured; or a total
of 40 percent of the patients fall into either category. The majority
of the high safety-net emergency departments were in this category,
with moderate levels of both uninsured and Medicaid recipients.
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EMERGENCY MEDICINE ? ORGANIZATIONS, DIRECTORIES, PORTALS, PUBLICATIONS
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http://www.hospitalconnect.com/aha/resource_center/fastfacts/fast_facts_US_hospitals.html
American Hospital Association
Resource Center: Fast Facts from AHA Hospital Statistics
http://www.ahaonlinestore.com/ProductDisplay.asp?ProductID=61&cartID=3042128
AHA Hospital Statistics
The Comprehensive Reference Source for Analysis and Comparison of Hospital Trends
210 pages
Catalog no. WS-082005
2005 edition book only $235.00 / Member $155.00
Catalog no. WS-082205
2005 edition book & CD-ROM combination $630.00 / Member $330.00
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http://www.ena.org/
Emergency Nurses Association
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http://www.emedprofessional.com/
EMedProfessional.com was developed as a comprehensive resources for
emergency medical professionals, first responders, and anyone
concerned with disaster prevention and preparedness.
Current topics include: emergency medical communication systems, ER
diversion, mass casualty incidents, response to natural disasters,
medical surveillance for bio-terrorism, nuclear-biological-chemical
threats, emergency dispatch, emergency preparedness education, grants
for emergency preparedness, governmental and public agencies and
relevant legislation.
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SEARCH STRATEGY
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emergency rooms OR departments in us
emergency rooms closed
emergency room OR department funding OR budget
emergency room staffing trends OR statistics
funding emergency rooms OR departments
us funding emergency rooms OR departments |
