America's Hospitals: Prepared to Care

AMERICA'S HOSPITALS: PREPARED CARE то Hospitals provide our communities with unique services. No other part of the health care system can meet the quickly growing demand for the myriad of specialty services available at hospitals. Required to do more with less, hospitals maintain their distinctive role - always caring for those who cannot pay and responding promptly when disaster strikes. 24/7 ACCESS TO CARE 65% 54% of ED patients arrive outside of ED patients require treatment within 1 hour normal business hours 1 60 / / 30 MORE ED VISITS, FEWER EDS ED visits EDs EMERGENCY 1990 87 MILLION 4728 -522 +8 million EMERGENCY 1995 95 MILLION 4176 -242 +8 million EMERGENCY 2000 103 MILLION 3934 -139 +12 million EMERGENCY 2005 115 MILLION 3795 -50 +14 million EMERGENCY 2011 129 MILLION 3745 Hospitals must be prepared to treat more than 1,600 unique conditions and require LABORATORY RADIOLOGY PHARMACY staffing in multiple areas: SURGERY MATERNITY INTENSIVE CARE SAFETY NET EDs serve more Medicaid and uninsured patients 64% than physician offices ED 37% Physician 31% 25% 18% 18% 14% 3% Medicaid Uninsured Medicare Private Insurance PAYMENT GAPS AT HOSPITALS Medicare: $24 billion Uncompensated care: $41 billion Mędicaid: $8 billion TOTAL $71 BILLION SHORTFALLS EMERGENCY READINESS HOSPITALS PLAN FOR MULTIPLE DISASTERS 99% 98% 94% plan for plan for plan for CHEMICAL NATURAL EPIDEMICS DISASTERS DISASTERS 93% 81% 80% plan for plan for plan for BIOLOGICAL NUCLEAR EXPLOSIVE DISASTERS DISASTERS DISASTERS FEDERAL FUNDING FOR HOSPITAL PREPAREDNESS PROGRAM (in millions) $498 $471 $460 $415 $398 $391 $362 $253 $252 2004 2005 2006 2007 2008 2009 2010 2011 2012 American Hospital Association Sources: Ambulatory Health Care Data. Centers for Disease Control and Prevention. http://www.cdc.gov/nchs/ahcd.htm "Prepared to Care: The 24/7 Standby Role of America's Hospitals." American Hospital Association. http://www.aha.org/research/reports/preparedtocare.shtml American Hospital Association Annual Survey Data, 1990 to 2011.