PRLs resulting from proposed diversion of STEMI patients away from referral hospitals with low or no PCI capability: individual hospital results
| Summary level for community hospital financial data (n=number of hospitals) | Annual PRL (%) | |||||
|---|---|---|---|---|---|---|
| Minimum | Median | Mean | 90th centile | 99th centile | Maximum | |
| All hospitals (n=112) | 0.01 | 0.20 | 0.33 | 0.74 | 1.68 | 3.82 |
| Community location | ||||||
| Small urban/rural (n=10) | 0.05 | 0.22 | 0.29 | 0.66 | 0.93 | 0.93 |
| Small rural/large urban (n=16) | 0.02 | 0.11 | 0.20 | 0.48 | 0.72 | 0.72 |
| Medium metropolitan (n=22) | 0.04 | 0.27 | 0.40 | 0.94 | 1.68 | 1.68 |
| Major metropolitan (n=64) | 0.01 | 0.20 | 0.33 | 0.74 | 3.82 | 3.82 |
| PCI capability in 2006 | ||||||
| None performed (n=78) | 0.01 | 0.22 | 0.29 | 0.71 | 1.19 | 1.19 |
| 1–11 (n=26) | 0.01 | 0.11 | 0.25 | 0.72 | 1.68 | 1.68 |
| 12–51 (n=3) | 0.08 | 0.38 | 0.34 | 0.57 | 0.57 | 0.57 |
| 52+ (n=5) | 0.19 | 0.78 | 1.29 | 3.82 | 3.82 | 3.82 |
| Patients with STEMI in 2006 | ||||||
| 1–11 (n=53) | 0.01 | 0.09 | 0.15 | 0.38 | 0.93 | 0.93 |
| 12–51 (n=51) | 0.06 | 0.30 | 0.35 | 0.71 | 1.03 | 1.03 |
| 52+ (n=8) | 0.43 | 0.99 | 1.31 | 3.82 | 3.82 | 3.82 |
| Hospital revenue center* | ||||||
| Cardiology procedures† (n=94/100) | 0.00 | 0.70 | 1.65 | 3.28 | 18.99 | 25.99 |
| Intensive or coronary care unit (n=105/107) | 0.00 | 0.44 | 0.64 | 1.36 | 3.13 | 4.31 |
| Radiology (n=112/112) | 0.00 | 0.14 | 0.19 | 0.40 | 0.77 | 1.21 |
| Pharmacy (n=112/112) | 0.01 | 0.22 | 0.40 | 0.86 | 2.82 | 3.66 |
| Patient payment type* | ||||||
| Medicare patients (n=110/112) | 0.02 | 0.27 | 0.37 | 0.75 | 1.55 | 3.93 |
| Medicaid patients (n=47/112) | 0.02 | 0.33 | 0.48 | 1.27 | 2.71 | 2.71 |
| Commercial payer patients (n=86/112) | 0.01 | 0.18 | 0.40 | 0.93 | 3.77 | 3.77 |
| Self-Pay/under-insured patients (n=55/112) | 0.07 | 0.46 | 1.08 | 2.05 | 11.89 | 11.89 |
| Charity patients (n=25/79) | 0.06 | 0.47 | 1.21 | 2.62 | 8.83 | 8.83 |
| Other (n=17/110) | 0.05 | 0.78 | 1.31 | 5.46 | 5.90 | 5.90 |
*For each revenue centre and payment type, in the labels below the numerator=the # of hospitals with non-zero charges for patients with STEMI and the denominator=the # of hospitals with non-zero charges for all patients.
†Cardiology procedures include angiocardiography, cardiac catheterisation laboratory, cardiology, EKG and ECG.
PCI, percutaneous coronary intervention; PRL, projected revenue loss; STEMI, ST-elevation myocardial infarction.