Table 3

PRLs resulting from proposed diversion of STEMI patients and ACS* patients away from referral hospitals with low or no PCI capability: summary results

Summary level for community hospital financial dataPatients with STEMI total charges† (n=2082)All patients with ACS total charges† (n=12 228)All patients total charges† (n=814 831)Annual projected loss per $100 of total revenue
Patients with STEMI
Annual projected loss per $100 of total revenue
ACS* patients
Florida totals$16 500$86 494$5 004 176$0.33 (CI $0.33 to $0.33)$1.73 (CI $1.73 to $1.73)
Community location
 Rural/non-metro$251$2017$102 420$0.24 (CI 0.24 to 0.25)$1.97 (CI 1.97 to 1.97)
 Small metro/urban11168052531 3110.21 (CI 0.21 to 0.21)1.51 (CI 1.51 to 1.52)
 Medium metro332815 742837 8400.40 (CI 0.40 to 0.40)1.88 (CI 1.88 to 1.88)
 Major metro11 80660 6813 532 6040.33 (CI 0.33 to 0.33)1.72 (CI 1.72 to 1.72)
PCI capability in 2006
 None performed$8964$52 743$3 170 838$0.28 (CI 0.28 to 0.28)$1.66 (CI 1.66 to 1.66)
 1–11275820 4741 248 0340.22 (CI 0.22 to 0.22)1.64 (CI 1.64 to 1.64)
 12–515192003140 4230.37 (CI 0.37 to 0.37)1.42 (CI 1.42 to 1.43)
 52+425911 273444 8800.96 (CI 0.96 to 0.96)2.53 (CI 2.53 to 2.53)
Patients with STEMI in 2006
 1–11$2020$19 270$1 728 659$0.12 (CI 0.12 to 0.12)$1.11 (CI 1.11 to 1.11)
 12–51838451 246$2 712 5590.31 (CI 0.31 to 0.31)1.89 (CI 1.89 to 1.88)
 52+609615 977562 9581.08 (CI 1.08 to 1.08)2.84 (CI 2.84 to 2.84)
Hospital revenue center
 Cardiology procedures§1683660874 0132.27 (CI 2.27 to 2.28)8.93 (CI 8.92 to 8.93)
 MICU/CCU741043 3361 254 3090.59 (CI 0.59 to 0.59)3.45 (CI 3.45 to 3.46)
 Radiology5723805326 9200.17 (CI 0.17 to 0.18)1.16 (CI 1.16 to 1.17)
 Pharmacy221310, 464579 7010.38 (CI 0.38 to 0.38)1.81 (CI 1.80 to 1.81)
Patients by payer
 Medicare$10 150$62 336$2 785 263$0.36 (CI 0.36 to 0.36)$2.24 (CI 2.24 to 2.24)
 Medicaid12244800534 9370.23 (CI 0.23 to 0.23)0.90 (CI 0.90 to 0.90)
 Commercia364112 7751 200 4740.30 (CI 0.30 to 0.30)1.06 (CI 1.06 to 1.07)
 Self-pay/underinsured10514441288 7550.36 (CI 0.36 to 0.36)1.54 (CI 1.54 to 1.54)
 Charity3171450105 1930.30 (CI 0.30 to 0.30)1.38 (CI 1.38 to 1.38)
 Other11769189 5530.13 (CI 0.13 to 0.13)0.77 (CI 0.77 to 0.77)
  • *Includes patients with principal diagnosis of STEMI, NSTEMI, or unstable angina.

  • †Charges shown in $1000.

  • §Cardiology procedures include angiocardiography, cardiac catheterisation laboratory, cardiology, EKG and ECG.

  • ACS, acute coronary syndrome; CCU, cardiac care unit; MICU, Medical intensive care unit; NSTEMI, non-ST elevation myocardial infarction; PCI, percutaneous coronary intervention; PRL, projected revenue loss; STEMI, ST-elevation myocardial infarction.