Table 4

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 (%)
MinimumMedianMean90th centile99th centileMaximum
All hospitals (n=112)
Community location
 Small urban/rural (n=10)
 Small rural/large urban (n=16)
 Medium metropolitan (n=22)
 Major metropolitan (n=64)
PCI capability in 2006
 None performed (n=78)
 1–11 (n=26)
 12–51 (n=3)0.080.380.340.570.570.57
 52+ (n=5)0.190.781.293.823.823.82
Patients with STEMI in 2006
 1–11 (n=53)
 12–51 (n=51)0.060.300.350.711.031.03
 52+ (n=8)0.430.991.313.823.823.82
Hospital revenue center*
 Cardiology procedures† (n=94/100)0.000.701.653.2818.9925.99
 Intensive or coronary care unit (n=105/107)0.000.440.641.363.134.31
 Radiology (n=112/112)
 Pharmacy (n=112/112)
Patient payment type*
 Medicare patients (n=110/112)
 Medicaid patients (n=47/112)0.020.330.481.272.712.71
 Commercial payer patients (n=86/112)
 Self-Pay/under-insured patients (n=55/112)0.070.461.082.0511.8911.89
 Charity patients (n=25/79)0.060.471.212.628.838.83
 Other (n=17/110)0.050.781.315.465.905.90
  • *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.