Medical Staff

Fewer inpatient and elective cases, more ED cases on the rise

Hospitalist Leadership Connection, April 28, 2009

With the economic downturn, more Americans are forgoing inpatient and elective services and seeking more emergency services, according to the American Hospital Association (AHA) report, “The Economic Crisis: The Toll on the Patients and Communities Hospitals Serve,” released on Monday.

In the survey of more than 1,000 community hospital CEOs, AHA found that the recession has affected both hospitals and patients.

Nine out of 10 hospitals are cutting back due to the economy, and most of those changes affect administrative expenses (80% of those surveyed). Other cost-savings initiatives include reducing staff (48%) and reducing services(22%), such as behavioral health, post-acute care, and patient education.

Most hospitals reported that financial health continues to deteriorate, and they are seeking financial support for on-call compensation and/or employment.

The current financial trends are “jeopardizing care for communities,” according to the report.

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