We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Microsimulation of Financial Impact of Demand Surge on Hospitals: The H1N1 Influenza Pandemic of Fall 2009.
- Authors
Braithwaite, Sabina; Friedman, Bernard; Mutter, Ryan; Handrigan, Michael
- Abstract
Objective Microsimulation was used to assess the financial impact on hospitals of a surge in influenza admissions in advance of the H1N1 pandemic in the fall of 2009. The goal was to estimate net income and losses (nationally, and by hospital type) of a response of filling unused hospital bed capacity proportionately and postponing elective admissions (a 'passive' supply response). Methods Epidemiologic assumptions were combined with assumptions from other literature (e.g., staff absenteeism, profitability by payer class), Census data on age groups by region, and baseline hospital utilization data. Hospital discharge records were available from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample ( NIS). Hospital bed capacity and staffing were measured with the American Hospital Association's (AHA) Annual Survey. Results Nationwide, in a scenario of relatively severe epidemiologic assumptions, we estimated aggregate net income of $119 million for about 1 million additional influenza-related admissions, and a net loss of $37 million for 52,000 postponed elective admissions. Implications Aggregate and distributional results did not suggest that a policy of promising additional financial compensation to hospitals in anticipation of the surge in flu cases was necessary. The analysis identified needs for better information of several types to improve simulations of hospital behavior and impacts during demand surges.
- Subjects
UNITED States; MICROSIMULATION modeling (Statistics); H1N1 influenza; HOSPITAL admission &; discharge; BUSINESS management of hospitals; HOSPITAL medical staff; MEDICAL care costs
- Publication
Health Services Research, 2013, Vol 48, Issue 2pt2, p735
- ISSN
0017-9124
- Publication type
Article
- DOI
10.1111/1475-6773.12041