Developments in health care in the United States are changing the delivery of services for providers and payors. This study focused on inpatient hospital discharges in the Syracuse hospitals and other services. It dem...Developments in health care in the United States are changing the delivery of services for providers and payors. This study focused on inpatient hospital discharges in the Syracuse hospitals and other services. It demonstrated that, during the past five years, numbers of inpatient adult medicine discharges had increased while adult surgery discharges had declined. This information suggested that adult medicine discharges could be expected to increase and approach levels of five years ago. It also suggested adult surgery discharges could be expected to remain at previous levels or decline. This information indicated that the combined emergency department visits declined from 238,000 to 202,000 between 2019 and 2020, then increased from 218,000 to 228,000 visits between 2021 and 2023. These developments will probably result in greater efficiency at the community level. With a decline in numbers of inpatient beds, providers will be able to focus on the more efficient management by reducing numbers of staff as well as fewer pharmaceuticals and testing.展开更多
Recent experience in some countries has suggested that the use of frugal innovations can be valuable. These initiatives can reduce health care expenses by substituting less costly services for more expensive ones and ...Recent experience in some countries has suggested that the use of frugal innovations can be valuable. These initiatives can reduce health care expenses by substituting less costly services for more expensive ones and by limiting the organizational costs of maintaining these programs. These approaches have been defined as doing more with less. This study described the use of frugal approaches to improve the efficiency of care by providers in the metropolitan area of Syracuse, New York. In these programs, numbers of hospital patient days were reduced by discharging patients to long term care services. Hospital emergency department utilization was also monitored and managed at the community wide level. The utilization of hospital admissions per population was also limited. The three programs described in this study were implemented with annual staff expenses of $127,000. This amounted to only about $42,000 annually per hospital. The development and use of these frugal innovations was made possible through cooperation among providers and use of a single organization, the Hospital Executive Council to coordinate the programs.展开更多
文摘Developments in health care in the United States are changing the delivery of services for providers and payors. This study focused on inpatient hospital discharges in the Syracuse hospitals and other services. It demonstrated that, during the past five years, numbers of inpatient adult medicine discharges had increased while adult surgery discharges had declined. This information suggested that adult medicine discharges could be expected to increase and approach levels of five years ago. It also suggested adult surgery discharges could be expected to remain at previous levels or decline. This information indicated that the combined emergency department visits declined from 238,000 to 202,000 between 2019 and 2020, then increased from 218,000 to 228,000 visits between 2021 and 2023. These developments will probably result in greater efficiency at the community level. With a decline in numbers of inpatient beds, providers will be able to focus on the more efficient management by reducing numbers of staff as well as fewer pharmaceuticals and testing.
文摘Recent experience in some countries has suggested that the use of frugal innovations can be valuable. These initiatives can reduce health care expenses by substituting less costly services for more expensive ones and by limiting the organizational costs of maintaining these programs. These approaches have been defined as doing more with less. This study described the use of frugal approaches to improve the efficiency of care by providers in the metropolitan area of Syracuse, New York. In these programs, numbers of hospital patient days were reduced by discharging patients to long term care services. Hospital emergency department utilization was also monitored and managed at the community wide level. The utilization of hospital admissions per population was also limited. The three programs described in this study were implemented with annual staff expenses of $127,000. This amounted to only about $42,000 annually per hospital. The development and use of these frugal innovations was made possible through cooperation among providers and use of a single organization, the Hospital Executive Council to coordinate the programs.
