1. acute (ALOS <25 days) vs. long-term care (must meet Medicare guidelines/patients with complex medical needs)
2. general hospital
3. specialty hospital
4. psychiatric hospital (long-term)
5. rehabilitation hospital
6. children’s hospital

Whagt are the different hospita types by ownership?

Hospital Ownership: Public (Government ownership): state/local or VA (Fed)—22%

1. Private nonprofit—58%
2. Private for-profit (Proprietary—for-profit corporations)—20%

overnight stay in health care facility

institution with at least 6 beds; delivers diagnostic/treatment services; must be licensed with physician staff and continuous nursing services with RN supervision

Hospitals must be licensed to operate; state government oversight; physical compliance with safety (fire, climate control, space, etc.) 

required only for Medicare/Medicaid; if it serves a federal function; and must comply with federal health/quality standards

decreased by half since 1980 – 2008 (7.5 to 3.8

Federal (12 days); state/local (6); non-profit and profit (5)

Low in 1940s, peaked in 80s, declined slightly in 90s, went up again in 2000s

• Inpatient use has plummeted while outpatient use has soared. 1970s both were small. Inpatient hospital use peaked in 1980s; Outpatient use tripled since 1970 (when it was lower than inpatient)
• Occupancy rate community hospitals: 1960 – 1980 (75 – 78%); 1980 – 2008 (65 – 68%)
• Expenses (inpatient/day): 50 – 100 beds most economical ($1063/patient); >100 trends upwards incrementally. Most expensive = 500+ beds ($2188/patient)

Heath care expenditures per capita by service:

Higher than Canada – hospital care, Prescription Drugs, Nursing Home Care

·         Lower than Canada – Physician & Clinical Services, Home Health Care