Hospital Capacity, Patient Flow, and Emergency Department ...

[Pages:77]The Institute for Health, Health Care Policy and Aging Research

Hospital Capacity, Patient Flow, and Emergency Department Use in New Jersey

Derek DeLia, Ph.D.

A Report to the New Jersey Department of Health and Senior Services

September 2007

June 2007

Hospital Capacity, Patient Flow, and Emergency Department Use in New Jersey

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Rutgers Center for State Health Policy, September 2007

The Institute for Health, Health Care Policy and Aging Research

Hospital Capacity, Patient Flow, and Emergency Department Use in New Jersey

Derek DeLia, Ph.D.

A Report to the New Jersey Department of Health and Senior Services

September 2007

June 2007

Hospital Capacity, Patient Flow, and Emergency Department Use in New Jersey

iii

iv

Rutgers Center for State Health Policy, September 2007

Acknowledgements

The author gratefully acknowledges helpful comments and contributions received from a number of officials and staff within the Department of Health and Senior Services including David Gruber, Barbara Montana, Vince Yarmlak, and John Hazel. The report also benefited from comments and conversations with Bruce Siegel at George Washington University. Finally, important contributions were made by Cecilia Huang, Karen Jaffee, Joel Cantor, and Jeff Abramo at the Rutgers Center for State Health Policy.

Hospital Capacity, Patient Flow, and Emergency Department Use in New Jersey

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Rutgers Center for State Health Policy, September 2007

Table of Contents

Executive Summary ..................................................................................................................................ix Introduction ......................................................................................................................................... ......1 Literature Review ................................................................................................... ..2 Data Analysis ........................................................................................... ................14 Case Studies.............................................................................................................35 Discussion ..............................................................................................................46 Conclusion ................................................................................................................................................ 54 Appendix ................................................................................................................................................... 55 Endnotes.................................................................................................................................................... 59 References................................................................................................................................................. 61

Hospital Capacity, Patient Flow, and Emergency Department Use in New Jersey

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