Part 2 Services of the Continuum

Chapter 4 Hospitals

Number of Hospitals 8,000 7,123 7,000 6,876 6,965 6,788 6,649 6,376 6,125 6,000 6,097 SOURCE: AHA, 2003. Hospital Statistics 2003 edition, Health Forum, LLC, An American Hospital Association Company, copyright 2003. Located in The Continuum of Long-Term Care 3rd Ed. Adapted from Table 14.2 5,810 5,794 5,000 1946 1950 1960 1970 1980 1990 1996 1997 2000 2002 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Number of Hospital Beds (in thousands) 1700 1658 1616 1600 1500 1456 1436 1372 1400 1300 1213 1200 1150 1100 SOURCE: AHA, 2003. Hospital Statistics 2003 edition, Health Forum, LLC, An American Hospital Association Company, copyright 2003. Located in The Continuum of Long-Term Care 3rd Ed. Adapted from Table 14.2 984 1000 976 900 800 1946 1950 1960 1970 1980 1990 1997 2000 2002 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Hospital Patient Days by Age 46% Under age 65 54% Over age 65 SOURCE: AHA, Trend Analysis Group (1998-2002) National Hospitals Indicators Survey data for 1998: 4-2001:4: Reported by CMS on http://www.cms.hhs.gov/statistics. Hospital Statistics 2003 edition, Health Forum LLC, An American Hospital Association Company, copyright 2003. Located in the Continuum of Long-Term Care, 3rd Edition : Figure 4.2 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Hospital Patient Days (per 1,000 population, for selected community hospitals) 400 350 375 300 250 200 150 SOURCE: American Hospital Association. (1998). Trend Analysis Group: National Panel Survey Reports. Chicago, June 1994-98. Reported by the HCFA in their webpage: www.hcfa.gov/stats. 100 50 84 Under age 65 Over age 65 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Sources of Payment for Hospital Care, 2000 (total = $412.1 billion) Out-of- Other Private 5.3% pocket 3.2% Private Insurance 32.5% Other Gov't. 12.3% SOURCE: Health, United States, 2002, Table 117 Medicaid 17% Medicare 30.5% Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Rehabilitation Facilities in the U.S. 1985-2001 1400 Rehab Hospitals 1200 1000 Long-Term Care 800 Hospitals 600 CORFs 400 SOURCE: American Hospital Association, 2003. Adapted from Continuum of Long-Term Care, 3rd Edition. Figure 22.1 200 Rehab Units 1985 1989 1993 1999 2001 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Psychiatric Hospitals Nonfederal psychiatric hospitals, 2002: 477 of 4927 total community hospitals, or about 9% Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.

Long-Term Care Hospitals 250 2001 1997 200 150 1993 100 1982 SOURCE: Korbin Lui, Cristina Baseggio, Douglas Wissoker, Stephanie Maxwell, Jennifer Haley, and Sharon Long, Long-Term Care Hospitals Under Medicare: Facility-Level Characteristics. Health Care Financing Review, Vol 23, No 2, Winter 2001, pp 1-18. 50 Copyright © 2005 by Thomson Delmar Learning. ALL RIGHTS RESERVED.