Financial effects of an influenza pandemic on US hospitals

Journal of Health Care Finance

Volumn 34, Issue 1, 2007, Pages 58-63

  Matheny, Jason ^a   Toner, Eric ^a   Waldhorn, Richard ^a  

^a UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

Author keywords

Bed use; Elective admissions; FluSurge; Hospitalization; Influenza pandemic; SARS

Indexed keywords

ARTICLE; DISEASE SEVERITY; HEALTH CARE COST; HEALTH CARE FINANCING; HEALTH CARE POLICY; HEALTH INSURANCE; HOSPITAL; HOSPITAL COST; HUMAN; INFLUENZA; PANDEMIC; UNITED STATES;

DISEASE OUTBREAKS; ECONOMICS, HOSPITAL; HOSPITALS; HUMANS; INFLUENZA A VIRUS; INFLUENZA, HUMAN; UNITED STATES;

EID: 34948817827     PISSN: 10786767     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (24)

1. Pandemic Influenza Plan: US Department of Health and Human Services, 2005.
2. Id.
3. The Public Health and Medical Response to Disasters: Federal Authority and Funding. Washington, DC: Congressional Research Service, 2006.
4. "Williams v. Fluconomics: Preserving Our Hospital Infrastructure During and After a Pandemic," Yale Journal of Health Policy, Law, and Ethics 7 no. 1 (2006): 99-152.
5. S.A. Lister, The Public Health and Medical Response to Disasters: Federal Authority and Funding: Congressional Research Service, 2006.
6. 9525.4 Medical Care and Evacuations: Federal Emergency Management Agency (Aug. 17, 1999).
7. The Fiscal Impact of the World Trade Center Attack on New York Hospitals: Greater New York Hospital Association, 2001.
8. M.J. Schull, T.A. Stukel, M.J. Vermeulen, A. Guttmann, M. Zwarenstein, "Surge Capacity Associated with Restrictions on Nonurgent Hospital Utilization and Expected Admissions During an Influenza Pandemic: Lessons from the Toronto Severe Acute Respiratory Syndrome Outbreak," Acad Emerg Med. 13 no 11 (Nov. 2006): 1228-1231.
9. S. Lim, T. Closson, G. Howard, M. Gardam, "Collateral Damage: The Unforeseen Effects of Emergency Outbreak Policies," Lancet Infect Dis. 4 no. 11 (Nov. 2004): 697-703.
10. C. Achonu, A. Laporte, and M.A. Gardam, "The Financial Impact of Controlling a Respiratory Virus Outbreak in a Teaching Hospital: Lessons Learned from SARS. Can J Public Health. 96 no. 1 (Jan.-Feb. 2005): 52-54.
11. Y.C. Chen, M.F. Chen, S.Z. Liu, J.C. Romeis, and Y.T. Lee, "SARS in Teaching Hospital, Taiwan," Emerg Infect Dis. 10 no. 10 (Oct. 2004): 1886-1887.
12. Supra n.3; C.H. Schultz and K.L. Koenig, "State of Research in High-Consequence Hospital Surge Capacity," Acad Emerg Med. 13 no. 11 (Nov. 2006): 1153-1156;
13. E. Toner, R. Waldhorn, B. Maldin, et al., "Hospital Preparedness for Pandemic Influenza," Biosecur Bioterror. 4 no. 2 (2006): 207-21 7;
14. C. Becker, "Influenza Economics. Providers and Suppliers Who Usually Reap Big Profits During Flu Season Might Find that a Pandemic Could Backfire on Their Bottom Lines," Mod Healthc. 35 no. 45 (Nov. 7 2005): 6-7, 16, 11.
15. X. Zhang, M.I. Meltzer, and P.M. Wortley, "FluSurge - A Tool to Estimate Demand for Hospital Services During the Next Pandemic Influenza," Med Decis Making. 26 no. 6 (Nov.-Dec. 2006): 617-623.
16. Hospital Statistics: 2007, Washington, DC: American Hospital Association, 2007.
17. Supra n.1.
18. N.A. Halpern, S.M. Pastores, and R.J. Greenstein, "Critical Care Medicine in the United States 1985-2000: An Analysis of Bed Numbers, Use, and Costs," Crit Care Med. 32 no. 6 (Jun. 2004): 1254-1259.
19. These are probably underestimates, as bed censuses are typically conducted at midnight, when occupancy is low, and as the percentage of staffed beds that are occupied may be significantly higher. A 2003 study of New Jersey hospitals found that 84 percent of set-up and staffed beds were occupied. 2006 Statistical Abstract of the United States: Table 12. Resident Population Projections by Sex and Age, US Census Bureau, 2006.
20. A Potential Influenza Pandemic: Possible Macroeconomic Effects and Policy Issues. Washington, DC: Congressional Budget Office, 2006.
21. Uncompensated Hospital Care Cost Fact Sheet: American Hospital Association (Oct. 2006).
22. See Toner, supra n.12.
23. Id.
24. Supra n.4.