VERMONT ED DATA

• All Vermont acute hospitals (VA thru ’02)

• Began collection in January 2001

• All ED visits – ($0, Fastrack, follow-ups specified in 2002)

• Almost 200,000 ED visits per year– Plus 29,000 more who end up elsewhere

• Source of most injury data

• Limited by staff capacity, coding practices

VERMONT EXPLOR

• Part of VAHHS (hospital association)

• Hospitals submit quarterly to us

• Major responsibilities:– Provide reports/data to member hospitals– Process hospital data to BISHCA/VDH– Provide reports/data to VDH

• Phone: (802) 223-3461

All Vermont Hospital Visits (2002)Excluding Diagnostic/Therapeutic Visits

0

50,000

100,000

150,000

200,000

250,000

IP Amb Surg ED Obs

Male

Female

All Vermont Hospital Visits (2002)Excluding Diagnostic/Therapeutic Visits

$0

$100

$200

$300

$400

$500

$600

$700

IP Amb Surg ED Obs

MIL

LIO

NS Male

Female

All Vermont Hospital Visits (2002)Excluding Diagnostic/Therapeutic Visits

18%

23%57%

2%

0%

IP Amb Surg ED Obs Series

All Vermont Hospital Visits (2002)Excluding Diagnostic/Therapeutic Visits

66%

22%

9%

2%

1%

IP Amb Surg ED Obs Series

Hospital Visits Via ED, by Age (Vermont Hospitals, 2002)

0

500

1000

1500

2000

2500

3000

3500

Year of Age

Female Male

ED Visits by Age (Vermont Hospitals, 2002)

0

500

1000

1500

2000

2500

3000

3500

Year of Age

Female Male

Total Charges for Visits Via ED, by Age (Vermont Hospitals, 2002)

$-

$500,000

$1,000,000

$1,500,000

$2,000,000

$2,500,000

$3,000,000

$3,500,000

$4,000,000

$4,500,000

Female Male

Total Charges for Visits to ED, by Age (Vermont Hospitals, 2002)

$-

$200,000

$400,000

$600,000

$800,000

$1,000,000

$1,200,000

Female Male

Visits Via ED: Principal Diagnosis Ages 18 to 22

OTH ABDOMEN/PELVIS SX 986 4.1%

SPRAIN OF ANKLE & FOOT 567 2.4%

SPRAIN OF BACK NEC/NOS 556 2.3%

OTHER DENTAL DISORDER 510 2.1%

INJURY NEC/NOS 499 2.1%

ACUTE PHARYNGITIS 469 2.0%

CONTUSION OF UPPER LIMB 451 1.9%

OPEN WOUND OF FINGER 449 1.9%

RESP SYST/OTH CHEST SX 421 1.8%

BACK DISORDER NEC & NOS 416 1.7%

All Visits 23994 100.0%

Visits Via ED: Principal Diagnosis All Others

RESP SYST/OTH CHEST SX 6949 4.1%

OTH ABDOMEN/PELVIS SX 5936 3.5%

GENERAL SYMPTOMS 5623 3.3%

BACK DISORDER NEC & NOS 3484 2.1%

INJURY NEC/NOS 3046 1.8%

OTHER OPEN WOUND OF HEAD 3044 1.8%

SPRAIN OF BACK NEC/NOS 2902 1.7%

SX INVOLVING HEAD/NECK 2710 1.6%

OPEN WOUND OF FINGER 2680 1.6%

SPRAIN OF ANKLE & FOOT 2613 1.5%

All Visits 168814 100.0%

Percent of Patients by Payer(Vermont Hospitals, 2002)

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Blue

Cro

ss /

Blue

Shie

ld

Cham

pus

Com

mer

cial

HMO

Med

icaid

Med

ically

Indig

ent /

Fre

e

Med

icare

Oth

erG

over

nmen

tPl

ans

Self P

ay

Wor

kers

Com

p

ED

IP

Percent of Patients Under Age 65 by Payer(Vermont Hospitals, 2002)

0%

5%

10%

15%

20%

25%

30%

35%

Blue

Cro

ss /

Blue

Shie

ld

Cham

pus

Com

mer

cial

HMO

Med

icaid

Med

ically

Indig

ent /

Fre

e

Med

icare

Oth

erG

over

nmen

tPl

ans

Self P

ay

Wor

kers

Com

p

ED

IP

ED as Source, by Sex (Vermont Hospitals, 2002)

35%

3%

50%

40%

5%

60%

0%

10%

20%

30%

40%

50%

60%

70%

IP Amb Surg Obs

Female

Male

Last Place Seen in Hospital, by Sex (Vermont Hospitals, 2002)

99,228 11,703 2,034

1,435

93,578 10,167 1,595

1,794

0%

50%

100%

ED IP Obs Amb Surg

Male

Female

Last Place Visited, by Sex (Vermont Hospitals, 2002)

$45,881,120 $120,555,537 $5,170,990$2,532,683

$42,601,830 $113,286,548 $4,132,024$2,922,447

0%

50%

100%

ED IP Obs Amb Surg

Male

Female

Total Charges by Last Place Seen in Hospital, ED as Source(Vermont Hospitals, 2002)

$0

$20,000,000

$40,000,000

$60,000,000

$80,000,000

$100,000,000

$120,000,000

$140,000,000

ED IP Obs Amb Surg

Female

Male

CONTACT INFORMATION

Lauri Scharf or Greg Farnum

Vermont Explor

148 Main Street, Montpelier VT 05602

(802) 223-3461

lauri@vtexplor.org