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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
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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
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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
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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
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All Vermont Hospital Visits (2002)Excluding Diagnostic/Therapeutic Visits
18%
23%57%
2%
0%
IP Amb Surg ED Obs Series
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All Vermont Hospital Visits (2002)Excluding Diagnostic/Therapeutic Visits
66%
22%
9%
2%
1%
IP Amb Surg ED Obs Series
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Hospital Visits Via ED, by Age (Vermont Hospitals, 2002)
0
500
1000
1500
2000
2500
3000
3500
Year of Age
Female Male
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ED Visits by Age (Vermont Hospitals, 2002)
0
500
1000
1500
2000
2500
3000
3500
Year of Age
Female Male
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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
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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
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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%
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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
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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
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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
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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
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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
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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
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CONTACT INFORMATION
Lauri Scharf or Greg Farnum
Vermont Explor
148 Main Street, Montpelier VT 05602
(802) 223-3461