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NAPH Annual Survey Shows Increasingly Important Role of Safety Net Hospitals
National Association of Public Hospitals and Health Systems' annual member survey shows increasing inpatient and outpatient volume for safety net systems and critical need for continued federal and state support.
NAPH's annual member characteristics report, America's Safety Net Hospitals and Health Systems, 2010, found that NAPH members delivered increasing levels of outpatient and inpatient services and that uninsured patients accounted for 30 percent of ambulatory care visits and 19 percent of inpatient services.
"Our members serve large patient volumes and many of the nation's most vulnerable citizens, often with limited resources," NAPH President and CEO Bruce Siegel, MD, MPH, said. "Yet, even with these challenges, NAPH members maintain high levels of quality through innovative practices."
But, he cautioned, the careful balance NAPH members have achieved providing quality care with constrained resources could be upset by policy changes that further erode federal and state funding for hospitals that provide a disproportionate share of uncompensated care. "We must not lessen our commitment to safety net providers or assume their ability to do more with less means additional cuts won't harm care."
The 52-page report was developed by the National Public Health and Hospital Institute (NAPH's research affiliate) based on an annual NAPH member survey. It underscores the importance of Medicaid disproportionate share hospital (DSH) payments and other government support to safety net hospitals. The average margin for NAPH hospitals was 2.3 percent in 2010 compared with 7.2 percent for all hospitals nationwide. Without Medicaid DSH, the report noted, NAPH member hospitals would have suffered a 6.1 percent loss. Without DSH and other supplemental Medicaid payments, the loss would have increased to 10.6 percent.
In other survey findings for 2010:
* On average, NAPH members reported almost three times the volume of inpatient admissions seen in other acute care hospitals and exceeded average admissions within their markets by 44 percent.
* NAPH members provided nearly $128 billion in total inpatient and outpatient services, nearly half of which was for low-income patients.
* NAPH members trained more than 19,000 full-time equivalent (FTE) medical and dental residents and more than 300 FTE allied health professionals.
* Of NAPH member costs, 16 percent were uncompensated, compared with 6 percent of costs for hospitals nationally.
* NAPH members represented 37 percent of the level 1 trauma care and 57 percent of the burn care beds in the 10 largest U.S. cities. In 31 communities nationwide, NAPH members are either the only level 1 trauma center or the only trauma center of any level.
The full report and an executive summary are available as complimentary downloads at www.naph.org/