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Estimates of Hawai`i’s Uninsured from Hospital Emergency Department & Inpatient Data—the Latest Update

Estimates of Hawai`i’s Uninsured from Hospital Emergency Department & Inpatient Data—the Latest Update. The Hawaii Coverage for All Project Technical Workshop VIII January 30, 2006 Susan Forbes, DrPH Jill Miyamura, PhD Hawaii Health Information Corporation.

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Estimates of Hawai`i’s Uninsured from Hospital Emergency Department & Inpatient Data—the Latest Update

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  1. Estimates of Hawai`i’s Uninsuredfrom Hospital Emergency Department & Inpatient Data—the Latest Update The Hawaii Coverage for All Project Technical Workshop VIII January 30, 2006 Susan Forbes, DrPH Jill Miyamura, PhD Hawaii Health Information Corporation

  2. Why does ED and hospital data matter? • Extensive literature on the inferior health status of the uninsured • Extensive literature on the negative impact that lack of insurance has on the stability of the health system • Evidence that the uninsured use the ED for primary care • Provides yet another view of the issues involved

  3. Data Sources • Data submitted monthly by hospitals to Hawaii Health Information Corporation • All emergency departments except Tripler, Kahuku and Molokai • All acute care hospitals (inpatient data)

  4. Uninsured ED Visits

  5. Uninsured ED Visits by Sex

  6. Uninsured ED Visits by Sex and Age, 2004

  7. Uninsured ED Visits by Island

  8. Top 10 Reasons for ED Visit by Insured Status, 2002

  9. Top 10 Reasons for ED Visit by Insured Status, 2004

  10. Inpatient Admissions from ED by Status

  11. Top 10 Reasons for Admission from ER by Insured Status 2004

  12. Preventable Hospitalization by Insurance Status

  13. Preventable Hospitalizations by Payer

  14. Preventable Hospitalizations Charges by Payer

  15. Preventable Hospitalizations ALOS by Payer

  16. Preventable Hospitalizations by County

  17. Preventable Hospitalizations by County and Insured Status

  18. ED Charge per Visit by Insured Status

  19. ED Charge per Visit by Payer

  20. Burden to the Hospitals • In 2004, charges to the uninsured were over $64 million for ED and inpatient combined

  21. Top Reasons for ED Infectious Disease

  22. Top Reasons for ED Psychiatry

  23. Top Reasons for ED General Medicine

  24. Questions? • Susan Forbes • 534-1277 • sforbes@hhic.org MAHALO!!!

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