Development of Hospital Sector Flashcards
1
Q
Hill-Burton Act
A
- 1946
- provided federal grants for states to construct new community hospitals
- Greatest driver of hospital bed increase during the 50s / 60s
2
Q
Downsizing Phase
A
-During the mid 1980s hospitals begin to decline in a # sense and also in a ALOS sense
3
Q
Occupancy Rate
A
average daily census / number of beds
4
Q
Factors driving downsizing phase
A
- Reimbursement changes
- Rural Hospital Closures
- Managed Care
5
Q
Reimbursement changes
A
Moved from cost-plus reimbursement to DRG
6
Q
Cost-plus reimbursement
A
Reimbursed for each day patient stays in the hospital, plus capital costs
Also called retrospective reimbursement
7
Q
DRG
A
Product of Tax Equity & Fiscal Responsibility Act of 1982
Hospitals are paid a fixed amount per admission
8
Q
T/F national spend on hospitals has been decreasing
A
True
1980: 39%
2017: 33%
