Microsimulation of financial impact of demand surge on hospitals: the H1N1 influenza pandemic of fall 2009.

ABSTRACT:

Objective

Microsimulation was used to assess the financial impact on hospitals of a surge in influenza admissions in advance of the H1N1 pandemic in the fall of 2009. The goal was to estimate net income and losses (nationally, and by hospital type) of a response of filling unused hospital bed capacity proportionately and postponing elective admissions (a "passive" supply response).

Methods

Epidemiologic assumptions were combined with assumptions from other literature (e.g., staff absenteeism, profitability by payer class), Census data on age groups by region, and baseline hospital utilization data. Hospital discharge records were available from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample (NIS). Hospital bed capacity and staffing were measured with

SUBMITTER: Braithwaite S 

PROVIDER: S-EPMC3626336 | biostudies-literature | 2013 Apr

REPOSITORIES: biostudies-literature