The Future of Inpatient Community Hospital Care: Is There One?

Author:

Krugman Scott D.1,Rauch Daniel A.2

Affiliation:

1. The Herman & Walter Samuelson Children’s Hospital at Sinai, Baltimore, Maryland; and

2. School of Medicine, Tufts University and Tuft’s Children’s Hospital, Boston, Massachusetts

Abstract

Community hospital inpatient pediatric programs face a variety of challenges including financial instability, variable censuses, difficulty maintaining qualified staff, and a lack of focus for the hospital. With the addition of new payment models, such as bundled payments and global budgets, along with a global pandemic, the future of community hospital pediatric inpatient care is uncertain at best. In this article we summarize the challenges, opportunities, and potential solutions to maintaining high-quality care for hospitalized children in community hospitals.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics,General Medicine,Pediatrics, Perinatology and Child Health

Reference25 articles.

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3. American Hospital Association. TrendWatch chartbook 2016: trends affecting hospitals and health systems. 2016. Available at: https://www.aha.org/system/files/2018-01/2016-chartbook.pdf. Accessed September 24, 2020

4. Sun R, Karaca Z, Wong HS. Trends in Hospital Inpatients Stays by Age and Payer, 2000-2015. Rockville, MD: Agency for Healthcare Research and Quality; 2018. Available at: www.hcup-us.ahrq.gov/reports/statbriefs/sb235-Inpatient-Stays-Age-Payer-Trends.pdf. Accessed September 24, 2020

5. Agency for Healthcare Research and Quality. HCUP Fast Stats - Trends in Inpatient Stays. Rockville, MD: Agency for Healthcare Research and Quality; 2019. Available at: www.hcup-us.ahrq.gov/faststats/national/inpatienttrends.jsp?measure1=01&characteristic1=02&time1=20&measure2=&characteristic2=01&time2=10&expansionInfoState=hide&dataTablesState=hide&definitionsState=hide&exportState=hide. Accessed September 24, 2020

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