Public hospital-based level I trauma centers: Financial survival in the new millennium

Don Selzer, G. A. Gomez, L. Jacobson, T. Wischmeyer, Rajiv Sood, T. Broadie

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Background: The medical benefits of trauma centers have been well documented; studies have reported substantial financial losses attributed to trauma care. This study demonstrates the dependence of Level I trauma centers on Disproportionate Share Hospital (DSH) governmental funds and tax dollars. Furthermore, specific injury groups have greater dependence on these funds. Methods: Records of 553 trauma patients admitted to a public urban Level I trauma center during a 6-month period were reviewed. Patients were grouped according to blunt, penetrating, and thermal injuries. Data for each group included charges, costs, payments, and the source of reimbursement. Profit and loss margins were compared with and without government funds. Results: With diminished DSH funds and tax dollars, a net loss over $2.1 million was incurred. The greatest disparity originates from Medicaid, self-pay, and prisoner patient groups. Inclusion of government funds provided a positive return of over $600,000. Conclusion: The financial stability of urban public Level I trauma centers without additional funding is tenuous because of a high proportion of uninsured and underinsured patients. Government tax dollars and DSH funds are required for their continued solvency.

Original languageEnglish
Pages (from-to)301-307
Number of pages7
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume51
Issue number2
StatePublished - 2001

Fingerprint

Trauma Centers
Public Hospitals
Financial Management
Survival
Taxes
Wounds and Injuries
Prisoners
Medicaid
Hot Temperature
Costs and Cost Analysis

Keywords

  • Disproportionate share (DSH) funds
  • Health care costs
  • Level I trauma centers
  • Tax dollars

ASJC Scopus subject areas

  • Surgery

Cite this

Public hospital-based level I trauma centers : Financial survival in the new millennium. / Selzer, Don; Gomez, G. A.; Jacobson, L.; Wischmeyer, T.; Sood, Rajiv; Broadie, T.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 51, No. 2, 2001, p. 301-307.

Research output: Contribution to journalArticle

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