Total no. of hospital encounters | 132 996 | 1528 | 11 730 | 119 738 |
No. of hospital admissions, median (IQR) [range] | 1 (1–1) [1–41] | 5 (4–8) [2–41] | 2 (1–3) [1–17] | 1 (1–1) [1–18] |
Total days in hospital, median (IQR) | 3 (2–8) | 128 (98–181) | 53 (34–79) | 3 (2–6) |
No. of admissions to ICU | | | | |
0 | 90.0 | 39.0 | 49.6 | 92.3 |
1 | 9.5 | 32.2 | 45.5 | 7.5 |
≥ 2 | 0.5 | 28.8 | 4.9 | 0.2 |
Total days in ICU,‡ median (IQR) | 4 (1–10) | 16 (9–30) | 14 (8–25) | 2 (1–6) |
% of total hospital days spent in ICU, median (IQR) | 0 (0–0) | 5.9 (0–17.3) | 1.7 (0–41.5) | 0 (0–0) |
No. of admissions to alternate level of care | | | | |
0 | 95.5 | 54.7 | 67.2 | 97.2 |
1 | 4.1 | 26.3 | 29.3 | 2.7 |
≥ 2 | 0.4 | 19.0 | 3.5 | 0.1 |
Total days in alternate level of care,§ median (IQR) | 14 (6–32) | 32 (11–84) | 29 (11–61) | 9 (4–20) |
% of total hospital days spent in alternate level of care setting, median (IQR) | 0 (0–0) | 0 (0–21.4) | 0 (0–19.3) | 0 (0–0) |
No. of all-cause readmissions ≤ 30 d¶ | | | | |
0 | 92.8 | 30.9 | 65.4 | 94.2 |
1 | 5.7 | 25.7 | 21.9 | 4.9 |
≥ 2 | 1.5 | 43.4 | 12.7 | 0.9 |
In-hospital death | 5.0 | 25.0 | 22.7 | 4.0 |
Discharge disposition (last admission) | | | | |
Home | 75.7 | 16.5 | 22.3 | 78.8 |
Home with support services | 9.0 | 22.5 | 20.4 | 8.4 |
In-hospital death | 5.0 | 25.0 | 22.7 | 4.0 |
Signed out against medical advice | 0.4 | 0.9 | 0.4 | 0.4 |
Transferred to acute care | 3.0 | 5.9 | 9.5 | 2.6 |
Transferred to long-term care | 6.6 | 26.7 | 24.0 | 5.6 |
Transferred to other facility | 0.3 | 2.5 | 0.7 | 0.2 |
Did not return from a pass | 0.01 | 0 | 0 | 0.01 |
Total direct costs over study period, $ | 936 671 040 | 35 462 016 | 336 992 448 | 564 216 576 |
% of total costs | 100.0 | 3.8 | 36.0 | 60.2 |
Direct cost per patient, $, median (IQR) | 3598 (1485–8864) | 136 558 (98 514–174 328) | 52 544 (40 138–75 305) | 3291 (1361–7581) |
Resource utilization, % of direct inpatient spending | | | | |
Endoscopy | 0.4 | 0.3 | 0.3 | 0.4 |
Food services | 2.6 | 2.7 | 2.6 | 2.6 |
Health professional services | 5.0 | 7.2 | 7.6 | 3.3 |
Imaging | 3.1 | 3.0 | 3.2 | 3.1 |
Laboratory | 7.4 | 5.8 | 5.6 | 8.6 |
Nursing | 45.4 | 44.9 | 39.8 | 48.8 |
Operating room | 8.2 | 2.6 | 3.0 | 11.6 |
Surgical implants | 4.4 | 2.1 | 2.0 | 5.9 |
Pharmacy | 7.1 | 10.5 | 8.8 | 5.8 |
Post-anesthesia care unit | 2.0 | 0.8 | 0.8 | 2.9 |
ICU | 14.4 | 20.1 | 26.3 | 7.0 |