Emergency Department Use in Brooklyn by Neighborhood

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Presentation transcript:

Emergency Department Use in Brooklyn by Neighborhood Michael Birnbaum Vice President United Hospital Fund September 21, 2011 Funded by the New York State Department of Health

Study Parameters, Definitions, and Data Sources Population All Brooklyn residents Definition of emergency department (ED) visit “Treat and release” visits (not resulting in admissions) Volume and types of ED visits and admissions Source: Statewide Planning and Research Cooperative System (SPARCS) data up-weighted to reflect Institutional Cost Report (ICR) data Patient characteristics Source: SPARCS data Neighborhood populations Source: New York City Department of Health and Mental Hygiene Neighborhood Population Estimates

Map of United Hospital Fund Brooklyn Neighborhoods Greenpoint Bushwick and Williamsburg East New York and New Lots Borough Park Northwest Brooklyn Southwest Brooklyn Sunset Park Flatbush Central Brooklyn Southern Brooklyn Canarsie and Flatlands

Share of ED Visits Not Resulting in Hospital Admissions (2008) NYC Average 81% Source: United Hospital Fund analysis of SPARCS data and Institutional Cost Reports.

ED Use Among Brooklyn Residents by Neighborhood ED Visits per 100 Residents Hospital Admissions per 100 Residents Share of Residents with at Least One ED Visit Share of Residents with Three or More ED Visits Share of ED Visits by Frequency of ED Use

ED Visits per 100 Residents (2008) NYC Average 36 Source: United Hospital Fund analysis of SPARCS data, Institutional Cost Reports, and NYC DOHMH Neighborhood Population Estimates. Note: Rates are age- and sex-adjusted.

Hospital Admissions per 100 Residents (2008) NYC Average 14 Source: United Hospital Fund analysis of SPARCS data, Institutional Cost Reports, and NYC DOHMH Neighborhood Population Estimates. Note: Rates are age- and sex-adjusted.

ED Visits per 100 Children (2008) NYC Average 46 Source: United Hospital Fund analysis of SPARCS data, Institutional Cost Reports, and NYC DOHMH Neighborhood Population Estimates.

ED Visits per 100 Adults (2008) 33 NYC Average Source: United Hospital Fund analysis of SPARCS data, Institutional Cost Reports, and NYC DOHMH Neighborhood Population Estimates.

Share of Residents with at Least One ED Visit (2008) NYC Average 22% Source: United Hospital Fund analysis of SPARCS data and NYC DOHMH Neighborhood Population Estimates.

Share of Children with One or More ED Visits (2008) NYC Average 29% Source: United Hospital Fund analysis of SPARCS data and NYC DOHMH Neighborhood Population Estimates.

Share of Adults with One or More ED Visits (2008) NYC Average 20% Source: United Hospital Fund analysis of SPARCS data and NYC DOHMH Neighborhood Population Estimates.

Share of Residents with Three or More ED Visits (2008) NYC Average 2.1% Source: United Hospital Fund analysis of SPARCS data and NYC DOHMH Neighborhood Population Estimates.

Share of Children with Three or More ED Visits (2008) 2.7% NYC Average Source: United Hospital Fund analysis of SPARCS data and NYC DOHMH Neighborhood Population Estimates.

Share of Adults with Three or More ED Visits (2008) NYC Average 1.9% Source: United Hospital Fund analysis of SPARCS data and NYC DOHMH Neighborhood Population Estimates.

Share of ED Visits by Frequency of ED Use (2008) Source: United Hospital Fund analysis of SPARCS data.

Findings Residents in certain Brooklyn neighborhoods have much higher rates of ED use than those in others. Variation in ED use among neighborhoods is greater than variation in hospital admissions. Children are more likely than adults to use the ED. Variation in ED use among neighborhoods is greatest for residents with 3 or more visits.