1. From: The Health Care CrisisImpact on Surgery in the Community Hospital Setting
Arch Surg. 2001;136(5): doi: /archsurg
Figure Legend:
The average annual growth in surgical volume has ranged between 4% to 9% since We project an 11% increase in annual growth for 2000 with operating room utilization at approximately 85% Figure courtesy of Mary Brzezinski, William Beaumont Hospital, Royal Oak, Mich.
Date of download: 10/13/2017

2. From: The Health Care CrisisImpact on Surgery in the Community Hospital Setting
Arch Surg. 2001;136(5): doi: /archsurg
Figure Legend:
Since the Balanced Budget Act was enacted in 1997, hospital profit margins have dropped precipitously. Within this 2-year interval, total margins decreased 31%, and operating margins decreased 51%. In 1999, hospital total margins dropped below Standard & Poor's A-Bond rating threshold (5.7%) and below the generally accepted level for recapitalization (5%). Figure used with permission from the Health Care Advisory Board. It has been modified from a graph appearing in Avoiding Financial Flashpoints. Washington, DC; 2000.
Date of download: 10/13/2017

3. From: The Health Care CrisisImpact on Surgery in the Community Hospital Setting
Arch Surg. 2001;136(5): doi: /archsurg
Figure Legend:
A, Along a wide range of occupancy levels, clinical efficiency remains relatively constant. Above a certain threshold (approximately 85%-90% occupancy) efficiency falls. B, The ability to generate operating margin increases steadily with clinical activity but plateaus between 85% to 95% occupancy. Beyond that level, delays, inefficiencies, and increased use of costly resources may require expenditures in excess of revenues.
Date of download: 10/13/2017

4. From: The Health Care CrisisImpact on Surgery in the Community Hospital Setting
Arch Surg. 2001;136(5): doi: /archsurg
Figure Legend:
A, The average age of registered nurses (RNs) is increasing dramatically. B, Meanwhile, the percentage of RNs younger than 30 years has dropped. C, Nursing school enrollments are also decreasing, and there is no evidence that schools can quickly flex upward. Newly licensed RNs represent less than 4% of the entire RN workforce. Figure used with permission from Peter I. Buerhaus, PhD, RN, FAAN, Vanderbilt University School of Nursing.
Date of download: 10/13/2017