Comparison of 3 Safety-Net Hospital Definitions and Association With Hospital Characteristics

JAMA Network Open
Ioana PopescuH Joanna Jiang

Abstract

No consensus exists on how to define safety-net hospitals (SNHs) for research or policy decision-making. Identifying which types of hospitals are classified as SNHs under different definitions is key to assessing policies that affect SNH funding. To examine characteristics of SNHs as classified under 3 common definitions. This cross-sectional analysis includes noncritical-access hospitals in the Healthcare Cost and Utilization Project State Inpatient Databases from 47 US states for fiscal year 2015, linked to the Centers for Medicare & Medicaid Services Hospital Cost Reports and to the American Hospital Association Annual Survey. Data were analyzed from March 1 through September 30, 2018. Hospital characteristics including organizational characteristics, scope of services provided, and financial attributes. Definitions of SNH based on Medicaid and Medicare Supplemental Security Income inpatient days historically used to determine Medicare Disproportionate Share Hospital (DSH) payments; Medicaid and uninsured caseload; and uncompensated care costs. For each measure, SNHs were defined as those within the top quartile for each state. The 2066 hospitals in this study were distributed across the Northeast (340 [16.5%]), Midwest (587...Continue Reading

References

Jul 21, 2001·Health Affairs·S ZuckermanA LoSasso
Nov 3, 2001·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·L D Richardson, U Hwang
Mar 1, 2003·Journal of Urban Health : Bulletin of the New York Academy of Medicine·D J Gaskin, J Hadley
Jul 3, 2003·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Gloria J BazzoliTeresa M Waters
Jul 14, 2005·Health Affairs·Gloria J BazzoliRichard C Lindrooth
Jan 11, 2007·Health Affairs·Joseph S RossHarlan M Krumholz
May 23, 2007·Medical Care·L Elizabeth GoldmanR Adams Dudley
May 15, 2008·JAMA : the Journal of the American Medical Association·Rachel M WernerR Adams Dudley
Apr 29, 2009·Medical Care Research and Review : MCRR·Megan McHughRomana Hasnain-Wynia
Oct 28, 2009·Health Affairs·Ashish K JhaEric G Campbell
May 10, 2011·Journal of Health Care for the Poor and Underserved·Megan McHughKevin Van Dyke
Sep 6, 2011·The Open Health Services and Policy Journal·Lee MobleyGloria J Bazzoli
Nov 19, 2011·Health Services Research·Gloria J BazzoliLee Rivers Mobley
Jul 18, 2012·Archives of Internal Medicine·Paula ChatterjeeAshish K Jha
Mar 4, 2014·Journal of Health Care for the Poor and Underserved·Gloria J Bazzoli, Jan P Clement
Aug 15, 2014·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Alejandro Arrieta
Mar 11, 2016·Nature Reviews. Rheumatology·Sarah Onuora
Jun 15, 2019·Journal of Health Politics, Policy and Law·Sujoy ChakravartySusan Brownlee

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Citations

Jul 18, 2020·American Journal of Respiratory and Critical Care Medicine·Neeta ThakurJuan C Celedón
Jul 1, 2020·Journal of Cardiac Surgery·Marguerite M HoylerRobert S White
Nov 19, 2020·Clinical Neurology and Neurosurgery·Archis R BhandarkarMohamad Bydon
Sep 18, 2020·Clinical Neurology and Neurosurgery·Archis R BhandarkarMohamad Bydon
Jan 14, 2021·Journal of Comparative Effectiveness Research·Marguerite M HoylerRobert S White
Feb 10, 2021·Radiology·Stephen WaiteDaria Colombo
Dec 29, 2020·The New England Journal of Medicine·Paula ChatterjeeKaren E Joynt Maddox
Feb 16, 2021·JAMA Internal Medicine·Paula ChatterjeeRachel M Werner
Jun 23, 2021·Journal of Public Health·Sandra TilmonD Johnson
Mar 5, 2021·The American Journal of Gastroenterology·Robert J WongMae Thamer
Jul 1, 2021·Journal of the American College of Emergency Physicians Open·Margaret E Samuels-KalowCarlos A Camargo
Jun 16, 2021·Pediatrics·Anna M CushingKenneth A Michelson

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Software Mentioned

R
R Project for Statistical Computing

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