Texas State Health Plan: 1985, Appendix A Page: 1
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ANNEX TO CHAPTER 6
SUBCHAPTER II - SHORT TERM INSTITUTIONAL CARE
Introduction The information in this Annex is intended to provide additional
data and elaboration of Chapter 6, Subchapter II in the SHP. In addition, it
includes a discussion of the major areas of concern, other than the #1
priority issue, which were recommended for referral by the SHCC to proponent
organizations for appropriate action. Tables and exhibits which are
referenced in and support Subchapter II are also included in this Annex.
Description As indicated in the SHP, there were 523 short term care hospitals
in Texas in 1982 with 68,500 licensed beds. Collectively they provided 16.3
million patient days of care with an average daily census of 44,580. Of these
523 facilities, 325 (62%) were 100 or less beds in size, yet their workload
comprised only 24% of total patient days. By contrast, only 18 hospitals with
500 or more beds (3%) provided 20% of total patient days. Of these 325
smaller hospitals, 213 (66%) were in rural areas. The number of short term
hospitals has remained essentially constant since 1982. There were 524 short
term hospitals as of February 29, 1984. A list of these 524 hospitals is
included in this annex along with 1982 utilization data for the 523 hospi-
tals operating in 1982.
Texas has a number of short term hospitals in multi-hospital systems. The
Texas Hospital Association reported that in August 1983 there were 21
non-profit systems with 113 hospitals and 28 investor-owned systems with 171
hospitals. These figures indicate that 284 (58%) of the 492 short-term
hospitals as classified by THA are system associated with 35% members of
proprietary systems and 23% members of not-for-profit systems.1 Data
regarding ownership status are presented in Table 1.
In dollar terms, total health care services and supply expenditures in Texas
in 1982 reached $15.3 billion. Hospital care expenditures totaled $6.9
billion or 45% or total health care expenditures.
From any perspective, the hospital system in Texas is sizable; in fact,
approximately one in every twelve hospitals in the United States is in Texas.
Major Concerns Referred to Proponent Organizations The second priority issue
encouraged hospitals to develop alternative delivery systems to reduce costs
and to increase accessibility to health care services. A related concern
reflected in the prioritization survey related to a need to review existing
alternative outpatient care programs. The purpose is to ensure their role is
understood and compatible with the best interests of patients and the most
effective operation of the health care delivery system overall. Any new
methods of delivery which will reduce the need for or length of
hospitalization merit thorough evaluation and encouragement. As notec in
Subchapter II, there has already been a rapid proliferation of ambulatory
surgery centers, so-called emergency care or ambulatory care centers, and home
health agencies and programs in many parts of Texas and also an increased
interest in swing beds. In many instances these programs are being developed
by hospitals and in other instances by non-hospital based organizations.
"Multi-Hospitals Systems in Texas, Trends and Developments," Texas
Hospitals, September 1983, pp. 17-19, and telecon with THA representative
May 7, 1984.1
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Texas. Statewide Health Coordinating Council. Texas State Health Plan: 1985, Appendix A, report, 1985; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1586722/m1/43/: accessed July 16, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.