2020 Volume 21 Issue 2 Pages 79-84
In recent years, our hospital has been urgently required to secure the number of new inpatients due to the shortening of hospital stays with the introduction of DPC (Diagnosis Procedure Combination) reimbursement system and the shift to a regional medical support hospital. Against this background, the aim of acquiring new inpatients has been to increase the ambulance acceptance rate since June 2017 as a hospital-wide effort. In this time, we examined whether the establishment of an emergency medical system that does not refuse calls will contribute to hospital profits. We have set an average ambulance acceptance rate of at least 75% per month. Then, they were divided into a reinforced group and a non-reinforced group and compared on a monthly average. As a result, the number of ambulances accepted, the acceptance rate, and the number of ambulance hospitalizations increased significantly in the reinforced group. Furthermore, in the reinforced group, the bed utilization rate, the number of new hospitalized patients increased, and the hospitalization income also increased significantly. This finding suggested that strengthening the hospital's emergency system could further increase the number of new inpatients in the entire hospital and increase hospitalization revenue.
