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Presentation Outline ICHP Annual Meeting September 13-15

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Patient Activity ‐ 1<br />

Patients in U.S.<br />

– 310.9 million – 80+% will receive prescription<br />

– Beds available ‐ all facilities – 944,277<br />

– Community hospital/university – 805,593<br />

– Admissions annually all facilities – 37,479,709 –<br />

Discharges or 140,000 today‐most with new<br />

medications<br />

– Admissions in community/university – 35,527,377<br />

Patient Care Activities<br />

Emergency Room Patients<br />

• Injury‐related visits:<br />

� 42.4 million<br />

� 41.4 per 100 citizens (OH: 46.8; IL: 41.8; MA: 41.5; WI: 33.3; MI: 39.6;<br />

MD: 37.7; NC: 40.8)<br />

� All others discharged on medication<br />

• Patients seen by:<br />

� Physicians: 111,000,000<br />

� Physician Assistants and ER Techs: 21,450,000<br />

� Nurse Practitioner: 4,400,000<br />

� Patient patterns:<br />

� 4% of the patients account for 20% of all visits<br />

� 5% of patients account for 50+% of costs<br />

Diabetes –IAF Forecast ‐ 2<br />

We need to better forecast the profession’s future<br />

2010 to 20<strong>15</strong><br />

• Major j complications: p visual, , renal, , amputations p<br />

– 3,676,300 to 4,850,900 = 1,052,500 + 28%<br />

• Over 65 –the percentages even greater.<br />

• “Point is” many entities are forecasting better<br />

each year<br />

Patient Care Activities<br />

Emergency Room Patients<br />

• ER visits:<br />

• 123.8 million (<strong>13</strong>‐17% admitted)<br />

• Medications:<br />

• 96,419,000 mentioned medications<br />

� 27,343,000 did not mention medications<br />

� ~30% had 3 or more medications<br />

� And 425,000 visits – inappropriate pain relieveres<br />

• Patients over 65 years of age:<br />

• 19,261,000<br />

� 1,675,000 with chest pain or shortness of breath<br />

Diabetes –IAF Forecast ‐ 1<br />

We need to better forecast the profession’s future<br />

2010 to 20<strong>15</strong><br />

Population: p 310,233,000 , , to 325,540,000 , , =<br />

<strong>15</strong>,307,000 +4.9 %<br />

Pre‐diabetes: 79,016,000 to 82,9<strong>15</strong>,000 =<br />

3,899,000 +5.0 %<br />

Diagnosed: 20,300,000 to 26,600,000 = 6,300,000<br />

+ 31%<br />

Statistics<br />

Providers<br />

8/29/2012<br />

3

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