Emergency Department Use in Brooklyn by Neighborhood Study
This study examines emergency department (ED) use in Brooklyn by neighborhood, analyzing ED visits per 100 residents, hospital admissions per 100 residents, and other related factors. The data covers different neighborhoods in Brooklyn, providing insights into healthcare utilization patterns and trends.
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Emergency Department Use in Brooklyn by Neighborhood Michael Birnbaum Vice President United Hospital Fund September 21, 2011
Study Parameters, Definitions, and Data Sources Population All Brooklyn residents Definition of emergency department (ED) visit Treat and release visits (not resulting in admissions) Volume and types of ED visits and admissions Source: Statewide Planning and Research Cooperative System (SPARCS) data up-weighted to reflect Institutional Cost Report (ICR) data Patient characteristics Source: SPARCS data Neighborhood populations Source: New York City Department of Health and Mental Hygiene Neighborhood Population Estimates 2
Map of United Hospital Fund Brooklyn Neighborhoods Greenpoint Bushwick and Williamsburg Northwest Brooklyn Central Brooklyn East New York and New Lots Sunset Park Flatbush Canarsie and Flatlands Borough Park Southwest Brooklyn Southern Brooklyn 3
Share of ED Visits Not Resulting in Hospital Admissions (2008) 100% 85% 84% 84% 83% 81% 81% 80% 80% 78% NYC Average 72% 73% 71% 75% 50% 25% 0% Source: United Hospital Fund analysis of SPARCS data and Institutional Cost Reports. 4
ED Use Among Brooklyn Residents by Neighborhood ED Visits per 100 Residents Hospital Admissions per 100 Residents Share of Residents with at Least One ED Visit Share of Residents with Three or More ED Visits Share of ED Visits by Frequency of ED Use 5
ED Visits per 100 Residents (2008) 70 57 60 52 51 50 40 40 32 33 36 NYC Average 30 30 23 20 20 17 20 10 0 Source: United Hospital Fund analysis of SPARCS data, Institutional Cost Reports, and NYC DOHMH Neighborhood Population Estimates. Rates are age- and sex-adjusted. Note: 6
Hospital Admissions per 100 Residents (2008) 20 19 18 17 14 13 14 14 13 15 NYC Average 13 11 12 10 10 5 0 Source: United Hospital Fund analysis of SPARCS data, Institutional Cost Reports, and NYC DOHMH Neighborhood Population Estimates. Rates are age- and sex-adjusted. Note: 7
ED Visits per 100 Children (2008) 70 61 57 60 55 50 46 46 NYC Average 40 40 36 34 30 24 20 18 20 20 10 0 Source: United Hospital Fund analysis of SPARCS data, Institutional Cost Reports, and NYC DOHMH Neighborhood Population Estimates. 8
ED Visits per 100 Adults (2008) 70 57 60 51 51 50 38 40 31 30 NYC Average 33 29 30 22 22 19 20 16 10 0 Source: United Hospital Fund analysis of SPARCS data, Institutional Cost Reports, and NYC DOHMH Neighborhood Population Estimates. 9
Share of Residents with at Least One ED Visit (2008) 40% 34% 32% 29% 30% 23% 20% 20% 22% NYC Average 19% 20% 14% 14% 13% 11% 10% 0% Source: United Hospital Fund analysis of SPARCS data and NYC DOHMH Neighborhood Population Estimates. 10
Share of Children with One or More ED Visits (2008) 39% 40% 37% 35% 27% 29% 30% NYC Average 26% 24% 23% 20% 16% 14% 13% 14% 10% 0% Source: United Hospital Fund analysis of SPARCS data and NYC DOHMH Neighborhood Population Estimates. 11
Share of Adults with One or More ED Visits (2008) 40% 33% 30% 30% 27% 22% 19% 17% 19% 20% NYC Average 20% 14% 14% 13% 11% 10% 0% Source: United Hospital Fund analysis of SPARCS data and NYC DOHMH Neighborhood Population Estimates. 12
Share of Residents with Three or More ED Visits (2008) 5% 4.2% 4% 3.4% 3.3% 3% 1.9% 2.1% 1.9% NYC Average 2% 1.7% 1.4% 1.1% 1.1% 0.9% 1% 0.7% 0% Source: United Hospital Fund analysis of SPARCS data and NYC DOHMH Neighborhood Population Estimates. 13
Share of Children with Three or More ED Visits (2008) 5% 4.3% 4% 3.0% 2.9% 2.7% 3% NYC Average 2.3% 1.9% 2.0% 2% 1.2% 1.1% 0.9% 0.9% 1% 0.7% 0% Source: United Hospital Fund analysis of SPARCS data and NYC DOHMH Neighborhood Population Estimates. 14
Share of Adults with Three or More ED Visits (2008) 5% 4.1% 4% 3.5% 3.4% 3% 1.7% 1.9% 1.9% NYC Average 2% 1.5% 1.6% 1.1% 1.1% 0.9% 1% 0.7% 0% Source: United Hospital Fund analysis of SPARCS data and NYC DOHMH Neighborhood Population Estimates. 15
Share of ED Visits by Frequency of ED Use (2008) Share of ED Visits Accounted for by Users with: 1 Visit 2 Visits 3+ Visits 75% 50% 25% 0% Source: United Hospital Fund analysis of SPARCS data. 16
Findings Residents in certain Brooklyn neighborhoods have much higher rates of ED use than those in others. Variation in ED use among neighborhoods is greater than variation in hospital admissions. Children are more likely than adults to use the ED. Variation in ED use among neighborhoods is greatest for residents with 3 or more visits. 17
